An Innovative Tool to Increase Vaccine Access? The Block Party

Toronto’s Vaccine Engagement Teams Grant has awarded $5.5 million to community organizations in 140 neighborhoods to hire and train local ambassadors for vaccine outreach. Because the ambassadors share a lived experience with the communities, they can effectively identify the barriers people face. The on-the-ground effort includes sharing information, advocating for community needs, and helping people access services. The outreach focuses on people often overlooked by government services, such as unhoused people and people who do not speak English or have precarious immigration status.

Building trust, engaging in personal conversations, and providing services that reduce barriers to getting vaccinated have helped increase the COVID-19 vaccination rates in some Cleveland neighborhoods. Posting information in local businesses and apartment building allows people to access information in private. Community health workers also meet people where they are in order to build relationships and gain their trust. Many community groups and health workers offer services that reduce common barriers to getting vaccinated, like transportation, child care, and wage replacement for taking time off.

One rural hospital in Indiana vaccinated hundreds of immigrants from Central America by working with trusted community leaders and setting up a Hispanic Health Task Force. Health officials held vaccine clinics alongside trusted community members at locations that were familiar to residents, like a local Catholic church that offers Spanish-language services. The hospital and task force initially established community connections to distribute information about COVID-19, so they were able to utilize the connections to increase vaccination rates once the vaccine rolled out.

To increase vaccination rates among Reno’s Latino/a population, organizers conducted outreach with congregants at a local church that offers Spanish-language masses. Confidence in clinic locations and feeling safe due to immigration status presented as the biggest obstacles keeping people from getting vaccinated, so organizers used the church to hold pop-up clinics. The initial outreach helped build trust and gave organizers a chance to provide information and answer questions. Hundreds turned out for each clinic and the vaccination rate among the surrounding Latino/a community increased from 22% to 41%.

Members of Asociación Cultural Latino-Acadiana and the Rotary Club of Lafayette North went door-to-door in neighborhoods that are home to Spanish-speaking households to find people eligible for COVID-19 vaccinations. After compiling a list of unvaccinated residents who wanted the shot, they coordinated with the Department of Health to organize three vaccine events. The events were held within the communities, which eased transportation burdens and the inability to take time off of work. The presence of interpreters also helped ease residents’ concerns of being able to communicate with the medical providers.

The island of Malta fully vaccinated 90% of the population over the age of 12 against COVID-19 relatively quickly. They quickly vaccinated the most vulnerable in the population, including the elderly and healthcare workers and sent mobile clinics to where the population was. This, along with an effective media campaign that answered questions and dispelled misinformation, was particularly important in getting people, especially young people, vaccinated. A nationwide culture of trust in doctors was very important in the vaccination success.

Community health workers from One World have gained community trust over the years and now go door-to-door to talk with residents about the COVID-19 vaccine and dispel misinformation. They provide resources in Spanish and carry vaccines in a refrigerated bag so residents can get vaccinated on the spot. The group has invested a lot of money, time, and personnel having intensely personal conversations with people. They also host pop-up clinics in the community and allow at-home vaccination appointments. The areas served by One World has seen more vaccinations than almost anywhere else in Nebraska.

Community groups in under-vaccinated areas helped tens of thousands of people get vaccinated, made slightly easier since the FDA approval of the Pfizer-BioNTech vaccine and more employers requiring it. Nonprofits like the Bronx Rising Initiative, Vision Urbana, and Union Settlement are trusted messengers that have a long-standing presence in their communities. They understand their communities' needs and speak their language - both literally and figuratively. The groups conducted door-to-door educational outreach, signed people up for appointments and held community events where people could get the vaccine.

Wayanad is the first district in Kerala to have vaccinated the entire adult population with at least one COVID-19 vaccine. Rather than waiting for people to make appointments, officials went door-to-door providing all adults with appointment times. The district’s efforts started early, setting up vaccine infrastructure and assigning people appointment dates by where they live. Rapid Response Teams conducted outreach and education efforts, particularly among tribal populations, and made sure people showed up at their appointment. Getting vaccinated with their neighbors also decreased vaccine hesitancy.

Because of coordinated partnerships between local governments, state health departments, and nonprofit groups, more and more farmworkers are receiving COVID-19 vaccinations. Through the N.C. Department of Health and Human Services Farmworker Health program and its partners, nearly 14,000 doses were administered to the farmworker community over two months. Advocates also have to dispel rumors and myths about the vaccines, but they are working to combat that misinformation and make it easier for them to get vaccinated.