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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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Toolkit
The Framework for an Equitable COVID-19 Homelessness Response offers guidance on utilizing funding sources like the CARES Act to address homelessness during the pandemic. It aims to conduct emergency measures while planning for recovery. The framework emphasizes racial justice and requires coordination among partners and systems. It is regularly updated and provides tools and resources. For individuals experiencing homelessness, local 2-1-1 hotlines can provide assistance.
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
“In Aotearoa New Zealand, the Indigenous population, known as Māori, carries a disproportionate burden of disease compared to the settler population. The Treaty of Waitangi, a national treaty negotiated between Māori and the British Crown, guarantees Māori sovereignty, protects their interests, and promotes their well-being. It is considered central to ethical public health and health promotion practices in the country but its application is variable. The article underscores the significance of incorporating Indigenous knowledge and leadership into public health curricula to address health inequities and decolonize the field. It calls for a shift towards prioritizing Indigenous perspectives, values, and frameworks, and fostering meaningful relationships between communities, educators, and Indigenous peoples.
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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 challenges of contact tracing among people experiencing homelessness. It suggests combining the traditional person-based approaches to contact tracing with location-based contact tracing approaches when conducting investigations among unhoused individuals. Location-based approaches collect data on the places people have visited in the past 48 hours, rather than the individuals with whom they interacted. Facility-wide testing and resources can be provided in locations where someone accessed support 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.
RELEASE DATE:
Peer Review Study
This article identifies levels of vaccine hesitancy and acceptance among people experiencing homelessness. It gives public health practitioners information on ways to address the relatively higher levels of hesitancy among this population and encourages logistical barriers such as transportation to be addressed as part of a larger strategy.
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 describes the implementation of telemental health services within the Veterans Health Administration before and during the COVID-19 pandemic. The article identifies strategies the VHA has used to reach hard to reach populations, including unhoused veterans and veterans living in rural communities, and outlines future goals to improve and expand access to telemental health 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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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 strategy involves including unhoused peer ambassadors in outreach plans to encourage vaccination against Covid-19 in homeless encampments/shelters. Peer ambassadors were found to be effective in promoting vaccination among their peers. However, some concerns existed around the ethics of exploiting the trust unhoused PAs had with their communities, as well as apathy and frustration towards the academic and bureaucratic nature of the research study.
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 article describes how the Northwest Portland Area Indian Health Board (NPAIHB) telehealth program, known as Extensions for Community Healthcare Outcomes (ECHO), or teleECHO, adapted to COVID-19 in providing community clinicians/public health workers access to experts. Descriptions of how healthcare providers and staff adapted practices to be culturally responsive to tribal communities is presented.
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 article summarizes COVID-19 mitigation within the Blackfeet Tribal Reservation and changes in incidence depending on the enforcement of masking, stay-at-home orders, and contact tracing. The combination of these efforts was associated with a 33-fold reduction in COVID-19 incidence from October 5 to November 7 in 2020.
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 article describes the multi-pronged approach taken by the Klamath tribes to address COVID-19 across multiple tribal communities. An Emergency Preparedness Incident Management Team (IMT) managed the response by implementing outreach, wrap-around services (groceries, residential, medicine, etc.), tribal policies, and testing protocols. Between March to September 2020, no deaths were reported (unlike the county overall) and 12% of tribal members were tested.