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6 Risk Communication and Community Engagement
Pages 175-186

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From page 175...
... framework must not only be equitable, but also be perceived as equitable by audiences who are socioeconomically, culturally, and educationally diverse, and who have distinct historical experiences with the health system." To achieve these ends, STLT authorities must engage the diverse communities that they serve, forming partnerships with organizations that can provide the two-way communication channels needed to hear public concerns and deliver messages from trusted sources, and in accessible ways (e.g., with needed ombudspersons, translations, and translators)
From page 176...
... The listening channels may include surveys, social media monitoring, consultation with community partners, and reports from frontline personnel. Thus, risk communication and community engagement provide the "ear to the ground," informing STLT authorities about success in fulfilling the foundational principles of this framework.
From page 177...
... The 1999 Institute of Medicine report Toward Environmental Justice devotes two of its three key principles to community engagement with affected populations and risk communication of findings to all stakeholders. RISK COMMUNICATION The discipline of risk communication involves an iterative process with four steps (Fischhoff, 2013, 2019; Fischhoff and Davis, 2014)
From page 178...
... For example, initial estimates of risks and benefits will reflect the relatively limited samples and observation periods of the clinical trials. Risk communications must explain those limits and plans for updating them, so that people will not feel deceived when later, better evidence reveals rare side effects or ones that took more time to emerge.
From page 179...
... STLT authorities will need to explain the efforts' procedures and performance authoritatively -- perhaps facing criticism based on incomplete information or political goals, as well as criticism from parties who reject the foundational principles or disagree with the interpretation of the evidence of the vaccination efforts. Empirical Testing Communications must be tested for comprehensibility, appropriateness, usefulness, and accessibility.
From page 180...
... Those leaders have a unique ability to translate vaccination efforts into terms meaningful to their communities. They are also uniquely positioned to hear and convey the needs of their communities to STLT authorities.
From page 181...
... . Effective risk communication and community engagement will help ensure that the national COVID-19 vaccination program supports STLT authorities, their partners, stakeholders, and the public in respectful, effective ways.
From page 182...
... RISK COMMUNICATION AND HEALTH PROMOTION By fulfilling the duty to inform, the broad risk communication and community engagement efforts described here complement the specific health promotion and demand generation efforts described in the following chapter. Risk communication and health promotion support one another best when clearly distinguished.
From page 183...
... Third, some features of the COVID-19 vaccination efforts will be unfamiliar and will need special efforts to communicate effectively; those include how it handles heterogeneity within priority groups, how it accommodates uncertainty in transmission patterns, how it addresses legal and treaty rights, and how it responds to changing scientific evidence regarding effectiveness and side effects. Fourth, information about COVID-19 vaccination efforts will have to serve members of the public with different needs, including informing individual patients, engaging community partners, recruiting candidates for research participation (including potentially additional clinical trials)
From page 184...
... authorities as an integral part of an ef fective and equitable national COVID-19 vaccination program. The program should: •  Ensure public understanding of the foundational principles, proce dures, expected outcomes, and performance of vaccination efforts, including changes in response to research, experience, and public input.
From page 185...
... 2020. COVID-19 clinical trials are failing to enroll diverse populations, despite awareness efforts.
From page 186...
... 186 FRAMEWORK FOR EQUITABLE ALLOCATION OF COVID-19 VACCINE Schwartz, L


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