In response to the COVID-19 pandemic, the Cook County Department of Public Health (CCDPH) developed the Worker Protection Program (WPP) in partnership with the Raise the Floor Alliance of Worker Centers (RTF). We present a multi-method qualitative process evaluation of the program with reports from participating worker centers over an 8-month period. Our findings showcase the creation of a program to 1) identify and elevate workplace COVID-19-related complaints to CCDPH, with the potential for long-term co-production of enforcement of health and safety laws; and 2) further COVID-19-related prevention and mitigation activities by providing trainings to 4,700 + participants, conducting outreach to 800 + employers, distributing PPE at 2,500 + worksites, and providing individual referrals for unemployment, food and housing insecurity, legal, and healthcare services. This evaluation highlights the collaborative strategy of the WPP to reach worksites and workers at highest risk of COVID-19, while also identifying persistent barriers to COVID-19 prevention and mitigation.
MooreJTRicaldiJNRoseCE, et al.Disparities in incidence of COVID-19 among underrepresented racial/ethnic groups in counties identified as hotspots during June 5–18, 2020—22 states, February–June 2020. Morb Mortal Wkly Rep2020; 69: 1122.
2.
GoldJAWRossenLMAhmadFB, et al.Race, ethnicity, and age trends in persons who died from COVID-19—United States, May–August 2020. Morb Mortal Wkly Rep2020; 69: 1517.
3.
FaghriPDDobsonMLandsbergisP,et al.COVID-19 pandemic: What has work got to do with it?J Occup Environ Med2021; 63: e245–e249.
4.
DoDPFrankR. US Frontline workers and COVID-19 inequities. Prev Med (Baltim)2021; 153: 106833.
5.
Office of the Governor Illinois. Executive Order 2020-10 (COVID-19 EXECUTIVE ORDER NO. 8). 2020.
6.
OkereURodriguezKSonnP, et al.Secure Jobs, Safe Workplaces, and S Table Communities: Ending At-Will Employment in Illinois. 2021.
7.
Department of Public Health Act (Part 1), 20 ILSC 2305 (2009).
8.
General Supervision of Health, 20 ILSC 2310/2310-15 (2008).
9.
BonneyTGrantMP. Local health department engagement with workplaces during the COVID-19 pandemic—examining barriers of and facilitators to outbreak investigation and mitigation. Front Public Health2023; 11: 1116872.
10.
FlynnMAEggerthDEKellerBM,et al.Reaching “hard to reach” workers: Evaluating approaches to disseminate worker safety information via the Mexican consular network. J Occup Environ Hyg2021; 18: 180–191.
11.
MerchantRMSouthECLurieN. Public health messaging in an era of social media. JAMA2021; 325: 223–224.
12.
JaiswalJ. Whose responsibility is it to dismantle medical mistrust? Future directions for researchers and health care providers. Behav Med2019; 45: 188–196.
13.
RuddRBaurC. Health literacy and early insights during a pandemic. J Commun Healthc2020; 13: 13–16.
14.
Cook County Government. Cook County Municipalities, Percent of Population Below Poverty Level.
15.
Chicago Metropolitan Agency for Planning. Metropolitan Chicago’s Essential Workers Disproportionately Low-Income, People of Color. 2020. 2020.
16.
Cook County Government. Cook County Announces $41 Million COVID-19 Contact Tracing Grant Award.
17.
Centro de Trabajadores Unidos, Cook County Department of Public Health, Arise Chicago. Advancing Labor Rights in Immigrant Communities (in Healthy Work Collaborative: Examples from the Field). 2019.
18.
BonneyTWelterCJarpe-RatnerE, et al.Role of technical assistance in U.S. labor and health sector collaboration to address precarious work. Health Promot Int2020; 36: 1095–1104.
19.
WelterCJarpe-RatnerEBonneyT, et al.Development of the healthy work collaborative: Findings from an action research study to inform a policy, systems, and environmental change capacity-building initiative addressing precarious employment. Health Promot Pract2021; 22: 41–51.
20.
FeredayJMuir-CochraneE. Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. Int J Qual Methods2006; 5: 80–92.
PollackCCDeverakondaAHassanF, et al.The impact of state paid sick leave policies on weekday workplace mobility during the COVID-19 pandemic. Public Health2023; 215: 118–123.
27.
CorbinJHJonesJBarryMM. What makes intersectoral partnerships for health promotion work? A review of the international literature. Health Promot Int2018; 33: 4–26.
28.
PronkNKleinmanDVGoeklerSF, et al.Promoting health and well-being in healthy people 2030. J Public Health Manag Pract2021; 27: S242–S248.
29.
MaaniNGaleaS. COVID-19 and underinvestment in the public health infrastructure of the United States. Milbank Q2020; 98: 250.
30.
HimmelsteinDUWoolhandlerS. Public health’s falling share of US health spending. Am J Public Health2016; 106: 56–57.
31.
HallKBreesKMcCallT, et al.2020 Forces of Change: The COVID-19 Edition. 2022.
32.
AlfordAAFeeserKKellieH,et al.Prioritization of public health emergency preparedness funding among local health departments preceding the COVID-19 pandemic: Findings from NACCHO’s 2019 national profile of local health departments. J Public Health Manag Pract2021; 27: 215.
33.
FlemingPJSpolumMMLopezWD,et al.The public health funding paradox: How funding the problem and solution impedes public health progress. Public Health Rep2021; 136: 10–13.
34.
DeSalvoKBWangYCHarrisA, et al.Public health 3.0: A call to action for public health to meet the challenges of the 21st century. Prev Chronic Dis2017; 14: E78.
KailH. OSHA’s failure to protect America’s essential workers: The need for mandatory rules in the COVID-19 pandemic. U Pitt L Rev2021; 83: 641.
42.
MichaelsDWagnerGRRyanL. Lessons from COVID-19 for protecting workers in the next pandemic. JAMA2023; 330: 23–24.
43.
FineJ. Enforcing labor standards in partnership with civil society: Can co-enforcement succeed where the state alone has failed?Polit Soc2017; 45: 359–388.
