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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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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.
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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Evaluation Report
This case study presents findings on place-based initiatives to address social determinants of health and health inequities through the Action Centers in New York City. The Action Centers, hosted by the Health Department, are a way to address community-level social determinants of health by providing low-cost office space to partner organizations and free convening space for events, meetings, and programs. This ultimately increases community members’ access to services, beyond what the Health Department or individual organizations can offer.
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
This article summarizes the approach one vaccine collaborative in Philadelphia, PA took to address vaccination inequity among Black community members. The intervention utilized community partners to build trust and encourage community members to schedule vaccinations at a clinic through a low-tech platform. These vaccination clinics were also designed to minimize wait times.
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 study evaluated the effectiveness of a telephone-based intervention using a Regional Operational Call Center as a primary method of providing COVID-19 information to rural communities and connecting those at risk with medical appointments. Results indicated that interaction with the call center led to an increased likelihood of scheduling a healthcare appointment and receiving a COVID test.
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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Evaluation Report
This study of a community-based and bilingual nutrition and health program called the Eat Healthy Program in New York City presents findings to understand potential behavior changes among participants and how the program is integrated into a larger neighborhood health strategy in Harlem. The Eat Healthy Program educated participants on healthy nutrition and living, gave out farmers’ market coupons. Focus groups showed that participants adopted new healthy behaviors as a result, although some barriers to healthy living persisted. The findings suggested that this type of health promotion program as a part of a neighborhood health strategy may be an effective model for impacting health behavior and the utilization of local farmers’ markets in low income neighborhoods of color.
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 describes an emergency preparedness strategy within an existing community-based participatory research (CBPR) partnership among African-American churches to disseminate accurate COVID-19 information: The FAITH! (Fostering African-American Improvement in Total Health) program, an academic–community partnership between Mayo Clinic and local African American churches. The authors were guided by the Centers for Disease Control and Prevention’s Crisis and Emergency Risk Communication framework to conduct a needs assessment, distribute emergency preparedness manuals, and deliver COVID-19–related messaging among African-American churches via electronic communication platforms. A needs assessment showed that the top 3 church emergency resource needs were financial support, food and utilities support, and COVID-19 health information CBPR partnerships leveraged to promote emergency preparedness and communicate risk among under-resourced communities during a pandemic.
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 article describes a community-based participatory research initiative based on an existing community–academic partnership. Partners included the University of Arkansas, nonprofit organizations serving the Marshallese and Latinx communities, community-based nonprofit organizations, local hospital systems, a federally qualified health center, the Veteran Health Administration, the Arkansas Department of Health, and the Republic of the Marshall Islands consulate. The partnerships were leveraged to develop and implement the Comprehensive Intervention to Reduce COVID-19 Disparities in Marshallese and Latinx Communities in Benton and Washington counties. The comprehensive intervention consisted of 4 components: (1) health education, (2) testing, (3) contact tracing, and (4) care navigation (case management) for supported quarantine. After implementation of the comprehensive intervention, the proportions of new weekly cases among Marshallese and Latinx residents declined and began to align more closely with the proportions of Marshallese and Latinx community members in the 2 counties.
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
The West Greenville Health Council (WGHC) engaged and activated a 27-member organizational partnership network for COVID-19 health communication and personal protective equipment (PPE) distribution in African American communities in Eastern North Carolina. Outreach included (1) local production and dissemination of culturally relevant safety videos; (2) risk, prevention, and safety postcard messages; (3) virtual forums; and (4) PPE kit distribution via the network and their distribution venues. Communication mediums included social media posts, network email distribution lists, and postcards distributed along with PPE kits. An online survey was used to gain insights on community perceptions of COVID-19 safety barriers and media messages. The activation of the network as an approach for rapid response to an emerging public health crisis greatly expanded the reach of the WGHC. The WGHC is working to institutionalize the network to address future emerging health threats, as well as the dissemination of health information more generally.