NH75OT000091

Reducing COVID-19 Related Health Disparities in Detroit

With this application, the Detroit Health Department is requesting funding to support our efforts to reduce health-related disparities over a 24-month grant period. If awarded, the funding would allow the Detroit Health Department to implement key activities under the following two overarching strategies:

1) Expand existing mitigation and prevention resources, including testing and vaccine access, to reduce COVID-19 related disparities among populations that are at higher risk and that are underserved.

2) Mobilize partners and collaborators to advance health equity and address social determinants of health as they relate to COVID-19 health disparities among populations that are at higher risk and that are underserved.

More specifically, the Detroit Health Department would utilize the following activities to support the strategy to expand existing resources:

- Provide a small team of vaccinators at the Williams Rec Center testing location during testing hours to provide on-site vaccination access.
- Establish resource navigators at Williams Rec Center to provide public health information and referrals for wraparound services (staffed by CHC's trained CHWs).
- Provide incentives for testing at Detroit homeless shelters to encourage and support regular bi-weekly testing among the housing insecure population, which is higher risk due to congregate living and co-morbid health conditions.

Toward the second strategy, the Detroit Health Department will collaborate with our partners at the Community Health Corps to advance health equity and address social determinants of health through the following activities:

- Build community capacity to reach disproportionately affected populations with effective culturally and linguistically tailored COVID-19 educational resources around testing, vaccination, vaccine hesitancy, and ensuring that linkages to services are woven into the CHC's wraparound case management approach, tailored to the individual resident in order to provide outcomes which are meant to collectively lessen COVID-19's impact on isolated residents.
- Build and implement cross-sectoral partnerships to align public health, healthcare, and non-health (e.g., housing, transportation, social service) interventions that address social service needs and decrease risk for COVID-19. Transforming the barriers of housing, transportation, utility, food, or mental health insecurity addressed by the CHC into beneficial entry points to DHD's COVID-19 mitigation services is the cornerstone of this strategy.
- Identify and establish collaborations with critical partners affiliated with and who provide services to populations that are underserved and at higher risk for COVID-19 to disseminate scientifically accurate, culturally, and linguistically responsive information and facilitate access to health-related services. The CHC will disseminate COVID-19 materials from the DHD and the CDC to existing and expanded networks of social services providers. Secondly, within its broad-form intake and needs assessment, the CHC routinely collects information around COVID-19's impact on households and individuals in their own words, including thoughts around vaccine hesitancy. Partnering with the DHD, the CHC will highlight COVID-19 educational gaps and perceptions, allowing the DHD to continue to develop and provide culturally appropriate, relevant outreach materials informed by residents themselves, for dissemination by the CHC. The CHC's social services lens will be used to focus DHD health outreach and messaging around COVID-19 mitigation, testing, and vaccination, specifically among underserved communities where COVID-19 health outcomes are the most severe.

City Of Detroit

NOT APPLICABLE

93.354 - Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response

CDC Office of Financial Resources (OFR) [HHS - CDC]

Center for State, Tribal, Local, and Territorial Support (CSTLTS) [HHS - CDC]

Detroit, Michigan United States

City-Wide

National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities (CDC-RFA-OT21-2103)

Amendment Since initial award the End Date has been extended from 05/31/23 to 12/31/24 and the total obligations have decreased 6% from $8,727,488 to $8,214,339.