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Contract Number: 568312 - Champions for Health: Budget Amendment Proposal

1. Introduction

The purpose of this budget amendment is to reallocate funds within our immunization contract to better align with our evolving priorities and ensure the successful achievement of our contract objectives. Over the course of our contract period, we have identified the need to adjust our budget allocations to optimize our resources and enhance our capacity to deliver essential services to our target populations. This amendment seeks to address these needs by reallocating funds from certain line items to bolster our clinic operations, thereby enabling us to meet our contractual obligations in a more efficient and effective manner.
As we continue to navigate the complexities of our immunization program, it has become evident that our initial budget allocations may not fully reflect the evolving demands and challenges we face. By proactively adjusting our budget to prioritize clinic operations, we aim to streamline our efforts and maximize the impact of our services on the communities we serve. Through this amendment, we seek to ensure that our resources are strategically deployed to address the most pressing needs and deliver high-quality care to those in need.
This introduction sets the stage for the proposed changes to our budget, providing context for the reallocation of funds and highlighting the importance of adapting our financial resources to meet the evolving demands of our immunization program. We recognize the significance of these adjustments in optimizing our operations and remain committed to maximizing the effectiveness of our contract in serving our target populations.

2. Proposed Budget Options

Feb-June 2024 Option 1:

Activity
FY Remaining Quantity as of January 2024
Funding Remaining
Proposed Change Quantity
Quantity Difference
Proposed Funding
Funding Difference
Units to Complete Each Month
1
Coordinate and Host Vaccine Clinics in non-school settings
429
$685,591.42
1,448
1,019
$2,312,658.24
$1,627,066.82
289.6
2
Coordinate and Host School-Based Vaccine Clinics
86
$157,794.59
100
14
$201,546.87
$43,752.28
20
3
Vaccine Administration and Handling - per dose (Covid)
13,075
$575,823.00
3,437
9,638
$135,823.00
-$440,000.00
687.4
4
Vaccine Administration and Handling - per dose (Homebound)
3,163
$234,188.52
800
2,363
$59,232.00
-$174,956.52
160
5
Vaccine Administration and Handling - per dose (Other vaccines* approved by COR)
45,240
$931,885.37
6,329
38,911
$313,923.92
-$617,961.45
1,265.8
6
School-Based Coordinators
2,289.63
$274,755.60
2,289.63
0
457.93
There are no rows in this table
We would like to make the following amendments:
Changes in Units
Increase the Non-School Based Clinics Quantity from 429 to 1,448. This would allow a total close to 289 clinics a month
Increase the School-Based Clinics Quantity from 86 to 100. This would all a total of 20 school based clinics a month.
Decrease the COVID-19 Vaccine Administration and Handling Quantity from 13,075 to 3,437, which is a difference of 9,638. This would allow a total of 687 COVID-19 doses to be administered a month.
Decrease the Homebound Vaccine Administration and Handling Quantity from 3,163 to 800, which is a difference of 2,363. This would allow a total of 160 homebound doses to be administered a month.
Decrease the Vaccine Administration and Handling - Other Doses Quantity from 45,240 to 6,329, which is a difference of 38,911. This would allow a total of 1,265.8 doses to be administered a month.
Changes in Budget
Increase the Non-School Clinic budget from $685,591.42 to $2,312,658.24, which is a difference of $1,627,066.82.
Move $174,956.520 from Homebound doses
Move $440,00 from COVID doses
Move $574,209.17 from Other doses
Increase the School-Based Clinic budget from $157,794.59 to $201,546.87, which is a difference of $43,752.28
Move $43,752.28 from Other doses
Decrease the COVID-19 Vaccine Administration and Handling Budget from $234,188.52 to $135,823.00, which is a difference of $440,000.
Decrease the Homebound Vaccine Administration and Handling Budget from $575,823.00 to $59,232.00, which is a difference of $174,956.52.
Decrease the Vaccine Administration and Handling Budget - Other Doses from $931,885.37 to $313,923.92, which is a difference of $617,961.45
School Based Coordinator Hours:
No changes to be made

