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Engaging Arts & Culture 

for Vaccine Confidence

Quick Start Guide for Building Sustainable Partnerships

https://www.cdc.gov/vaccines/covid-19/vaccinate-with-confidence/art.html
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Quick Start Guide for Building 

Sustainable Partnerships

https://www.cdc.gov/vaccines/covid-19/vaccinate-with-confidence/art.html

Who is this guide for?

State and local health departments and other public health entities that want to promote vaccine confidence and COVID-19 

vaccines and immunizations more broadly for people of all ages. 

What is the purpose of this guide?

This evidence-based guide encourages public health professionals to recognize arts and

culture as valuable and available resources in communities, and to engage them as 

critical partners in promoting vaccine confidence and uptake. It will help public health 

and health communication professionals:

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understand the value and synergies of partnering with local artists, culturebearers, and arts and culture organizations to promote health behaviors;

develop effective and durable partnerships for advancing vaccine confidence 

through more engaging, tailored, and culturally responsive and sustainable 

programming;1-4 and

stimulate more accessible, equitable, and responsive programs that reduce 

barriers to vaccine confidence and uptake.

What is “arts and culture”?

In this guide, the term “arts and culture” refers to the wide range of cultural identities, traditions, and creative expressions 

that exist in communities. It includes art forms such as music, dance, spoken word, painting, and theater, as well as graphic 

design, culinary arts, spiritual practices, and celebrations of local places and histories. Arts and cultural activities take place 

in arts and cultural centers, schools, libraries, homes, places of worship, local businesses, in parks, and on streets. Arts and 

culture are available resources in communities.

Who are artists and culture-bearers?

Artists include creators and makers of all kinds. Culture-bearers are those who embody and transmit practices of particular 

cultures.5 Both are often trusted and influential community members. Artists and culture-bearers have long been translators 

and trusted messengers of vital information within communities through dialogue, performances, installations, and 

participatory events and activities. 

Powering-up vaccine confidence with arts & culture

Trusted Individual Local health

departments messengers &

trusted places

CDC guidance Events, media, 

installations, &

dialogue

Demand & 

uptake

+ =

Public

Health

Arts &

Culture

choice &

social change

 Vaccine 

Confidence

Communities across 

America are rich with arts and 

cultural assets that people 

turn to in both good and 

challenging times. 

Partnerships that use the 

knowledge and strengths of 

both the public health and 

arts and culture sectors can 

empower and accelerate 

vaccine confidence and 

uptake. 
Why Arts & Culture?

Arts and cultural activities are central to building trust, making connection, facilitating communication, and 

inspiring social change.6 They are rooted in culture and place, and they can make vaccine information more personally and 

culturally relevant and tailored to specific populations. They also make health information more understandable, 

memorable, and actionable.7-10

Artists and culturebearers are often trusted 

community members. 

They connect with 

people in trusted places and 

in ways that can resonate 

more deeply than traditional 

public health 

communication. 

Arts &

Culture

Are rooted in culture & place

Attract attention & participation

Share stories & facilitate dialogue

Make memorable moments

Facilitate social listening & learning

Connect services & create access

Enable community-led efforts & new social normals

Arts and culture partnerships can help public health programs achieve their goals with higher levels of participation, 

cultural responsiveness, and efficiency. Artists and culture-bearers can be influencers. They are extremely adept at translating information and ideas within and across populations. They provide trusted platforms for urgent communications and 

can reach more expansive and inclusive audiences than health departments and government agencies.11

Arts-based health communication 

programs that are rooted in culture and 

place have been shown to enable more 

effective health communication and 

behavior change than traditional means.12

This understanding has long made artsbased health communication, like Rock 

Point 256, standard practice in other parts 

of the world.13

Public health + arts and culture partnership 

is at the heart of these highly impactful 

programs. 

To learn more about the value of arts and culture for advancing health in communities, see 

the Creating Healthy Communities through Cross-sector Collaboration white paper.6

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Promising 

Practices

While not yet standard practice in the United States as it is in other parts of the world, cross-sector 

collaboration between public health and arts and culture is not new. There are many examples of 

promising practices that build on the knowledge and skills of each sector related to, and beyond, 

vaccine confidence.

Say "Yes" Summer Series, Atlanta, GA

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Partners: CDC, Dashboard, Living Walls, Community Organized Relief 

Effort (CORE) Georgia, and the Georgia Department of Public Health.

