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Carini E, Cadeddu C, Castagna C, Nurchis MC, Lanza TE, Grossi A, Barbara A, Axelrod S, Goletti M, Parente P. Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context. Vaccines (Basel) 2021; 9:vaccines9111256. [PMID: 34835187 PMCID: PMC8620176 DOI: 10.3390/vaccines9111256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Revised: 10/18/2021] [Accepted: 10/25/2021] [Indexed: 11/28/2022] Open
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.
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Affiliation(s)
- Elettra Carini
- Health Directorate, Local Health Authority Asl Roma 1, 00193 Rome, Italy; (E.C.); (A.G.); (A.B.); (M.G.); (P.P.)
- Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (C.C.); (T.E.L.)
| | - Chiara Cadeddu
- Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (C.C.); (T.E.L.)
- Correspondence: ; Tel.: +39-06-3015-4396
| | - Carolina Castagna
- Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (C.C.); (T.E.L.)
| | - Mario Cesare Nurchis
- Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A, Gemelli IRCCS, 00168 Rome, Italy;
| | - Teresa Eleonora Lanza
- Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (C.C.); (T.E.L.)
| | - Adriano Grossi
- Health Directorate, Local Health Authority Asl Roma 1, 00193 Rome, Italy; (E.C.); (A.G.); (A.B.); (M.G.); (P.P.)
- Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (C.C.); (T.E.L.)
| | - Andrea Barbara
- Health Directorate, Local Health Authority Asl Roma 1, 00193 Rome, Italy; (E.C.); (A.G.); (A.B.); (M.G.); (P.P.)
| | - Svetlana Axelrod
- Institute of Leadership, University of Sechenov, 119435 Moscow, Russia;
| | - on behalf of the At Home COVID-19 Vax Team
- Health Directorate, Local Health Authority Asl Roma 1, 00193 Rome, Italy; (E.C.); (A.G.); (A.B.); (M.G.); (P.P.)
- Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (C.C.); (T.E.L.)
| | - Mauro Goletti
- Health Directorate, Local Health Authority Asl Roma 1, 00193 Rome, Italy; (E.C.); (A.G.); (A.B.); (M.G.); (P.P.)
| | - Paolo Parente
- Health Directorate, Local Health Authority Asl Roma 1, 00193 Rome, Italy; (E.C.); (A.G.); (A.B.); (M.G.); (P.P.)
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