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COVID-19 Vaccination and Communicable Disease Testing Services' Integration Within a Syringe Services Program: A
Omeid Heidari1, Diane Meyer, Katie J O'Conor
1Omeid Heidari, PhD, MPH, ANP-C, is a Drug Dependence Epidemiology Training Fellow, Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA. Diane Meyer, RN, MPH, is a PhD student, Johns Hopkins University School of Nursing and Research Associate, Johns Hopkins Center for Health Security, Baltimore, Maryland, USA. Katie J. O'Conor, MD, is a Research Associate, Departments of Anesthesiology, Critical Care Medicine, and Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Victoria Cargill, MD, MSCE, is the Assistant Commissioner of Health, Baltimore City Health Department, Baltimore, Maryland, USA. Michelle Patch, PhD, MSN, APRN-CNS, ACNS-BC, is an Assistant Professor, Johns Hopkins University School of Nursing, Baltimore, Maryland, USA. Jason Farley, PhD, MPH, ANP-BC, FAANP, AACRN, is a Professor, Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Prioritizing COVID-19 vaccination for people who inject drugs is crucial due to their higher health risks. Co-locating vaccination with syringe services effectively reduces barriers to care.
Area of Science:
- Public Health
- Infectious Disease Prevention
- Health Equity
Background:
- Individuals who inject drugs face elevated risks for severe outcomes from coronavirus disease 2019 (COVID-19).
- Barriers to healthcare access exacerbate vulnerabilities within this population.
- There is a critical need to integrate COVID-19 vaccination strategies for people who inject drugs.
Purpose of the Study:
- To describe a collaborative initiative providing integrated health services.
- To assess the effectiveness of co-locating services for people who inject drugs.
- To share lessons learned from a community-based service delivery model.
Main Methods:
- A partnership was formed between the Baltimore City Health Department, Johns Hopkins Mobile Vaccine Unit, and the Center for Infectious Disease and Nursing Innovation.
- Services including COVID-19 vaccination, HIV/STI testing, wound care, and linkage to care were co-located with a syringe services program.
- Data on service delivery and participant engagement were collected.
Main Results:
- The co-location model successfully provided essential health interventions to a vulnerable population.
- Integrated services reduced barriers to accessing COVID-19 vaccination and other critical health needs.
- The initiative demonstrated a feasible approach to reaching underserved communities.
Conclusions:
- Co-locating health services, including COVID-19 vaccination, with syringe services programs is an effective strategy.
- This model enhances healthcare access and addresses health disparities for people who inject drugs.
- Community-based partnerships are vital for successful implementation and sustained impact.
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