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Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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White Paper/Brief
To help policymakers and other stakeholders identify opportunities to improve health equity in their states, SHADAC has produced a set of data resources for the 50 states and the District of Columbia. Using the Behavioral Risk Factor Surveillance System (BRFSS) Survey — combining the three most recent years of data (2018–2020) to improve our ability to develop reliable state-level estimates for smaller population subgroups — SHADAC created maps and charts showing how states compare to the U.S. average in measures of people’s self-reported physical and mental health, and how people’s physical and mental health varies depending on their race and ethnicity, level of income, and age within each state.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Summary Report/Recommendations
This study uses data from the COVID Tracking Project’s Racial Data Tracker, which aggregates state-level COVID-19 reporting and tracking databases to determine racial/ethnic trends of COVID-19 incidence and evaluate the racial/ethnic distribution of COVID-19 related mortality in the US. Results found that disparities are more apparent at the county and city level, and discusses the importance of transparent, local data in order to allow for greater precision in resource allocation and effective policy changes aimed at reducing disparities. The study includes choropleth maps of the results by state.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Data Collection Tool
The COVID Racial Data Tracker is a collaboration between the COVID Tracking Project and the Boston University Center for Antiracist Research. The tracker is a collection of race and ethnicity data on COVID-19 in the United States.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Data Collection Tool
This interactive, county-level map captures COVID-19 cases, hospitalizations, and deaths by tribe in Oklahoma.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study
During the pandemic, the Minnesota Department of Health created three new teams focused on an equitable COVID-19 response. These teams included the Cultural, Faith, and Disability Communities Branch; the Tribal COVID-19 Healthcare Team; and the Vaccine Equity Branch. These teams created partnerships with community partners, elevated community voices, set equity goals and metrics, and respected tribal sovereignty in their COVID-19 response. This helped to ensure resources were used equitably and that COVID-19 responses were effective within diverse communities.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Data Collection Tool
The Coronavirus Perinatal Experiences Impact Survey (COPE-IS) is an assessment tool for new and expecting mothers that was built through a collaborative process with more than 100 scientists and clinicians involved. The tool focuses on experiences of new and expecting mothers, including exposure to COVID-19, financial considerations, social support, restricted activities, and coping.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
Survey on the impact of COVID-19 on pregnant women that can be adapted to assessing the experiences of this population in future crises. This article discusses the findings of a survey distributed to 1,439 Dutch women who were pregnant between April 4-May 10, 2020. The survey included multiple scales, such as the COVID-19 and Perinatal Experiences scale, the State-Trait Anxiety Inventory, and the Edinburgh Depression Scale, and compared results with a similar survey completed in 2018. The survey included 8 key domain areas, including topics like financial stress, social support, partner support, anxiety symptoms, and depressive symptoms, to name a few. Women reported higher worries related to COVID-19 in general, and also reported higher work/financial related worries. Depression and anxiety also increased, with anxiety rates increasing two-fold.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This article outlines the strategies the Hopi Tribe in Northeastern Arizona took to address the disproportionate impact of COVID-19 on their population of 7,500 Hopi individuals. Activities were developed in partnership with the local health center and the Centers for Disease Control and Prevention. Some strategies of note include implementing data tracking and reporting tools, offering support for individuals in quarantine, local messaging and informational campaigns, and culturally tailored prevention and mitigation strategies (e.g., guidelines for ceremonies and burials).
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
The article presents strategies of how Durham County Department of Public Health operationalized equity into multiple phases of its COVID-19 response through infrastructure changes and how to apply these methods to future public health emergencies to better serve vulnerable populations. This response relied upon robust data collection of demographic data to identify inequities. Infrastructure changes included standing up multiple COVID-19 Task Forces (Homeless, Community, Food Security, African American) and Strike Teams (Long-Term Care Facility, Clusters) targeting vulnerable populations; placing testing sites in targeted locations; collaborating with multisector and community partners for feedback; and providing Health Ambassadors for in-person dissemination of COVID-19 information. The paper reviews results from these interventions and lessons learned.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Data Collection Tool
The National Equity Atlas is a first-of-its-kind web resource for data to track, measure, and make the case for inclusive growth. The Atlas provides deeply disaggregated, longitudinal data on demographic change, racial and economic inclusion, and the economic benefits of equity for the largest 100 cities, largest 150 regions, all 50 states, and the United States. The data can be used for data collection and analysis.