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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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Summary Report/Recommendations
Among groups living in vulnerable conditions, the pandemic substantially magnified the inequality gaps, with possible negative implications for these individuals’ long-term physical, socioeconomic, and mental wellbeing. The recommendations presented in this Viewpoint article have been prioritised and agreed upon by the Lancet Commission on COVID-19’s Task Force on Social Protection, Humanitarian Action, and Vulnerable Group experts. This Viewpoint lists recommendations to protect vulnerable populations and reduce health inequities: (1) execute universal health coverage and social protection systems in every country, (2) at the country-level, ensure that governments and parliaments commit to financing and safeguarding health and social services to support universalism and equity, (3) provide digital equity for all, (4) boost care economy and take immediate steps to transform the current model, (5) re-energise relationships between government and civil society actors, and ensure communities, marginalized populations, and gender identities have a central role in decision making.
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
Filipinx/a/o Americans (FilAMS), are the third-largest Asian American group in the US. They are frequently invisible in health services research and policy, and consequently, are an afterthought in resource allocation decisions. This paper highlights historical and modern practices that impinge on FilAm health. FilAms, who experience long standing health disparities, are heavily engaged in front line health care work, but also have pre-existing health conditions and are likely to live in multigenerational household, both factors that contribute to the burden of COVID-19. Mental health concerns, elevated among front-line and essential workers during the pandemic, were compounded by anti-Asian racism and violence. The authors encourage strategies such as naming neocolonial forces that devalue and neglect FilAms, and making changes to the data collection infrastructure to facilitate the allocation of appropriate resources. Recommendations: investments that prioritize community needs, equitable resource sharing, community-led efforts, and empower communities through capacity building and interdisciplinary research.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
The Native Hawaiian and Pacific Islander community experienced high COVID-19 case rates by April 2020, in addition to chronic diseases and socioeconomic disparities, so NHPI networks were mobilized to address the crisis, and a COVID-19 Response, Recovery and Resilience team was created. The team consists of multiple committees that examine policy; testing, contact tracing, and isolation; communications; social supports and resources; and data and research. This article discusses the development of a cultural framework to guide culturally informed advocacy efforts to ensure an appropriate response and recovery plan for NHPI that extends beyond COVID-19 to addressing longstanding NHPI disparities.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Summary Report/Recommendations
This report highlights an authentic community-academic-practice partnership illustrating an approach within the landscape of COVID-19 vaccinations and to address structural changes necessary for the reduction of existing and forthcoming health inequities. This partnership developed a vaccine equity best practices checklist to guide a more equitable vaccine approach with an emphasis on the role of community-based knowledge.
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 study describes the initial implementation phase and findings from a multi-year engagement process with community stakeholders to build a resilient, trauma-informed community in a vibrant, ethnically-diverse, and economically depressed town, Pottstown, PA. Pottstown can offer guidance about how to coordinate and scale a community-wide engagement process, drawing on principles of community psychology, population health science, and participatory team science. A central feature of this initial phase is the use of data to generate hypotheses rather than test them, as well as to collect data about these processes to provide a continuous empirical feedback loop to guide decision-making and action. The theoretical framework uses a multi-level approach that prioritizes the population through prevention, health promotion, and policy development, consistent with federal initiatives that have emphasized addressing social determinants of health to enhance public health. An important component of this approach is the creation of cross-sector community partnerships to address social determinants that affect population health.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
RELEASE DATE:
Peer Review Study
This commentary describes the challenges faced by rural communities in addressing COVID-19, with a focus on the issues faced by southeastern US states. It also addresses how the COVID-19 Community Vulnerability Index (CCVI) may be used as a tool to identify communities at heightened risk for COVID-19 on the basis of 6 clearly defined indicators. The CCVI can help decision makers target resources where they are most needed. Stakeholders, including hospitals, health care centers, insurance providers, policy makers, community-based organizations, and faith-based organizations, should be included in planning and enlisted to help reach disadvantaged and marginalized communities. The coordination would be valuable in planning emergency response, identifying areas of greatest needs, developing culturally appropriate messaging, and disseminating information throughout the community.
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 study estimated the avoided deaths and health-care use among people experiencing homelessness during the first wave of COVID-19 in England. The findings included outbreaks of COVID-19 in homeless settings can lead to high attack rate among people experiencing homelessness, even if the incidence remains low in the general population.
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:
White Paper/Brief
This is a brief highlighting the evidence provided by Lewer and colleagues in the study “COVID-19 among people experiencing homelessness in England: A modelling Study” that evaluated measures in England to protect people experiences homelessness during the pandemic. The interventions evaluated were found to be effective and provide evidence to inform COVID-19 response in settings with similar homeless populations and social contexts.