‘Our Community Our Health St. Louis’: Learning from COVID-19 vaccine outreach
DOI:
https://doi.org/10.55016/41887f75Keywords:
COVID-19 Vaccine, Vaccine Hesitancy, Vaccine Uptake, Availability, AccessibilityAbstract
The national rollout of the COVID-19 vaccine in the United Statues failed to produce equitable vaccine uptake across racial and class lines, repeating well-known patterns of health disparities. In mid-2021, community leaders in St. Louis identified the need for improved vaccine access in underserved areas. Washington University in St. Louis responded by launching the ‘Our Community Our Health St. Louis’ program, targeting fifteen zip codes with high COVID-19 hospitalization rates and low vaccine uptake. ‘Our Community Our Health’ formed partnerships with trusted community organizations to deliver vaccines through flexible, neighborhood-based pop-up clinics and used a design framework to interrogate vaccine ‘hesitancy’. Over two years, the program administered 1,354 COVID-19 and influenza vaccines to 874 individuals through 89 events. A design framework was employed to learn from vaccine recipients directly what vaccine availability and acceptability looked like to them. The program’s community-driven approach revealed critical insights for designing and scaling a hyperlocal vaccine distribution system that meets people where they are to deliver equity.
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Copyright (c) 2026 Anne Trolard, Hilary Broughton, Robert Doyle, Kym Radford, Luke Starnes, Joan Ferguson, Elvin H. Geng, Angela L. Brown, Michelle He, Hannah Kinzer, Brett Maricque

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