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Sally E. Findley, PhD, Matilde Irigoyen, MD, Donna See, MPH, MBA, Martha Sanchez, BA, Shaofu Chen, MD, PhD, Pamela Sternfels, MS and Arturo Caesar, MD, MPH

Sally E. Findley and Martha Sanchez are with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City. Matilde Irigoyen, Donna See, Shaofu Chen, and Pamela Sternfels are with the Department of Pediatrics, College of Physicians and Surgeons, Columbia University. Arturo Caesar is with Harlem Renaissance Healthcare Network, Health and Hospitals Corporation, New York City, and the Department of Medicine, College of Physicians and Surgeons, Columbia University.

Correspondence: Requests for reprints should be sent to Sally E. Findley, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, 60 Haven Ave, B–2, New York, NY 10032.

In 1996 we launched a community–provider partnership to raise immunization coverage for children aged younger than 3 years in Northern Manhattan, New York City. The partnership was aimed at fostering provider knowledge and accountability, practice improvements, and community outreach. By 1999 the partnership included 26 practices and 20 community groups. Between 1996 and 1999, immunization coverage rates increased in Northern Manhattan 5 times faster than in New York City and 8 times faster than in the United States (respectively, 3.4% vs 0.4% [t = 6.05, p < 0.001] and vs 0.6% [t = 5.65, p < 0.001]). The coverage rate for Northern Manhattan stayed constant through 2000, although it declined during this period for the United States and New York City. We attribute the success at reducing the gap to the effectiveness of our partnership.

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