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Reconfiguring Child Health Services in the Inner City
David Wood, MD, MPH;
Neal Halfon, MD, MPH
JAMA. 1998;280:1182-1183.
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In this issue of THE JOURNAL, Hoekstra et al1 demonstrate how 2 public agencies, through innovation and collaboration, were able to dramatically increase immunization rates among thousands of young children in the inner city of Chicago, Ill. The Chicago Department of Public Health contracted with the Chicago Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), which has 47 offices that follow 70% of inner-city families during the first year of an infant's life, to have WIC staff review the parents' immunization record for each child, to educate the parents concerning when immunizations were due, and to make referrals to accessible immunization services, some of which were at the WIC offices. Parents of children found to be delayed in their immunizations or who did not bring in their infant's immunization card were provided only 1 month's supply of WIC food vouchers . . . [Full Text of this Article]
From the Department of Clinical Outcomes Management, Shriners Hospitals for Children, and the Departments of Pediatrics, Epidemiology, and Biostatistics and College of Public Health, University of South Florida, School of Medicine, Tampa (Dr Wood); and Center for Healthier Communities, Families and Children, Department of Pediatrics, School of Medicine, and Department of Community Health Sciences, School of Public Health, University of California, Los Angeles (Dr Halfon).
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