Virginia's immunization coalition will bring together cross-disciplinary groups of stakeholders to promote health and well-being of all Virginians through immunization advocacy, education, and quality improvement initiatives.

Your responses to the following questions will help guide the development of a 3-year strategic plan for the coalition.

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1. Contact Information (Required.)

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2. Job Title

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3. What are the greatest barriers to achieving optimal immunization rates in Virginia? (Examples: Lack of access to facilities offering vaccination, misinformation in the media)

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4. What factors or systems currently exist in Virginia that support the achievement of optimal immunization rates? (Examples: Effective insurance coverage for required vaccines, strong marketing to parents in schools)

Virginia’s Immunization Coalition goals:

·         Disseminate science-based immunization information to providers, parents, and the public;

·         Promote the health equity and well-being through immunization of all Virginians;

·         Raise immunization coverage levels to align with national goals

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5. What are the top needs in Virginia to accomplish the goals listed above? (Examples: Continuing education opportunities for clinical providers, improved data surveillance and management)

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6. What are the top resources or assets Virginia already has to accomplish the goals listed above? (Examples: Strong partnerships, active HPV taskforce)

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7. Please rank the following immunization priority areas of work the coalition may engage in from most to least important.

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8. Please select any areas of development you would be interested in supporting the coalition with:

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9. Please provide any suggestions you have for a name for this coalition.

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