COVID-19 in the Centralina Region

Project Overview:
The COVID-19 Vaccine Project was a one-year public health initiative to help increase vaccination rates and expand access to the COVID-19 Vaccine for older adults and people with disabilities in the nine-county Centralina region. This project was supported by grants from the Center for Disease Control and Prevention (CDC), the Administration for Community Living (ACL), and the N.C. Department of Health and Human Services (NCDHHS).

In early 2021, access to COVID-19 vaccines became available to the general public with increasing availability as the calendar year advanced. Vaccines are incredibly important to reducing severe health impacts associated with COVID-19, especially for older adults.

Centralina AAA partnered with Centralina Regional Planning to help target outreach to individuals and communities that were most in need of current information about vaccines. The Planning team provided support with stakeholder engagement and used mapping to identify areas in the region with the highest need for resources and support related to COVID-19. Other critical partnerships included those with local senior centers, health departments and nutrition centers, as well as media companies and community-based organizations.

Project Approach:
Throughout the project’s duration, the project team faced a variety of hurdles and challenges:

  • Low initial vaccination rates among target populations
  • A diverse service region with unique barriers to vaccination
  • Limitations on outreach and engagement due to the pandemic
  • Limited staff resources with which to reach an expansive region

Centralina AAA collaboratively leveraged several strategies to overcome these barriers:

  • Surveying and roundtables with community members and leaders
  • Development of a data-driven target area index to prioritize outreach efforts in the region’s most vulnerable communities
  • Bilingual outreach materials and customized engagement for Latino residents
  • A mix of static and interactive outreach methods to reach target populations where they were


Successful Strategies:
Centralina AAA took a two-pronged approach to outreach, incorporating both regional and local strategies.

Regional Efforts: In the absence of in-person events, the project team sought out creative education and outreach opportunities.

  • COVID-19 booster billboards on local and regional roads
  • English and Spanish print ads
  • English and Spanish radio spots
  • Recorded interview with a Latino doctor to address vaccine FAQs
  • Vaccine webpage hosted on Centralina AAA website

Local Efforts: In early 2022, the return of in-person events allowed the project team to safely bring target audiences together to build COVID-19 vaccine awareness.

  • Tabling at local health fairs, vaccination clinics and other community service events
  • Facilitating English and Spanish COVID-19 themed bingo events
  • Speaking to community groups and at community meetings
  • Canvassing local businesses
  • Distributing grab bags with masks, sanitizer and test kits

Project Outcomes:

By the end of September 2022, the COVID-19 Vaccine Project outreach activities reached over 2 million people in the region through the combination of local and regional outreach strategies. During this time, vaccination rates increased by over 10% regionwide. By September 2022, 98% of older adults, 52% of Black residents and 66% of Latino residents had received at least one vaccination dose. Over the same timeframe, Centralina AAA distributed 10,000 COVID-19 related products (masks, sanitizer and test kits) to residents across the region.

The project highlighted several important lessons for organizations pursuing public health initiatives at regional and local scales:

  • Mix and match outreach strategies to align with budget capacity
  • Meet older adults, people with disabilities, and other target audiences where they are
  • Customize outreach to fit the intended audience
  • Leverage interdisciplinary collaboration
  • Rely on partners with existing relationships with target audiences
  • Clearly define the problem before brainstorming solutions
  • Don’t try to solve it all; lean into your strengths and focus on where you can have the greatest impact

Target Area Index: Interactive Map

The interactive StoryMap below describes the process for determining the Target Area Index and shows the total index score for each census tract in the Centralina region. Scroll down within the StoryMap window to learn more about the index, see the target areas for outreach efforts, and download county-specific data profiles. Click on the diagonal arrows in the top right corner of each map to see a larger version.

Map Gallery

The maps below illustrate the connection between the Target Area Index score and various demographic data for each census tract in the Centralina region.