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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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White Paper/Brief
This article discusses the Foundation for Opioid Response Efforts (FORE) distribution of $1.3 million in grants to organizations studying the potential permanent adoption of COVID-19 care access measures to promote health equity in opioid use disorder treatment. The grants aim to investigate the impact of temporary policies, such as virtual care, on access to care and patient outcomes. The studies will explore how relaxed prescribing policies for buprenorphine, telehealth strategies, and other COVID-19 measures have affected patient access and outcomes, particularly among underserved populations. The research will inform evidence-based policies to sustain access to better care beyond the pandemic and address the ongoing opioid crisis.
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
Community health workers, sometimes called health navigators, played a key role in the public health response to COVID-19, especially among communities of color. This report describes how the community health workforce can be developed by public health departments and shares findings from a community health worker training program focused on vaccination, prevention, and contact tracing.
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
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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Case Study, Peer Review Study
This article describes the rapid statewide COVID-19 vaccination strategy implemented by the North Carolina Department of Health and Human Services. The strategy focused on equitable distribution and reaching hard to reach populations, including racial and ethnic minority groups and rural communities.
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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Case Study, Peer Review Study
Practice involves using “get out the vote” (GOTV) outreach strategies, conventionally used in political campaigns, along with mobile pop-up vaccine clinics, to encourage vaccination among marginalized communities.
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, Summary Report/Recommendations
Article outlines how an opioid treatment program in the Bronx, NY adjusted their clinical practice with COVID-19 and their recommendations for treatment programs going forward. Balancing Covid-19 safety and the need to safely administer medications for opioid use disorder, this program ultimately made changes that allowed for more patient-driven treatment plans that enable fewer in person clinic visits. The article advocates for patient-centered care that encourages people to safely self-manage medication, focusing on patient-centered measures in clinical decision-making, and making appropriate changes to payment/insurance models that allow for such patient-centered care.
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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Case Study, Peer Review Study
This article details the Project HAPPY (HIV/AIDS Prevention Project for Youth) and how it engaged Black/African-American youth through research and implementation of the project. Youth were a part of expert panel that reviewed proposed HIV/AIDS curricula. and did outreach to get youth enrolled in the program. They recruited 431 teens and enrolled 57%, with 72% of enrolled youth attending all sessions.
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 review summarizes approaches taken to address vaccine hesitancy and lags in COVID-19 vaccination within Black communities. The main areas of focus for this review are communication, addressing structural inequalities in healthcare, and addressing barriers to vaccine convenience.
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
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.
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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.