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Family & Community Health

June 2007, Volume 30 Number 2 - Supplement: April/June 2007 , p S80 - S91


  • Victoria Niederhauser, DrPH, APRN, BC, PNP
  • Michael Walters, MD, MPH
  • Robyn Ganeko, MS, APRN, BC


The aims of this project were to minimize organizational barriers and increase access to immunizations for children aged 6 months to 21 years in a multiethnic community health center in Honolulu. The intervention consisted of opening a "walk-in" shot clinic (WISC), run by a nurse practitioner, 2 evenings per week and Saturdays. Between January and July 2005, 351 clients accessed the clinic, with 774 immunizations administered. Clinic satisfaction measures were excellent. Up-to-date immunization status for all clients improved significantly. The WISC is an effective and customer-friendly way to improve childhood and adolescent immunization rates in a community health center setting.

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