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The Collective for Health Equity and Well-Being

Cooperative Extension’s Collective for Health Equity and Well-Being is a community of Extension personnel and their partners united by their shared commitment to advancing health equity and well-being. Members work together to support the implementation of Cooperative Extension’s National Framework for Health Equity and Well-Being (2021) to ensure that all people can be as healthy as they can be.

The EXCITE Project: Impact of Immunization Education Programs at 1890 Institutions

The 1890 Universities Foundation collaborated with the Extension Foundation to implement the system-wide program, Extension Collaborative on
Immunization Teaching and Engagement (EXCITE). EXCITE addresses
barriers and increases confidence about COVID-19, flu, and other
vaccinations among rural and medically underserved audiences and informs
CDC, USDA-NIFA, Cooperative Extension, and health partners about how best to implement public health programs to reduce health disparities.
EXCITE projects at 1890 Institutions strive to promote health, remove
disparities, and empower Black communities through immunization education programs.

The "Vaccinate with Confidence" campaign was completed in October of 2022 and educated various target populations about the importance of
immunizations against COVID-19 in order to increase vaccine confidence.
Seventeen 1890  institutions participated in the one-year project.

Immunization Education Pilots develop and evaluate new strategies to inform best practices for future vaccination education programming. Immunization Education Pilots are two-year projects that will wrap up in May 2023.
These projects have been busy creating and testing messages, as well as
learning from the communities about how CES, CDC, and local healthcare
providers could collaborate to inform and reach people with adult
immunization education. Five 1890 institutions were chosen to lead these

1890 Region EXCITE impact:

  • Seventeen 1890 LGUs participated in EXCITE
  • 3,605,836 and counting individuals reached
  • 98 counties in 17 states reached
  • 2 Native American reservations reached
  • 80 community and healthcare partners formed

Learn more about the 1890 EXCITE projects:

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About the Extension Foundation

The Extension Foundation was formed in 2006 by Extension Directors and Administrators. Today, the Foundation partners with Cooperative Extension through liaison roles and a formal plan of work with the Extension Committee on Organization and Policy (ECOP) to increase system capacity while providing programmatic services, and helping Extension programs scale and investigate new methods and models for implementing programs. The Foundation provides professional development to Cooperative Extension professionals and offers exclusive services to its members. In 2020 and 2021, the Extension Foundation has awarded 85% of its direct funding back to the Cooperative Extension System, 100% of funds are used to support Cooperative Extension initiatives. 

This technology is supported in part by New Technologies for Ag Extension (funding opportunity no. USDA-NIFA-OP-010186), grant no. 2023-41595-41325 from the USDA National Institute of Food and Agriculture. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the U.S. Department of Agriculture or the Extension Foundation. For more information, please visit You can view the terms of useat

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