Feb-June 2024 Option 2

Activity
FY Remaining Quantity as of January 2024
Funding Remaining
Proposed Change Quantity
Quantity Difference
Proposed Funding
Funding Difference
Units to Complete Each Month
1
Coordinate and Host Vaccine Clinics in non-school settings
429
$685,591.42
778
349
$1,244,821.42
$559,230.00
155
2
Coordinate and Host School-Based Vaccine Clinics
86
$157,794.59
116
14
$212,844.84
$55,050.00
23
3
Vaccine Administration and Handling - per dose (Covid)
13,075
$575,823.00
8,075
-5,000
$355,623.00
-$222,200.00
1,615
4
Vaccine Administration and Handling - per dose (Homebound)
3,163
$234,188.52
2,163
-1,000
$160,148.00
-$74,040.00
432.6
5
Vaccine Administration and Handling - per dose (Other vaccines* approved by COR)
45,240
$931,885.37
30,000
-15,240
$611,845.37
-$320,040.00
6,000
6
School-Based Coordinators
2,289.63
$274,755.60
2,289.63
0
457.93
There are no rows in this table
Changes in Units
Increase the Non-School Based Clinics Quantity from 429 to 778. This would allow a total close to 155 clinics a month.
Increase the School-Based Clinics Quantity from 86 to 116. This would all a total of 23 school based clinics a month.
Decrease the COVID-19 Vaccine Administration and Handling Quantity from 13,075 to 8,075, which is a difference of 5,000. This would allow a total of 1,615 COVID-19 doses to be administered a month.
Decrease the Homebound Vaccine Administration and Handling Quantity from 3,163 to 2,163, which is a difference of 1,000. This would allow a total of 432 homebound doses to be administered a month.
Decrease the Vaccine Administration and Handling - Other Doses Quantity from 45,240 to 30,000, which is a difference of 15,000. This would allow a total of 6,000 doses to be administered a month.
Changes in Budget
Increase the Non-School Clinic budget from $685,591.42 to $1,244,821.42, which is a difference of $559,230.00.
Move $320,030 from Other doses
Move $74,040 from Homebound doses
Move $165,150 from COVID doses
Increase the School-Based Clinic budget from $157,794.59 to $212,844.84, which is a difference of $55,050.00
Move $55,050 from COVD doses
Decrease the COVID-19 Vaccine Administration and Handling Budget from $575,823.00 to $355,623.00, which is a difference of -$222,200.00.
Remove $220,200.
Of that, $55,050 move to School-Based Clinics
The remaining $165,150 is moved to Community Clinics
Decrease the Homebound Vaccine Administration and Handling Budget from $234,188.52 to $160,148.00, which is a difference of -$74,040.00
Remove $74,040 and move to Community Clinics
Decrease the Vaccine Administration and Handling Budget - Other Doses from $931,885.37 to $611,845.37, which is a difference of -$320,040.00
Remove $320,040 and move to Community Clinic
School Based Coordinator Hours:
No changes to be made

Feb-Sept 2024 (3 month extension)

Activity
FY Remaining Quantity as of January 2024
Funding Remaining
Proposed Change Quantity
Quantity Difference
Proposed Funding
Funding Difference
Units to Complete Each Month
1
Coordinate and Host Vaccine Clinics in non-school settings
429
$685,591.42
844
415
$1,349,821.42
$664,230.00
105
2
Coordinate and Host School-Based Vaccine Clinics
86
$157,794.59
116
30
$212,844.84
$55,050.00
15
3
Vaccine Administration and Handling - per dose (Covid)
13,075
$575,823.00
8,075
-5,000
$355,623.00
-$220,200.00
1,009
4
Vaccine Administration and Handling - per dose (Homebound)
3,163
$234,188.52
2,163
-1,000
$160,148.00
-$74,040.00
270
5
Vaccine Administration and Handling - per dose (Other vaccines* approved by COR)
45,240
$931,885.37
25,000
-20,240
$506,845.37
-$425,040.00
3,125
6
School-Based Coordinators
2,289.63
$274,755.60
2,289.63
0
457.93
There are no rows in this table
Changes in Units
Increase the Non-School Based Clinics Quantity from 429 to 844. This would allow a total close to 105 clinics a month.
Increase the School-Based Clinics Quantity from 86 to 116. This would all a total of 14 school based clinics a month.
Decrease the COVID-19 Vaccine Administration and Handling Quantity from 13,075 to 8,075, which is a difference of 5,000. This would allow a total of 1,009 COVID-19 doses to be administered a month.
Decrease the Homebound Vaccine Administration and Handling Quantity from 3,163 to 2,163, which is a difference of 1,000. This would allow a total of 270 homebound doses to be administered a month.
Decrease the Vaccine Administration and Handling - Other Doses Quantity from 45,240 to 25,000, which is a difference of 20,000. This would allow a total of 3,125 doses to be administered a month.
Changes in Budget
Increase the Non-School Clinic budget from $685,591.42 to $1,349,821.42, which is a difference of $664,230.00.
Move $425,040 from Other doses
Move $74,040 from Homebound doses
Move $165,150 from COVID doses
Increase the School-Based Clinic budget from $157,794.59 to $212,844.84, which is a difference of $55,050.00
Move $55,050 from COVD doses
Decrease the COVID-19 Vaccine Administration and Handling Budget from $575,823.00 to $355,623.00, which is a difference of -$222,200.00.
Remove $220,200.
Of that, $55,050 move to School-Based Clinics
The remaining $165,150 is moved to Community Clinics
Decrease the Homebound Vaccine Administration and Handling Budget from $234,188.52 to $160,148.00, which is a difference of -$74,040.00
Remove $74,040 and move to Community Clinics
Decrease the Vaccine Administration and Handling Budget - Other Doses from $931,885.37 to $506,845.37, which is a difference of -$425,040.00
Remove -$425,040.00 and move to Community Clinic
School Based Coordinator Hours:
No changes to be made