Program: Multi-modal Georgia Department of Public Health vaccine 

confidence campaign, featuring a series of large-scale projections and 

banners designed by local artists to stimulate social cohesion, solidarity, 

and positivity around COVID-19 vaccines, and to share vaccine 

information in a range of priority communities. Also includes educational 

events and COVID-19 vaccination opportunities at installation sites, 

educational materials, and web-based resources. 

Partnership Structure: CDC funded the arts organizations as subject matter experts and empowered them to make 

curatorial recommendations and decisions. All partners collaborated on project design in alignment with CDC 

vaccination goals; the arts organizations produced multiple art events with CDC funds; CDC provided information for 

supplemental materials and events; and all partners collaborated on program promotion and assessment.

Observations: This project exemplifies a strong group of partners who represent local perspectives, goals, assets, 

artistic excellence, and up-to-date public health information and expertise. The partnership has benefitted from a 

structure of regular meetings, clear articulation of roles, equitable compensation of artists, and development of a 

culture of respect, transparency, and appreciation within the partnership itself.

San Francisco Creative Corps, San Francisco, CA

Partners: City of San Francisco, Yerba Buena Center for the Arts (YBCA), Paint the 

Void, San Francisco Bay Area Theater Company (SFBATCO), Dance Mission, 

Carnaval San Francisco, and the San Francisco Mayor’s office.

Program: An initiative designed to employ 60 performing artists as Community 

Health Ambassadors (CHAs) to engage their neighborhoods in person and online, 

sharing critical vaccination and pandemic safety messages through the 

performing arts, murals, and video.

Partnership Structure: YBCA, SFBATCO, Dance Mission, and Carnaval San 

Francisco collaborated on casting the performers who served as CHAs. YBCA 

worked with the City of San Francisco departments to train CHAs, identify site 

locations, and outline the key COVID-19 safety language. YBCA routed funds to 

Paint the Void to engage visual artists in creating murals on boarded-up windows 

throughout the city.

Observations: This partnership converges the complementary goals of the 

partners to provide economic opportunities for San Francisco artists who are 

underemployed due to COVID-19 and to achieve public health goals related to 

vaccine uptake and safe health behaviors. The programs focus on speaking 

authentically and through the voices and community members to the challenges 

of living through the pandemic and how communities can work together to be safe and healthy.

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Promising 

Practices

Healthy Home, Healthy Community; Louisville, KY 

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Partners: IDEAS xLab, Louisville Metro Department of Public Health & 

Wellness, Bates Community Development Corporation, and community members 

Program: Billboards and digital ads in Smoketown and West Louisville, KY, 

featuring artwork created with local youth and community members to 

communicate what a healthy home and a healthy community means to them. 

The campaigns are designed to prevent lead poisoning and the spread of 

COVID-19, and include interactive art-making, poetry, and writing activities 

and take-home worksheets.

Partnership Structure: IDEAS xLab, an artist-run organization and the lead 

organizer, facilitates community engagement and translates artwork to 

billboards and ads. The Louisville Metro Department of Public Health & Wellness provides public health education and 

resource navigation. Bates Community Development Corporation hosts the 

community programing. 

Funding: Grants, individual donors, and the Louisville Metro Department of Public Health & Wellness provide funding 

for the campaign. Costs per campaign range from $25,000-$50,000, including payments to artists and community 

members.

Outputs and Outcomes: The project installed eight billboards that generated over 1 million impressions, a 

geo-fenced digital ad that generated 600,000 impressions, and two Facebook Live events that reached more than 1,000 

community members. The program generated messaging that led to increased access to public health resources, 

COVID-19 information, and childhood lead poisoning prevention. 

5Voices@6, Jackson, MS 

Partners: Jackson Medical Mall and local artists

Program: Jackson Medical Mall is an abandoned shopping 

mall that was turned into a community hub for healthcare, 

arts and culture, retail, and social service programs. One of 

many programs offered at the mall is 5Voices@6 (a component 

of Care4me Services), which aims to reduce the prevalence 

of HIV and enhance wellness and medical adherence among 

young men of color using arts and culture as a platform for 

leadership, empowerment, and prevention. The program 

also aims to build foundations of support and enable men to 

be a voice in their communities.

Partnership Structure: The mall provides space for the 

program and markets it to community members. Local artists 

facilitate the arts activities. 

Funding: ViiV Healthcare provided $220,000 for 3 years of 5Voices@6 programming. 

