Continuing our series on NRHA’s 2023 Fellows and Policy Papers, this week we’re talking to another group of Fellows that explored pediatric vaccination rates in rural America. Nitika Moibi, Andrea Stephenson, and Cynthia Calixte each touch on the current state of pediatric vaccination rates from the unique perspectives of a provider, through the lens of data, workforce and access, as well as community trust. The Fellows share personal experiences, historical data and information, as well as the importance of increasing these rates and tactics to make a difference.

“If you don’t have trust in your healthcare provider, then progress can't be made and you're not going to get the good care that you deserve. So please advocate for that and find a healthcare provider that you trust and can have these conversations with.”

– Dr. Cynthia Calixte

Cynthia Calixte, MD, MPH serves the lower Eastern Shore of Maryland as a Family Physician and the Physician Deputy for Wicomico County and Somerset County Health Departments. She works part-time at Menocal Family Practice in Salisbury, Maryland. Dr. Calixte graduated from SUNY Downstate Medical College in Brooklyn, NY, and completed her residency at the University of Maryland Medical Center in Baltimore.  After residency, she obtained her Masters in Public Health from CUNY School of Public Health and Health Policy in New York.  As a provider, she addresses the health inequities in her community.  She also understands the importance of preventive care and health education.  She is committed to educating her rural community on healthy lifestyle and chronic disease management.

Andrea Stephenson-Royster, MBA, MHA is the Chief Executive Officer of the Lake Okeechobee Rural Health Network (LORHN), one of nine rural health networks established by the Florida state legislature. Mrs. Stephenson-Royster is committed to the residents, providers, and community partners that form the rural communities around Lake Okeechobee. She has developed a solid knowledge base of issues and trends in healthcare and human services during her 20 years in the public, private, and non-profit sectors, and has served on community committees and the board of directors of several nonprofit organizations in the fields of aging, health care, child welfare, community partnerships, and mental health.

Nitika Moibi works for the Minnesota Department of Health, Office of Rural Health and Primary Care. She oversees statewide collection and analysis of data on Minnesota’s healthcare workforce and directs research on workforce availability, distribution and emerging trends to inform workforce policies and investments. Her background includes health services research and rulemaking. Nitika received her undergraduate degree in Sociology and Human Resource Management from the University of Minnesota Duluth, and her graduate degree in public policy from the University of Minnesota’s Humphrey Institute of Public Affairs.