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Related Experiment Video

Updated: Oct 14, 2025

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Implementation of School-Based COVID-19 Testing Programs in Underserved Populations.

Emily E Haroz1, Luther G Kalb2, Jason G Newland3

  • 1Johns Hopkins Center for American Indian Health, Baltimore, Maryland.

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Summary
This summary is machine-generated.

Implementing coronavirus disease 2019 (COVID-19) testing in schools faces challenges like perceived burden and low engagement. Strategies include identifying champions and assessing readiness to support layered mitigation efforts.

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Area of Science:

  • Public Health
  • Implementation Science
  • Epidemiology

Background:

  • Coronavirus disease 2019 (COVID-19) testing in schools offers protection against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).
  • Initial implementation faced funding and resource limitations, evolving into new challenges as the pandemic progressed.

Purpose of the Study:

  • To identify key implementation barriers and strategies for COVID-19 testing in schools serving underserved populations.
  • To provide evidence-based guidance for facilitating school-based testing programs.

Main Methods:

  • Utilized an implementation science framework to identify challenges.
  • Employed a matching tool to align strategies with identified barriers across five school projects.
  • Focused on schools with predominantly underserved populations experiencing health disparities.

Main Results:

  • Major obstacles included perceived testing advantages versus burden, limited engagement with families, students, and staff, and innovation complexity.
  • Effective strategies involved identifying testing champions, adjusting incentives, assessing readiness, and addressing barriers/facilitators.

Conclusions:

  • Schools require implementation support to effectively integrate COVID-19 testing as a layered mitigation strategy.
  • Addressing engagement and perceived burden is crucial for successful school-based testing programs.