Observations: The mall itself is an outstanding example of partnership for co-location of healthcare and arts and 

cultural programming. The 5Voices@6 program values participants as experts in their communities and uses their 

shared and life experiences of HIV through storytelling and creative expression to foster awareness and preventive 

initiatives. Care4me hosts mobile clinics in all 82 counties in Mississippi, where people can get tested, receive HIV 

educational materials, and observe community members’ lived experiences through art, dance, live music, and 

storytelling. 

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Promising 

Practices

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East Los High; Los Angeles, CA

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Partners: WISE Entertainment, Advocates for Youth, AltaMed, Bedsider, Sex, Etc., Break the Cycle, 

California Family Health Council, California Latinas for Reproductive Justice, National Latina Institute 

for Reproductive Health, The National Campaign to Prevent Teen and 

Unplanned Pregnancy, National Domestic Violence Hotline, Planned Parenthood, 

Population Media Center, East Los Angeles Women’s Center, Art & Global Health Center, and more.

Program: The five-season, Emmy nominated Hulu series East Los High is an interactive health drama geared toward Hispanic/Latino teens. The show uses storytelling and drama to address issues 

such as sexually transmitted infections, teen pregnancy, dating 

violence, and LGBTQ+ identity. Carefully crafted narratives and characters with relatable lived 

experiernces accurately depict health challenges and choices, while connecting 

viewers with community resources through Vlogs, call-in lines, and widgets that link to health 

services. 

Partnership Structure: The East Los High creative team (writers, producers, directors, actors, choreographers, and 

designers) create and produce the show and its linked media, with attention to aesthetic experience and realism. Latino 

teens and community members serve as consultants to 

ensure realism and aesthetic relevance. Public health partners identify issues, curate and review content, and partner 

on access to resources and widgets. 

Outcomes: Studies have documented increased awareness about topics such as teen pregnancy and LGBTQ+ experiences, 

as well as increased decision-making capabilities surrounding reproductive health and healthy relationships.12, 14 

“Time to Health” COVID-19 Song & Tool-kit; San Bernardino, CA 

Partners: El Sol Neighborhood Educational Center, Young Visionaries Youth 

Leadership Academy, community healthcare workers/promotores

Program: The “Time to Heal” COVID-19 song and tool-kit features an upbeat 

song about how Black and Brown communities can come together to fight 

COVID-19 through distancing, masking, and vaccination. The tool-kit provides 

resources to address mental health during the pandemic as well as 

informational videos, downloadable lyrics and graphics, and a media toolkit. 

Everything is provided in English and Spanish on the El Sol Neighborhood Educational Center website. 

Partnership Structure: El Sol partnered with Young Visionaries to create the COVID-19 song. Community health 

workers/promotores work collaboratively with El Sol to develop culturally responsive and sustaining mental health and 

vaccine information. Community Health Workers and Promotores engage the community through word of mouth, 

pop-up clinics, door-to-door outreach, and phone calls. El Sol administers the program funding.

Funding: Various sources, including foundations, government, and private entities.

Observations: The COVID-19 song was distributed to radio and TV stations to reach the surrounding communities. 

The tool-kit is used by other organizations, such as faith-based organizations, for similar mental health and COVID-19 

awareness in the area. 

See the Vaccine Confidence Arts Response Repository for more examples of 

partnerships and programming designed to increase vaccine confidence and uptake. 

You can also add your own programs to the repository.
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How-tos

How-to #1: 

Find and engage artists, culture-bearers, and arts and cultural organizations 

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Don’t wait for the next emergency. Find local arts and culture partners now to establish relationships that can be 

leveraged routinely and quickly in response to emergencies.

Who are they? They are people who listen in their communities, and people, groups, and places that bring people 

together, including: 

› artists, arts and cultural organizations and groups, community organizers, and spiritual leaders;

› community-based organizations such as arts, cultural and historic centers, libraries, arts and history museums, arts 

and cultural festivals, and clubs; and

› places such as parks, youth centers, senior centers, recreation centers, technology and innovation centers, and 

businesses like coffee shops, hair salons, and barbershops.

See the National Assembly of State Arts Agencies for a complete list of state arts and cultural agencies. State agencies 

have contact information for county and city agencies and often for community-based artists. 

Attend local arts and cultural events to learn, meet people, and build relationships.

Invite potential partners to your space, ask to visit their space, or meet in a location of their choosing. Don’t make 

assumptions about transportation or comfort with government-associated offices. 

How-to #2: 

Build equitable and lasting partnerships for COVID-19 response 

and immunizations more broadly

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Engage artists and culture-bearers as valuable and equal professional partners; ensure that they are compensated for 

their time and expertise, and articulate mutual and equitable ways in which the partnership bring value to each partner.

