All Resources

Checklists and Guides

Guide: Producing Public Service Announcements
April 14, 2021

Guide: Mobile COVID-19 Vaccination Campaigns for Immigrant Dairy Workers
April 14, 2021

Talking Points / Script for Messaging about Ramadan and COVID-19 Vaccines
April 2, 2021

Outreach to Faith-Based Organizations During COVID-19
March 23, 2021

Visual: Vaccine Journey
March 9, 2021

Guide: Addressing Legal Concerns Around Immigration-Related Vaccine Hesitancy
March 8, 2021

Toolkit for Written Translation
March 2, 2021

Guide: Translating and Culturally Adapting Sexual Orientation and Gender Identity CICT Interview Questions
Feb. 16, 2021

Checklist: Vaccine Considerations to Reach Migrant and Immigrant Workers
Feb. 8, 2021

Guide: Psychological First Aid for SARS-Cov-2 Contact Tracers and Case Investigators
Feb. 8, 2021

Guide: Supporting and Co-Creating Meaningful Community Advisory Boards
Feb. 3, 2021

 

Guide: Mobile COVID-19 Testing among Refugee, Immigrant, and Migrant (RIM) Communities
Feb. 1, 2021

Guide: Creating Effective Translations
Jan. 25, 2021

Checklist: COVID-19 Vaccine Roll-out among Refugees, Immigrants, and Migrants
Jan. 15, 2021

Guide: Working with Traditional Media
Jan. 15, 2021

Guide: Working with Social Media
Jan. 15, 2021

Checklist: Remote and Low-Tech Video Recording During COVID-19
Jan. 15, 2021

Checklist: COVID-19 Testing among Refugees, Immigrants, and Migrants
Jan. 15, 2021

Tips for Health Departments: Identifying Community Partners
Jan. 15, 2021

Guide: Conducting Focus Groups with RIM Communities
Jan. 15, 2021

Checklist: Safely Conducting Outreach Events During COVID-19 to Bring Services to Refugee, Immigrant, and Migrant Communities
Jan. 15, 2021

Glossary of Terms for Interpreters Assisting with Case Investigation and Contact Tracing
Jan. 15, 2021

Tips for Working with Interpreters during CICT
Jan. 15, 2021

Checklist: CICT among Refugees, Immigrants, and Migrants 
Jan. 15, 2021

Promising Practices

Partnerships with Refugee Resettlement Agencies

In the COVID-19 response, partnerships are essential to reach underserved communities, maximize resources, reduce duplicating efforts, and improve the delivery of services and resources. Refugee resettlement agencies and local health departments work independently and collaboratively to ensure that the people and communities they serve are healthy.

Sara Alert to Automate Symptom Monitoring

Case investigation and contact tracing (CICT) is an important tool for controlling the spread of COVID-19. Sara Alert is a tool for local health departments to support their CICT efforts in mitigating the spread of COVID-19 in their communities. 

Health Equity Zones

Effective COVID-19 response among refugee, immigrant, and migrant (RIM) populations requires relationships with communities. Each community’s success in achieving measurable and timely health outcomes is oftentimes based on the social determinants of health of the particular community. Ensuring health equity within RIM communities builds healthier and more resilient communities; this can be a challenge, particularly for certain communities disproportionately affected by COVID-19. 

Vaccine Ambassadors Program

Many community members have questions regarding COVID-19 vaccines. In particular, organizations that work in the community and often serve as information hubs have a specific need to ensure that their staff have up-to-date information about COVID-19 vaccines that they feel comfortable sharing.

Community Mapping

In the COVID-19 response, health departments across the country are challenged with knowing how to reach refugee, immigrant, and migrant (RIM) communities and assess their specific needs. There may be difficulty in beginning to build relationships with a community. Health departments must build trust with RIM communities to ensure useful work can be accomplished. Identifying community partners is the first step to establish connections and create rapport within the RIM community.

