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NC Department of Health and Human Services
Women's and Children's Health Home
N.C. Public Health Home
North Carolina Immunization Branch


AFIX is a quality improvement strategy, developed by the CDC, to raise immunization coverage levels and improve standards of practices at the provider level. The acronym for this four-part dynamic strategy stands for:


  • Assessment external link of the healthcare provider's vaccination coverage levels and immunization practices,
  • Feedback external link of results to the provider along with recommended strategies to improve coverage levels,
  • Incentives external link to recognize and reward improved performance, and
  • eXchange external link of healthcare information and resources necessary to facilitate improvement.

You can learn about the process on the CDC’s AFIX webpage. external link

Schedule a visit

AFIX is offered to all NCIP providers. Different strategies can be put to work in provider offices that use the NCIR and those that don’t. To schedule an AFIX visit to assess your two year old population, contact your Regional Immunization Consultant.

Additional Resources

NCIR users who don’t have time for a formal AFIX visit, or who simply want to review some AFIX tools can refer to these guides: