Expanding vaccination access in underserved communities across Maryland through a collaborative approach

Area of Science:

• Public Health
• Geriatric Medicine
• Vaccinology

Background:

• A collaborative initiative focused on improving vaccination access for underserved older adults, including those with disabilities, in Maryland.
• Historically marginalized communities faced significant barriers to receiving essential adult immunizations.

Purpose of the Study:

• To expand equitable access to all recommended adult vaccines, with a specific emphasis on influenza and coronavirus disease-2019 (COVID-19) for individuals aged 60 and older.
• To address and overcome socioeconomic and logistical challenges hindering vaccine uptake in senior populations.

Main Methods:

• A multidisciplinary team including pharmacists, students, and community health workers developed a community-based outreach model.
• Vaccination services were delivered through various accessible channels: community centers, pharmacies, senior housing, and individual homes.
• Educational materials and referral services were provided, alongside scheduling and transportation assistance, to facilitate vaccine access.

Main Results:

• Over 23,500 vaccines were administered, with COVID-19 (48%) and influenza (36%) being the most common.
• Community outreach efforts reached over 115,000 individuals.
• More than 11,400 individuals received support for scheduling, transportation, and referrals.

Conclusions:

• Community-based collaborative efforts significantly improved vaccination service uptake among older adults, including those with disabilities.
• Partnerships with trusted community organizations and bringing services directly to residents were key to overcoming access barriers.
• The program's success led to continued funding and expansion through 2025.