- The SPARC program has been successful in providing
increased access to preventive care.
- The Vote & Vax project has been implemented in 42
states and has helped deliver over 30,000 flu vaccines
across the country. The program was active in the 2008,
2012, and 2016 national elections.
- Litchfield County, Connecticut (one of the first Vote
& Vax sites), has gone from third place to first place
among counties in the state for delivery of flu shots to
- In its first two years, SPARC's school-based
vaccination program for hepatitis B served 1,560
adolescents and grew by 140%.
- In the early years of coupling flu shots with
mammography appointments, the program served 338 women in
a three-month period by helping them schedule mammograms
for which they were overdue.
- One study found that, by offering mammography
appointments at flu clinics, SPARC's efforts doubled the
number of women receiving needed mammograms.
The SPARC model was replicated by the Atlanta Regional
Commission in 2006, where it successfully increased the
percentage of adults receiving preventive vaccines and
referrals for cancer screenings. SPARC's Vote & Vax
program also has been successfully replicated in hundreds
of communities across the U.S.
Research and publications relating to SPARC
Shenson, D., Moore, R.T., Benson, W., & Anderson L.A.
Places, Pharmacies, and Public Health: Vote & Vax
2012. American Journal of Public Health,
Krist, A.H., Shenson, D., Woolf, S.H., Bradley, C., Liaw,
W.R., Rothemich, S.F., ... & Anderson, L.A. (2013).
and Community Delivery Systems for Preventive Care: An
Integration Framework. American Journal of
Preventive Medicine, 45(4), 508-516.
Ogden, L.L., Richards, C.L., & Shenson, D. (2012).
Preventive Services for Older Adults: The Interface
between Personal Health Care and Public Health
Services. American Journal of Public Health,
Shenson, D., Adams, M., Bolen, J., Wooten, K., Clough,
J., Giles, W.H., & Anderson, L. (2012). Developing
an Integrated Strategy to Reduce Ethnic and Racial
Disparities in the Delivery of Clinical Preventive
Services for Older Americans. American Journal of
Public Health, 102(8): e44-e50.
Shenson, D., Anderson, L., Slonim, A., & Benson, W.
and Preventive Screening Services for Older Adults:
Opportunities and Challenges in the USA.
Perspectives in Public Health (Royal Society for
Public Health), 132(4), 165-170.
Shenson, D., Adams, M., Bolen, J., & Anderson, L. (2011).
Routine Checkups Don't Ensure that Seniors Get Preventive
Services. Journal of Family Practice, 60(1),
Shenson, D. & Adams, M. (2008). The Vote and Vax Program:
Public Health at Polling Places. Journal of Public
Health Management & Practice, 14(45), 476-480.
Shenson, D. (2006). Putting Prevention in its Place: The
Shift from Clinic to Community. Health Affairs,
Shenson, D., Cassarino, L., DiMartino, D., Marantz, P.,
Bolen, J., Good, B., & Alderman, M. (2001). Improving
Access to Mammograms through Community-Based Influenza
Clinics: A Quasi-Experimental Study. American Journal
of Preventive Medicine, 20(2), 97-102.
Shenson, D., Quinley, J., DiMartino, D., Stumpf, P.,
Caldwell, M., & Lee, T. (2001). Pneumococcal
Immunizations at Flu Clinics: The Impact of
Community-Wide Outreach. Journal of Community Health,