Summarizing Implementation Support for School-Based COVID-19 Testing Programs in Southwest American Indian
Shannon Archuleta1, Allison Ingalls, Joshuaa D Allison-Burbank
1Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Context:
American Indian communities have been disproportionately affected by the COVID-19 pandemic, with school closures exacerbating health and education disparities.
Program:
Project SafeSchools' COVID-19 school-based testing program utilized federal and state funding to provide weekly pooled testing with follow-up rapid antigen testing to students and staff from the White Mountain Apache Tribe and Navajo Nation.
Implementation:
The project provided partner schools with training and continual logistical and technical support to aid in school-based testing and adherence to state and local reporting requirements.
Evaluation:
Using the EPIS (Exploration, Preparation, Implementation, and Sustainment) framework, we identified facilitators and barriers to successful program function. While community support and buy-in were essential for successfully implementing school-based testing in these communities, communication, school staff turnover, and funding are among the most significant challenges.
Discussion:
Community partnerships in American Indian communities involving schools and local health authorities can successfully implement testing protocols by remaining flexible and working together to maintain strong lines of communication.
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