1. The MINI Project Minnesota Immunization Networking Initiative
Patricia L. Peterson MPA
Faith Community Outreach Manager
Fairview Health Services
Minneapolis, Minnesota

2. The MINI Project Purpose
To increase influenza immunization rates among minority and underserved populations in the greater Twin Cities area by utilizing the resources and trust of faith-based and grass-roots community organizations

3. AND – MINI Purpose
Establish a community based framework for pandemic response

4. MINI Evaluation Questions No names…hash marks tally only
Ethnicity
Latino
African American
Native American
Somali
S.E. Asian
Other
Age Range
Under 5 years
5-9
10-18
19-26
27-49
50-65
65 and older
Have you had a flu shot before?
Yes No
Would you come back to this site for other shots or health information?
Yes No

5. Why the MINI Project? Health Disparities
Pneumococcal example: 70% White population immunized; 22.5% African American
Minnesota State
Department of Health

6. Why the MINI Project? Infrastructure Missing AMA:
Reason immunizations rates low for adults is effective adult infrastructure is lacking
“Improving Immunization: Addressing Racial and Ethnic Populations”, AMA, 12/04

7. Why? Barriers…. Cost – lack of insurance
Mistrust of medical profession
Fear of government
Transportation
Appointments

8. MINI Primary Players
Family Opportunities for Living Collaboration (Somali)
American Indian Community Development Corporation
St. Mary’s Clinics (Latino)
Stairstep Foundation (African American)

9. Principles in Play Local trusted organizations
will “call the meeting” and host the clinic

10. Principles…. Immunizations will be given at no cost
No one will be turned away; evidence of need does not have to be presented
All persons will sign a consent form and be given a copy of the HIPPA agreement/influenza fact sheets

11. FREE FLU SHOTS For adults and kids at least 3 years old
Church Location
Date
Time
Assumption Church
305 E. 77th St, Richfield, MN 55423
(612)
Sunday
February 11th
1:30- 3:30 p.m.
Sacred Heart Church
840 E. 6th St., St. Paul, MN 55106
(651)
12 – 2 p.m.
St. Odilia Catholic Church
3495 Victoria Street North,Shoreview, MN (651)
February 18th
2:00 – 3:30 p.m.

12. Why it Worked Trust – The X Factor
Faith Based Organizations (FBO’s)– churches, mosques, synagogues are trusted entities, safe places.
Faith Based Leaders are trusted messengers
FBO’s already deliver information and services to its specific group and larger community as part of its mission
Trusted messengers…..If the priest or pastor says so, it’s true

13. The MINI Results 4,149 served 50% first time 30 % adults 18+
40 % adolescents years
30 % Under age 9

14. 1. Information and Education
Adult Immunization Programs in Nontraditional Settings Seven Quality Standards
1. Information and Education
Information, culturally and linguistically appropriate; written at reading level easily understood
From: National Vaccine Advisory Committee
Telma, a Spanish speaker, is doing intake.

15. Seven Quality Standards
Vaccine Storage and Handling
Vaccine stored between 35F & 46 F

16. Seven Quality Standards
3.Immunization History
Obtain: vaccines previously received, pre-existing health conditions, allergies, adverse events that occurred after previous vaccinations.
(Children: First influenza immunization – card given to parents stating need for second shot 30 days la

17. Seven Quality Standards
4. Contra-indications
Assess presence of contra-indications
Severe systemic hypersensitivity reactions to egg
protein; gelatin, neomycin, streptomycin; moderate or severe illness w/without fever
Live virus generally contraindicated for adults who have compromised immune system and for pregnant women (Child age 5 and older)

18. Seven Quality Standards
5. Recordkeeping
Record the following: name, age, preexisting health conditions, type of vaccine, dose, site and route of administration, name of vaccine provider, date administered, manufacturer, lot number, date next due is due.

19. Seven Quality Standards
6. Vaccine Administration
Properly trained health care providers; licensed

20. Seven Quality Standards
7. Adverse Events
Health care providers trained to recognize and treat adverse reactions with supplies available.
(Epinephrine, CPR, telephone for emergency personnel)
Persons receiving first immunization were asked to stay for 30 minutes.

21. A Replication Model Find Funding/Resource Intermediary Organizer
Leverage Existing Networks
Intermediary Organizer
Secure Sites
Support Delivery/Needs
This is one model – others exists. In the MINI model an intermediary organization, the Consortium, found funding, invited organizations to participate and continued to pursue procurement of funding and vaccine. In this model the inter. Org. is deliberately not in the middle. This could be a wheel…the intermediary organization is not the hub but rather on the outside, helping the project to get rolling. Each of these organizations know what they need to do far better than I do. They have the expertise that is recognized and respected. The MINI project helped them fulfill their own mission to meet the needs of their respective communities. At the same time, they joined in the MINI project to fulfill a shared mission of providing this service.

22. Needed for Replication
Project Director – point person - $$$
Health Care Partner/s with doctor’s orders
Healthcare professionals (schedule staff)
Vaccine, syringes, supplies, paperwork
Community Partners – site selection, coordination, publicity, interpreters

23. Lessons Learned Relationships are key Trust is the coin of the realm
Providing immunizations at no cost is a huge incentive
Numbers increase each successive year
People want shots early – vaccine donations come late

27. Thanks for the Support