Community-based organization perspectives on participating in state-wide community canvassing program aimed to reduce COVID-19 vaccine disparities in California

被引：5

作者：

Mansfield, Lisa N. ^{[1
,2
]}

Carson, Savanna L. ^{[1
]}

Sunku, Nisha ^{[3
]}

Troutt, Alana ^{[4
,5
]}

Jackson, Shelli ^{[6
]}

Santillan, David ^{[6
]}

Vassar, Stefanie D. ^{[1
]}

Slaughter, Dale ^{[1
]}

Kim, Gloria ^{[1
]}

Norris, Keith C. ^{[1
]}

Brown, Arleen F. ^{[1
,3
]}

机构：

[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA 90095 USA

[2] Univ N Carolina, Sch Nursing, Chapel Hill, NC 27599 USA

[3] Olive View UCLA Med Ctr, Sylmar, CA USA

[4] Calif Govt Operat Agcy, Sacramento, CA USA

[5] San Francisco Hlth Plan, San Francisco, CA USA

[6] Blue Phoenix Strategies, Falls Church, VA USA

来源：

BMC PUBLIC HEALTH | 2023年 / 23卷 / 01期

基金：

美国国家卫生研究院;

关键词：

COVID-19; vaccination; Health disparities; Health equity; Community-engaged research; Race; ethnicity; Public health; Community health;

D O I：

10.1186/s12889-023-16210-9

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundInequities in COVID-19 vaccine accessibility and reliable COVID-related information disproportionately affected marginalized racial and ethnic communities in the U.S. The Get Out the Vaccine (GOTVax) program, an innovative statewide government-funded COVID-19 vaccine canvassing program in California, aimed to reduce structural barriers to COVID-19 vaccination in high-risk communities with low vaccination rates. GOTVax consisted of a community-academic-government partnership with 34 local trusted community-based organizations' (CBOs) to conduct COVID-19 vaccine outreach, education, and vaccine registration. The purpose of this qualitative evaluation study was to explore the barriers and facilitators of using local CBOs to deploy a geographically, racially, and ethnically diverse state-wide COVID-19 vaccine outreach program.MethodsSemi-structured online interviews were conducted with participating GOTVax CBO leaders from November 2021 to January 2022. Transcripts were analyzed using reflexive thematic analysis.ResultsThirty-one of 34 CBOs participated (91% response rate). Identified themes encompassed both facilitators and barriers to program participation. Key facilitators included leveraging trust through recognized entities; promoting empathetic, tailored outreach; and flexibility of milestone-based CBO funding contracts for rapid program implementation. Barriers included navigating community sociopolitical, geographic, and cultural factors; managing canvassers' safety; desiring metrics for self-evaluation of outreach success; mitigating canvassing technology challenges; and concerns of program infrastructure initially limiting outreach. CBOs problem-solved barriers with academic and government partners.ConclusionsBetween May and December 2021, the GOTVax program reached over 2 million California residents and registered over 60,000 residents for COVID-19 vaccination. Public health campaigns may improve benefits from leveraging the expertise of community-trusted CBOs and universities by providing flexible infrastructure and funding, allowing CBOs to seamlessly tailor outreach most applicable to local minoritized communities.

引用

页数：11