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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
Focusing on the COVID-19 pandemic resulted in the diversion of resources, attention, and efforts away from other critical public health issues. This diversion has led to missed opportunities and negative consequences for various public health domains, such as chronic disease prevention, mental health services, substance abuse treatment, and environmental health. This article suggests the need for a comprehensive approach that balances the response to COVID-19 with the maintenance and resumption of other essential public health activities. It calls for increased investment in public health infrastructure, workforce capacity, and policy frameworks to mitigate the opportunity costs and ensure a more resilient and equitable public health system in the future.
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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Systematic Review/Meta-Analysis
This review of state data collection and reporting practices during the COVID-19 pandemic found inconsistencies and gaps in data collected by race and ethnicity. Improved standardization across the U.S.–which may come in the form of a federally-operated centralized database–would address some of the concerns in data representation of all Americans.
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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White Paper/Brief
This brief lists interventions to support state public health efforts to address rural disparities and racial discrimination. It emphasizes the importance of localized data on social determinants of health and improving systemic and structural underpinnings of racial disparities. Suggested interventions address data collection and workforce issues, including representativeness and paid family leave.
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.
RELEASE DATE:
Systematic Review/Meta-Analysis
This article summarizes considerations for COVID-19 prevention among migrant workers in meat processing plants. They review evidence on vaccinations, air filtration, masking, and other approaches.
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
This process overview summarizes the approach taken by the Alberta Health Services Design Lab to respond to the outbreak of COVID-19 among meat plant employees, who are largely immigrants. They implemented a vaccine clinic at processing plants to support vaccination and provide culturally relevant health information.
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.
RELEASE DATE:
Peer Review Study
This survey study of health care workers in two academic hospitals, one adult and one child, presents findings on the differences in COVID-19 vaccine hesitancy by race/ethnicity among health care workers. Striking differences were found across race and ethnic groups regarding reported vaccine hesitancy with Whites, on average, having the lowest level of hesitancy. Hesitancy was defined as not planning on, being unsure, or planning to delay getting a COVID-19 vaccine. Black, Asian, Hispanic or Latino, and mixed-race participants were more hesitant than Whites. Reasons for hesitancy include concern regarding side effects, the newness of the vaccine, and lack of vaccine knowledge.
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
This article outlines how Rice County Public Health (RCPH) used a health equity data analysis tool to complete an assessment of internal policies and practices related to health equity. Given this assessment, RCPH developed a health equity plan with seven recommended practices to implement, and RCPH created trainings to increase staff awareness of health equity.
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.
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.
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.
RELEASE DATE:
Case Study
This case study describes how the Virginia Equity Leadership Task Force (ELT) uses data to drive allocation of resources. ELT used a data-driven approach to learn where they should allocate resources to make a maximum impact, with a specific focus on marginalized and underserved populations who are at greatest risk of severe disease from COVID-19. They profiled neighborhoods by equity factors including income, race and ethnicity, comorbidities, crowded housing, and preferred language, and then distributed personal protective equipment with priority given to more vulnerable populations. They used similar analyses of social determinants of health; up-to-date COVID-19 vaccination status; and data on cases, hospitalizations, and deaths to determine where to place vaccine centers and hold mass vaccination events.