Embedding Equity throughout the COVID-19 Response Organizational Structure

To reach communities that are most impacted by inequities during the COVID-19 pandemic, it is essential to integrate considerations for these communities of focus into all aspects of the response efforts. When equity work is sequestered to one area of the response, there are often siloes in the work and equity considerations can become reactive instead of proactive.

Supporting Mental Health in RIM Communities During COVID-19 and Beyond

In the COVID-19 pandemic, additional mental wellness challenges are being placed on refugee, immigrant, and migrant (RIM) community members due to increased stigma, isolation, financial stressors, and existing traumas from resettlement. Ensuring equitable barrier-free access to mental health support and resources is especially critical for RIM communities to mitigate the disproportionate impact of COVID-19 on this population and prevent further trauma.

Physician-Driven Vaccine Outreach

Refugee, immigrant, and migrant (RIM) communities experience numerous challenges to successful vaccination, many of which stem from a different understanding of COVID-19 and vaccines, especially as it applies within their own community, as well as a well-founded lack of trust in governmental organizations and systems.

Pop-Up Vaccination Events at Community Clinics

Many refugee, immigrant and migrant (RIM) community members experience significant logistical barriers to COVID-19 vaccination. As vaccine allocation in the United States includes increasing numbers of people, many vaccine campaigns rely on internet-based registration, and utilize locations that can accommodate large numbers of people for vaccine administration. This strategy can be ineffective for many RIM communities due to a variety of factors.

Partnerships with Consulates

Effective COVID-19 response among refugee, immigrant, and migrant (RIM) populations requires relationships with communities. There may be some challenges in figuring out where to start when building or enhancing relationships with communities. One consideration for health departments includes engaging with the consulates or population-specific business organizations of RIM communities in your area.

REDCap Databases to Manage CICT Information

Data collection and management can be challenging in a rapidly evolving infectious disease outbreak such as COVID-19. Data is often collected by various individuals in different formats in the early stages of investigation. Effective data organization and access is essential to COVID-19 response activities, including case investigation and contact tracing. 

Partnerships with Youth Groups

In coordinating an effective COVID-19 response, partnerships with existing community groups are essential for reaching underserved communities and improving the delivery of services, resources, and information. Youth groups can be especially effective outreach partners, helping to provide door-to-door information, distributing resources and empowering the youth in the community to be active participants in emergency health response.

Partnerships with K-12 Schools Serving RIM Communities

In the COVID-19 response, partnerships are essential to reaching refugee, immigrant, and migrant (RIM) communities, maximizing resources, reducing duplicating efforts, and improving the delivery of services and resources. Collaboration allows limited federal, state, and local resources to be targeted and allocated to areas that need the resources most. Likewise, it is also essential to provide information and services via channels that community members actively use and trust.

Culturally-Specific Vaccine Information Broadcasts

As public interest and questions about COVID-19 vaccines continue to grow, community members are looking to their trusted sources to get accurate and reliable information about the vaccines. Especially for refugee, immigrant, and migrant (RIM) communities, well-established, linguistically relevant media outlets are critical sources to access the most up-to-date guidance.

Database Linkages to Support CICT among RIM Communities

Refugees can receive more and better services when the people who support them have access to complete and accurate information on their healthcare needs. However, this may be challenging as health departments work to reach more refugees in their case investigation and contact tracing (CICT) efforts.

Engaging Community Leaders with Public Health Authorities

Effective COVID-19 response among refugee, immigrant, and migrant (RIM) communities requires relationships with communities. Lack of information in the community can foster distrust with the health department, lead to hesitancy to cooperate with case investigators and contact tracers, and potentially worsen health outcomes. There may be some difficulty in knowing where to start when building or strengthening relationships with a community.

COVID Champions: Trusted Faith Leaders

The availability of accurate COVID-19 information that is culturally- and linguistically-appropriate is essential to keeping communities safe. Likewise, it is also important to provide information via channels that community members actively use and trust.  

