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Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context

Authors :
Elettra Carini
Chiara Cadeddu
Carolina Castagna
Mario Cesare Nurchis
Teresa Eleonora Lanza
Adriano Grossi
Andrea Barbara
Svetlana Axelrod
on behalf of the At Home COVID-19 Vax Team
Mauro Goletti
Paolo Parente
Source :
Vaccines, Vol 9, Iss 11, p 1256 (2021)
Publication Year :
2021
Publisher :
MDPI AG, 2021.

Abstract

The COVID-19 pandemic called for a reorganisation of the methods for providing health services. The aim of this paper is to describe the organisational model implemented by one of Rome’s Local Health Units (LHU), ASL Roma 1, for the “at-home COVID-19 vaccination campaign” dedicated to a target population and to outline data related to vaccination coverage stratified by health districts. A cross-sectional study was designed to describe the strategies implemented by LHU to deliver at-home vaccination programmes. People eligible for the at-home vaccination programme included patients living in the area of the LHU, being assisted by the district home care centre or not transportable or individuals with social situations that make traveling difficult. Priority for vaccination was given to (I) age > 80 years, (II) ventilated patients with no age limit, (III) very seriously disabled people with no age limit. Patients’ data were acquired from regional and LHU databases. From 5 February until the 16 May, 6127 people got at least one dose of Pfizer-Biontech Comirnaty® vaccine, while 5278 (86.14%) completed the necessary two doses. The highest number of vaccines was administered during the first week of April, reaching 1296 doses overall. The number of vaccines administered were similar across the districts. The average number of people vaccinated at home was 6 per 1000 inhabitants in the LHU. This model proved to be extremely complex but effective, reaching satisfying results in terms of vaccination coverage.

Details

Language :
English
ISSN :
2076393X
Volume :
9
Issue :
11
Database :
Directory of Open Access Journals
Journal :
Vaccines
Publication Type :
Academic Journal
Accession number :
edsdoj.75d3b68cef5747f49ad439994a680623
Document Type :
article
Full Text :
https://doi.org/10.3390/vaccines9111256