Create a learning and growing partnership – share the knowledge, theory, values, and practices of each sector.

Don’t wait for the next emergency. 

Find local artists and cultural 

partners now to establish relationships 

that can be leveraged routinely and 

quickly in response to emergencies. 

Engage artists and culture-bearers as 

valuable and equal professional 

partners — ensure that they are 

compensated for their time and 

expertise, and articulate mutal and 

equitable value propositons.
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How-tos

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Use the arts as a means for trust-building and knowledge sharing within the partnerships.

Take time to listen and learn about community values, histories, concerns, needs, and priorities from and with these 

partners.

Recognize the historical and ongoing injustices that drive distrust of government and health systems within LGBTQIA+, 

Black or African American, American Indian or Alaska Native, Hispanic/Latino, Middle Eastern/Arab American, Asian 

American, and Native Hawaiian or other Pacific Islander communities, and create partnerships that are self-reflective, 

responsive, and change-oriented.15

Carefully consider expectations for both fiscal and non-fiscal resources, and look carefully to uncover hidden expectations unique to each professional and social/cultural group.

Create equitable and accessible structures for transparently managing time, communications, and expectations across 

professional and social/cultural norms.

Collaborate with these partners in every stage of program planning, implementation, and evaluation/refinement.

Make time for nurturing the relationships and partnerships.

How-to #3: 

Overcome common challenges and barriers in cross-sector partnerships16-18

Time: Time is a common barrier to partnership. It takes time to reach out to a partner and engage in collaboration. Nurturing the partnership can feel like a barrier when it is not yet routine. However, investing time in the cultivation of partnerships will yield substantial returns in the forms of broader access to priority populations, resource sharing, knowledge 

and skills sharing, and ultimately better outcomes and impacts. Plan for upfront time investment in 

partnerships, remembering that time and other resources will be saved in the long run. 

Unclear or hidden value propositions: Trust is essential to partnership, and transparent communication is essential to 

trust. Partnerships must be built on clear and mutual value for each partner. What each partners brings and wants to get 

from the partnership must be clearly communicated, even as things change along the way. Sharing resources is 

important. Theatre and creative writing exercises can be used to explore and share mutual benefits in the partnership. 

Funding and Resources: Cross-sector partnerships can provide access to new funding sources and opportunities to 

build relationships with new funders. Clear communication between partners is essential to get, share, and administrate 

funds and resources. Partnerships also increase non-fiscal resources, including knowledge, skills, and access to priority 

populations. See CDC’s Engaging Arts & Culture for Vaccine Confidence: Short Guide to Building Programs and Creative 

Campaigns for specific funding opportunities.

Language and Communication Barriers: Public health and arts and culture, as sectors, have different vocabularies. 

Sharing definitions in relation to program goals and functions is essential to communication, trust, collaboration, and 

efficiency. Take time in the early stages of the partnership to explore language and communication styles and to 

establish shared systems for both. Invite arts partners to facilitate these processes with the arts. 

Differences in Professional Cultures: Fundamental differences in professional cultures (different ways of thinking, 

communicating, and doing, as well as different priorities) are complex. If embraced with curiosity and openness, these 

differences can be tremendous assets, providing a broader range of viewpoints and solutions. Take time to share 

theoretical assumptions, organizational values, and ways of working, with a willingness to try those of partner 

organizations. Ask questions when decisions or viewpoints are not clear. In partnerships that value and draw upon 

different expertise and lived experiences, the benefits easily outweigh the costs.
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How Do Arts and Culture and 

Vaccine Confidence Connect?

Vaccine confidence is 

defined as the trust people 

and their families have in 

vaccines and providers and 

organizations that 

administer them. 

Public health professionals 

regularly use principles of 

communication, marketing, and entertainment 

in health communication 

programs designed to build 

confidence. 

Arts and cultural partners 

bring specific expertise that 

can strengthen vaccine 

confidence campaigns, 

recognizing that:

🔹 Health communication 

is a social process.19

🔹 Effective health 

communication is built 

on understanding of 

local cultures, 

histories, and beliefs, 

and is tailored to resonate with specific audiences.20

🔹 Health communication works better when participants are actively engaged.21, 22

🔹 Arts and cultural resources exist in every community.6

 

🔹 Arts and cultural engagement can quickly influence health beliefs and behaviors.12, 13, 22

The arts are rooted in local cultures, histories, practices, and places. As a result, arts-based materials and programs can 

provide a common language for reaching prioritized audiences and enabling highly tailored two-way communication that 

starts with trusted local influencers. 

