Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communities
Background: Racialized, low-income, and migrant populations experience persistent barriers to vaccines against COVID-19. These communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. Diverse multi-stakeholder coalitions and community...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Journal of Migration and Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666623523000387 |
| _version_ | 1797799895235559424 |
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| author | Linda E. Holdbrook Nour Hassan Sarah K. Clarke Annalee Coakley Eric Norrie Mussie Yemane Michael R. Youssef Adanech Sahilie Minnella Antonio Edna Ramirez Cerino Sachin R. Pendharkar Deidre Lake Denise L. Spitzer Kevin Pottie Samuel T. Edwards Gabriel E. Fabreau |
| author_facet | Linda E. Holdbrook Nour Hassan Sarah K. Clarke Annalee Coakley Eric Norrie Mussie Yemane Michael R. Youssef Adanech Sahilie Minnella Antonio Edna Ramirez Cerino Sachin R. Pendharkar Deidre Lake Denise L. Spitzer Kevin Pottie Samuel T. Edwards Gabriel E. Fabreau |
| author_sort | Linda E. Holdbrook |
| collection | DOAJ |
| description | Background: Racialized, low-income, and migrant populations experience persistent barriers to vaccines against COVID-19. These communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. Diverse multi-stakeholder coalitions and community partnerships can improve vaccine outreach strategies, but how stakeholders perceive these models is unknown. Methods: We conducted a formative evaluation of a low-barrier, community-engaged vaccine outreach clinic in Calgary, Alberta, Canada, on June 5–6, 2021. We delivered an online post-clinic survey to clinic stakeholders, to assess whether the clinic achieved its collectively derived pre-specified goals (effective, efficient, patient-centered, and safe), to asses whether the clinic model was scalable, and to solicit improvement recommendations. Survey responses were analyzed using descriptive statistics and thematic analysis. Results: Overall, 166/195 (85%) stakeholders responded. The majority were from non-healthcare positions (59%), between 30 and 49 years of age (87/136; 64%), and self-identified as racialized individuals (96/136; 71%). Respondents felt the clinic was effective (99.2%), efficient (96.9%), patient-centered (92.3%), and safe (90.8%), and that the outreach model was scalable 94.6% (123/130). There were no differences across stakeholder categories. The open-ended survey responses supported the scale responses. Improvement suggestions describe increased time for clinic planning and promotion, more multilingual staff, and further efforts to reduce accessibility barriers, such as priority check-in for people with disabilities. Conclusion: Diverse stakeholders almost universally felt that this community-engaged COVID-19 vaccine outreach clinic achieved its goals and was scalable. These findings support the value of community-engaged outreach to improve vaccine equity among other marginalized newcomer communities. |
| first_indexed | 2024-03-13T04:26:52Z |
| format | Article |
| id | doaj.art-611f10fbf8d247038713f87584ffd19e |
| institution | Directory Open Access Journal |
| issn | 2666-6235 |
| language | English |
| last_indexed | 2024-03-13T04:26:52Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Migration and Health |
| spelling | doaj.art-611f10fbf8d247038713f87584ffd19e2023-06-20T04:21:09ZengElsevierJournal of Migration and Health2666-62352023-01-017100188Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communitiesLinda E. Holdbrook0Nour Hassan1Sarah K. Clarke2Annalee Coakley3Eric Norrie4Mussie Yemane5Michael R. Youssef6Adanech Sahilie7Minnella Antonio8Edna Ramirez Cerino9Sachin R. Pendharkar10Deidre Lake11Denise L. Spitzer12Kevin Pottie13Samuel T. Edwards14Gabriel E. Fabreau15Department of Medicine, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, CanadaDepartment of Medicine, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, CanadaSociety of Refugee Healthcare Providers, CanadaMosaic Refugee Health Clinic, Canada; Departments of Medicine and Community Health Sciences, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, CanadaDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, CanadaDepartment of Medicine, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, CanadaDepartment of Medicine, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, CanadaDepartment of Medicine, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, CanadaDepartment of Medicine, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, CanadaDepartment of Medicine, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, CanadaDepartment of Medicine and Community Health Sciences, CSM, University of Calgary, CanadaAlberta International Medical Graduates Association (AIMGA), CanadaSchool of Public Health, University of Alberta, Edmonton, CanadaDepartments of Family Medicine, Epidemiology and Biostatistics, Western University, London, ON, Canada; Institute du Saviour Montfort, Ottawa, ON, CanadaSection of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR, United States; Department of Medicine, Oregon Health & Science UniversityDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada,; O'Brien Institute for Public Health, University of Calgary, AB, Canada; Corresponding author at: TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada.Background: Racialized, low-income, and migrant populations experience persistent barriers to vaccines against COVID-19. These communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. Diverse multi-stakeholder coalitions and community partnerships can improve vaccine outreach strategies, but how stakeholders perceive these models is unknown. Methods: We conducted a formative evaluation of a low-barrier, community-engaged vaccine outreach clinic in Calgary, Alberta, Canada, on June 5–6, 2021. We delivered an online post-clinic survey to clinic stakeholders, to assess whether the clinic achieved its collectively derived pre-specified goals (effective, efficient, patient-centered, and safe), to asses whether the clinic model was scalable, and to solicit improvement recommendations. Survey responses were analyzed using descriptive statistics and thematic analysis. Results: Overall, 166/195 (85%) stakeholders responded. The majority were from non-healthcare positions (59%), between 30 and 49 years of age (87/136; 64%), and self-identified as racialized individuals (96/136; 71%). Respondents felt the clinic was effective (99.2%), efficient (96.9%), patient-centered (92.3%), and safe (90.8%), and that the outreach model was scalable 94.6% (123/130). There were no differences across stakeholder categories. The open-ended survey responses supported the scale responses. Improvement suggestions describe increased time for clinic planning and promotion, more multilingual staff, and further efforts to reduce accessibility barriers, such as priority check-in for people with disabilities. Conclusion: Diverse stakeholders almost universally felt that this community-engaged COVID-19 vaccine outreach clinic achieved its goals and was scalable. These findings support the value of community-engaged outreach to improve vaccine equity among other marginalized newcomer communities.http://www.sciencedirect.com/science/article/pii/S2666623523000387Vaccine equityCommunity-engagedMigrantsCOVID-19CBPRVaccine hesitancy |
| spellingShingle | Linda E. Holdbrook Nour Hassan Sarah K. Clarke Annalee Coakley Eric Norrie Mussie Yemane Michael R. Youssef Adanech Sahilie Minnella Antonio Edna Ramirez Cerino Sachin R. Pendharkar Deidre Lake Denise L. Spitzer Kevin Pottie Samuel T. Edwards Gabriel E. Fabreau Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communities Journal of Migration and Health Vaccine equity Community-engaged Migrants COVID-19 CBPR Vaccine hesitancy |
| title | Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communities |
| title_full | Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communities |
| title_fullStr | Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communities |
| title_full_unstemmed | Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communities |
| title_short | Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communities |
| title_sort | vaccines for all a formative evaluation of a multistakeholder community engaged covid 19 vaccine outreach clinic for migrant communities |
| topic | Vaccine equity Community-engaged Migrants COVID-19 CBPR Vaccine hesitancy |
| url | http://www.sciencedirect.com/science/article/pii/S2666623523000387 |
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