What Chicago community organizations needed to implement COVID-19 interventions: lessons learned in 2021

Frontiers in Public Health

Public Health

David A. Moskowitz¹  Matthew Switalski¹  Sithembinkosi Ndebele¹  Samuel L. Battalio²  Madison L. Hartstein²  Bonnie Spring²  Emma Canty³  Abigail Silva³  Abigail Plum³  Leilani Lacson⁴  Sarah Lomahan⁴  Anne Marie Murphy⁴  Paris Thomas⁴  Molly Martin⁵  Anna Sandoval⁵  Yvette Castañeda⁶  Marina De Pablo⁷ 

[1] Biological Sciences Division, Department of Public Health Sciences, The University of Chicago, Chicago, IL, United States;Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States;Department of Public Health Sciences, Loyola University Chicago, Chicago, IL, United States;Equal Hope, Chicago, IL, United States;Institute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United States;Sinai Urban Health Institute, Chicago, IL, United States;University of Chicago Medicine, Chicago, IL, United States;

关键词: COVID-19;    academic-community partnerships;    needs assessment;    health equity;    community-based participatory research;   

DOI  :  10.3389/fpubh.2023.1221170

 received in 2023-05-24, accepted in 2023-06-22,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionAs the COVID-19 pandemic placed a spotlight on the health inequities in the United States, this study aimed to determine the local programmatic needs of community organizations (CO) delivering COVID-19 interventions across Chicago.MethodsIn the summer of 2021, the Chicagoland CEAL Program interviewed 34 COs that were providing education, testing, and/or vaccinations in communities experiencing poor COVID-19 outcomes. The interviews were analyzed thematically and organized around logistical challenges and funding/resource needs.ResultsThe COs routinely offered testing (50%) or vaccinations (74%), with most (56%) employing some programmatic evaluation. Programs utilizing trusted-messenger systems were deemed most effective, but resource-intensive. CO specific needs clustered around sustaining effective outreach strategies, better CO coordination, wanting comprehensive trainings, improving program evaluation, and promoting services and programs.ConclusionThe COs reached populations with low-vaccine confidence using trusted messengers to overcome mistrust. However, replenishment of the resources needed to sustain such strategies should be prioritized. Leveraging the Chicagoland CEAL Program to help negotiate community organizations’ interorganizational coordination, create training programs, and provide evaluation expertise are deliverable supports that may bolster COVID-19 prevention.Policy implicationsAchieving health justice requires that all institutions of power participate in meaningful community engagement, help build community capacity, and infuse health equity throughout all aspects of the research and program evaluation processes.

【 授权许可】

Unknown   
Copyright © 2023 Moskowitz, Silva, Castañeda, Battalio, Hartstein, Murphy, Ndebele, Switalski, Lomahan, Lacson, Plum, Canty, Sandoval, Thomas, De Pablo, Spring and Martin.