Prevention of COVID-19 among populations experiencing multiple social exclusions

Platt, Lucy; Rathod, Sujit D; Cinardo, Paola; Guise, Andy; Hosseini, Paniz; Annand, P.J.; Surey, Julian; Burrows, Martin

doi:10.1136/jech-2021-216889

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…Including community organizations and local leaders in the actions of health workers can significantly improve the effectiveness of interventions. This community approach can strengthen bonds of trust and facilitate access to health services, thus contributing to improved vaccination coverage and the well-being of this population [45].…”

Section: Discussionmentioning

confidence: 99%

Completeness of the COVID-19 Vaccination Schedule among Persons Experiencing Homelessness in Brazil

Araújo,

Berra,

Ferezin

et al. 2024

Preprint

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Almost four years after COVID-19 was declared a global health emergency, equitable distribution of the vaccine remains a challenge, especially among homeless people, the fastest growing population in Brazil. Therefore, we sought to identify the factors associated with completion of the COVID-19 vaccination schedule among homeless people in Brazil. Materials and Methods: We carried out a cross-sectional study in the capital cities of Brazil's Federative Units, considering people living on the streets as the target population. We used a sequential inclusion approach, with individual interviews conducted by trained professionals, using a validated questionnaire. We used descriptive statistics to analyze the data and a binary logistic regression model to identify factors associated with homeless individuals who completed the COVID-19 vaccination schedule. Results: It was identified that the highest density of homeless people and indicators related to COVID-19 is located in the Northeast, Southeast and South regions of Brazil. The primary data sample consisted of 1,392 participants, predominantly male (n: 961; 69.0%), with an average age of 38.3±15.2 years, belonging to the black/brown race/color (n: 1,097; 78.8%), with an elementary school education (n: 1,060; 76.1%). The factors associated with completing the vaccination schedule were: receiving government aid (OR: 1.58; 95%CI: 1.09 - 2.30), visits from Health Agents from the Street Clinic (OR: 3.19; 95%CI: 1.95 - 5.36), history of COVID-19 (OR: 5.77; 95%CI: 3.17 - 11.15), support for mandatory vaccination against COVID-19 (OR: 3.76; 95%CI: 2.48 - 5.76), trust in the efficacy of vaccines (OR: 3.92; 95%CI: 2.63 - 5.89), seeking information from NGOs, street clinics, community leaders (OR: 1.91; 95%CI: 1.01 - 3.88) and trust in the Federal Government's statements on vaccines (OR: 1.57; 95%CI: 1.06 - 2.31).Conclusion: The study advances knowledge by highlighting the completeness of the COVID-19 vaccination schedule among the homeless population. The source of information proved to be one of the determinants of completeness, and the Unified Health System played a leading role in raising awareness among homeless people, notably through its strategy of street clinics, when available. The evidence points to the importance of affirmative and inclusive actions that guarantee access to the vaccine for homeless people.

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Section: Discussionmentioning

confidence: 99%

Completeness of the COVID-19 Vaccination Schedule among Persons Experiencing Homelessness in Brazil

Araújo,

Berra,

Ferezin

et al. 2024

Preprint

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“…The EPIC research program will contribute to wider reflections on developing and implementing research projects that respect the community-based research principles within a pandemic context [35]. Furthermore, the program has collected a consequential amount of data among populations who are not represented in general population survey data, who are often not adequately reached by traditional health structures, and who have specific needs [1,25,36].…”

Section: Principal Findingsmentioning

confidence: 99%

Impact of the COVID-19 Health Crisis on Key Populations at Higher Risk for, or Living With, HIV or Hepatitis C Virus and People Working With These Populations: Multicountry Community-Based Research Study Protocol (EPIC Program)

Delabre¹,

Ciaccio²,

Lorente³

et al. 2023

JMIR Res Protoc

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Background Information concerning the impact of the COVID-19 health crisis on populations most affected by HIV and hepatitis C virus (HCV; or key populations [KP]), and those working with these populations in community settings, is limited. Community-based organizations working in the field of HIV and viral hepatitis are well placed to identify and meet the new needs of KP owing to the health crisis. Objective This study aims to describe the development and implementation of an exploratory and descriptive multicountry, community-based research program, EPIC (Enquêtes Pour évaluer l’Impact de la crise sanitaire covid en milieu Communautaire), within an international network of community-based organizations involved in the response to HIV and viral hepatitis. The EPIC program aimed to study the impact of the COVID-19 health crisis on KP or people living with HIV or HCV and people working with these populations at the community level (community health workers [CHWs]) and to identify the key innovations and adaptations in HIV and HCV services. Methods A general protocol and study documents were developed and shared within the Coalition PLUS network. The protocol had a built-in flexibility that allowed participating organizations to adapt the study to local needs in terms of the target population and specific themes of interest. Data were collected using surveys or interviews. Results From July 2020 to May 2022, a total of 79 organizations participated in the EPIC program. Across 32 countries, 118 studies were conducted: 66 quantitative (n=12,060 among KP or people living with HIV or people living with HCV and n=811 among CHWs) and 52 qualitative (n=766 among KP or people living with HIV or people living with HCV and n=136 among CHWs). Conclusions The results of the EPIC program will provide data to describe the impact of the health crisis on KP and CHWs and identify their emerging needs. Documentation of innovative solutions that were put into place in this context may help improve the provision of services after COVID-19 and for future health crises. International Registered Report Identifier (IRRID) DERR1-10.2196/45204

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Critical Theory

Parry

2023

Handbook of Social Sciences and Global Public Health

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Prevention of COVID-19 among populations experiencing multiple social exclusions

Cited by 7 publications

References 10 publications

Completeness of the COVID-19 Vaccination Schedule among Persons Experiencing Homelessness in Brazil

Completeness of the COVID-19 Vaccination Schedule among Persons Experiencing Homelessness in Brazil

Impact of the COVID-19 Health Crisis on Key Populations at Higher Risk for, or Living With, HIV or Hepatitis C Virus and People Working With These Populations: Multicountry Community-Based Research Study Protocol (EPIC Program)

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