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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
“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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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.
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:
Summary Report/Recommendations
This brief recommendations article urges public health decision-makers to consider the rural social environment when addressing COVID-19. Some recommendations include considering familial roles in rural communities, leveraging community leaders as trusted messengers, and using strengths-based messaging.
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:
Case Study
This article summarizes COVID-19 harm reduction approaches taken by a family medicine/OBGYN residency program serving rural, western North Carolina for patients with an opioid use disorder. To meet patient needs, low acuity patients were offered telehealth options and digital prescriptions for buprenorphine/naloxone. For higher acuity patients, in=person visits were maintained and the risk/benefits were weighed on a continuous basis.
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:
Case Study
This article summarizes the lessons learned from implementing telehealth in rural environments over the past 3 years and how to expand these efforts in the context of COVID-19. The needs of elderly populations in rural environments are also addressed. It provides 5 strategies for implementing telehealth in this context: (1) Preparation and Training; 2) Standardize and Expedite Credentialing; (3) Technology; (4) Broadband; and (5) Feedback and Rapid Improvement.
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:
Case Study
The Packed Promise intervention sent monthly food boxes and food vouchers to families with children eligible for free school meals in Chickasaw Nation territory in rural Oklahoma. The deliveries themselves were successful and led to modest improvements in children’s fruit, vegetable, and whole-grain consumption, but the intervention did not result in statistically significant reductions in children’s food insecurity. Adult food insecurity was reduced initially, but the reduction was not sustained after 18 months. 2 articles were written to assess Packed Promise’s impacts on food insecurity (Briefel et al.) and fruit/veg consumption (Cabili et al.).
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:
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.
RELEASE DATE:
Case Study, Peer Review Study
This was a randomized, quasi-experimental study of an intervention that was implemented among rural and urban populations to encourage online grocery shopping and more nutritious food purchases. The authors targeted rural counties with high poverty rates for recruitment. The results showed that online shopping can improve food shopping habits and accessibility.
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 case study described a partnership to rapidly deliver food to isolated and quarantined individuals diagnosed with COVID-19 in response to a COVID-19 surge in June 2020. An existing community-based participatory research group in Northwest Arkansas utilized diverse partnerships that were possible due to existing relationships established before the pandemic and leveraged to rapidly deploy the food delivery program. This case study demonstrates how this program can serve as a model for other organizations doing similar work.
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 article includes commentary for public health agencies, the healthcare community, and professional schools to develop an approach to allocate the COVID-19 vaccine in a way that does not rely on health information technology as the predominant means to vaccine access. The authors notes that doing so will provide better access to medical care during the ongoing pandemic and perhaps carve out a new model that improves healthcare access after we conquer COVID-19.