Increasing Immunization Rates

Once an office-based vaccine program is in place, there are many strategies to help increase the number of vaccines given by your practice. Research indicates that the most important predictor of vaccine uptake is provider recommendation and offer. Make vaccinations a routine part of the conversation you have with your patients. For tips on communicating with vaccine hesitant patients, see ACOG’s communicating with patients section

Pediatric offices may choose to serve as an alternate venue for providing influenza immunization for parents and other care providers of children. Medical liability issues and medical record documentation requirements need to be considered before a pediatrician begins immunizing adults in the office. learn more at:

Immunization Rates

CDC's MMWR Surveillance of Vaccination Coverage Among Adult Populations — United States, 2015 (5/5/17)

CDC's MMWR National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13-17 Years - United States, 2015 (8/26/16)

CDC's MMWR Influenza Activity — United States, 2015–16 Season and Composition of the 2016–17 Influenza Vaccine (6/10/16)

CDC's MMWR Surveillance of Vaccination Coverage Among Adult Populations — United States, 2014 (2/5/16)

CDC's MMWR National, State, and Selected Local Area Vaccination Coverage Among Children Aged 19–35 Months United States, 2014 (8/28/15)

CDC's MMWR Vaccination Coverage Among Children in Kindergarten — United States, 2014–15 School Year (8/28/15)

CDC's MMWR Vaccination Coverage Among Adults, Excluding Influenza Vaccination- United States, 2013 (2/6/15)

CDC's MMWR Influenza Vaccination Coverage Among Pregnant Women (9/19/14)

CDC's MMWR Surveillance of Influenza Vaccination Coverage- United States, 2007-08 Through 2011-12 Influenza Seasons (10/25/13)

CDC Influenza Vaccination trends

Resources for Increasing Adult Immunization Rates

The National Adult and Influenza Immunization Summit's white paper "Lowering the Burden of Adult Disease, One Shot at a Time," examines barriers hospitals and health systems face when trying to increase adult immunization rates as opportunities for advancements, such as data transparency and immunization measures. 

The National Foundation for Infectious Diseases (NFID) published the Call to Action: Addressing New and Ongoing Adolescent Vaccination Challenges in April 2016. Vaccines are one of the most effective public health interventions available to protect individuals of all ages. Persistent gaps in vaccination coverage leaves adolescents at risk for HPV-related cancers, meningitis, and annual outbreaks of influenza among other infectious diseases. Read more about the risks and ways to improve vaccination rates in the Call to Action.

The U.S. Department of Health and Human Services released the first National Adult Immunization Plan. The new plan, developed by the HHS National Vaccine Program Office with input from a wide range of experts from a variety of organizations, lays out the following four goals to increase adult immunization rates in the U.S.:

  1. Strengthen the public health and health care systems involved in adult immunization
  2. Improve access to adult vaccines
  3. Increase awareness of adult vaccine recommendations and use of recommended vaccines
  4. Foster innovations in adult vaccines, including new vaccines and new ways to provide them

The Centers for Disease Control and Prevention (CDC) has a dedicated section with strategies for increasing adult immunization rates. Visit the following resources:

Epidemiology and Prevention of Vaccine-Preventable Diseases, The Pink Book, 13th Edition (2015) Chapter 3: Immunization Strategies for Healthcare Practices and Providers


State Vaccination Requirements

State and local vaccination requirements for daycare and school entry are important tools for maintaining high vaccination coverage rates, and in turn, lower rates of vaccine-preventable diseases (VPDs).


Vaccine Facts and Policy

The Vaccine Facts and Policy (VFAP) project is making available, for the first time in one location, an expansive compilation of detailed immunization data from every major jurisdiction in the United States.

The project website,, includes information within five major topic areas related to immunization law and policy including: demographics and rates, fiscal environment, law and policy, strategies and initiatives, and the structure of immunization programs. Users may customize their experience by searching the data by jurisdiction or topic.

By making this interactive and well-referenced database freely available, the project seeks to enhance the ability of immunization stakeholders, healthcare providers, the vaccine industry, policymakers, legislators, advocates, and consumers to access consistent information and work together in pursuit of higher immunization coverage against vaccine-preventable diseases.

The project is a partnership of the Milken Institute School of Public Health at the George Washington University (GW), the Association of Immunization Managers (AIM), and the Immunization Action Coalition (IAC). This unique partnership builds upon the strengths of each organization, enhancing the value and functionality of the project. Vaccine Facts and Policy FAQs


Updated 12/14/17

This website is supported by an independent educational grant from Merck and an educational grant from Sanofi Pasteur U.S. 
ACOG does not allow companies to influence its programs, publications, or advocacy positions.