Experiential, interactive, and narrative approaches improve emotional engagement, learning, and behavior change, and 

they engage people individually and collectively at the same time.23, 24 Arts-based modes of communication make information more accessible, clearer, more memorable, and – importantly – more personally and culturally relevant.8, 25-27 For these 

reasons, arts activities can be particularly effective in helping to counter misinformation and provide resources needed for 

trust-based and actionable decision-making.28, 29

San Francisco Creative Corps - An initiative designed to employ 60 performing artists as 

Community Health Ambassadors to engage their neighborhoods in person and online, 

sharing critical vaccination and pandemic safety messages through the performing arts, 

murals, and video.
How Arts and Culture and 

Vaccine Confidence Connect

COVID-19 has made the need for public health partnerships with 

arts and culture clearer than ever

Establishing partnerships in an emergency is challenging. Partnerships should be created for the long-term for three 

different circumstances of an immunization program: 

1. routine immunization programming;

2. antigen-based campaigns for specific populations; and

3. public health emergencies or crises.

Each circumstance presents different needs, opportunities, and resources that established partnerships can respond to and 

build on. Artists and culture bearers who are recognized as public health partners can provide community members – especially those historically excluded and distrustful of government and health systems – with alternate sources for 

information and entry points to public health programs and resources across this spectrum of circumstances. 

These partnerships should be viewed not as supplemental, but as fundamental to culturally responsive and sustaining 

programming, and to the realization of public health goals at all times. Culture (both locally and broadly) evolves and 

changes rapidly in response to social, political, and other conditions, and is a critical conduit to understanding and 

responding to the information needs and goals of communities. Public health + arts and culture partnerships enable public 

health programs to be more attuned and responsive and enable communities to get what they need more efficiently and 

effectively. 

Arts and cultural practices engage people in personally and culturally relevant narratives and experiences. They share stories, 

and invite people to consider their own lives, 

values, and choices. They drive social dialogue that results in shared values and 

collective action – making vaccines or other healthy behaviors the socially-supported 

choice. The arts can make data visual, musical, dramatic, and poetic, and they can 

communicate in both highly localized and mass media scales.12, 27

Mass media health communication campaigns and those featuring celebrities who 

share personal stories and views are highly effective in impacting health behaviors and 

outcomes, and in “moving the needle” on national behavioral trends. Notably, 

Angelina Jolie’s disclosure of her decision to have a preventive mastectomy led directly 

to increased information-seeking about breast cancer, and Magic Johnson’s disclosure of his HIV-positive status was correlated with increased knowledge and testing 

for HIV.30, 31 Many artists and culture-bearers are local celebrities and can have similar 

influence in their communities. And, when they communicate through their artforms 

and cultural practices, the impacts can be amplified. 

Arts-based health communication programs that are rooted in culture and place, like 

the television drama East Los High, enable more effective health communication and 

behavior change than traditional means. This understanding has long made arts- 12

based health communication, like Rock Point 256, standard practice in other parts of 

the world.Public health + arts and culture partnership is at the heart of these highly 

impactful programs. 

Arts and culture partnerships 

can help public health programs 

achieve their goals with higher 

levels of participation, cultural 

responsiveness, and efficiency. 

Artists and culture-bearers are 

influencers. They are extremely 

adept at translating information 

and ideas within and across 

populations. 

They provide trusted platforms 

for urgent communications and 

can reach more expansive and 

inclusive audiences than health 

departments and government 

agencies.11

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The Power of Partnering

with Arts and Culture

Amplifier, a nonprofit design lab that builds art and media experiments to amplify the most important movements of 

our times, has joined in on efforts to promote COVID-19 vaccination uptake. 

In communities and across cultures, the arts are central to how people communicate, make meaning, and 

drive collective action and social change. Arts and culture have the power to connect people, expose root 

issues, center underrepresented and historically excluded voices and concerns, facilitate dialogue, and shift 

collective behaviors and sociocultural norms.6

Artists and culture-bearers are, as always, working to create healthier and more equitable communities. 

