To furnish a model to ensure access and use of healthcare services to the undocumented and homeless population. Between March 2020 and October 2021, public and third sector actors in Rome implemented an accessible COVID-19 screening service and vaccination program targeting the homeless and undocumented population. 95.6% of the patients tested negative to both rapid and molecular tests. 0.9% tested positive to both. 0.7% were false negatives, while 2.8% were false positives. None of the participants refused the diagnostic treatment. From July to October 2021, 1384 people received a complete cycle of the COVID-19 vaccine through the program. 632 (45.6%) also agreed to perform the antibodies testing before inoculation. 318 (50.31%) of these were positive at the time of vaccination. We present a cost-effective model for reducing structural barriers to access diagnostic and preventive services for the homeless and undocumented population that can be applied to different public health settings.
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http://dx.doi.org/10.3389/ijph.2022.1604851 | DOI Listing |
Int J Environ Res Public Health
June 2024
Action Research Collaborative (ARC), Cornell University, Ithaca, NY 14853, USA.
Homelessness, affecting over half a million Americans, significantly elevates the risks of mental and physical health issues, consequently diminishing life expectancy when compared with the general population. Homelessness is a critical public health issue, and efforts are needed to address lack of housing as a social determinant of health. Transitional housing (TH) programs emerge as vital interventions, offering a place to stay with various support services to facilitate the transition to permanent residency.
View Article and Find Full Text PDFGesundheitswesen
June 2024
Migration und Gesundheit, Land Berlin Senatsverwaltung für Wissenschaft, Gesundheit und Pflege, Berlin, Germany.
In addition to unemployment, poor living and housing conditions and increased morbidity, precarious living situations are often characterized by a lack of or inadequate health insurance. In the Federal Republic of Germany, there is a difficult-to-quantify number of people who, for various reasons, have only limited health insurance coverage or none at all. Those affected include German citizens, EU citizens, and non-EU-citizens who are frequently homeless and/or undocumented.
View Article and Find Full Text PDFLancet
November 2023
Collaborative Centre for Inclusion Health, University College London, London, UK.
Background: Research suggests some migrant women are at increased risk of mortality and morbidity in the perinatal period; however, there is a gap in co-produced research to improve care. The UK National Institute for Health and Care Research (NIHR) defines co-production as "an approach in which researchers, practitioners, and members of the public work together, sharing power and responsibility". We summarise learnings from our study, which aimed to co-produce solutions to improve maternity care for migrant women in the UK, by working with women to identify the most important research priorities.
View Article and Find Full Text PDFEur Rev Med Pharmacol Sci
November 2023
Scientific Direction, San Gallicano Dermatology Institute for Research and Care, IFO, Rome, Italy.
Objective: This study aimed to investigate COVID-19 spread among people experiencing homelessness (PEH), undocumented migrants (UMs), and shelter staff of homeless service sites. Another aim has been to prevent an outbreak among these populations. A San Gallicano Institute's initiative to sustain the health system in helping hard-to-reach populations, very often with no community medical care coverage.
View Article and Find Full Text PDFBackground: Health disparities and the unequal distribution of social resources impact health outcomes. By considering social determinants of health (SDH), clinicians can provide holistic and equitable care. However, barriers such as lack of time or understanding of the relevance of SDH to patient care prevent providers from addressing SDH.
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