# Alive Church Network: Increasing COVID-19 Testing in Chicago's African American Testing Deserts

> **NIH NIH R01** · RUSH UNIVERSITY MEDICAL CENTER · 2021 · $1,616,709

## Abstract

ABSTRACT
The epidemic of novel coronavirus disease 2019 (COVID-19) has caused an unprecedented public health crisis
in the United States. African Americans (AA) have been disproportionately impacted, as systemic inequities have
contributed to increased exposure and vulnerability to COVID-19. Evidence suggests that AAs are delaying
testing and care for COVID-19, which increases risk of transmission and poor outcomes. In Chicago, segregated
AA neighborhoods have experienced some of the highest COVID-19 mortality rates in the city, yet large portions
of these neighborhoods remain testing deserts. Providing trusted, accessible, community-based testing in
underserved AA communities is critical to ensuring that AAs receive an early diagnosis, thereby reducing the
risk of further transmission and improving clinical outcomes. This study leverages the Alive Church Network
(ACN), a long-standing, community-driven coalition of African American pastors and public health researchers
that was developed as a sustainable infrastructure to address health inequities in chronic disease in segregated
AA neighborhoods in Chicago. The ACN was designed to address lack of access to health care, cultural
insensitivity, and lack of trust, which are the root cause of disparities in chronic disease as well as infectious
disease, including COVID-19. The proposed project utilizes the ACN infrastructure to create a network of church-
based testing sites in a segregated and underserved AA neighborhood in Chicago that will provide COVID-19
testing and education as well as linkage to healthcare and social resources. Thirteen ACN pastors who serve
predominantly AA congregations in the West Side of Chicago will form a coalition to promote community-wide
COVID-19 testing in local churches. Residents of all ages will receive COVID-19 education and free SARS-CoV-
2 PCR testing with rapid turn-around of results from an on-site clinical team, as well as connection to local
resources to address social needs, including food, housing, and medical care. Our specific aims are: (1) Conduct
a rapid needs assessment to identify barriers to and facilitators of COVID-19 testing to inform a tailored outreach
and intervention strategy to increase COVID-19 testing among high-risk AAs; (2) (Primary Aim) Evaluate the
impact of the ACN COVID-19 testing intervention on uptake of testing among residents of target high poverty AA
neighborhoods in Chicago; (3) Use the RE-AIM framework to assess the reach, adoption, implementation,
maintenance and cost of the ACN COVID-19 testing intervention. Our primary analysis uses an interrupted time
series framework, which is a quasi-experimental approach, to test whether the ACN testing intervention is
successful at increasing uptake of testing by at least 20% among residents in the target neighborhoods.
Completion of these aims will provide crucial evidence about the public health utility of this approach and inform
efforts to scale this intervention to increase tes...

## Key facts

- **NIH application ID:** 10258224
- **Project number:** 3R01NR018463-01A1S1
- **Recipient organization:** RUSH UNIVERSITY MEDICAL CENTER
- **Principal Investigator:** ELIZABETH B LYNCH
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $1,616,709
- **Award type:** 3
- **Project period:** 2020-11-19 → 2022-11-18

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10258224

## Citation

> US National Institutes of Health, RePORTER application 10258224, Alive Church Network: Increasing COVID-19 Testing in Chicago's African American Testing Deserts (3R01NR018463-01A1S1). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10258224. Licensed CC0.

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