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Fiebelkorn AP, Adelsberg S, Anthony R, Ashenafi S, Asif AF, Azzarelli M, Bailey T, Boddie TT, Boyer AP, Bungum NW, Burstin H, Burton JL, Casey DM, Chaumont Menendez C, Courtot B, Cronin K, Dowdell C, Downey LH, Fields M, Fitzsimmons T, Frank A, Gustafson E, Gutierrez-Nkomo M, Harris BL, Hill J, Holmes K, Huerta Migus L, Jacob Kuttothara J, Johns N, Johnson J, Kelsey A, Kingangi L, Landrum CM, Lee JT, Martinez PD, Medina Martínez G, Nicholls R, Nilson JR, Ohiaeri N, Pegram L, Perkins C, Piasecki AM, Pindyck T, Price S, Rodgers MS, Roney H, Schultz EM, Sobczyk E, Thierry JM, Toledo C, Weiss NE, Wiatr-Rodriguez A, Williams L, Yang C, Yao A, Zajac J. The role of funded partnerships in working towards decreasing COVID-19 vaccination disparities, United States, March 2021-December 2022. Vaccine 2024:S0264-410X(23)01507-4. [PMID: 38238113 PMCID: PMC11252248 DOI: 10.1016/j.vaccine.2023.12.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 11/16/2023] [Accepted: 12/20/2023] [Indexed: 07/18/2024]
Abstract
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.
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Affiliation(s)
- Amy Parker Fiebelkorn
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
| | | | - Rishelle Anthony
- Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), CDC, Atlanta, GA, USA
| | - Samrawit Ashenafi
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | - Amimah F Asif
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | | | | | | | - Alaina P Boyer
- National Health Care for the Homeless Council, Nashville, TN, USA
| | | | - Helen Burstin
- Council of Medical Specialty Societies, Washington DC, USA
| | | | - David M Casey
- AMDA - The Society for Post-Acute and Long-Term Care Medicine, Inc, Columbia, MD, USA
| | - Cammie Chaumont Menendez
- Division of Safety Research, National Institute for Occupational Safety and Health, CDC, Morgantown, WV, USA
| | | | - Kelly Cronin
- Administration for Community Living, Washington DC, USA
| | - Cherrie Dowdell
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | - Laura H Downey
- U.S. Cooperative Extension System, Extension Committee on Organization and Policy, United States Department of Agriculture (USDA), Washington DC, USA
| | | | - Tom Fitzsimmons
- American Hospital Association, Health Research and Educational Trust, Chicago, IL, USA
| | | | - Emily Gustafson
- American Hospital Association, Health Research and Educational Trust, Chicago, IL, USA
| | - Margaret Gutierrez-Nkomo
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | - Benita L Harris
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | | | - Kathleen Holmes
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | | | | | - Natalie Johns
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | | | - Alice Kelsey
- Administration for Community Living, Washington DC, USA
| | - Lucy Kingangi
- Oak Ridge Associated Universities (ORAU), Oakridge, TN, USA; Goldbelt C6, LLC, Juneau, AK, USA
| | | | - James T Lee
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | | | - Gisela Medina Martínez
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | | | - Jane R Nilson
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | - Nma Ohiaeri
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | | | | | - Alexandra M Piasecki
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | - Talia Pindyck
- Division of Viral Hepatitis, NCHHSTP, CDC, Atlanta, GA, USA
| | - Sarah Price
- National Association of Community Health Centers, Bethesda, MD, USA
| | - Michelle S Rodgers
- U.S. Cooperative Extension System, Extension Committee on Organization and Policy, United States Department of Agriculture (USDA), Washington DC, USA
| | - Heather Roney
- AMDA - The Society for Post-Acute and Long-Term Care Medicine, Inc, Columbia, MD, USA
| | - Ellen M Schultz
- AMDA - The Society for Post-Acute and Long-Term Care Medicine, Inc, Columbia, MD, USA
| | - Elizabeth Sobczyk
- AMDA - The Society for Post-Acute and Long-Term Care Medicine, Inc, Columbia, MD, USA
| | - JoAnn M Thierry
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, CDC, Atlanta, GA, USA
| | - Chelsea Toledo
- Global Immunization Division, Global Health Center, CDC, Atlanta, GA, USA
| | - Nancy E Weiss
- Institute of Museum and Library Services, Washington DC, USA
| | | | | | - Chenmua Yang
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
| | - Andrea Yao
- Oak Ridge Associated Universities (ORAU), Oakridge, TN, USA; Goldbelt C6, LLC, Juneau, AK, USA
| | - Julie Zajac
- Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
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