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N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Page , 1 of 3 1993 Immunization Branch Office, Section, or Branch Cabarrus County H~alth Department 4524 Con~a~Nnmber Immunization Acdvi~ I. Negotiable Objectives and Required Items: l) Baseline vaccine doses administered information between July 1, 1991 through June 30, 1992, shows that your health department administered 59] doses of DTP #4 to children prior to their second birthday. 2) Between April 1, 1993 and March 31, 1994, your health department will increase to 864 the number 'of DTP #4 doses administered to children prior to their second birthday. This represents a 25 percent increase from number of DTP f4 vaccine doses administered in 1991-92 (The percent increase should be a minimum of 10 percent). 3) By April 1, 1993, the local health department will submit a brief plan, to the Immunization Branch, that outlines your health department's proposed activities to increase the number of vaccine doses administered to children prior to their second birthday. This brief plan should include a description of your health department's barriers to immunization and your plans to overcome these barriers. At a minimum, this plan should discuss: a) Provisions for walk-in immunization services, or the expansion of current walk-in hours. b) Plans to expand the number of sites, both public and private, that offer immunizations in-your county. c) If an appointment system is used, include plans to allow clients to schedule appointments within one week of their request. , d) Plans to minimize the time clients have to wait during an immunization visit. Preferably, this wait should be no more than thirty minutes and ideally fifteen minutes or less. DEIq_NR 3300 (Revised 2/90) General Services Division (Review 1/95) Reviewed by Initials Date