White Paper | Access to School-Entry Immunizations in Colorado
Julissa Molina Soto
ABSTRACT
For over four decades, Colorado’s school-entry and childcare immunization requirements have been crucial in preventing outbreaks of vaccine-preventable diseases. However, vaccination coverage has recently declined despite the enactment of Senate Bill 20-163, which aimed to achieve 95% compliance and standardize exemption procedures. Field research conducted by Julissa Molina Soto for Colorado Access explored barriers to vaccine uptake, especially in underserved communities. Key challenges include inequitable access to immunizing providers, limited clinic hours, distrust of the healthcare system, discrimination, communication gaps between schools and public health agencies, and overburdened school nurses. Language and logistical obstacles further hinder families’ ability to meet immunization standards. Recommended strategies include culturally tailored outreach, expanded evening and weekend vaccination clinics, strengthened collaboration between schools and health departments, and improved cultural competency training for healthcare providers. Addressing these systemic barriers is vital for improving health equity, reducing preventable disease transmission, and safeguarding community wellbeing.
