TY - JOUR
T1 - New York State, New York City, New Jersey, Puerto Rico, and the US Virgin Islands' Health Department Experiences Promoting Health Equity During the Initial COVID-19 Omicron Variant Period, 2021-2022
AU - Cox, Heidi
AU - Gebru, Yonathan
AU - Horter, Libby
AU - Palomeque, Francisco S.
AU - Myers, Kristopher
AU - Stowell, Daniel
AU - Easterling, Torian
AU - De Noguera, Nayeli Salazar
AU - Medina-Forrester, Amanda
AU - Bravo, Josely
AU - Pérez, Siomara
AU - Chaparro, Jaikiz
AU - Ekpo, Lisa La Place
AU - Cranford, Hannah
AU - Santibañez, Scott
AU - Valencia, Diana
N1 - Publisher Copyright:
© Heidi Cox et al., 2023; Published by Mary Ann Liebert, Inc. 2023.
PY - 2023/9/1
Y1 - 2023/9/1
N2 - In this case study, we aim to understand how health departments in 5 US jurisdictions addressed health inequities and implemented strategies to reach populations disproportionately affected by COVID-19 during the initial Omicron variant period. We used qualitative methods to examine health department experiences during the initial Omicron surge, from November 2021 to April 2022, assessing successful interventions, barriers, and lessons learned from efforts to promote health equity. Our findings indicate that government leadership supported prioritizing health equity from the beginning of the pandemic, seeing it as a need and vital part of the response framework. All jurisdictions acknowledged the historical trauma and distrust of the government. Health departments found that collaborating and communicating with trusted community leaders helped mitigate public distrust. Having partnerships, resources, and infrastructure in place before the pandemic facilitated the establishment of equity-focused COVID-19 response activities. Finally, misinformation about COVID-19 was a challenge for all jurisdictions. Addressing the needs of diverse populations involves community-informed decisionmaking, diversity of thought, and delivery measures that are tailored to the community. It is imperative to expand efforts to reduce and eliminate health inequities to ensure that individuals and communities recover equitably from the effects of COVID-19.
AB - In this case study, we aim to understand how health departments in 5 US jurisdictions addressed health inequities and implemented strategies to reach populations disproportionately affected by COVID-19 during the initial Omicron variant period. We used qualitative methods to examine health department experiences during the initial Omicron surge, from November 2021 to April 2022, assessing successful interventions, barriers, and lessons learned from efforts to promote health equity. Our findings indicate that government leadership supported prioritizing health equity from the beginning of the pandemic, seeing it as a need and vital part of the response framework. All jurisdictions acknowledged the historical trauma and distrust of the government. Health departments found that collaborating and communicating with trusted community leaders helped mitigate public distrust. Having partnerships, resources, and infrastructure in place before the pandemic facilitated the establishment of equity-focused COVID-19 response activities. Finally, misinformation about COVID-19 was a challenge for all jurisdictions. Addressing the needs of diverse populations involves community-informed decisionmaking, diversity of thought, and delivery measures that are tailored to the community. It is imperative to expand efforts to reduce and eliminate health inequities to ensure that individuals and communities recover equitably from the effects of COVID-19.
KW - COVID-19
KW - Epidemic management/response
KW - Health equity
KW - Partnerships
KW - Public health preparedness/response
UR - http://www.scopus.com/inward/record.url?scp=85171326392&partnerID=8YFLogxK
U2 - 10.1089/hs.2023.0001
DO - 10.1089/hs.2023.0001
M3 - Article
C2 - 37590481
AN - SCOPUS:85171326392
SN - 2326-5094
VL - 21
SP - S25-S34
JO - Health Security
JF - Health Security
ER -