Manns Brian J, Thomas Stephen, Farinu Oluyemi, Woolfork Makhabele, Walker Chastity L
Centers for Disease Control and Prevention, Atlanta, GA, USA.
Maryland Center for Health Equity, University of Maryland, College Park, MD, USA.
Soc Sci Humanit Open. 2024;9. doi: 10.1016/j.ssaho.2024.100844.
COVID-19 vaccination campaigns across the US were implemented to mitigate the disproportionate hospitalizations and unnecessary deaths across many communities that experienced unequal gaps in initial vaccine distribution rollout and uptake. In parallel, the COVID-19 pandemic created declines in routine vaccination coverage for adults, adolescents, and children; particularly, in communities experiencing overlapping social disadvantage. Community-based efforts offer a solution to narrow immunization gaps but have not been replicated consistently nor demonstrated widespread success during the pandemic as evidenced by prevailing disparities in immunization uptake. We offer an equity centered implementation science approach that involves co-designing, co-implementing, and co-evaluating solutions with the community and all partners investing in the shared goal of sustainable improvement in health outcomes.
美国各地开展了新冠疫苗接种活动，以减少许多社区中因初始疫苗分发和接种存在不平等差距而导致的不成比例的住院率和不必要的死亡。与此同时，新冠疫情导致成人、青少年和儿童的常规疫苗接种覆盖率下降；特别是在那些面临多重社会不利因素的社区。基于社区的努力为缩小免疫差距提供了一种解决方案，但在疫情期间并未得到持续推广，也未取得广泛成功，免疫接种率普遍存在的差异就证明了这一点。我们提供一种以公平为中心的实施科学方法，即与社区以及所有致力于共同实现可持续改善健康结果这一目标的合作伙伴共同设计、共同实施和共同评估解决方案。
