*Article* **Understanding COVID: Collaborative Government Campaign for Citizen Digital Health Literacy in the COVID-19 Pandemic**

**Mónica López-Ventoso <sup>1</sup> , Marta Pisano González 1,2,\* , Cristina Fernández García 1,2 , Isabel Diez Valcarce 1, Inés Rey Hidalgo 3, María Jesús Rodríguez Nachón 1, Ana María Menéndez García 1, Michelle Perello <sup>4</sup> , Beatrice Avagnina 4, Oscar Zanutto <sup>5</sup> and Alberto Lana 2,6**


**Abstract:** The strategy "Understanding COVID" was a Public Health campaign designed in 2020 and launched in 2021 in Asturias-Spain to provide reliable and comprehensive information oriented to vulnerable populations. The campaign involved groups considered socially vulnerable and/or highly exposed to COVID-19 infection: shopkeepers and hoteliers, worship and religious event participants, school children and their families, and scattered rural populations exposed to the digital divide. The purpose of this article was to describe the design of the "Understanding COVID" strategy and the evaluation of the implementation process. The strategy included the design and use of several educational resources and communication strategies, including some hundred online training sessions based on the published studies and adapted to the language and dissemination approaches, that reached 1056 people of different ages and target groups, an accessible website, an informative video channel, posters and other pedagogical actions in education centers. It required a great coordination effort involving different public and third-sector entities to provide the intended pandemic protection and prevention information at that difficult time. A communication strategy was implemented to achieve different goals: reaching a diverse population and adapting the published studies to different ages and groups, focusing on making it comprehensible and accessible for them. In conclusion, given there is a common and sufficiently important goal, it is possible to achieve effective collaboration between different governmental bodies to develop a coordinated strategy to reach the most vulnerable populations while taking into consideration their different interests and needs.

**Keywords:** eHealth; (d)health literacy; health literacy; health intervention; health strategy; digital health; pandemic; COVID-19
