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.
Journal of Public Health Management and Practice : JPHMP
|September 22, 2023
Summary
School-based COVID-19 testing programs in American Indian communities faced challenges like funding and staff turnover, but community partnerships proved essential for success. Flexibility and strong communication were key facilitators.
Area of Science:
- Public Health
- Epidemiology
- Indigenous Health
Background:
- American Indian communities experienced disproportionate COVID-19 impacts.
- School closures worsened existing health and education disparities.
Purpose of the Study:
- To evaluate the implementation of a COVID-19 school-based testing program in American Indian communities.
- To identify facilitators and barriers to program success using the EPIS framework.
Main Methods:
- Implemented weekly pooled testing with rapid antigen follow-up for students and staff.
- Provided training and logistical support to partner schools.
- Utilized the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework for evaluation.
Main Results:
- Community support and buy-in were critical facilitators.
- Significant challenges included communication, school staff turnover, and funding.
- The program aimed to mitigate COVID-19's impact on education and health.
Conclusions:
- Successful implementation requires community partnerships between schools and local health authorities.
- Flexibility and sustained communication are vital for overcoming implementation barriers.
- Testing protocols can be effectively managed with collaborative efforts.
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