Community Health Workers

In the COVID-19 response, partnerships are essential to reach underserved communities, maximize resources, reduce duplication of efforts, and improve the delivery of culturally- and linguistically-appropriate services and resources. Community Health Workers (CHWs), community-based organizations (CBOs), and local health departments (LHDs) share goals to improve community health, particularly among disproportionately impacted populations.

Partnerships with Employers

In the COVID-19 response, partnerships are essential to reach refugee, immigrant, and migrant (RIM) communities, maximize resources, reduce duplicating efforts, and improve the delivery of services and resources.

COVID-19 Vaccine Collaborative

COVID-19 vaccines are becoming more widely available in the United States. As vaccine allocation includes a larger proportion of the population, understanding and overcoming challenges to vaccination experienced by different communities is essential to ensuring equitable vaccine implementation.

COVID-19 Community-Led Hotlines

The availability of accurate COVID-19 information that is culturally and linguistically appropriate is essential to keeping communities safe. However, there are currently many communication challenges for refugee, immigrant, and migrant (RIM) communities. Language barriers, time restraints, and having patients isolated from their families has resulted in a communication gap between patients, families, and health providers.

Pop-Up COVID-19 Vaccine Sites

Many refugee, immigrant and migrant (RIM) community members experience significant logistical barriers to COVID-19 vaccination. As vaccine allocation in the United States includes increasing numbers of people, many vaccine campaigns rely on internet-based registration and utilize locations that accommodate large numbers of people for vaccine administration. This strategy can be ineffective for many RIM communities due to a variety of factors.

Partnerships with Federally-Qualified Health Centers Serving RIM Communities

In the COVID-19 response, partnerships are essential to reach underserved communities, maximize resources, reduce duplicating efforts, and improve the delivery of services and resources. Federally-Qualified Health Centers (FQHCs) and local health departments (LHDs) share goals to improve community health, particularly among disproportionately impacted populations. Collaboration allows limited federal, state, and local resources to be targeted and allocated to areas that need the resources most.

Mobile Vaccine Units to Serve Communities

In the COVID-19 response, some sites are challenged when it comes to offering and vaccinating significant numbers of refugee, immigrant, and migrant (RIM) community members at mainstream vaccination sites due to transportation barriers, language access issues, and challenges regarding stigma. This challenge exists for both administering the COVID-19 vaccine and routine vaccinations, especially in the pediatric population.

Bringing COVID-19 Testing Services Directly to Communities

Refugee, immigrant, and migrant (RIM) community members face several challenges to accessing COVID-19 testing services due to transportation barriers; difficulty using online registration platforms; and inability to use drive-through testing services if they do not have a car. Furthermore, COVID-19 educational resources may not be translated into RIM languages at traditional COVID-19 testing sites and different elements of the testing process may feel unfamiliar or be challenging to navigate. 

WhatsApp to Reach and Engage RIM Communities

The availability of accurate COVID-19 information that is culturally and linguistically appropriate is essential to keeping communities safe. Likewise, it is also vital to provide information via channels that community members actively use and trust.

Outreach to RIM Communities ahead of CICT Efforts

The case investigation and contract tracing (CICT) process may involve several potential challenges when attempting to reach refugee, immigrant, and migrant (RIM) communities. Case investigators and contact tracers may be unable to reach or engage RIM community members during the initial phone call due to interpretation challenges, mistrust of answering an unknown phone number, or uncertainty/fear about what is being done with the information gathered.

Cultural Navigators to Liaise Between Communities and Public Health

In the COVID-19 public health response, some sites report low attempts to follow-up and low response rates within refugee, immigrant, and migrant (RIM) communities. This leads to inaccurate data for case investigators and contact tracers. Likewise, it is also essential to provide information and services via channels that community members actively use and trust.