Feb - Dec 2024 (6 month extension) Option 1:

Activity
FY Remaining Quantity as of January 2024
Funding Remaining
Proposed Change Quantity
Quantity Difference
Proposed Funding
Funding Difference
Units to Complete Each Month
1
Coordinate and Host Vaccine Clinics in non-school settings
429
$685,591.42
894
465
$1,428,811.42
$743,220.00
80
2
Coordinate and Host School-Based Vaccine Clinics
86
$157,794.59
134
48
$245,903.00
$88,080.00
12
3
Vaccine Administration and Handling - per dose (Covid)
13,075
$575,823.00
7,075
-6,000
$311,583.00
-$264,240.00
643
4
Vaccine Administration and Handling - per dose (Homebound)
3,163
$234,188.52
2,661
-500
$197,168.00
-$37,020.00
242
5
Vaccine Administration and Handling - per dose (Other vaccines* approved by COR)
45,240
$931,885.37
20,000
-25,240
$401,845.00
-$530,040.00
1,818
There are no rows in this table
Changes in Units
Increase the Non-School Based Clinics Quantity from 429 to 894. This would allow a total close to 80 clinics a month.
Increase the School-Based Clinics Quantity from 86 to 134. This would all a total of 12 school based clinics a month.
Decrease the COVID-19 Vaccine Administration and Handling Quantity from 13,075 to 7,075, which is a difference of 6,000. This would allow a total of 643 COVID-19 doses to be administered a month.
Decrease the Homebound Vaccine Administration and Handling Quantity from 3,163 to 2,663, which is a difference of 500. This would allow a total of 242 homebound doses to be administered a month.
Decrease the Vaccine Administration and Handling - Other Doses Quantity from 45,240 to 20,000, which is a difference of 25,000. This would allow a total of 1,818 doses to be administered a month.
Changes in Budget
Increase the Non-School Clinic budget from $685,591.42 to $1,428,811.42, which is a difference of $743,220.00.
Move $530,040 from Other doses
Move $37,020 from Homebound doses
Move $176,160 from COVID doses
Increase the School-Based Clinic budget from $157,794.59 to $245,903.00, which is a difference of $88,080
Move $88,080 from COVD doses
Decrease the COVID-19 Vaccine Administration and Handling Budget from $575,823.00 to $311,583.00, which is a difference of -$264,240.00.
Remove $264,240.
Of that, $88,080 move to School-Based Clinics
The remaining $175,160 is moved to Community Clinics
Decrease the Homebound Vaccine Administration and Handling Budget from $234,188.52 to $197,168.00, which is a difference of -$37,020.00
Remove -$37,020 and move to Community Clinics
Decrease the Vaccine Administration and Handling Budget - Other Doses from $931,885.37 to $506,845.37, which is a difference of -$530,040
Remove $530,040 and move to Community Clinic

Feb - Dec 2024 (6 month extension) Option 2:

