School Reports | Immunization
Index | Data
and Statistics
Results of the 2003-2004 School Validation
Data in this report was collected from validation
surveys
conducted by ISDH immunization field representatives
at a sample of 119 schools throughout Indiana
Indiana State Department of Health
Gregory A. Wilson, M.D., State Health Commissioner
M. Elizabeth Carroll, J.D., Deputy State Health Commissioner
Community and Family Health Services Commission
Wendy Gettelfinger, R.N., D.N.S., J.D., Assistant Commissioner
Immunization Program
Michael Runau, M.S., Program Director
Charlene Graves, M.D., Medical Director
Primary Author
Megan Steiger, M.P.H., Epidemiologist
Immunization Program
Indiana State Department of Health
2 North Meridian
Indianapolis, IN 46204
Published: 06/2004
Each year, according to Indiana Code 20-8.1-7-11, all schools in Indiana are required to self-report immunization coverage levels of their kindergarten, first grade, and sixth grade students to the immunization program at the Indiana State Department of Health (ISDH). In order to verify the accuracy of the reports sent to ISDH, the immunization program annually conducts a validation survey on a random sample of schools. The results of the school validation survey for the 2003 - 2004 school year are represented in this report.
A random sample of schools was selected from the 2211 schools listed in the 2003 - 2004 school immunization assessment database. This sampling was conducted according to the procedures developed by the Assessment Branch of the National Immunization Program at the Centers for Disease Control and Prevention. A total sample size of 119 schools was selected for validations. Of the 119 sites selected, 37 were kindergarten, 47 were first grade, and 35 were sixth grade. In twenty-eight of the schools validated, more than one grade was reviewed.
ISDH immunization field representative conducted site visits
at the 119 school locations to review immunization records of
students enrolled in kindergarten, first or sixth grade. The
field representatives reviewed records for up-to-date or exemption
status of students in the selected grade levels. Complete immunization
levels for each grade level were calculated and compared with
the school’s reported immunization coverage levels submitted
for the 2003-2004 school report. Completed validations were submitted
to the Immunization Program for review.
The Indiana State Department of Health validated 119 schools from the 2003 - 2004 annual school immunization assessment.
Table 1. Percent of kindergarten, first grade, and sixth grade students with complete immunizations, 1995-1996 to 2003-2004 school years, annual school immunization assessments, Indiana.
School year | Kindergarten | First Grade | Sixth grade |
---|---|---|---|
1995-1996 |
97% |
- |
98% |
1996-1997 |
97% |
- |
98% |
1997-1998 |
97% |
- |
98% |
1998-1999 |
97% |
- |
98% |
1999-2000* |
81% |
66% |
97% |
2000-2001 |
90% |
95% |
95% |
2001-2002 |
92% |
84% |
97% |
2002-2003** |
85% |
96% |
75% |
2003-2004 |
91% |
97% |
93% |
*For the 1999-2000 school year, Indiana implemented new school requirements, which affected kindergarten and first grade students. First grade immunization rates began to be collected with the new requirements.
**Vaccine shortages were experienced during the 2002-2003 school year.
The results of the 2003 - 2004 school immunization validation survey indicate one-fourth of the schools showed no change between the school assessment report and school validation survey.
Figure 1. Percent change in overall completion levels at time
of validation compared with school assessment reports, 2003-2004
Indiana school immunization validation survey.
(N = 119 schools)
Table 2: Summary of the 2003-2004 school immunization report validation survey, Indiana (N=119 schools)
Kindergarten |
First Grade |
Sixth Grade |
Total |
|||||
---|---|---|---|---|---|---|---|---|
2003-2004 Report | 2003-2004 Validation Survey | 2003-2004 Report | 2003-2004 Validation Survey | 2003-2004 Report | 2003-2004 Validation Survey | 2003-2004 Report | 2003-2004 Validation Survey | |
Number of validated schools included | 37 |
37 |
47 |
47 |
35 |
35 |
119 |
119 |
Number of students enrolled | 2554 |
2573 |
4454 |
4461 |
2981 |
2961 |
9989 |
9995 |
Number of student records examined | 2554 |
2395 |
4454 |
4262 |
2981 |
2574 |
9989 |
9231 |
Number of students adequately immunized | 2434 (95.3%) |
2328 (97.2%) |
4308 (96.7%) |
4153 (97.4%) |
2793 (93.7%) |
2434 (94.6%) |
9535 (95.5%) |
8915 (96.6%) |
Figure 2. Mean comparison of immunization completion levels of schools included in the validation for the 2003-2004 school year, by grade level for the school immunization report versus the school validation survey in Indiana. (N= 119 schools)