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Early Insights from the Equity-First Vaccination Initiative
From the Document: "As of early November 2021, more than 78 percent of U.S. adults had received at least one dose of coronavirus disease 2019 (COVID-19) vaccine. However, vaccination rates among communities that identify as Black, Indigenous, and people of color (BIPOC) continue to lag relative to their shares of the total population. Even more striking are inequities by race and ethnicity in vaccination rates relative to COVID-19 mortality. For instance, Black non-Latinx Chicago residents accounted for 40 percent of deaths from COVID-19 but only 21 percent of those who are fully vaccinated. [...] The Equity-First Vaccination Initiative (EVI), supported by The Rockefeller Foundation, aims to reduce racial and ethnic disparities in COVID-19 vaccination rates in the United States and, over the longer term, strengthen the public health system to achieve more-equitable outcomes. [...] The EVI has also engaged several additional partners, including the RAND Corporation, to support the CBOs [community-based organizations] in measuring, evaluating, and scaling up their learning. These partners [1] facilitate an inclusive and equity-focused learning community; [2] provide technical assistance to counter misinformation and disinformation and develop evidence-based messaging around COVID-19 vaccination; [and 3] support CBOs' data collection and analysis to inform their vaccination approaches and track progress. This brief focuses on strategies to 'increase access to COVID-19 vaccination'; other products will report on communication and messaging efforts by the CBOs."
RAND Corporation
Faherty, Laura J.; Ringel, Jeanne S.; Williams, Malcolm V. . . .
2021
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U.S. Equity-First Vaccination Initiative: Early Insights
From the Document: "The Equity-First Vaccination Initiative (EVI) aims to reduce racial disparities in coronavirus disease 2019 (COVID-19) vaccination rates in the United States and, over the longer term, to strengthen the public health system to achieve more-equitable outcomes. To accomplish these goals, The Rockefeller Foundation has funded demonstration sites in Baltimore, Maryland; Chicago, Illinois; Houston, Texas; Newark, New Jersey; and Oakland, California, to plan and implement hyper-local, place-based strategies to increase vaccine confidence and access for communities that identify as Black, Indigenous, and people of color (BIPOC). This interim report introduces the initiative and the anchor partners in each of the five demonstration sites, highlights the initial work of selected community-based organizations to which the anchor partners are making subgrants, synthesizes lessons learned across the EVI in its first three months, and suggests policy implications for decisionmakers to consider as they seek to support hyper-local, community-driven efforts to reduce inequities in COVID-19 vaccination."
RAND Corporation
Faherty, Laura J.; Ringel, Jeanne S.; Williams, Malcolm V. . . .
2021-12
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Evaluation of the National CLAS Standards: Tips and Resources
From the Preface: "The U.S. Department of Health and Human Services (HHS) Office of Minority Health (OMH) developed the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (National CLAS Standards) to provide meaningful and practical guidance on delivering culturally and linguistically appropriate services. The National CLAS Standards, which are targeted toward health and health care organizations, were revised in 2013 to account for the increasing diversity of the U.S. population, the growth in cultural and linguistic competency fields, and the changing landscape with respect to new national policies and legislation, including the Affordable Care Act. The organizations that are adopting and implementing the National CLAS Standards have taken concrete steps to address health inequities and meet the needs of the vulnerable populations they serve. However, what is less clear is the extent to which these organizations are evaluating the impact of their approach to improve inequities in care. To help address these questions, OMH commissioned the development of a framework and toolkit to guide efforts to evaluate the National CLAS Standards across four settings: ambulatory care, behavioral health, hospitals, and public health."
United States. Department of Health and Human Services. Office of Minority Health; RAND Corporation
Williams, Malcolm V.; Martin, Laurie T. (Laurie Thayer), 1974-; Davis, Lois M. . . .
2018
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U.S. Equity-First Vaccination Initiative: Early Insights [2022]
From the Document: "The Equity-First Vaccination Initiative (EVI) aims to reduce racial disparities in coronavirus disease 2019 (COVID-19) vaccination rates in the United States and, over the longer term, to strengthen the public health system to achieve more-equitable outcomes. To accomplish these goals, The Rockefeller Foundation has funded demonstration sites in Baltimore, Maryland; Chicago, Illinois; Houston, Texas; Newark, New Jersey; and Oakland, California, to plan and implement hyper-local, place-based strategies to increase vaccine confidence and access for communities that identify as Black, Indigenous, and people of color (BIPOC). This interim report introduces the initiative and the anchor partners in each of the five demonstration sites, highlights the initial work of selected community-based organizations to which the anchor partners are making subgrants, synthesizes lessons learned across the EVI in its first three months, and suggests policy implications for decisionmakers to consider as they seek to support hyper-local, community-driven efforts to reduce inequities in COVID-19 vaccination."
RAND Corporation
Faherty, Laura J.; Ringel, Jeanne S.; Williams, Malcolm V. . . .
2022
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