Activity
FY Remaining Quantity as of January 2024
Funding Remaining
Proposed Change Quantity
Quantity Difference
Proposed Funding
Funding Difference
Units to Complete Each Month
1
Coordinate and Host Vaccine Clinics in non-school settings
429
$685,591.42
905
476
$1,445,731.42
$760,140.00
82
2
Coordinate and Host School-Based Vaccine Clinics
86
$157,794.59
134
48
$212,844.84
$88,080.00
12
3
Vaccine Administration and Handling - per dose (Covid)
13,075
$575,823.00
9,075
-4,000
$399,663.00
-$176,160.00
825
4
Vaccine Administration and Handling - per dose (Homebound)
3,163
$234,188.52
2,661
-500
$197,168.00
-$37,020.00
242
5
Vaccine Administration and Handling - per dose (Other vaccines* approved by COR)
45,240
$931,885.37
15,000
-30,240
$296,845.37
-$635,040.00
1,363
6
School-Based Coordinators
2,289.63
$274,755.60
2,289.63
0
457.93
There are no rows in this table
Changes in Units
Increase the Non-School Based Clinics Quantity from 429 to 905. This would allow a total close to 82 clinics a month.
Increase the School-Based Clinics Quantity from 86 to 134. This would all a total of 12 school based clinics a month.
Decrease the COVID-19 Vaccine Administration and Handling Quantity from 13,075 to 9,075, which is a difference of 4,000. This would allow a total of 825 COVID-19 doses to be administered a month.
Decrease the Homebound Vaccine Administration and Handling Quantity from 3,163 to 2,663, which is a difference of 500. This would allow a total of 242 homebound doses to be administered a month.
Decrease the Vaccine Administration and Handling - Other Doses Quantity from 45,240 to 15,000, which is a difference of 20,000. This would allow a total of 1,363 doses to be administered a month.
Changes in Budget
Increase the Non-School Clinic budget from $685,591.42 to $1,445,731.42, which is a difference of $760,140.00.
Move $635,040 from Other doses
Move $37,020 from Homebound doses
Move $88,080 from COVID doses
Increase the School-Based Clinic budget from $157,794.59 to $245,903.00, which is a difference of $88,080
Move $88,080 from COVD doses
Decrease the COVID-19 Vaccine Administration and Handling Budget from $575,823.00 to $399,663.00, which is a difference of -$176,160.00
Remove -$176,160
Of that, $88,080 move to School-Based Clinics
The remaining $88,080 is moved to Community Clinics
Decrease the Homebound Vaccine Administration and Handling Budget from $234,188.52 to $197,168.00, which is a difference of -$37,020.00
Remove -$37,020 and move to Community Clinics
Decrease the Vaccine Administration and Handling Budget - Other Doses from $931,885.37 to $296,845.37, which is a difference of -$635,040.00
Remove $635,040.00 and move to Community Clinic

