Introducing the New COVID-19 Vaccine Coverage Index

Top COVID-19 vaccine coverage barriers

Key Index Findings

In addition to the Index, we released an analysis of the current state of the COVID-19 vaccine rollout across American communities, which centered upon four key findings:

  • Sociodemographic barriers affect the South and small counties across regions. Rural Americans are five times more likely to live in areas of very high concern than urban Americans.
  • Resource-constrained health systems are of concern in rural areas and the South and Midwest. Hispanic, Native American, and rural Black populations are more likely to live in areas of high concern.
  • Healthcare accessibility barriers affect rural areas and communities in the South, with Native American, Black, and Hispanic populations more likely to live in areas of high concern.
  • Irregular care-seeking behavior disproportionately impacts the West, with many large, urban counties of high concern. Native American, Hispanic, Asian and rural Black populations are more likely to live in communities of very high concern.
  • West Virginia is one of the most successful states, thanks to a statewide interagency task force ensuring a uniform, coordinated response; but the next phases of vaccine rollout could be challenging in rural and socioeconomically disadvantaged areas.
  • Florida’s rollout is particularly slow in regions with irregular care-seeking behaviors. A concerted effort to reach those outside of the care system and those facing economic and transportation barriers to vaccination is critical.

U.S. States and Counties of Highest Concern

According to the Index, the following sets of states and counties are of highest- and lowest concern when it comes to ensuring widespread vaccine coverage.

Interactive map representing the level of concern for COVID-19 vaccine coverage across U.S. counties
  1. Mississippi
  2. Oklahoma
  3. Texas
  4. Georgia
  5. Arizona
  6. Arkansas
  7. Indiana
  8. Florida
  9. Tennessee
  1. Massachusetts
  2. New Hampshire
  3. Rhode Island
  4. Iowa
  5. District of Columbia
  6. Maryland
  7. North Dakota
  8. New Jersey
  9. Virginia
  1. El Paso County, TX (0.96) [836K]
  2. Clark County, NV (0.92) [2.2 mill]
  3. Bexar County, TX (0.87) [2 mill]
  4. Polk County, FL (0.87) [686K]
  5. Pinal County, AZ (0.87) [433K]
  6. Pima County, AZ (0.86) [1 mill]
  7. Dallas County, TX (0.83) [2.6 mill]
  8. Miami-Dade County, FL (0.82) [2.7 mill]
  9. Kern County, CA (0.82) [888K]
  1. Navajo County, AZ (1.0) [109K]
  2. Tallahatchie County, MS (1.0) [14K]
  3. Maverick County, TX (1.0) [58K]
  4. Jim Hogg County, TX (1.0) [5K]
  5. Scott County, MS (1.0) [28K]
  6. Culberson County, TX (1.0) [2K]
  7. Starr County, TX (1.0) [64K]
  8. Zavala County, TX (1.0) [12K]
  9. Duval County, TX (1.0) [11K]

Community Challenges the Index Can Help Solve

To help guide resource allocation, response plans, and advocacy, we have compiled a list of action-oriented solutions for addressing high scores in each of the five CVAC themes. These are not prescriptive solutions, but a starting point for local leaders to see how they can use this index to design an informed, precise strategy at any phase of their vaccine planning and rollout.

We use all the tools available from behavioral science, data science, and artificial intelligence to unlock solutions that will save and improve people’s lives.

Get the Medium app

A button that says 'Download on the App Store', and if clicked it will lead you to the iOS App store
A button that says 'Get it on, Google Play', and if clicked it will lead you to the Google Play store