Table 3. Study implications for vaccine outreach strategies.

Vaccination Knowledge
Recognize Historical Underpinnings of Mistrust Center Trusted Messengers Emphasize Positive Messaging		Recognize historical underpinnings of mistrust of public health efforts and actively work to dismantle systemic racism in health care and research practices Center in outreach campaigns the voices and perspectives of trusted messengers with deep roots and visibility within the community (e.g., local celebrities, community figures, health care and faith leaders, athletes), with safe spaces and forums for ongoing dialogue and education Promote positive vaccination messaging about protecting family and community, reconnecting with friends and family, and safely returning to work.
Trusted Messenger
Develop Aligned Messages Train Community Leaders Provide FAQs in multiple languages COVID-19 Vaccine Hotline		Pair trusted healthcare professionals and community leaders with local media and community-based organizations to develop aligned messages and responses to new developments. Train existing community peer leaders to implement on-the-ground outreach, answer vaccine concerns, and directly facilitate vaccine appointments for interested community members. Provide FAQs in multiple languages that can be disseminated on websites and flyers accessible to local communities. Provide a COVID vaccine hotline were trained, knowledgeable, culturally, and linguistically capable staff can answer individual questions and schedule vaccination for community members without internet access.
Barriers and Facilitators
Vaccine Allocation to CBOs Outreach Scheduling Multi-lingual vaccination navigator Transportation	Allocate vaccines to community and faith-based organizations within impacted communities, staffed by trusted community leaders and workers. Conduct door to door outreach to assist with decision-making and scheduling; vaccinate in the household for homebound Staff multi-lingual phone hotlines, hold evening vaccination sessions, and reserve slots for drop-ins. Train and deploy multi-lingual vaccine navigators for door-to-door outreach, direct calls, and vaccination site assistance. Provide transportation to and from sites, including wheelchair-accessible vehicles.