Childhood immunization rates for Maine have declined since the mid-90's. One theory for the decline is that public awareness education was halted. The Maine Immunization Program (MIP) currently has two regional health educators and wishes to expand health education services to four regions. Further, both the MIP and the Maine CDC desire to understand from parents and caregivers the incentives and barriers to having their children age appropriately immunizated. Muskie staff will work collaboratively with the MIP on several fronts: <li>assist with preparing and managing an RFP process to expand health education services to two additional regions of Maine <li>plan and carry out survey(s) with parents of preschool children to identify both barriers to and incentives for getting children immunized <li>provide technical assistance to plan and implement additional evidence-based practices to improve age-appropriate immunization rates.</li><p></p> Data collected from the surveys will be used to help identify public health practices that are most likely to result in children who have age-appropriate immunizations, and to inform ongoing program planning priorities.
Cutler Institute for Health and Social Policy
Maine Immunization Program Survey and Technical Assistance
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Dr. Ziller to speak on Rural Implementation and Impact of Medicaid Expansions
The impact of the ACA Medicaid expansion on health care coverage and access in rural areas is largely unknown and will depend on the different state policy contexts in which the expansions are implemented and on existing system capacity. Understanding how many rural residents are likely to become newly eligible for Medicaid under the ACA, as well as their characteristics and health status, will provide important information to aid policymakers in structuring outreach and enrollment strategies and ensuring that the healthcare infrastructure and delivery systems in rural areas can address the needs of these individuals.
On March 18th, Dr. Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, will present via a SHARE webinar, nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in the following areas:
- Medicaid eligibility, pre-ACA
- Medicaid participation, pre-ACA
- New Medicaid eligibility in 2014
Dr. Ziller will also analyze the characteristics associated with any rural-urban differences in the above areas. Characteristics to be considered include age, gender, employment, education, income, Census region, health status, current relationship to primary care provider, primary care supply, and FQHC availability.