This funding opportunity supports public health systems to protect people and communities from vaccine-preventable diseases by increasing access, confidence, and demand for vaccines. - Project Abstract Strengthening Vaccine Preventable Disease Prevention and Response Opportunity number: 25-0007 The goals of the Vermont Department of Health Immunization Program application for Components 1, 2 and 3: Strengthening Vaccine Preventable Disease Prevention and Response are to support public health systems to protect people and communities from vaccine-preventable diseases by equitably increasing access, confidence, and demand for vaccines. More specifically, to improve and sustain vaccination coverage among children, adolescents, and adults; reduce vaccination disparities across pediatric, adolescent, and adult populations; improve readiness to respond to vaccine-preventable disease (VPD) outbreaks and other related public health emergencies; reduce the incidence of VPDs; and reduce VPD-related morbidity and mortality. The project narrative outlines the development, assessment, implementation, and evaluation of services to promote immunization related activities with the goal of achieving and sustaining high immunization coverage, reducing vaccination disparities and incidents of vaccine-preventable disease, and improving readiness to respond to vaccine-preventable disease threats. The Core application reflects how the Vermont Immunization Program will achieve the required activities and performance measures in the following content areas: 1. Strengthen Program Infrastructure and Management. 2. Increase Vaccine Access. 3. Improve Vaccination Equity. 4. Promote Vaccine Confidence and Demand. 5. Enhance Data and Evaluation. 6. Strengthen Program Support for Partners. 7. Enhance Vaccination Response Readiness. We describe a proposed budget that is reasonable and consistent with the purpose, outcomes, and strategies outlined in the project narrative. Funding for this project will implement, develop, and/or enhance the Vaccines for Children (VFC) and Section 317 vaccine programs for eligible individuals in Vermont.