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Scope of Work STATEMENT OF NEED Orange County (OC) is the sixth most populous county in the US, with large health inequities affecting Latinos and Asian Americans and Pacific Islanders (AAPIs) who compose 55% of its 3.2 million inhabitants. More than 588,000 residents of the City of Santa Ana and the surrounding North OC area (up to 10 miles from city center) live in 92 census tracts that fall in the highest quartile of the Social Vulnerability Index (SVI; see Appendix 5). Residents of these high-SVI areas face barriers to accessing COVID-19 resources and to meeting Healthy People 2030 (HP2030) objectives for health literacy. They make up 18% of OC's total population, but 41% of its confirmed COVID-cases and 43% of COVID deaths. Latino and AAPI older adults (65+) in these areas have been vaccinated in proportions 10-20% lower than those of the total older adult population. In health care settings, they face language and access barriers that impede understanding (HC/HIT-01), communication (HC/HIT-02) and shared decision -making (HC/HIT-03). With COVID-19, inequities have grown as these communities face increased discrimination and violence, myths spread through ethnic media and social networks, and language and technical barriers with vaccine registration apps. The City, through its Santa Ana CARES campaign (see bit.ly/sacaresvideo) has illuminated burdens and assets unique to North OC, and gaps in leadership in the County's (OC Health Care Agency; OCHCA) responses to inequities in high SVI areas. Since May 2020, the OC Health Equity COVID-19 Community Academic Partnership (OCHEC-CAP) has convened community leaders and academic partners from a Minority Serving Institution to fill these gaps. Santa Ana is partnering with OCHEC-CAP to develop a Disparities Impact Statement and implement the Health Equity And Literacy in OC (HEAL-OC) Initiative.