1. Population Picture of NZ with DHBs shown

2. 2009 Conference…

3. Coverage – milestone ages

6. Flu vaccine in health workers 2011

7. Outcomes Prevent and minimise disease –coverage that prevents epidemics A good immunisation system delivers: –good service (safe, effective, trusted, efficient, timely, high quality) –equity of outcomes for high risk populations –value for money

8. Three main components…

9. 95%

10. Demographics Apr-Jun2011 Total Eligible Children: 15,789 (annual birth cohort ~ 65,000)

12. Deprivation Index

13. Two strategies Actions tailored for different audiences –Fully immunised –Unwell at the time –Can’t access the service –Believe they or their children are at low risk –Conflicted or emotionally distressed –Opposed Get the basics right –Keep it simple –Streamline

14. Tailored for different audiences Informed consent Great communication Managing mobility –process to check missing children Incentives and rewards Reducing declines

15. Get the basics right NIR –Yr7 event –Flu –Upload from different locations Business as usual –Review storage and distribution –Training Timeliness target New vaccines?

16. Not fully immunised and haven’t declined (children who turned 2 in Apr-Jun 2010 N=1164)

17. Not fully immunised and haven’t declined (children who turned 2 in Apr-Jun 2011 N=655)