Evaluation of “Catch Up to Get Ahead” efforts on administration of routine childhood vaccinations during COVID-19 pandemic, United States Indian Health Service, 2020

Routine immunization rates in the United States (US) declined immediately after the US declared COVID-19 a public health emergency in March 2020. Decreases in childhood vaccination place children at risk for vaccine-preventable diseases and communities at risk for outbreaks from these diseases. The US Department of Health and Human Services (HHS) launched “Catch Up to Get Ahead” in August 2020 to promote routine childhood immunization. The decline in mean coverage of the combined 7-vaccine series among children aged 19–35 months was less in Indian Health Service (IHS) federal health centers that implemented “Catch Up to Get Ahead” compared to IHS federal health centers that did not. The effort to promote catch-up vaccination may have showed promise in minimizing the decline in childhood vaccination coverage during the pandemic. However, the effort was not enough to reach pre-pandemic levels, indicating the need for more robust and sustained efforts to catch children up on all delayed immunizations.