The North Dakota State University Center for Immunization Research and Education studied school immunization practices and policies over the past year and have compiled a final report of their findings and recommendations. They used a stakeholder engagement process for three reasons: 

1. To gain an understanding of the current state of immunization and exemption attitudes and opinions in North Dakota,
2. To facilitate meaningful participation in in-depth discussions on current immunization and exemption policies and practices in North Dakota, and
3. To make recommendations for potential policy, rule, or practice/process changes to the current immunization and exemption system in North Dakota. 

The report can be found on the ND Department of Health's website.