The domino effect caused by the Delta variant’s surge across rural communities raises important questions about vaccination rate progress and the extent to which staffing challenges are impacting access to care.

Vaccine hesitancy and resistance among staff was prominent and heavily rooted in matters of personal choice and mistrust. Nearly 40% of respondents said that just 50% to 69% of healthcare personnel were fully vaccinated at the time, while roughly one-quarter said the vaccination rate was less than 50%.

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