Billing Code: 4150-29
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Development of Public Health Vaccine and Prevention Educational Campaigns Involving
Community Health Workers
AGENCY: Office of Minority Health, U.S. Department of Health and Human Services (HHS).
ACTION: Request for information.
SUMMARY: The U.S. Department of Health and Human Services (HHS) Office of Minority
Health (OMH) seeks input on involving community health workers (CHWs) to increase “cultural
competency in educational campaigns on public health vaccines and prevention, including but
not limited to influenza and COVID–19.”
DATES: Written comments must be received electronically at the email address provided
below, no later than 11:59 p.m. on July 11, 2024.
ADDRESSES: OMH invites the submission of the requested information through one of the
following methods:
•

Preferred method: Submit information through the Federal eRulemaking Portal at
http://www.regulations.gov. Follow the online instructions for submissions.

•

Email: Send comments to MinorityHealthInfo@hhs.gov with the subject line “OMH RFI:
Development of Public Health Vaccine and Prevention Educational Campaigns Involving
Community Health Workers.”

Submissions received after the deadline will not be reviewed. Respond concisely and in plain
language. You may use any structure or layout that presents your information well. You may
respond to some or all of our questions, and you can suggest other factors or relevant questions.
You may also include links to online material or interactive presentations. Clearly mark any

proprietary information and place it in its own section or file. Your response will become
government property, and we may publish some of its non-proprietary content.
FOR FURTHER INFORMATION CONTACT: Norris Agnew, (240) 268-0665,
norris.agnew@hhs.gov.
SUPPLEMENTARY INFORMATION:
I.

Background Information
The Office of Minority Health (OMH)
Authorized under section 1707 of the Public Health Service Act, 42 U.S.C. 300u-6, as
amended, the mission of OMH is to improve the health of racial and ethnic minority
populations through the development of health policies and programs that help eliminate
health disparities. OMH grant awards and other activities are intended to support the
identification of effective policies, programs, and practices for improving health
outcomes and to promote sustainability and dissemination of these approaches.
Role of Community Health Workers in COVID-19 Vaccination and Prevention
The COVID-19 pandemic magnified disparities within the United States healthcare
system, notably in access to culturally competent health information and services for
racial and ethnic minority populations. CHWs emerged as key figures in addressing
COVID-19 vaccine confidence concerns and supporting other prevention strategies.
The Congressional report accompanying the FY 2023 appropriations law requested that
OMH focus on involving CHWs to increase “cultural competency in educational
campaigns on public health vaccines and prevention, including but not limited to
influenza and COVID–19.”1

II.

Request for Information

https://docs.house.gov/meetings/AP/AP00/20220630/114968/HMKP-117-AP00-20220630-SD003.PDF

Through this RFI, OMH seeks to obtain information from CHWs, recipients of CHW
services, and organizations representing and/or communities using CHWs to guide the
development of an educational campaign focused on increasing the cultural and linguistic
competency efforts related to public health vaccines (e.g., influenza and COVID-19) and
other prevention strategies.
Please Note: This request for information (RFI) is for planning purposes only. It is not a
notice for a proposal and does not commit the federal government to issue a solicitation,
make an award, or pay any costs associated with responding to this announcement. All
submitted information shall remain with the federal government and will not be returned.
All responses will become part of the public record and will not be held confidential. The
federal government reserves the right to use information provided by respondents for
purposes deemed necessary and legally appropriate. Respondents are advised that the
federal government is under no obligation to acknowledge receipt of the information
received or provide feedback to respondents with respect to any information submitted.
Responses will not be accepted after the due date.
III.

Questions
Note: We understand that not all questions may apply to each respondent’s experience or
capacity. Small organizations, individuals, or groups of recipients who may not have
access to comprehensive data or resources are still encouraged to share their valuable
insights and experiences.
1.

What specific methods or practices (i.e., discussing vaccines as part of a
prevention program, prioritizing social determinants of health (SDOH), being a
member of the cultural group being engaged, etc.) are required to build trust
around vaccinations within the communities you serve?

2.

What innovative culturally competent practices have resulted in increasing
vaccine uptake or vaccine confidence in your communities?

3.

What training programs have been effective in engaging CHWs to enhance
cultural and linguistic competency to support vaccine confidence and other
prevention efforts?

4.

What training, coaching, or learning collaborations would improve the ability of
CHWs to improve vaccine confidence or vaccine uptake in their communities?

IV.

Definitions
For the purposes of this RFI, the following working definitions apply:
Community Health Worker - a frontline public health worker who promotes wellness by
helping people adopt healthy behaviors. They implement programs and advocate for
people who may have limited access to health resources and social services. Community
health workers are employed in a variety of settings, including hospitals, public health
departments, and community-based organizations. Community health workers act as
intermediaries between their clients and providers of healthcare and social services. They
identify health-related issues, collect data, and discuss clients’ health concerns within the
community. For example, community health workers might identify barriers preventing
clients from accessing transportation and provide referrals to resources that provide
transportation. Community health workers work closely with other healthcare and social
service providers, including registered nurses, social workers, and substance abuse,
behavioral disorder, and mental health counselors.
Cultural and Linguistic Competence - encompasses the ability of providers and
organizations to deliver services that are respectful of and responsive to the health beliefs,
practices, and cultural and linguistic needs of diverse patients. It involves recognizing and
addressing biases, facilitating communication across cultural boundaries, and tailoring

health delivery to meet patients’ social, cultural, and linguistic expectations. This
competency is critical in ensuring equitable healthcare access, enhancing patient-provider
relationships, and improving health outcomes in diverse patient populations.
Social Determinants of Health (SDOH) - these are the conditions in the environments
where people are born, live, learn, work, play, worship, and age that affect a wide range
of health, functioning, and quality-of-life outcomes and risks. The five domains of SDOH
are Economic Stability, Education Access and Quality, Health Care Access and Quality,
Neighborhood and Built Environment, and Social and Community Context.
Vaccine Confidence - refers to the trust that individuals or communities have in the safety
and efficacy of vaccines and in the systems that deliver them. This includes beliefs about
the development, testing, approval, and policies that lead to vaccine distribution and
administration. High levels of vaccine confidence contribute to higher vaccination
uptake, which is crucial for the success of immunization programs.
Dated: April 19, 2024.
Norris Agnew,
Lead Public Affairs Specialist,
Division of Information and Education,
HHS Office of Minority Health.

[FR Doc. 2024-12872 Filed: 6/11/2024 8:45 am; Publication Date: 6/12/2024]