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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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Peer Review Study
This article discusses the resilience of Indigenous communities in the Arctic during the COVID-19 pandemic. Despite facing vulnerabilities such as limited access to healthcare and infrastructure, these communities had lower COVID-19 death rates compared to southern regions. The article highlights the importance of Indigenous health-care sovereignty and self-determination in controlling the spread of the virus. Indigenous-led decision-making, community-centered approaches, and cultural relevance played a crucial role in mitigating the impact of the pandemic. Recognizing and promoting Indigenous Peoples’ self-determination in healthcare is essential for developing sustainable health-care systems and addressing future health crises.
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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Case Study
The Oregon county with the first confirmed COVID-19 case in the United States began its response in the earliest days of the pandemic. The county’s Emergency Operations Center wanted to center equity in its response and did so by rapidly creating new positions on the team: an Equity Officer, an Equity Technical Advisor, and a Language Access Coordinator. It also established an Equity Team within the center. This allowed responses to quickly identify and respond to population needs, especially those in communities of color experiencing disproportionate impacts of disease spread and burden.
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:
Case Study
The NYC Department of Health and Mental Hygiene partnered with 45 businesses or faith-based organizations in the Northeast Bronx to increase COVID-19 and flu vaccine knowledge and uptake in predominantly Black and Hispanic areas. The program disseminated health information through trusted community leaders to address vaccine hesitancy. ZIP codes with higher involvement in the program showed greater increases in vaccination rates.
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.
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 describes work to partner health departments with community organizing groups, focusing on a collaboration between Santa Barbara County Public Health Department and two community organizations. These partnerships allow health departments to actively address power imbalances that may decrease community trust in health departments. The Santa Barbara Public Health Department developed an analysis of power and worked directly with grassroots organizers. To build trust, the health department undertook many actions, including sharing organizational charts, explaining decisions, facilitating personal sharing and trust exercises, spending time together, discussing structural racism, and more. During COVID-19, these partners shared information targeted towards those with various languages and literacy levels.
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
Members of many underserved communities have long seen worse health outcomes, and this has been exacerbated by COVID-19. This article describes certain strategies that health departments, hospitals, universities, service providers, and others have used to engage and partner with members of underserved communities. In Chicago, health departments, hospitals, service providers, and community organizations formed an alliance that met daily to coordinate services for people experiencing homelessness. The Navajo Nation partnered with health departments and hospitals to create a health command center to get aid to people, test and contact trace, and collect funding. An alliance in Albuquerque used community based participatory research (CBPR) to complete strategic planning regarding mitigating COVID-19 among people experiencing homelessness. Other cities also used CBPR or saw grassroots efforts to partner wit health departments to increase aid and funding to communities with the greatest need.
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:
Peer Review Study
This paper outlines how to structure a youth-friendly community-based participatory research environment to maintain strong partnerships over time. It highlights a case study from Bronx Youth as Partners in Community-Based Participatory Research which aimed to prevent and reduce mental health and other health disparities among both Latino and Black adolescents in the Bronx. Key components to positive partnerships with youth include acknowledging the developmental needs and capacities of youth, understanding the autonomy and experience in decision-making youth have, and being aware of the age timeline that youth are considered adolescents before becoming adults. Strategies for implementing these components include using a Youth Development framework that is a strength-based approach to engagement, integrates structure, uses paid trained staff, accommodates times around schedules, and ensures activities are engaging and youth-friendly. Authors note the importance in offering opportunities for youth to take on tasks that build on their strengths and interests.
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:
Peer Review Study
Asabor and colleagues investigate the relationship between levels of segregation and the distribution of testing sites in four cities. Segregation refers to the extent of distance between neighborhoods of color and White neighborhoods. The highest levels of segregation are between Blacks and Whites, however, there is segregation between other communities of color and White communities. The authors compiled a list COVID-19 testing sites per Census tract through June 2020. And, in parallel, Asabor and colleagues identified the four most segregated cities in the U.S. in order to conduct a focused analysis. These cities are: New York, Los Angeles, Houston, and Chicago. In New York, Houston, and Chicago, there is an inverse relationship between percentage of Blacks in a Census tract and the number of testing sites. And, in Chicago, Houston, and Los Angeles there is a similar negative relationship for Latinx.
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:
Peer Review Study
Latkin and colleagues conducted a nationally representative survey in May 2020 to examine opinions regarding vaccine hesitancy. The key outcome measure asked: if and when available, would you plan on getting the vaccine. A key set of covariate measures focused on COVID-19 prevention behaviors such as staying away from large groups, wearing a mask when leaving home, and washing hands more frequently. Additional covariates included knowing a close relative or friend who has contracted COVID-19 and how worried are you that you or someone in your family will get infected with COVID-19. Compared to White participants, Black and Hispanic respondents were significantly more likely to report that they did not intend to obtain a COVID-19 vaccine. In addition, compared to those who reported positive vaccine intentions, respondents with negative vaccine intentions were significantly less likely to report that they engaged in the COVID-19 prevention behaviors of wearing masks and social distancing.
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
In June 2020, Northwest Arkansas was a COVID-19 hotspot, with serious racial and ethnic disparities. Existing community-engaged partnerships utilized their collaborative capacity to address COVID-19 disparities in the Latinx and Pacific Islander communities. Eighteen key partners held weekly meetings and regular communication and developed four strategies: (1): health education (prevention, testing, quarantine, and follow-up care) and prevention (communication re: practices to reduce risk); (2) testing; (3) a dedicated contact tracing center with bilingual workers; (4) enhanced case management and supported quarantine.