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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, Summary Report/Recommendations
This case study describes how the North Carolina Department of Health and Human Services implemented a multipronged strategy to prioritize vaccinations on Black and Hispanic North Carolina residents following the disproportionate impact of COVID-19. This intervention included increasing vaccine allocation to these communities, facilitating community partnerships, and mapping these communities with the proportion of persons aged ≥65 years. They also addressed other barriers. During this implementation, vaccination rates doubled among Black residents, and the share of vaccine doses doubled.
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.
RELEASE DATE:
Peer Review Study
This study is an evaluation of a community-based “Test-to-Care” model that was developed to address barriers for socioeconomically vulnerable Latinx individuals with newly diagnosed COVID-19 and their households. This “Test-to-Care” demonstration project was implemented in the Mission district of San Francisco, CA. It was developed with input from community members and public health leaders, with the key components including: 1) provision of COVID-19 related education and information about available community resources, 2) home deliveries of material goods to facilitate safe isolation and quarantine, and 3) longitudinal clinical and social support. The Test-to Care team consisted of healthcare providers and community health workers. The model was evaluated using the Reach, Effectiveness, Adoption, Implementation, Maintenance Framework. The evaluation of the model found that it is a feasible and acceptable intervention for supporting self-isolation and quarantine among newly diagnosed COVID-19 patients and their households by directly addressing key barriers faced by socioeconomically vulnerable populations.
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.
RELEASE DATE:
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.
RELEASE DATE:
Peer Review Study
This article reviews systemic factors affecting low income immigrant communities during COVID-19 and provides recommendations strategies to improve public health infrastructure using the Public Health 3.0 concept. This high-risk community represented a large portion of essential workers, who even before the pandemic faced less access to health care and were structurally marginalized. The authors discuss equity strategies including prioritizing COVID-19 public relief funds and allocating testing and vaccines to these communities. The paper also reviews how to improve public health infrastructure to mitigate disparities immigrant communities face by addressing social determinants of health, communicating about and structuring policies and programs that do not require identification, engaging cross-sector stakeholders, and developing tools to collect relevant, appropriate data.
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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Key Informant Interview
The director of the Black Hawk County Public Health Department in Iowa shares her thoughts on best practices for community engagement and public health leadership in this Q and A with The Kresge Foundation. The conversation is geared towards her experiences dealing with a highly segregated community and varying needs during COVID-19.
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.
RELEASE DATE:
Peer Review Study
This study looks at data from the COVID-19 Effects on the Mental and Physical Health of AAPI Survey Study (COMPASS) to examine the proportion of Asian American and Pacific Islanders in the United States who have concerns about COVID-19 vaccinations.
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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Peer Review Study
Using the Census Bureau’s Household Pulse Survey data from January to March 2021, this study analyzes national and state estimates for vaccination intention. The study looks at interactions between race/ethnicity and household income, and race/ethnicity and age group, in its association with vaccination intent. The study found that non-Black Hispanics with lower incomes and younger ages are the least likely to vaccinate against COVID-19.
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.
RELEASE DATE:
Summary Report/Recommendations
This article explores how the relationships between vaccine site density, vaccination rates, and social vulnerability are connected across metropolitan and non-metropolitan areas in the U.S. The study uses CDC Social Vulnerability Index data combined with vaccination site density data to examine how vaccination site placement can benefit highly vulnerable populations. The results determined that while areas with higher socioeconomic vulnerability contain a large density of vaccination sites, this does not affect the low vaccination rates found in these communities. Other methods besides vaccination site placement must be considered to overcome these barriers in vaccination rates.