Goals
- Increase trust in the vaccine’s safety and efficacy, acknowledging that in many communities of color, mistrust and hesitancy can stem from a history of medical mistreatment.
- Identify and reduce barriers for accessing the vaccine
- Increase vaccine access for priority populations, through existing vaccination locations and mobile vaccination options.
COVID-19 Vaccine Equity Plan 2022
The COVID-19 Vaccine Equity Plan highlights DPH’s plan to support COVID-19 vaccine equity in Massachusetts. Progress is updated every 60 days.
20 prioritized communities
The 20 cities and towns are those hardest hit by COVID-19, taking into account case rates as well as the social determinants of health and the disproportionate impact of COVID-19 on Black, Indigenous, and People of Color. Over centuries, discriminatory and exclusionary policies and practices have shaped where people live and work. These factors are part of the social determinants of health and directly impact residents' health as well as their access to opportunities that promote health.
The communities are: Boston, Brockton, Chelsea, Everett, Fall River, Fitchburg, Framingham, Haverhill, Holyoke, Lawrence, Leominster, Lowell, Lynn, Malden, Methuen, New Bedford, Randolph, Revere, Springfield, and Worcester.
These cities and towns met the Massachusetts COVID-19 Advisory Group recommendation to prioritize communities using the CDC’s Social Vulnerability Index (SVI) and COVID-19 case rates since the start of the pandemic. Those communities were then ranked by average daily COVID-19 case rates in each city and town (excluding cases in long-term care and correctional facilities and communities with under 30,000 residents). From this ranked list by case rate, the top 17 cities and towns with the highest percentage of people of color were identified. The list of 20 cities and towns includes three additional communities to capture the top 15 communities with the highest daily COVID case rates.
During the period when vaccine supply was limited, the 20 equity communities received additional COVID-19 vaccine allocations for priority populations, separate and apart from weekly allocations that came from the state and federal government to other providers (e.g., vaccination sites, regional collaboratives, community health centers, and pharmacies).
Between March 3, 2021 and July 30, 2021, the 20 prioritized municipalities were allocated a total of 175,882 equity vaccine doses. As of the end of July 2021, all COVID vaccination providers may directly order vaccine without restrictions.
Priority populations
The initiative focuses on the following populations disproportionately impacted by COVID-19:
- Black, Indigenous, People of Color, Latinx individuals
- Individuals who do not speak English, or who prefer to speak in another language
- Individuals who do not have access to transportation, either personal or public, or who face barriers getting to a vaccination location
- Individuals who do not feel comfortable receiving the vaccine in a traditional healthcare setting
- Individuals with disabilities and those who have access and functional needs
- Individuals experiencing homelessness
- Individuals with mental illness and/or residents with substance use disorder
- Individuals who identify as LGBTQ+
This list of priority populations was determined by looking at individuals who have been disproportionately impacted by COVID-19, informed by case data and the COVID-19 Community Impact Survey, which DPH conducted in the fall of 2020.
Funding for Community Organizations
To date, a total of 198 community organizations have been awarded over $62.8 million through the Vaccine Equity Initiative; this includes community- and faith-based organizations, Tribal and Indigenous People Serving Organizations, Community Health Centers, and other community-based healthcare organizations. Many of these organizations work across multiple communities and are funded through multiple components of the initiative (for example, a Community Health Center may provide Vaccine Access and Administration in community settings and receive funding for Community Health Worker ambassadors).
In addition to the above funding for community organizations, the Vaccine Equity Initiative has provided a total of $4,739,816 to municipalities and Local Boards of Health in the priority communities (this is a small part of overall funding to municipalities and Local Boards of Health for COVID-19 response). Information can be found COVID-19 Vaccine Equity Initiative: Support for municipalities and local boards of health | Mass.gov and COVID-19 Vaccine Equity Initiative: Additional funding supports for local boards of health | Mass.gov.
The table below displays funding to community organizations for each component of the Vaccine Equity Initiative.
| Component | Total Organizations Funded | Total Funding Amount |
|---|---|---|
| Focused grassroots outreach (ASG/HCFA) | 35 | $10,000,000 |
| Tailored community- and faith- based outreach and education (HRiA & HCFA) | 94 | $18,307,413 |
| Investments in community health centers (CHCs)* | 43 | $6,100,000 |
| Vaccine access and administration in community settings (VAA)** | 48 | $10,600,000 |
| Community Health Workers Resilient Communities | 10 | $10,650,000 |
| Rural Vaccine Program | 14 | $975,000 |
| Tribes, Native Americans, Alaskan Natives, Native Hawaiians, and Indigenous Peoples | 9 | $1,444,690 |
| Total | 198 | $62,816,919 |
*This funding is one part of several Federal and State initiatives to provide financial support Community Health Centers for COVID-19 response.
**This funding is one component in a broader statewide mobile COVID-19 vaccination initiative.
Equity Initiative components
The Equity Initiative components are resources that are available to support and strengthen each community’s vaccination efforts.