About Community Health Improvement for Milwaukee's Children (CHIMC)
CHIMC began in 2005 as a three-year planning and pilot phase to address health disparities for children ages birth to 18 years. CHIMC staff worked closely with community members through a community based participatory research approach (CBPR) and identified immunization disparities as a problem that needed to be addressed. From 2008 through 2013, CHIMC-Save Lives Immunize! continued with an intervention phase intended to increase immunizations in targeted neighborhoods. These neighborhoods were targeted because data for available Milwaukee zip codes indicated that these areas had the lowest percentage of children receiving immunizations on time for their ages.
Currently, CHIMC is funded for an additional three years (2013-2016) as part of the dissemination phase titled CHIMC-Take Control Immunize! (CHIMC-TCI!) to develop and implement a web-based CHIMC-TCI! toolkit for use by parents/caregivers and agency staff in the ten target zip codes as indicated in the map: 53203, 53205, 53206, 53208, 53209, 53210, 53212, 53216, 53218, and 53233.
Summary of the three phases of CHIMC
Phase I, Pilot (CHIMC)
Began in 2005 as a three-year planning and pilot phase to address health disparities in two Milwaukee zip codes 53208 and 53210.
Phase II, Intervention (CHIMC-Save Lives Immunize)
Continued from 2008 through 2013 with an intervention phase intended to increase immunizations in four target zip codes—53205, 53206, 53208, 53210.
Phase III, Dissemination (CHIMC-Take Control Immunize!)
CHIMC is funded for an additional three years (2013-2016) dissemination phase to develop and implement a web-based toolkit for use by parents/caregivers and agency staff.
Since the beginning, CHIMC has adopted the CBPR approach for all research activities. The eight principles of CBPR:
- Recognize community as a unit
- Build on strengths and resources
- Facilitate collaborative and equitable partnerships
- Promote co-learning and capacity building
- Balance research and action for all partners
- Emphasize local relevance of public health problems, ecological approaches, and multiple social determinants of health (SDoH)
- Involve systems development in a cyclical and iterative process
- Disseminate knowledge and findings involving all partners