Prisons try incentives, education to get staff vaxxed, with mixed results

As demand for vaccinations plateaued and vaccination rates in Louisiana lagged outside of New Orleans, health officials found a variety of targeted, small events to reach various subcultures. These pop-up events dealt in small numbers, but chipped away at people's hesitancy with easy access, information, and community leaders' endorsements. And, this being Louisiana, the vaccination events often featured music and local delicacies, from boiled crawfish to beignets and booze.

Three state prison systems have vaccinated incarcerated people at far greater rates than in the general public thanks in part to educational meetings with experts that helped overcome natural distrust. In California and North Dakota, town-hall-type meetings gave incarcerated people opportunities to ask questions about safety. Kansas prisons gave incarcerated people priority in the vaccination program, and provided them and their families with information. Other possible factors increasing compliance included peer pressure and the ease of getting vaccinated within the prisons.

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.

Spain achieved one of the highest vaccination rates among Western countries in part because of longstanding trust and confidence in the public health system and data-informed strategies. The public generally trusted the safety of the COVID-19 vaccine because of a history of cooperation and positive public health outcomes. The norm of inter-generational living also gave young people more incentive to get vaccinated to protect their elderly residents and officials used this as part of the public health messaging. Officials also personally called and set up vaccine appointments for everyone they could reach.

Accredited social health activists (ASHA) across India fight COVID-19 related misinformation on WhatsApp. ASHAs provide basic health care to people in their villages, which puts them on the frontline of treating COVID-19 patients and educating people to dispel the many myths about the virus and its treatments. ASHAs' local interactions often identify prevailing myths, which they quickly dispel in their face-to-face exchanges and by posting in the many local WhatsApp groups that have been created. The local groups have been an effective mode of educating people and helped ASHAs gain villagers’ trust.

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.

Pennsylvania at first lagged in its push to vaccinate its residents. But the state vaulted ahead in the race to vaccinate, collaborating with vaccine providers and the medical community to make vaccines easy to receive as demand waned. Tactics included opening clinics at schools, shopping centers, and other accessible places, and a series of Facebook Live events called "Vax Facts" to answer the questions of people hesitant to get vaccinated.

In the 1950s, the National Institute for Infantile Paralysis launched a nationwide public health campaign to encourage teenagers to receive the polio vaccine. Tactics included interviewing and recruiting teenagers to be spokespeople to better frame messaging around vaccine hesitancy and make the act of getting the vaccine "cool."

In the race to vaccinate hundreds of millions of people, innovators in certain places have excelled at getting shots into arms, including in hard-to-reach or vaccine-reluctant populations. West Virginia broke from the herd using national pharmacy chains, working instead with local shops that had a head start in nursing homes. Alaska's Yukon Kuskokwim Health Corporation, serving indigenous and remote villages, got creative in how it shipped vaccine to roadless outposts. And UK's private and public teams worked closely with immigrant faith communities to overcome vaccine resistance.

A phone line is helping Cuyahoga County residents schedule COVID-19 vaccine appointments. By dialing 2-1-1 on a phone, residents will be connected to a trained navigator to help them register for a vaccination or answer other questions. Despite limited hours the vaccine registration is open, since it launched in late January 2021, the phone line has connected more than 52,000 calls to appointments.