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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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Peer Review Study
This paper analyzes the policy components that contribute to the programmatic success of flu and Tdap pregnancy vaccine programs in three high-income countries, including the United States. Key pillars to increased vaccination coverage include Health Authority accountability, facilitated patient access to vaccination, healthcare professional accountability and engagement, awareness of the burden and severity of diseases, and finally, belief in the benefits of pregnancy vaccination. In the US, given the higher diversity of stakeholders, a multi-stakeholder approach with calls to action from the CDC and endorsement from other scientific societies were key to uptake of vaccinations in pregnancy. It is recommended that maternal task forces reinforce these messages, disseminate toolkits, and that partners address barriers that stand in the way of vaccination, including ensuring that vaccination clinics are convenient for pregnant woman. Successful programs do not require implementation of all components; instead, public health experts should use these as components as guiding tools that can be refined depending on the specificities of the healthcare system in place.
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
In northwest Arkansas, the Marshallese community has experienced a disproportionate COVID-19 burden. This response plan, funded by the CARES act, hired English/Marshallese bilingual staff to provide contact tracing, navigation, and other types of response. Staff that were not bilingual participated in cultural humility training.
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
In the United States, mobile health clinics are an important method for delivering high quality care to medically underserved populations. To address declining vaccination coverage among young children in Boston during the pandemic, Mattapan Community Health Center (Mattapan) and Codman Square Health Center (Codman Square) partnered with the Kraft Center for Community Health at Massachusetts General Hospital and the Massachusetts League of Community Health Centers to deploy a pediatric mobile health clinic as an adjunct to their in-person clinical services.
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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Summary Report/Recommendations
This report details the immense toll the COVID-19 pandemic has taken, and continues to take, on Black communities. The report’s authors – physicians and public health and policy experts – note massive disparities experienced by Black Americans. The worse outcomes, are a predictable result of structural and social realities. The predicates that caused these disparities have long been present. These are cycles we have to break. The report highlights areas for immediate focus and attention, and presents a set of expert-generated recommendations for action.
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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Summary Report/Recommendations
This article provides guidance on planning for a COVID-19 vaccination uptake strategy given widespread misinformation and to ensure equitable access. An essential component of this strategy is countering the anti-vaccination movement that promotes hesitancy and resistance. Since the beginning of the COVID-19 pandemic, there has been a tsunami of misinformation and conspiracy theories that have the potential to reduce vaccine uptake. To make matters worse, sections of the population in many countries display low trust in governments and official information about the pandemic and how the officials are tackling it. Therefore, this paper aims to assist those responsible for promoting COVID-19 vaccine uptake to digest the vast guidance and formulate an effective locally relevant plan.
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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Toolkit
This Vaccine Equity Toolkit, created by Kaiser Permanente, includes guidance for health systems and state and local governments to support equitable vaccine distribution. The toolkit includes sections on goal definition, metrics and reporting, tools for equity, and provides specific examples of Kaiser Permanente-funded initiatives to promote vaccine equity. The practice strategy this resource is focused on is equitable vaccine distribution.
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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Summary Report/Recommendations
This report from RAND Corporation presents the results of a nationally-representative survey of Black Americans, coupled with follow-up data collected through interviews with survey participants who expressed vaccine hesitancy. The report identifies factors contributing to mistrust and provides recommendations to improve health messaging and communication to address vaccine hesitancy in Black communities. The practice strategy this resource is focused on is reducing vaccine hesitancy.
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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Summary Report/Recommendations
Public engagement and effective communication through clear, transparent messaging will play a central role in building confidence in the COVID-19 vaccines. This rapid expert consultation from the National Academies of Science, Engineering, and Medicine describes a variety of public engagement and communication strategies that can be implemented at the national, state, and local levels to change patterns of interaction with the public, address hesitancy about the vaccines, and build trust. The consultation identifies six strategies for engaging communities to address vaccine hesitancy and mistrust and improve vaccine uptake, and nine communication strategies to promote acceptance of COVID vaccines. The practice strategy this resource is focused on is increasing vaccine uptake.
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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Case Study
FEMA has created a collection of best practice case studies housed on the website. It is a collection of key findings and considerations by FEMA for jurisdictions and communities regarding ongoing COVID-19 pandemic operations. They cover food banks, government engagement with citizens, considerations for people with disabilities, community emergency response teams, and volunteer management.” There is also a “Preparedness in a Pandemic” toolkit available.
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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Summary Report/Recommendations
This commentary article summarizes community-academic partnerships and how they can be used to address vaccine hesitancy among Black and Hispanic/Latinx communities. The authors conclude that pro-vaccine interventions need to: (1) be empathetic to the fears of participants, (2) make a personal connection (e.g., appropriate self-disclosure), (3) deliver accurate information in a non-confrontational manner, and (4) avoid belaboring historical maltreatment and unsupported conspiracies. Moreover, healthcare institutions need to collaborate with community stakeholders to increase access to vulnerable populations and rebuild trust prior to offering interventions.