Public health needs artists and culture-bearers to reach and engage people. And artists and culture-bearers 

need public health partnership to communicate the most important information in times when collective 

action is needed to protect the health of all. 
Resources

Sandro Galea, Dean of the Boston University School of Public Health: Paper on why public health needs the arts to advance 

the goals of public health

Creating Healthy Communities through Cross-sector Collaboration White Paper6

: Examples and recommendations for public 

health and arts partnerships

Arts and Culture in Public Health: An Evidence-based Framework25: Framework and evidence for using the arts in public 

health

Community-based Organizations COVID-19 Vaccine Toolkit: CDC toolkit to help community-based organizations 

educate communities 

University of Florida COVID-19 Arts Response: Advisory briefs, webinars, program/media repositories

Health Promotion Practice Special Supplement on Arts in Public Health: 16 articles that discuss and exemplify collaborations, including practice and research between public health and arts and culture

Art, Anti-Racism and Health Equity: “Don’t Ask Me Why, Ask Me How!”26: Commentary on how art can help people unlearn 

misinformation and mitigate the health effects of racism

Art-train National Training and Technical Assistance Program: Program for using federal COVID-19 funds for arts and public 

partnerships

National Endowment for the Arts Guide to Community-engaged Research in Arts in Health: Guidance on how to partner 

effectively in documenting and studying the contributions of community-based arts programs to positive health outcomes

Forward: How Artists Help Drive Better Health Outcomes: Commentary, case studies, and toolkit for public health and arts 

partnerships and programs

What is the Evidence on the Role of the Arts in Improving Health and Well-being? A Scoping Review: World Health 

Organization Report on Arts in Health

Engaging Arts and Culture for Vaccine Confidence website: https://www.cdc.gov/vaccines/covid-19/vaccinate-with-confidence/art.

html

Photo Credits

Cover: Amplifier; page 3: Rockpoint 256; page 4: Living Walls and San Francisco Creative Corps; page 5: Healthy Home, 

Healthy Community and Jackson Medical Mall; page 6: East Los High and El Sol Neighborhood Educational Center; page 7: 

Greater Boston Metropolitan Area Planning Council; page 9: San Francisco Creative Corps; page 11: Amplifier.

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Acknowledgements

Lead Author: Dr. Jill Sonke, University of Florida Center for Arts in Medicine

Collaborators:

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University of Florida Interdisciplinary Research Lab members: Aaron Colverson, Nicole Morgan, Kylie Wheeler, Taylor 

Seale, Dr. Ginger Pesata, Alex Rodriguez, Ann-Marie Derias, Camille Eyman, Caroline Davidson, Camilo Reina-Munoz, 

Devin Valdes, Emily Davis, Gabrielle Hammond, Jesseca Antoine, Karen Coker, Lavanya Durai, Gabrielle Martinez, Stefany 

Marjani, Yanlin Wang, Jordan Maurer, and Morgan Helmich

Natalie Rella, Communications Coordinator, University of Florida Center for Arts in Medicine

Elisabeth Wilhelm, John Donovan, Louise Shaw, Kathleen Holmes, and Grace Liggett, Vaccine Confidence and 

Demand Team on the COVID-19 Vaccine Task Force, Centers for Disease Control and Prevention (CDC)

Dr. Erin Stair, CDC COVID-19 Vaccine Communication and Education Support Contractor, St. George Tanaq Corporation

Partners: University of Florida Center for Arts in Medicine, National Endowment for the Arts, Georgia Department of 

Public Health, St. George Tanaq Corporation

Research Associates

Morgan Yacoe, Research Coordinator, University of Florida Center for Arts in Medicine

External Reviewers

Shanae Burch, Robert Wood Johnson Foundation Health Policy Research Scholar; Columbia University

Dr. Kathleen Roe, Health Promotion Practice; San Jose State University

Michelle Cantu, Kimberly Sharpe-Scott, Robin Mowson, and Amy Frandsen, National Association of County and City 

Health Officials (NACCHO)

Sunil Iyengar, National Endowment for the Arts

Graphic Design: Jen Cronin and Timothy Knight, St. George Tanaq Corporation

Recommended Citation: CDC (2021). Engaging Arts and Culture for Vaccine Confidence: Quick Start Guide for 

Building Sustainable Partnerships. Atlanta: Centers for Disease Control and Prevention.