3. Justification

The proposed changes in units and budget allocations stem from an analysis of our immunization program's recent progress and strategic objectives outlined in the Vaccine Implementation Plan. Our recent Monthly Progress Report responses have highlighted key strategies and initiatives aimed at enhancing our vaccination efforts and addressing emerging challenges.
To bolster our clinic operations, we have identified strategic zip codes in HPI quartiles 1 and 2 through data analysis conducted by our Data Analyst. This approach aligns with our goal of targeting underserved communities and improving accessibility to immunization services. By focusing our outreach efforts on these areas and appointing HPI Outreach Coordinators to facilitate partnerships and outreach activities, we aim to increase vaccination rates among vulnerable populations.
Our collaboration with external partners, such as LGBTQ clinics, agricultural organizations, and refugee-serving agencies, reflects our commitment to expanding our reach and addressing the unique needs of diverse populations. The addition of LGBTQ, agricultural, and refugee-specific clinic settings in our data tracking system underscores our efforts to track and evaluate the impact of our outreach efforts accurately.
In parallel, our efforts to restructure the School-Based Sector and enhance coordination between VFC and non-VFC school-based efforts demonstrate our commitment to optimizing resource allocation and improving service delivery. By hosting separate internal meetings for overall school events and VFC efforts, we ensure that each initiative receives adequate attention and support from our team members.
These strategies align with the objectives outlined in our Vaccine Implementation Plan, which emphasizes the importance of data-driven decision-making, strategic partnerships, and targeted outreach efforts to achieve our vaccination goals.
Below are our justifications for the budget options:
Feb-June 2024 Option 1: This option reflects a strategic decision to optimize our resources by reducing the number of doses while increasing the number of clinics conducted. In our calculations, we considered our current average number of doses administered. However, it's important to note that we did not account for the potential addition of high-demand vaccines such as RSV, which may impact our clinic schedules. Additionally, the restructuring of our homebound sector is expected to result in an increase in referrals, further influencing our clinic capacity. Moreover, as we continue to expand into new partnerships and sites, we anticipate a rise in COVID-19 vaccine doses administered. These factors collectively contribute to the rationale behind this budget proposal."
Feb-June 2024 Option 2: In Option 2 for the budget proposal covering February to June 2024, we carefully considered the feedback from our CORs during our financial meeting. In alignment with their recommendations, we have made adjustments primarily to our "Other Doses" line item, reducing doses to allocate resources more efficiently. Concurrently, we have increased funding for community clinics, aiming to conduct approximately 155 clinics per month, consistent with our historical average. As part of our enhanced service delivery strategies, we are exploring opportunities to expand our vaccine inventory to include other high-demand vaccines such as RSV, ensuring comprehensive immunization coverage for our target populations.
Feb-September 2024 (3 month extension): In considering the possibility of a three-month extension from February to September 2024, we have crafted an option aimed at providing vital support to our partners, particularly schools, during the summer months. To achieve this objective, we have strategically reduced the allocation for other doses while bolstering funding for both community and school clinic initiatives. By prioritizing these areas, we aim to maintain robust immunization services and ensure accessibility for our target populations, even during the traditionally quieter summer season. While there are slight reductions in doses allocated for homebound and COVID vaccinations, we are confident that our updated service delivery and outreach strategies will effectively address these needs, allowing us to meet our objectives and fulfill our commitments to our communities.
Feb-December 2024 (6 month extension) Option 1: In the event of a six-month extension from February to December 2024, we have crafted an option that carefully considers the upcoming flu season and the anticipated increase in demand for homebound services. With these factors in mind, we have made adjustments to our allocation plan by slightly reducing the number of doses allocated for homebound services and reallocating resources from the other doses category. This reallocation allows us to increase funding for both school and community clinic initiatives, which are crucial for ensuring widespread access to immunization services. Additionally, we will prioritize Vaccine for Children (VFC) efforts for school-based clinics and strategic partnerships in areas with high priority index (HPI) quartiles 1 and 2. While the average monthly community clinic amount is currently set at 80,
Feb-December 2024 (6 month extension) Option 2: In our proposal for a six-month extension from February to December 2024, Option 2 maintains a balance between the various components of our immunization program. Unlike Option 1, we have retained a larger portion of the allocation for COVID doses while still making adjustments to the other doses category. By taking more from the other doses line item, we are able to allocate additional resources to support our school and community clinic initiatives, which remain essential for comprehensive immunization coverage. Additionally, we will continue to prioritize Vaccine for Children (VFC) efforts for school-based clinics and strategic partnerships in areas with high priority index (HPI) quartiles 1 and 2. , which will allow us to reassess our clinic capacity for the July to December period, ensuring optimal resource allocation.

4. Spending Down School-Based Coordinator Funding

Amendments by Line Item 2
0
Activity
FY Remaining Quantity as of January 2024
Funding Remaining
Proposed Change Quantity
Hours to complete a month
1
School-Based Coordinators
2,289.63
$274,755.60
2,289.63
457.93
There are no rows in this table

Current School Based team members include:

Trina: VFC Consultant - avg monthly hours 100-115
Junley: School Events Coordinator - avg monthly hours 140
Ave monthly: 240-250
That is around additional 259 hours to complete a month.
With a remaining balance of 2,289.63 hours and approximately $274,755.60 in funding allocated for our School-Based Coordinator Sector, we have a targeted goal of utilizing around 457.93 hours per month to maximize the effectiveness of our program. Currently, our School-Based team members include Trina, our VFC Consultant, averaging between 100-115 hours per month, and Junley, our School Events Coordinator, with an average monthly commitment of 140 hours. This brings our total average monthly hours to approximately 240-250. This may stay consistent or increase as our VFC work is ramping up.
To address the increased demand and accommodate the restructuring of our School-Based Coordinator Sector, we have outlined plans to onboard additional team members in March. These roles include:
VFC Consultant Assistant: This position will support the VFC Consultant in managing vaccine inventory, conducting team training sessions, and overseeing program operations.
CAIR2 VFC Reporting Consultant: Tasked with assisting the Quality Assurance Manager, this consultant will be responsible for completing the VFC tab on our Monthly Progress Reports, gathering VFC clinic forms, and preparing VFC-related reports.
VFC School Outreach Consultant: Working closely with the School Events Coordinator, the County’s School Workforce Grant Public Health Nurses, and HPI Outreach Coordinators, this consultant will focus on strengthening strategic partnerships with schools for VFC vaccine distribution.
Each of these consultants will be expected to contribute around 20 hours per week, effectively utilizing the additional 259 hours available per month. By strategically allocating these resources, we aim to optimize our outreach efforts, enhance collaboration with key stakeholders, and achieve our immunization program objectives.

