Cover -- Front Matter -- INDEPENDENT REPORT REVIEWERS -- Preface -- Contents -- Boxes, Tables, and Figures -- Executive Summary -- 1 Introduction -- 2 Change and Complexity in the National Immunization System -- 3 Financing Vaccine Purchase and Delivery -- 4 Building, Monitoring, and Sustaining Immunization Capacity -- 5 Immunization Finance Policies and Practices -- 6 Summary Findings, Conclusions, and Recommendations -- References -- Appendixes -- Appendix A Public Health Services Act, Section 317 -- Appendix B Immunization Time-Line -- Appendix C List of Contributors -- Appendix D Overview of State Survey -- Appendix E Overview of Case Studies and Site Visits -- Appendix F Annual Section 317 Awards to States, 1995-1999 -- Appendix G State Immunization Requirements for School Children -- Appendix H Committee and Staff Biographies -- Index.