Artists and Organizations Cited: Centers for Disease Control and Prevention, Dashboard, Living Walls, 

Community Organized Relief Effort Georgia, Georgia Department of Public Health, City of San Francisco, Yerba Buena Center 

for the Arts, Paint the Void, San Francisco Bay Area Theatre Company, Dance Mission Theate, Carnaval San Francisco, San 

Francisco Mayor’s Office, IDEAS xLab, Louisville Metro Dept. of Public Health & Wellness, Bates Community Development 

Corporation, Jackson Medical Mall, WISE Entertainment, Advocates for Youth, AltaMed, Bedsider, California Family Health 

Council, California Latinas for Reproductive Justice, National Latina Institute for Reproductive Health, East Los 

Angeles Women’s Center, National Latina Institute for Reproductive Health, National Campaign to Prevent Teen and 

Unplanned Pregnancy, National Domestic Violence Hotline, Planned Parenthood, Population Media Center, East Los Angeles 

Women’s Center, Art & Global Health Center, El Sol Neighborhood Educational Center, Young Visionaries Youth Leadership 

Academy, Nina Simone, and RENT
References

[1] Paris, D. (2012). Culturally sustaining pedagogy: A needed change in stance, terminology, and practice. Educational 

Researcher, 41(3), 93-97. https://doi.org/10.3102/0013189X12441244 

[2] Coulter, C., & Jimenez-Silva, M. (2017). Culturally sustaining and revitalizing pedagogies: Language, culture, and power (1st 

Edition) First Edition. Bingley, United Kingdom: Emerald Publishing Limited. 

[3] Marciano, J. E., Peralta, L. M., Lee, J. S., Rosemurgy, H., Holloway, L., & Bass, J. (2020). Centering community: Enacting 

culturally responsive-sustaining YPAR during COVID-19. Journal for Multicultural Education, 14(2), 163-175. https://doi.

org/10.1108/JME-04-2020-0026 

[4] Paris, D., & Alim, H. S. (Eds.). (2017). Culturally sustaining pedagogies: Teaching and learning for justice in a changing world.

Teachers College Press. http://www.nysed.gov/common/nysed/files/programs/crs/culturally-responsive-sustaining-education-framework.pdf

[5] Kyakuwa, J. (2020). A case study of two preservice elementary music teachers as culture-bearers (Publication No. 5210.) 

[Doctoral dissertation, Louisiana State University]. LSU Digital Commons. 

[6] Sonke, J., Golden, T., Francois, S., Hand, J., Chandra, A., Clemmons, L., Fakunle, D., Jackson, M.R., Magsamen, S., Rubin, V., 

Sams, K., & Springs, S. (2019). Creating Healthy Communities through Cross-Sector Collaboration. University of Florida Center 

for Arts in Medicine / ArtPlace America. https://arts.ufl.edu/sites/creating-healthy-communities/resources/white-paper/

[7] Sonke, J., Pesata, V., Nakazibwe, V., Ssenyonjo, J., Lloyd, R., Espino, D., Nieves, M., Khandakji, S., and Hahn, P., & Kerrigan, 

M. (2018). The arts and health communication in Uganda: A light under the table. Health Communication, 33(4), 401-408. 

https://doi.org/10.1080/10410236.2016.1266743

[8] Sonke, J. (2021). A conceptual model of relationships between aesthetic experience, self-efficacy, and behavior change in artsbased health communication programs. [Unpublished doctoral dissertation]. Ulster University.

[9] Ike, J. D., Postlethwait, R., & Parker, R. (2019). Nurturing context: TRACE, the arts, medical practice, and health literacy. 

Information Services and Use, 39(1–2), 93-104. https://doi.org/10.3233/ISU-180040

[10] Bennett, J., Froggett, L., & Muller, L. (2019). Psychosocial aesthetics and the art of lived experience. Journal of 

Psychosocial Studies, 12(1), 185-201. https://doi.org/10.1332/147867319x15608718111023

[11] University of Florida Center for Arts in Medicine (2020). Advisory brief for local public health agencies & organizations: 

Mobilizing local arts and cultural assets in response to Covid-19. https://arts.ufl.edu/site/assets/files/183403/uf_covid_local_final_041620_1.pdf

[12] Wang, H., & Singhal, A. (2016). East Los High: Transmedia edutainment to promote the sexual and reproductive 

health of young Latina/o americans. American Journal of Public Health, 106(6), 1002–1010. https://doi.org/10.2105/

ajph.2016.303072

[13] I-Train and Evaluate Center (I-TEC). (2013). Final evaluation of the Health Communications Partnership (HCP II) Project: Final 

Report. United States Agency for International Development (USAID). https://www.evaltrain.com/resources/i-TEC%20Profile%20Revised%20.pdf

[14] Wang, H., Singhal, A., Quist, C., Sachdev, A., & Liu, S. (2019). Aligning the stars in East Los High: How authentic characters 

and storylines can translate into real-life changes through transmedia edutainment. SEARCH Journal of Media and 

