“We’re Here to Take Care of Our Community”: Lessons Learned From the U.S. Federal Health Center Covid-19 Vaccine Program

Crane, Johanna; Fabi, Rachel; Pacia, Danielle; Neuhaus, Carolyn P.; Berlinger, Nancy

doi:10.1177/15248399221151178

Cited by 2 publications

(1 citation statement)

References 15 publications

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“… 15 This addresses common clinic visit barriers such as work leave and transportation. 16 With results being available within 15 to 20 min, at-home testing permits early detection of positive cases, facilitating reduction of subsequent COVID-19 transmission. This is particularly important for individuals without primary healthcare and other medically underserved community members.…”

Section: Discussionmentioning

confidence: 99%

Distribution of COVID-19 Home Testing Through Community Health Centers: Results of the COVID CoNOce MÁS Study

Nodora,

Martinez,

McDaniels-Davidson

et al. 2024

J Prim Care Community Health

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Objective: To assess acceptability and feasibility of rapid at-home COVID-19 testing and reporting of test results among individuals seeking care at community health centers (CHCs) and their household members. Methods: Participants were recruited from 2 Community Health Centers during a clinic visit or a community event. Over-the-counter COVID-19 tests were distributed to participants for self-testing and to offer testing to household members. Separate surveys were administered to collect baseline information on the study participant and to collect test results on the study participant and household members. We calculated the proportion of individuals who agreed to complete COVID home testing, those who reported test results, and the test positivity. For household members, we calculated the proportion who completed and reported results and the positivity rate. We assessed reasons for undergoing COVID-19 testing and the action taken by participants who reported positive tests. Results: A total of 2189 individuals were approached by CHC staff for participation and 1013 (46.3%) agreed to participate. Among the 959 participants with complete sociodemographic data, 88% were Hispanic and 82.6% were female. The proportion providing test results was 36.2% and the test positivity was 4.2%. Among the 1927 test reports, 35.3% for the index participant and 64.4% were for household members. The largest proportion of test results were for index participants (35.3%) and the second largest was for the participant’s children (32.1%), followed by parents (16.9%), and spouse/partner (13.2%). The 2 most common reasons for testing were symptoms (29%) and attending family gatherings (26%). Among test-positive individuals (n = 80), most (83.3%) noted that they isolated but only 16.3% called their provider and 1.3% visited a clinic. Conclusion: Our results show interest in at-home COVID-19 testing of multiple household members, as we headed into the endemic phase of the pandemic. However, reporting of test results was modest and among test-positive individuals, reporting results to a provider was very low. These results underscore the challenges with reporting and following guidelines among people undergoing home testing for COVID-19, which may have implications for future pandemics.

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Section: Discussionmentioning

confidence: 99%

Distribution of COVID-19 Home Testing Through Community Health Centers: Results of the COVID CoNOce MÁS Study

Nodora,

Martinez,

McDaniels-Davidson

et al. 2024

J Prim Care Community Health

View full text Add to dashboard Cite

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Health Care Delivery Site– and Patient-Level Factors Associated With COVID-19 Primary Vaccine Series Completion in a National Network of Community Health Centers

Gold,

Steeves-Reece,

Ochoa

et al. 2024

Am J Public Health

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Objectives. To assess multilevel factors associated with variation in COVID-19 vaccination rates in a US network of community health centers. Methods. Using multilevel logistic regression with electronic health record data from ADVANCE (Accelerating Data Value Across a National Community Health Center Network; January 1, 2022–December 31, 2022), we assessed associations between health care delivery site–level (n = 1219) and patient-level (n = 1 864 007) characteristics and COVID-19 primary vaccine series uptake. Results. A total of 1 337 440 patients completed the COVID-19 primary vaccine series. Health care delivery site characteristics were significantly associated with lower series completion rates, including being located in non-Medicaid expansion states and isolated or rural communities and serving fewer patients. Patient characteristics associated with significantly lower likelihood of completing the vaccine series included being Black/African American or American Indian/Alaska Native (vs White), younger age, lower income, being uninsured or publicly insured (vs using private insurance), and having fewer visits. Conclusions. Both health care delivery site– and patient-level factors were significantly associated with lower COVID-19 vaccine uptake. Community health centers have been a critical resource for vaccination during the pandemic. ( Am J Public Health. 2024;114(11):1242–1251. https://doi.org/10.2105/AJPH.2024.307773 )

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“We’re Here to Take Care of Our Community”: Lessons Learned From the U.S. Federal Health Center Covid-19 Vaccine Program

Cited by 2 publications

References 15 publications

Distribution of COVID-19 Home Testing Through Community Health Centers: Results of the COVID CoNOce MÁS Study

Distribution of COVID-19 Home Testing Through Community Health Centers: Results of the COVID CoNOce MÁS Study

Health Care Delivery Site– and Patient-Level Factors Associated With COVID-19 Primary Vaccine Series Completion in a National Network of Community Health Centers

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