SENIOR VOLUNTEER FOR CHILDHOOD IMMUNIZATION

PROJECT SUMMARY FOR TEXAS

"Seniors for Childhood Immunization" (SCI) is an innovative community/coalition-based volunteer program for institutionalizing education and reminders about preschool immunization.  The SCI model results from a seventeen-month demonstration project conducted by the Texas Institute for Research and Education on Aging., University of North Texas, in two Texas counties (Denton and Dallas) between October 1993 and February 1995. 

 Based on positive evaluation results from the demonstration phase, the Texas Department of Health Immunization Division through its Shots Across Texas campaign supported in part by the program's continuation and  dissemination of  the model to other Texas communities. Texas Department of Health continues to provide partial support to thirteen SCI sites.

Texas SCI program sites are located in Amarillo, Austin, Beaumont/Port Arthur, Big Spring, Colorado City, Dallas, Denton/Lewisville/Carrollton, El Paso, Fort Worth, Levelland, Longview, Sherman, and Temple/Killeen.

Trained volunteers who are members of an established volunteer organization in a community (e.g., Retired and Senior Volunteer Program) first educate new mothers in hospitals or birthing centers about preschool immunization; second, enroll consenting mothers into a community-based immunization reminder program; third, call or send cards reminding mothers of their children's' two, four, six and twelve month immunizations; and fourth, based on official immunization records evaluate their efforts.

DEMONSTRATION IN OTHER STATES BEYOND TEXAS

Beginning in late 1996, the Health Resources and Services Administration (HRSA) awarded a two year grant to the Institute to share its Seniors for Childhood Immunization model with the other states in Region VI.  The funding has allowed technical assistance and training for Oklahoma, Arkansas, Louisiana, and New Mexico.  Stanley Ingman, Ph. D., and Ann Reban, M.S.N., directed the project. This "sharing" of the model differs from the Institute's role in disseminating the SCI model in Texas. 

In Texas, Institute staff provide continuing technical assistance, training, monitoring, and evaluation research services to all 14 SCI program sites in Texas.  For the four other states, Institute staff are providing training  and technical assistance so that a state can undertake a demonstration of the Seniors for Childhood Immunization model  at a selected site.  Funding for and the conduct of the "state specific" demonstration then becomes the responsibility of the involved RSVP or other senior volunteer organization and its supporters with the encouragement and support of the state's public health sector within the individual state.

Thus far, the Institute has offered training video conferences for all states in Region VI.  Follow-up on site training and technical assistance has been provided to Oklahoma, Arkansas, and Louisiana. State specific training manuals have been produced each state. In addition, demonstration sites were selected in all four states.  Merck provided funding to the Louisiana demonstration and has pledged funding for the Oklahoma site.

Additional funding to continue the demonstration of the SCI model in other states beyond Texas and Region VI was received in October, 1998, from HRSA.  This funding allows the Institute to work with six states over a three year 
period. Currently, groups within South Carolina and South Dakota have expressed interest in undertaking a demonstration of the  SCI model.  A video training conference was conducted for South Carolina and a state specific manual was made.