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.

Best Practices for an Equitable Covid-19 Vaccination Program

Beste, L. A.,  Chen, A.,Geyer, J., Wilson, M., Schuttner, L., Wheat, C.P., Rojas, J., Nelson, K., Reddy, A.

Release Date:

Peer Review Study

Outreach/ Education/ Communications
Healthcare Access and Quality
Tools Included
Outside U.S.

Mitigation and Prevention

This multidisciplinary vaccine delivery strategy was implemented by the Puget Sound Veterans Affairs (VA) facility to mitigate inequities in COVID-19 vaccination among veterans. The practice, which followed the Equitable Vaccine Framework, was put in place in the VA Puget Sound Health Care System and entailed targeted outreach to individual patients based on a score consisting of the sum of risk factors for severe COVID-19 disease and high-risk race or ethnicity. The strategy included four main domains: allocation, outreach, delivery, and monitoring. The care system conducted sequential outreach using multiple communication modalities, worked with community partners to publicize and deploy mobile clinics to underserved areas, and monitored vaccination coverage rates by age, race, sex, and rural status at prespecified intervals and adjusted operations to ensure equity. During the vaccine drive, vaccination rates were higher among Black, multiracial, and Hispanic veterans, compared with white veterans.

Resource Details

Outcomes of Interest

Advancing Racial Equity, Reduction of Health Disparities

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