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The Guide to Community Preventive Services (The Community Guide) Go to site home page About the Task Force


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Increasing Appropriate Vaccination

bottles of vaccine

Diseases that can be prevented by vaccines remain major causes of illness and death for people of all ages in the United States.

  • In the U.S., an estimated 800,000 to 1.4 million persons have chronic Hepatitis B virus infection (CDC) External Web Site Icon.
  • Flu seasons are unpredictable and can be severe. Between 1976 and 2007, estimates of flu-associated deaths range from a low of about 3,000 to a high of about 49,000 people (CDC) External Web Site Icon.
  • In addition to the interventions cited below, the Task Force recommends worksite interventions to promote flu vaccinations among healthcare and non-healthcare workers.

Task Force Recommendations and Findings

This table lists interventions reviewed by the Community Guide, with a summary of the Task Force finding (definitions of findings). Click on an underlined intervention title for a summary of the review, and where available, Research-tested Intervention Programs (RTIPs).

Intervention Task Force Finding
Enhancing Access to Vaccination Services
Home Visits to Increase Vaccination Rates Recommended
February 2016
Reducing Client Out-of-Pocket Costs Recommended
September 2014
Vaccination Programs in Schools and Organized Child Care Centers Recommended
June 2009
Vaccination Programs in WIC Settings Recommended
March 2015
Increasing Community Demand for Vaccinations
Client or Family Incentive Rewards Recommended
May 2015
Client Reminder and Recall Systems Recommended
May 2015
Client-Held Paper Immunization Records Insufficient Evidence
February 2016
Clinic-Based Education when Used Alone Insufficient Evidence
May 2015
Community-Wide Education when Used Alone Insufficient Evidence
September 2015
Community-Based Interventions Implemented in Combination Recommended
October 2014
Monetary Sanction Policies Insufficient Evidence
September 2015
Vaccination Requirements for Child Care, School and College Attendance Recommended
February 2016
Provider- or System-Based Interventions
Health Care System-Based Interventions Implemented in Combination Recommended
October 2014
Immunization Information Systems Recommended
July 2010
Provider Assessment and Feedback Recommended
March 2015
Provider Education when Used Alone Insufficient Evidence
May 2015
Provider Reminders Recommended
March 2015
Standing Orders Recommended
March 2015

Presentations and Promotional Materials

Community Guide In Action: Stories from the Field

An Evidence-Based Approach to Montana's Health Landscape Adobe PDF File [PDF - 590 kB]

A Good Shot: Reaching Immunization Targets in Duval County Adobe PDF File [PDF - 492 kB]

Promotional Materials

Community Guide News: Immunization Information Systems (IIS) Help to Increase Vaccination Rates
Developed by The Community Guide in collaboration with CDC's Division of Immunization Services

Community Guide News: Multicomponent Interventions Increase Vaccination Rates
Developed by The Community Guide in collaboration with CDC's Division of Immunization Services

Inactive and Archived Reviews

Access summaries, supporting materials, and and publications from previous reviews.

Related Topics

Worksite Health Promotion
(Flu vaccination for workers and healthcare professionals)


The findings and conclusions on this page are those of the Community Preventive Services Task Force and do not necessarily represent those of CDC. Task Force evidence-based recommendations are not mandates for compliance or spending. Instead, they provide information and options for decision makers and stakeholders to consider when determining which programs, services, and policies best meet the needs, preferences, available resources, and constraints of their constituents.

Sample Citation

The content of publications of the Guide to Community Preventive Services is in the public domain. Citation as to source, however, is appreciated. Sample citation: Guide to Community Preventive Services. Increasing appropriate vaccination. Last updated: MM/DD/YYYY.