Background In the third quarter of 2021, government entities enacted vaccine requirements across multiple employment sectors, including healthcare. Experience from previous vaccination campaigns within healthcare emphasize the need to translate community modalities of vaccine outreach and education that partner with BIPOC stakeholders to increase vaccine confidence broadly. Methods This was an observational feasibility study conducted from August through October 2021, that deployed and measured the effect of a multimodal approach to increasing vaccine uptake in healthcare employees. Vaccine data was acquired through the Center for Disease Control Immunization Information Systems across Oregon and Washington. Rates of complete vaccination prior to the intervention were compared to rates after as a measure of feasibility of this intervention. This data was subdivided by race/ethnicity, age, gender, and job class. Complete vaccination was defined as completion of a two-dose mRNA SARS-CoV-2 vaccine series or a one-dose adenoviral vector SARS-CoV-2 vaccine. Results Overall pre-intervention and post-intervention complete vaccination rates were 83.7% and 93.5%, respectively. Of those employees that identified as a certain race, Black employees demonstrated the greatest percentage difference increase, 18.5% (pre-intervention, 72.1%, post-intervention, 90.6%), followed by Hispanic employees, 14.1% (pre-intervention, 79.4%, post-intervention, 93.5%) and employees who identify as two or more races, 13.9% (pre-intervention, 78.7%, post-intervention, 92.6%) Conclusion We found that a multimodal approach to improving vaccination uptake in employees was feasible. For organizations addressing vaccine requirements for their workforce, we recommend a multimodal strategy to increase vaccine confidence and uptake.
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