Lessons From an Implementation Evaluation of a Real-World Multi-City Initiative to Address COVID-19 Vaccination Inequities.
Autor: | Perez LG; Department of Behavioral and Policy Sciences, RAND Corporation, Santa Monica, CA, USA., Williams MV; Department of Behavioral and Policy Sciences, RAND Corporation, Santa Monica, CA, USA., Dopp AR; Department of Behavioral and Policy Sciences, RAND Corporation, Santa Monica, CA, USA., Ringel JS; Department of Economics, Sociology, and Statistics, RAND Corporation, Santa Monica, CA, USA., Faherty LJ; Department of Behavioral and Policy Sciences, RAND Corporation, Boston, MA, USA.; Department of Pediatrics, Maine Medical Center, Portland, ME, USA. |
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Jazyk: | angličtina |
Zdroj: | Community health equity research & policy [Community Health Equity Res Policy] 2024 Apr; Vol. 44 (3), pp. 331-338. Date of Electronic Publication: 2023 Jul 14. |
DOI: | 10.1177/2752535X231189434 |
Abstrakt: | Background: The COVID-19 pandemic shed light on stark racial and ethnic inequities in access to care and accurate health information in the U.S. When COVID-19 vaccines became available, communities of color faced multiple barriers that contributed to low vaccine rates. To address this gap, the Equity-First Vaccination Initiative supported community organizations in five demonstration cities to plan and implement hyper-local strategies to increase COVID-19 vaccine access and uptake among communities of color. Purpose: To draw learnings from the experiences of the participating organizations, we applied a framework that integrated implementation science and health equity principles. Design and sample: In this commentary, we describe how we used this framework to guide qualitative interviews with community organizations, focusing on insights across five implementation elements (reach, design, implementation, adaptation, implementation outcomes). Conclusions: Learnings from this evaluation may help guide future implementation of similarly complex initiatives involving multiple organizations and sites to advance health equity during a public health crisis. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
Databáze: | MEDLINE |
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