The role of funded partnerships in working towards decreasing COVID-19 vaccination disparities, United States, March 2021-December 2022.
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Fiebelkorn Amy Parker, Adelsberg Sara, Anthony Rishelle, Ashenafi Samrawit, Asif Amimah F, Azzarelli Maria, Bailey Theresa, Boddie Timothy Tee, Boyer Alaina P, Bungum Nicole Williams, Burstin Helen, Burton Jacqueline L, Casey David M, Chaumont Menendez Cammie, Courtot Brigette, Cronin Kelly, Dowdell Cherrie, Downey Laura H, Fields Megan, Fitzsimmons Tom, Frank Alexa, Gustafson Emily, Gutierrez-Nkomo Margaret, Harris Benita L, Hill Joanna, Holmes Kathleen, Huerta Migus Laura, Jacob Kuttothara Joanna, Johns Natalie, Johnson Jennifer, Kelsey Alice, Kingangi Lucy, Landrum Cynthia M, Lee James T, Martinez Pedro D, Medina Martínez Gisela, Nicholls Richard, Nilson Jane R, Ohiaeri Nma, Pegram Laura, Perkins Claire, Piasecki Alexandra M, Pindyck Talia, Price Sarah, Rodgers Michelle S, Roney Heather, Schultz Ellen M, Sobczyk Elizabeth, Thierry JoAnn M, Toledo Chelsea, Weiss Nancy E, Wiatr-Rodriguez Amy, Williams Lauren, Yang Chenmua, Yao Andrea, Zajac Julie
Аннотация
During the COVID-19 vaccination rollout from March 2021- December 2022, the Centers for Disease Control and Prevention funded 110 primary and 1051 subrecipient partners at the national, state, local, and community-based level to improve COVID-19 vaccination access, confidence, demand, delivery, and equity in the United States. The partners implemented evidence-based strategies among racial and ethnic minority populations, rural populations, older adults, people with disabilities, people with chronic illness, people experiencing homelessness, and other groups disproportionately impacted by COVID-19. CDC also expanded existing partnerships with healthcare professional societies and other core public health partners, as well as developed innovative partnerships with organizations new to vaccination, including museums and libraries. Partners brought COVID-19 vaccine education into farm fields, local fairs, churches, community centers, barber and beauty shops, and, when possible, partnered with local healthcare providers to administer COVID-19 vaccines. Inclusive, hyper-localized outreach through partnerships with community-based organizations, faith-based organizations, vaccination providers, and local health departments was critical to increasing COVID-19 vaccine access and building a broad network of trusted messengers that promoted vaccine confidence. Data from monthly and quarterly REDCap reports and monthly partner calls showed that through these partnerships, more than 295,000 community-level spokespersons were trained as trusted messengers and more than 2.1 million COVID-19 vaccinations were administered at new or existing vaccination sites. More than 535,035 healthcare personnel were reached through outreach strategies. Quality improvement interventions were implemented in healthcare systems, long-term care settings, and community health centers resulting in changes to the clinical workflow to incorporate COVID-19 vaccine assessments, recommendations, and administration or referrals into routine office visits. Funded partners' activities improved COVID-19 vaccine access and addressed community concerns among racial and ethnic minority groups, as well as among people with barriers to vaccination due to chronic illness or disability, older age, lower income, or other factors.