从解决 COVID-19 疫苗接种不平等问题的真实世界多城市倡议实施评估中汲取的经验教训。

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-07-14 DOI:10.1177/2752535X231189434
Lilian G Perez, Malcolm V Williams, Alex R Dopp, Jeanne S Ringel, Laura J Faherty
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引用次数: 0

摘要

背景:COVID-19 疫苗上市后,有色人种社区面临多种障碍,导致疫苗接种率较低。为了弥补这一差距,"公平第一疫苗接种倡议 "支持五个示范城市的社区组织规划并实施超地方战略,以提高有色人种社区对 COVID-19 疫苗的接种率和使用率。目的:为了从参与组织的经验中汲取教训,我们采用了一个整合了实施科学和健康公平原则的框架:在这篇评论中,我们描述了如何利用这一框架来指导对社区组织的定性访谈,重点是对五个实施要素(覆盖范围、设计、实施、适应、实施结果)的见解:从本次评估中汲取的经验可能有助于指导今后实施类似的复杂倡议,这些倡议涉及多个组织和地点,目的是在公共卫生危机期间促进健康公平。
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Lessons From an Implementation Evaluation of a Real-World Multi-City Initiative to Address COVID-19 Vaccination Inequities.

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.

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