TY  - JOUR
AU  - Ekezie, Winifred
AU  - Awwad, Samy
AU  - Krauchenberg, Arja
AU  - Karara, Nora
AU  - Dembiński, Łukasz
AU  - Grossman, Zachi
AU  - del Torso, Stefano
AU  - Dornbusch, Hans Juergen
AU  - Neves, Ana
AU  - Copley, Sian
AU  - Mazur, Artur
AU  - Hadjipanayis, Adamos
AU  - Grechukha, Yevgenii
AU  - Nohynek, Hanna
AU  - Damnjanović, Kaja
AU  - Lazić, Milica
AU  - Papaevangelou, Vana
AU  - Lapii, Fedir
AU  - Stein-Zamir, Chen
AU  - Rath, Barbara
AU  - for the ImmuHubs Consortium, null
PY  - 2022
UR  - http://reff.f.bg.ac.rs/handle/123456789/4729
AB  - Vaccination has a significant impact on morbidity and mortality. High vaccination coverage
rates are required to achieve herd protection against vaccine-preventable diseases. However, limited
vaccine access and hesitancy among specific communities represent significant obstacles to this goal.
This review provides an overview of critical factors associated with vaccination among disadvantaged
groups in World Health Organisation European countries. Initial searches yielded 18,109 publications
from four databases, and 104 studies from 19 out of 53 countries reporting 22 vaccine-preventable
diseases were included. Nine groups representing the populations of interest were identified, and
most of the studies focused on asylum seekers, refugees, migrants and deprived communities.
Recall of previous vaccinations received was poor, and serology was conducted in some cases to
confirm protection for those who received prior vaccinations. Vaccination coverage was lower among
study populations compared to the general population or national average. Factors that influenced
uptake, which presented differently at different population levels, included health service accessibility,
language and vaccine literacy, including risk perception, disease severity and vaccination benefits.
Strategies that could be implemented in vaccination policy and programs were also identified. Overall,
interventions specific to target communities are vital to improving uptake. More innovative strategies
need to be deployed to improve vaccination coverage among disadvantaged groups.
PB  - MDPI AG
T2  - Vaccines
T1  - Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review
IS  - 7
SP  - 1038
VL  - 10
DO  - 10.3390/vaccines10071038
ER  - 

@article{
author = "Ekezie, Winifred and Awwad, Samy and Krauchenberg, Arja and Karara, Nora and Dembiński, Łukasz and Grossman, Zachi and del Torso, Stefano and Dornbusch, Hans Juergen and Neves, Ana and Copley, Sian and Mazur, Artur and Hadjipanayis, Adamos and Grechukha, Yevgenii and Nohynek, Hanna and Damnjanović, Kaja and Lazić, Milica and Papaevangelou, Vana and Lapii, Fedir and Stein-Zamir, Chen and Rath, Barbara and for the ImmuHubs Consortium, null",
year = "2022",
abstract = "Vaccination has a significant impact on morbidity and mortality. High vaccination coverage
rates are required to achieve herd protection against vaccine-preventable diseases. However, limited
vaccine access and hesitancy among specific communities represent significant obstacles to this goal.
This review provides an overview of critical factors associated with vaccination among disadvantaged
groups in World Health Organisation European countries. Initial searches yielded 18,109 publications
from four databases, and 104 studies from 19 out of 53 countries reporting 22 vaccine-preventable
diseases were included. Nine groups representing the populations of interest were identified, and
most of the studies focused on asylum seekers, refugees, migrants and deprived communities.
Recall of previous vaccinations received was poor, and serology was conducted in some cases to
confirm protection for those who received prior vaccinations. Vaccination coverage was lower among
study populations compared to the general population or national average. Factors that influenced
uptake, which presented differently at different population levels, included health service accessibility,
language and vaccine literacy, including risk perception, disease severity and vaccination benefits.
Strategies that could be implemented in vaccination policy and programs were also identified. Overall,
interventions specific to target communities are vital to improving uptake. More innovative strategies
need to be deployed to improve vaccination coverage among disadvantaged groups.",
publisher = "MDPI AG",
journal = "Vaccines",
title = "Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review",
number = "7",
pages = "1038",
volume = "10",
doi = "10.3390/vaccines10071038"
}

Ekezie, W., Awwad, S., Krauchenberg, A., Karara, N., Dembiński, Ł., Grossman, Z., del Torso, S., Dornbusch, H. J., Neves, A., Copley, S., Mazur, A., Hadjipanayis, A., Grechukha, Y., Nohynek, H., Damnjanović, K., Lazić, M., Papaevangelou, V., Lapii, F., Stein-Zamir, C., Rath, B.,& for the ImmuHubs Consortium, n.. (2022). Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review. in Vaccines
MDPI AG., 10(7), 1038.
https://doi.org/10.3390/vaccines10071038

Ekezie W, Awwad S, Krauchenberg A, Karara N, Dembiński Ł, Grossman Z, del Torso S, Dornbusch HJ, Neves A, Copley S, Mazur A, Hadjipanayis A, Grechukha Y, Nohynek H, Damnjanović K, Lazić M, Papaevangelou V, Lapii F, Stein-Zamir C, Rath B, for the ImmuHubs Consortium N. Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review. in Vaccines. 2022;10(7):1038.
doi:10.3390/vaccines10071038 .

Ekezie, Winifred, Awwad, Samy, Krauchenberg, Arja, Karara, Nora, Dembiński, Łukasz, Grossman, Zachi, del Torso, Stefano, Dornbusch, Hans Juergen, Neves, Ana, Copley, Sian, Mazur, Artur, Hadjipanayis, Adamos, Grechukha, Yevgenii, Nohynek, Hanna, Damnjanović, Kaja, Lazić, Milica, Papaevangelou, Vana, Lapii, Fedir, Stein-Zamir, Chen, Rath, Barbara, for the ImmuHubs Consortium, null, "Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review" in Vaccines, 10, no. 7 (2022):1038,
https://doi.org/10.3390/vaccines10071038 . .