5.Extension of Services Proposal

As we continue to navigate the evolving landscape of public health needs, we recognize the importance of extending our services to address ongoing challenges and emerging priorities. In response to this, we propose a three-month o six-month extension period focused on sustaining and expanding our efforts in school-based clinic operations and COVID-19 administration for high-risk populations.
Objectives:
School-Based Clinic Operations: Our primary objective during the extension period will be to maintain and enhance our school-based clinic initiatives, ensuring access to essential immunization services for students across targeted communities. This includes conducting regular clinics, providing educational outreach, and strengthening partnerships with schools and community stakeholders.
COVID-19 Administration for High-Risk Populations: Building upon our existing efforts, we will prioritize the administration of COVID-19 vaccines to high-risk populations, including homebound individuals, elderly residents, and underserved communities. This will involve targeted outreach, mobile vaccination clinics, and collaboration with local healthcare providers and community organizations.
Influenza Administration for High-Risk Population: During the extension period, our focus will extend to administering influenza vaccines to high-risk populations during the 2024-2025 flu season. We aim to safeguard vulnerable individuals, including seniors, young children, and those with underlying health conditions, against seasonal influenza outbreaks. Our strategy will involve targeted outreach campaigns, collaboration with healthcare providers, and hosting specialized flu vaccination clinics in community settings. By expanding our immunization services to include influenza administration for high-risk populations, we contribute to broader public health objectives of reducing flu-related illnesses and hospitalizations, particularly among those most susceptible to severe complications. Through proactive vaccination initiatives, we strive to enhance community resilience and promote the overall well-being of our residents.
RSV and Other High-Demand Adult Immunizations for High-Risk Populations: In addition to our focus on COVID-19 and influenza vaccination efforts, we recognize the importance of addressing other high-demand adult immunizations, such as Respiratory Syncytial Virus (RSV), particularly among high-risk populations. Our extension objectives include expanding our immunization services to cover RSV vaccinations for vulnerable groups, including infants, elderly individuals, and those with compromised health conditions. Moreover, we aim to address the growing demand for adult immunizations against preventable diseases that pose significant health risks, especially among high-risk populations. By offering a comprehensive range of vaccinations, including those for pneumococcal disease, shingles, and hepatitis, among others, we strive to improve immunization coverage and mitigate the burden of vaccine-preventable illnesses in our communities. Through targeted outreach, education, and collaboration with healthcare partners, we aim to ensure equitable access to essential immunization services for all individuals, particularly those at heightened risk of severe complications from vaccine-preventable diseases. Our commitment to enhancing vaccination efforts for RSV and other high-demand adult immunizations reflects our dedication to promoting public health and safeguarding the well-being of our community members.
Change in Cost per Clinic Rate:
After careful consideration and organizational evaluation, we are proposing a change in the cost per clinic for both school and non-school-based clinics. Initially, our budget proposal included the cost of 1-2 insurance verification specialists per clinic, along with their mileage expenses. However, we have transitioned our insurance verification specialists to remote positions. This transition not only enhances staff coordination but also proves to be more cost-effective for the organization. As a result, we are able to decrease the cost per clinic to more accurately reflect our current operational expenses. This adjustment ensures that our budget aligns with our evolving workflows and organizational efficiency, allowing for optimal resource allocation.
The changes are:
Community: $1,597.28/clinic to $1,250/clinic
School based: $1,844.28/clinic to $1,425/school

6. Conclusion

In conclusion, the proposed budget amendment reflects our commitment to adaptability and responsiveness in meeting the evolving needs of our community. By reallocating resources to prioritize key areas such as non-school-based clinics, school-based clinics, and COVID-19 administration, we aim to enhance our capacity to deliver essential healthcare services effectively.
Through careful analysis and strategic planning, we have identified areas where adjustments are necessary to optimize our operations and maximize our impact. The changes outlined in this amendment align with our overarching goal of promoting health equity, improving access to immunization services, and addressing the ongoing challenges posed by the COVID-19 pandemic.
As we move forward with implementing these changes, we remain dedicated to fostering collaboration, innovation, and excellence in service delivery. By leveraging our collective expertise, resources, and partnerships, we are confident in our ability to achieve our objectives and make a meaningful difference in the health and well-being of the communities we serve.
We extend our gratitude to all stakeholders for their continued support and collaboration, and we look forward to realizing our shared vision of a healthier, more resilient future for all.

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