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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.
RELEASE DATE:
Peer Review Study
This report discusses a series of interventions that Genesis HealthCare, one of the largest long-term care providers in the US, implemented in response to lower COVID-19 vaccination uptake among Hispanic and black Genesis staff members. The organization’s Vaccine Acceptance Steering Committee worked with their DEI Committee to develop a more comprehensive education strategy to improve vaccination acceptance among BIPOC staff that included offering vaccine information sessions at all times of the day and the night, inviting staff family members and friends to participate in these sessions, creating more multilingual educational materials, and featuring DEI Committee members in the organization’s social media campaigns. At the end of the one month intervention, statistically significant improvements in the likelihood of being vaccinated compared with white staff members increased for black and Hispanic employees.
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
A study conducted in Minnesota and Wisconsin revealed a connection between language preferences and limited English proficiency with delayed COVID-19 vaccine uptake and higher rates of hospitalization and death among certain language-preference groups. The study analyzed data from over 850,000 adult patients, noting that individuals with limited English proficiency or a preference for a non-English language experienced delays in receiving their first vaccine dose. These groups also had higher rates of hospitalization and death related to COVID-19. The study emphasizes the importance of addressing language barriers to ensure equitable healthcare and improve health outcomes across racial and ethnic groups.
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 review examines major reasons for vaccine hesitancy among immigrants without documentation, particularly around lack of access to information, language barriers, and work conflicts, and fear of government/immigration services. The paper also discusses solutions to overcome vaccine hesitancy, particularly government stakeholders providing culturally and linguistically responsive information and education about COVID-19 and vaccines, and partnering with trusted community-based organizations.
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, Peer Review Study
Practice strategy involves using a mobile Covid-19 vaccination unit to reach youth and young adults. The initiative was successful, implemented with community and stakeholder engagement and support.
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, Peer Review Study
Practice involves using “get out the vote” (GOTV) outreach strategies, conventionally used in political campaigns, along with mobile pop-up vaccine clinics, to encourage vaccination among marginalized 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.
RELEASE DATE:
Peer Review Study
This paper analyzes the policy components that contribute to the programmatic success of flu and Tdap pregnancy vaccine programs in three high-income countries, including the United States. Key pillars to increased vaccination coverage include Health Authority accountability, facilitated patient access to vaccination, healthcare professional accountability and engagement, awareness of the burden and severity of diseases, and finally, belief in the benefits of pregnancy vaccination. In the US, given the higher diversity of stakeholders, a multi-stakeholder approach with calls to action from the CDC and endorsement from other scientific societies were key to uptake of vaccinations in pregnancy. It is recommended that maternal task forces reinforce these messages, disseminate toolkits, and that partners address barriers that stand in the way of vaccination, including ensuring that vaccination clinics are convenient for pregnant woman. Successful programs do not require implementation of all components; instead, public health experts should use these as components as guiding tools that can be refined depending on the specificities of the healthcare system in place.
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, Summary Report/Recommendations
The guidance outlined in this report provides a roadmap for the ethical inclusion of pregnant women’s experiences in in the development and deployment of vaccines against emerging viruses. Recommendations include bolstering health information surveillance systems, stakeholder engagement with health care, women, families and communities, and changing the narrative about pregnancy and clinical research efforts. Recommendations require commitment of financial resources, addressing inequities in public health and whenever possible, the inclusion of perspectives of pregnant women. Lastly, the authors recommend that “When there is a limited supply of vaccine against a pathogenic threat that disproportionately affects pregnant women, their offspring, or both, or when only one vaccine among several is appropriate for use in pregnancy, then pregnant women should be among the priority groups to be offered the vaccine.” This prioritization process is key to addressing inequities and are guidance for future pandemic response efforts.
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 study recommends that governments should continue to fund and prioritize use of Federally Qualified Health Centers (FQHCs) as major vaccine administration sites. This retrospective cohort study examines COVID-19 vaccination administration rates at FQHCs by race and ethnicity and also the racial and ethnic equity in vaccine receipt at FQHCs. The results of the study found that vaccine administration at FQHCs was equitable for American Indian or Alaska Native, Asian, and Hispanic populations, but there were inequities for the Black population. FQHCs have provided critical access to COVID-19 vaccinations for patients from diverse racial and ethnic groups. This resource may help motivate governments to continue funding and prioritizing the use of FQHCs by showing that these health centers have provided access to COVID-19 vaccinations for patients from diverse economic, racial, and ethnic groups.
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 case study describes how Inova Health System in Northern Virginia developed and integrated a vaccination administration program, while simultaneously caring for patients hospitalized with COVID-19, and provides recommendations on how other health cares systems can integrate a vaccine program. Inova Health System created a Vaccination Implementation Team led by a triad of leaders in conjunction with established emergency management leaders and Inova’s COVID-19 Coordination Center to plan for the immediate delivery of the COVID-19 vaccine, once available. The guiding imperatives were to protect the safety of the vaccination team and vaccine recipients while offering vaccination for all eligible individuals. The initial work streams carried out by the team included: (1) process design, including space/geography, personnel, and vaccine handling; (2) prioritization and scheduling; and (3) communications. Inova’s Inclusion Council implemented strategies that facilitated culturally appropriate communication, identified ethnic and racial biases and fears, and promoted recommended and safe vaccination practices through an “inside-out” program.
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.