Staffing Agencies to Increase Language Capacity for CICT

Some health departments experience challenges reaching some refugee, immigrant, and migrant (RIM) communities during case investigation and contact tracing (CICT) due to limited numbers of professional interpreters or bilingual CICT staff.

Multilingual Coffee Hour – Peer Support Group for CICT Teams

Some multilingual case investigation and contact tracing (CICT) staff have encountered unique challenges when using standard scripts for CICT, particularly when encountering situations with cases or contacts not covered by the script. These situations pose not only communication barriers but may be particularly difficult or stressful for CICT staff.

Convenient Vaccine Access for Communities

Immunization rates are lower among refugee, immigrant and migrant (RIM) communities due, in part, to challenges accessing healthcare services. The requirement in most of the U.S., that a person must visit a medical facility to receive medical services, is a large barrier for many individuals and communities, particularly for preventive health care such as immunizations. This is due to many factors which include cost (e.g. time away from work), transportation, and complexity of navigating a medical system for appointments, especially if your primary language is not English.

Vaccine Campaign Partnerships with Faith-Based Organizations

CUHCC Promotional Event

Immunization rates are lower among refugee, immigrant and migrant (RIM) communities due to factors which include cultural and linguistic diversity, knowledge and beliefs about a disease and vaccine, and challenges accessing healthcare (related to cost, transportation, medical system complexity/unfamiliarity, lack of welcoming environment, etc.). This challenge is expected to persist as the COVID-19 vaccine becomes increasingly available.

Partnerships with State Refugee Health Coordinators

State and local health departments (SLHD) may work with community-based organizations (CBOs), resettlement agencies, and faith-based organizations to reach refugee, immigrant, and migrant (RIM) communities. However, in order to more effectively address the health needs of incoming refugee arrivals, SLHD should partner with State Refugee Health Coordinators to better assess refugee health needs as part of a comprehensive and effective COVID-19 public health response. 

Community Testimonials for Health Messaging

The availability of accurate COVID-19 information that is culturally- and linguistically-relevant is essential to keeping communities safe. Messages change rapidly and some health departments may face challenges with developing health messaging that reaches all communities, particularly refugees, immigrants, and migrants (RIM). 

COVID-19 Community Coordinators 

It is essential to draw on community strengths and trusted community networks to respond effectively to COVID-19 and to longstanding health inequities made worse by the pandemic. The availability of accurate COVID-19 information, support, and resources that are culturally- and linguistically-appropriate and specific to RIM communities is essential to keeping communities safe. 

Vulnerable Populations Task Force

COVID-19 has impacted and further disenfranchised many communities, including immigrants, migrants, the elderly, and others. The needs of these communities are complex and solutions require many stakeholders and partners. 

Community Liaisons to Connect Health Departments with Communities

Reaching populations that are most impacted by COVID-19 with resources and education is a critical goal, particularly for refugees, immigrants, and migrant (RIM), communities of color, American Indian communities, and LGBTQ communities. Trusted messengers and tailored outreach are especially essential to a successful partnership with these communities due to distrust of government, historical trauma, and linguistic needs.

Vaccine Listening Sessions with Communities

Health departments are working quickly to implement plans for COVID-19 vaccine roll-out. As news and messaging around COVID-19 vaccines unfolds rapidly, some communities may have questions and concerns about what to expect. 

Community Contractors for Health Messaging

The availability of accurate COVID-19 information that is culturally- and linguistically-relevant is essential to keeping communities safe. Messages change rapidly, and some health departments may face challenges with developing health messaging that reaches all communities, particularly refugees, immigrants, and migrants. 

Facebook Videos to Engage Communities

The availability of accurate COVID-19 information that is culturally- and linguistically-appropriate is essential to keeping communities safe. Likewise, it is also important to provide information via channels that community members actively use and trust.  

Community Movie Night + Information Exchange

In the COVID-19 response, some sites are reporting challenges in reaching large numbers of refugee, immigrant, and migrant (RIM) community members to disseminate consistent health messaging and awareness of existing services.