An 'equity' strategy' was carefully assessed, integrated into the pandemic plan, and then implemented to improve access to the influenza vaccine for hard-to-reach populations. The strategy included reducing barriers to access at mass clinics, community outreach clinics in venues both familiar with and new to immunization services, enhanced home-bound immunization services, enhanced interpreter and translation services, the use of grassroots promotion within hard-to-reach populations, and providing immunization along with other services. Commitment to the strategy created an environment that allowed for the creative use of resources to overcome systematic barriers to immunization in hard-to-reach populations.

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