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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, 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.
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 article compared community health workers (CHWs) in Indiana and Texas based on the results of two research studies in order to 1) investigate the unique role of CHWs and their Spanish-speaking counterparts, promotores de salud, in rural communities and 2) understand how their advocacy efforts represent a central form of caregiving. An analysis was done of how CHWs connect structurally vulnerable clients in rural areas to resources, health education, and health and social services. CHWs and promotores de salud have acted as first responders to the needs of marginalized rural populations, especially during the COVID-19 pandemic. In addition to health education and translation work, CHWs also play an important role in advocacy, bridging the gap between clients and community leaders. While informing clients of available resources, they empower the clients to advocate for their own needs in different settings. CHWs also have the ability to engage with stakeholders and policy makers in better addressing client needs.
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
This multidisciplinary vaccine delivery strategy was implemented by the Puget Sound Veterans Affairs (VA) facility to mitigate inequities in COVID-19 vaccination among veterans. The practice, which followed the Equitable Vaccine Framework, was put in place in the VA Puget Sound Health Care System and entailed targeted outreach to individual patients based on a score consisting of the sum of risk factors for severe COVID-19 disease and high-risk race or ethnicity. The strategy included four main domains: allocation, outreach, delivery, and monitoring. The care system conducted sequential outreach using multiple communication modalities, worked with community partners to publicize and deploy mobile clinics to underserved areas, and monitored vaccination coverage rates by age, race, sex, and rural status at prespecified intervals and adjusted operations to ensure equity. During the vaccine drive, vaccination rates were higher among Black, multiracial, and Hispanic veterans, compared with white veterans.