A community-based volunteer service to reduce COVID-19 vaccination inequities in New York City

Author:

Tay Ee Tein1ORCID,Fernbach Madalyn2,Chen Haidee3,Ng Charis4,Tapia Jade1,O’Callaghan Stasha5

Affiliation:

1. Department of Emergency Medicine and Pediatrics, NYU Grossman School of Medicine , New York, NY 10016 , USA

2. Penn State College of Medicine , Hershey, PA 17033 , USA

3. David Geffen School of Medicine, University of California Los Angeles , Los Angeles, CA 90095 , USA

4. Office of Institutional Research, State University of New York Downstate Health Sciences University , Brooklyn, NY 11203 , USA

5. Office of Quality and Safety, NYC Health+Hospitals , New York, NY 10004 USA

Abstract

Abstract Objectives We describe our experiences and challenges as community volunteers in assisting individuals in scheduling initial COVID-19 vaccine appointments and highlight disparities and barriers in vaccine access in New York City (NYC). Methods Priority for assistance was given to individuals who were eligible for vaccination in NYC and New York State with the following barriers: technological, language, medical, physical and undocumented immigrants. Volunteers in NYC performed outreach and created program to assist in scheduling appointments. Results In sum, 2101 requests were received to schedule COVID-19 vaccine appointments from 28 February to 30 April 2021. Vaccinations were successfully scheduled for 1935 (92%) individuals. Challenges in this project included limited community outreach, language barriers, transportation difficulties and safety concerns travelling to vaccination sites. Spanish (40.5%) and Chinese (35.6%) were the primary languages spoken by appointment requesters. Most requests came from residents of Queens (40%) and Brooklyn (27.2%). Conclusions The older population, public-facing workers, non-English speakers, undocumented immigrants and the medically complicated population experienced challenges in vaccine appointment access. In-person services and early website access in languages in addition to English may have reduced barriers in appointment navigation. While volunteers faced numerous obstacles when assisting individuals in scheduling vaccine appointments, most found the work fulfilling and rewarding.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

Reference16 articles.

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