Community Activation to TrAnsform Local sYSTems (CATALYST)

项目摘要 社区卫生工作者（CHW）在解决多层次，社区 获取COVID-19信息、检测、风险缓解和疫苗接种的障碍;然而， 关于社区卫生工作者如何根据巨大的社会、社区和 政治挑战。2020年5月，橙子县健康公平COVID-19社区- 与社区健康公平领导人和健康公平建立学术伙伴关系 学术合作伙伴，以提高需要和指导当地的COVID-19公平的反应， 复苏举措。公平的恢复必须满足更大的公民参与需求， 对于引导日益高涨的反移民态度和促进公民参与至关重要， 除了COVID-19教育和慢性病之外，人口普查完成计数和选举投票率 疾病管理。在本研究中，我们的目的是：（1）从CHW的角度来审视， 社区成员是提供COVID-19的促进者、障碍和变革过程 2019冠状病毒病大流行期间的应对和慢性病管理CHW干预。 我们将与五个社区组织合作，在以下领域举办专题小组讨论会： 在加利福尼亚州橙子县，对COVID-19的社会脆弱性最高;（2）评估系统性 加剧橙子县地区COVID-19检测、病例和疫苗不公平的因素 对COVID-19的社会脆弱性最高。通过与社区领导人的访谈， 政策利益相关者，我们将确定有助于成功的多层次背景因素 社区卫生工作者和社区成员在获得COVID-19教育、检测和 （3）分析社区卫生工作者和社区为基础的 组织塑造COVID-19应对措施。我们将招募和面试来自全国各地的CHW 加州确定橙子县的社区反应和透明度的程度 可以推广到全州不同的人群这项研究的优势包括我们的 对社区驱动的COVID-19干预措施的响应;慢性病的整合 管理层参与COVID-19应对研究;重点关注CHW努力确保获得 COVID-19资源，并在社区成员中建立意识， COVID-19应对措施;强有力的社区和大学领导;以及多层次评估 COVID-19干预措施。我们将进一步了解COVID-19的变化过程 CHW在最易受COVID-19影响的社区进行干预。的结果 这项研究将为加强COVID-19公平复苏的政策建议提供信息， 为未来的公共卫生危机做好准备，并成为全国CBPR的典范。

Project Abstract Community health workers (CHWs) played an essential role in addressing multi-level, community barriers to accessing COVID-19 information, testing, risk mitigation, and vaccination; however, little is known about how CHWs managed their roles in light of enormous social, community, and political challenges. In May 2020 the Orange County Health Equity COVID-19 Community- Academic Partnership formed with community-based health equity leaders and health equity academic partners to elevate the need for and guide local COVID-19 equity response and recovery initiatives. Equitable recovery must address larger civic engagement needs, and CHWs were essential to navigating rising anti-immigrant attitudes, and promoting civic engagement for census complete count and elections turnout in addition to COVID-19 education and chronic disease management. In this study, we aim to: (1) Examine from the perspective of CHWs and community members the facilitators, barriers, and processes of change of delivering COVID-19 response and chronic disease management CHW intervention during the COVID-19 pandemic. In partnership with five community-based organizations, we will conduct focus groups in the areas with the highest social vulnerability to COVID-19 in Orange County, CA; (2) Assess the systemic factors that enhance inequities in COVID-19 testing, cases, and vaccines in Orange County areas with the highest social vulnerability to COVID-19. Through interviews with community leaders and policy stakeholders, we will identify the multilevel contextual factors that contribute to successes and challenges of CHWs and community members to access COVID-19 education, testing, and vaccinations; and (3) analyze how advocacy efforts implemented by CHWs and community-based organizations shape the COVID-19 response. We will recruit and interview CHWs from across California to identify the degree to which Orange County’s community responses and resiliencies are generalizable to diverse populations across the state. Strengths of this study include our responsiveness to community-driven COVID-19 interventions; the integration of chronic disease management into the study of COVID-19 responses; a focus on CHW efforts to ensure access to COVID-19 resources and to build consciousness among community members and transform local COVID-19 responses; strong community and university leadership; and multilevel assessments of COVID-19 interventions. We will advance knowledge about processes of change in COVID-19 CHW interventions in communities with highest social vulnerability to COVID-19. The results of this study will inform policy recommendations to strengthen equitable COVID-19 recovery and prepare for future public health crises and serve as a model of CBPR nationwide.