为无家可归者提供 COVID-19 疫苗接种外联服务。

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Journal of Australia Pub Date : 2024-06-17 DOI:10.1002/hpja.885
Olivia Hollingdrake, Elizabeth Grech, Leanne Papas, Jane Currie
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引用次数: 0

摘要

问题解决:2021 年,澳大利亚政府在全国范围内实施了 COVID-19 疫苗接种计划。无家可归者在接种疫苗方面面临挑战,许多人无法接种疫苗。布里斯班的一个非营利性医疗保健团队通过调整疫苗接种服务的方向,将自信的外展策略纳入其中,成功地为无家可归者和岌岌可危者接种了 2065 支 COVID-19 疫苗。本研究探讨了提供服务的利益相关者的见解以及接种疫苗的客户的观点:方法:本研究对参与 Micah Projects COVID-19 疫苗接种计划的五位利益相关者进行了半结构式访谈,并对 63 位客户进行了调查。客户调查的问题包括人口特征、接种疫苗的动机和犹豫不决的态度。对利益相关者的访谈进行了归纳分析,并将定量调查数据导出到 SPSS(IBM V27)中,使用描述性统计进行分析:米迦项目团队启动了 220 个弹出式疫苗接种诊所,并与土著居民和托雷斯海峡岛民社区密切合作。缩减规模和动员服务使更多露宿者以及土著居民和托雷斯海峡岛民参与进来。接种对象往往是自发决定接种疫苗,其原因是即时可用性以及保持健康和保护社区的愿望:结论:对疫苗接种计划进行调整,纳入积极的外联策略,可有效减少无家可归者面临的障碍。社区嵌入性、信任、灵活性和文化安全是成功的关键因素。所以呢?调整医疗服务的方向以消除结构性障碍并建立必要的支持性环境来克服疫苗接种犹豫不决的问题,是确保公平接种和促进健康的关键因素。
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Implementing a COVID-19 vaccination outreach service for people experiencing homelessness.

Issue addressed: In 2021, the Australian government implemented a population wide COVID-19 vaccination program. People experiencing homelessness faced challenges accessing vaccines and many were not being reached. By reorienting vaccination services to include assertive outreach strategies, a Brisbane-based non-profit health care team successfully administered 2065 COVID-19 vaccinations to homeless and precariously housed people. This study examines insights from stakeholders delivering the service and perspectives of clients who received a vaccine.

Methods: Semi-structured interviews with five stakeholders and a survey of 63 clients involved in the Micah Projects COVID-19 vaccination program are reported. Client survey questions covered demographic characteristics, and motivations and hesitancies around vaccination. Stakeholder interviews were inductively analysed and quantitative survey data were exported into SPSS (IBM V27) and analysed using descriptive statistics.

Results: The Micah Projects team initiated 220 pop-up vaccination clinics and worked closely with Aboriginal and Torres Strait Islander communities. Downsizing and mobilising the service engaged greater numbers of people sleeping rough and Aboriginal and Torres Strait Islander people. Clients' decisions to vaccinate were often spontaneous, driven by immediate availability and motivated by a desire to stay healthy and protect the community.

Conclusions: Tailoring vaccination programs to include assertive outreach strategies effectively reduces barriers for people experiencing homelessness. Community embeddedness, trust, flexibility and cultural safety are critical elements for success. SO WHAT?: People experiencing homelessness are motivated to vaccinate. Reorientating health services to remove structural barriers and build the supportive environments needed to work through vaccine hesitancies are critical elements to ensure equitable access and promote health.

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来源期刊
Health Promotion Journal of Australia
Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.10
自引率
10.50%
发文量
115
期刊介绍: The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.
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