Communication Research, 11(3), 1-22. https://core.ac.uk/download/pdf/304109731.pdf

[15] Strully, K. W., Harrison, T. M., Pardo, T. A., & Carleo-Evangelist, J. (2021). Strategies to address COVID-19 vaccine 

hesitancy and mitigate health disparities in minority populations. Frontiers in Public Health, 9, 384. https://doi.org/10.3389/

fpubh.2021.645268

14
15

References

[16] De Montigny, J. G., Desjardins, S., & Bouchard, L. (2019). The fundamentals of cross-sector collaboration for social 

change to promote population health. Global Health Promotion, 26(2), 41–50. https://doi.org/10.1177/1757975917714036

[17] Grudinschi, D., Kaljunen, L., Hokkanen, T., Hallikas, J., Sintonen, S., & Puustinen, A. (2014). Management challenges in 

cross-sector collaboration: Elderly care case study. The Innovation Journal: The Public Sector Innovation Journal, 18(2), Artile 7. 

https://www.innovation.cc/scholarly-style/2013_18_2_7_grudinschi_elder-care_7-418.pdf

[18] Taylor-Robinson, D. C., Lloyd-Williams, F., Orton, L., Moonan, M., O’Flaherty, M., & Capewell, S. (2012). Barriers to 

partnership working in public health: a qualitative study. PloS one, 7(1), e29536. https://doi.org/10.1371/journal.

pone.0029536

[19] Kreps, G. L. (1988). Relational communication in health care. Southern Speech Communication Journal, 53(4), 344-359. 

https://doi.org/10.1080/10417948809372736

[20] Schiavo, R. (2013). Health communication: From theory to practice (2nd ed.). John Wiley & Sons.

[21] Hinyard, L. J., & Kreuter, M. W. (2007). Using narrative communication as a tool for health behavior change: 

a conceptual, theoretical, and empirical overview. Health Education & Behavior, 34(5), 777–792. https://doi.

org/10.1177/1090198106291963

[22] United States Agency for International Development. (2012). Uganda joint behaviour change communication survey. 

Washington, DC: United States Agency for International Development

[23] Golden, S. D., & Earp, J. A. L. (2012). Social ecological approaches to individuals and their contexts: twenty wears of 

health education & behavior health promotion interventions. Health Education & Behavior, 39(3), 364–372. https://doi.

org/10.1177/1090198111418634

[24] Chou, W. S., & Budenz, A. (2020). Considering emotion in COVID-19 vaccine communication: addressing vaccine 

hesitancy and fostering vaccine confidence. Health communication, 35(14), 1718–1722. https://doi.org/10.1080/10410236.20

20.1838096

[25] Sonke, J. & Golden, T. (2020). Arts and culture in public health: an evidence-based framework. University of Florida Center 

for Arts in Medicine. 

[26] Sonke, J., Sams, K., Morgan-Daniel, J., Schaefer, N., Pesata, V., Golden, T., & Stuckey, H. (2021). Health communication 

and the arts in the United States: a scoping review. American Journal of Health Promotion, 35(1), 106–115. https://doi.

org/10.1177/1090198106291963

[27] Sonke, J., & Pesata, V. (2015). The arts and health messaging: Exploring the evidence and lessons from the 2014 Ebola 

outbreak. BMJ Outcomes, 1, 36-41.

[28] Griffith, D. M., & Semlow, A. R. (2020). Art, anti-racism and health equity: “Don’t ask me why, ask me how!” Ethnicity & 

Disease, 30(3), 373. https://doi.org/10.18865/ed.30.3.373

[29] Verger, P., & Dubé, E. (2020). Restoring confidence in vaccines in the COVID-19 era. Expert Review of Vaccines, 19(11), 

991–993. https://doi.org/10.1080/14760584.2020.1825945

[30] Casey, M. K., Allen, M., Emmers-Sommer, T., Sahlstein, E., Degooyer, D. A. N., Winters, A. M., . . . & Dun, T. I. M. (2003). When 

a celebrity contracts a disease: The example of Earvin ”Magic” Johnson’s announcement that he was HIV positive. Journal of 

Health Communication, 8(3), 249-265. https://doi.org/10.1080/10810730305682

[31] McCrea, M. (2020, April 25). How the media shapes our perception of HIV and AIDS. Healthline. Public Awareness: How TV 

and Film Shaped Perceptions of HIV and AIDS