Faith-Based Vaccine Outreach Underway to Reach Northern Nevada Latinos

The Greater Lowell Health Alliance offered COVID-19 vaccines using a “block party” model where community members enjoy free food, music, activities, and even childcare, while also having access to information about vaccines in multiple languages as well as the ability to actually get vaccinated. This model reduced barriers for immigrants, refugees, and other people who don’t speak English fluently, as well as caregivers who can’t attend vaccine appointments due to their caregiving responsibilities. The relaxed environment, where loved ones can support each other, increased comfort with getting the vaccine.

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.

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.

Residents of California are working together to crowdsource where COVID-19 vaccinations are being offered, and who they're being offered to. While the state has failed to implement a transparent dissemination strategy, 70 volunteers joined forces to create a spreadsheet that keeps track of what clinics are offering the shot and what parameters must be met to receive it. Users have reported that they were able to schedule an appointment because of this effort.

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.

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.

After becoming a COVID-19 hotspot, Guadalupe built partnerships and built trust among community members to effectively track cases, dispel misinformation, and increase vaccinations. The Town Council partnered with Pascua Yaqui tribal leaders, the broader Maricopa County, Native Health, and a COVID-19 response team composed of faculty, staff, and students at Arizona State University to lower infection rates. A combination of at-home testing, contact tracing and, eventually, vaccination events helped, as did the use of promotoras – community health workers who talk with residents to help ease anxiety.

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-based organizations have been key to reaching historically marginalized populations with COVID-19 information. Grassroots leaders and community workers are effective because they have built trust among communities over many years and they have first-hand knowledge of community needs and barriers. The pandemic shifted the priorities of many organizations. For example, the Self Employed Women’s Association now supplies members with PPE kits, food, and handmade masks to address the pandemic’s health and economic impacts. Proper mask usage increased significantly in the villages where they are based.