Vaccination: the “go-to” strategy to reach vulnerable people

Maybe tonight, during our marauding, our teams will vaccinate seven people, it doesn’t seem like much, but it’s already great! “, observes Gabrielle Legourd, engaged in the deployment of vaccination among vulnerable populations at the Red Cross. A figure far from the national average, which is around 300,000 daily vaccinations. But a small victory for those working in the field in contact with these populations.

Access to vaccination more complicated

“Access to vaccination reproduces the unequal access to health care in France for vulnerable people”, underlines the project manager. In July, a Drees study found that people with poor living conditions are three times more likely to forego healthcare than others ”. Within Médecins sans Frontières, this can be seen in the figures:70% of our beneficiaries have no health cover ”, assesses Elsa Vidal, member of the board of directors.

The generalization of the health pass is worrying. Gabrielle Legourd, at the Red Cross, fears new obstacles, for audiences already tested. An example : “Migrant populations in the process of being regulated are obliged to travel to go to their process, she recalls. But if you need a health pass to take the train, that will represent a significant obstacle. “ And a direct brake on their administrative procedures.

“Hand-sewn” devices

To avoid it, we must increase the vaccination coverage of vulnerable populations, hammer professionals. “One of the main difficulties is making an appointment via the Internet”, notes Annie-Claire Cottu, head of the Secours populaire doctors. And faced with poorly informed or skeptical beneficiaries, a lot of pedagogy, “Not to convince but to incite”, she continues. Fieldwork that associations are best able to carry out, through their daily proximity to vulnerable populations.

→ READ. Covid-19: the homeless will become a priority for vaccination

To overcome these difficulties, the Red Cross has set up four mechanisms “Hand sewn”, where the strategy of ” move towards “. ” Otherwise, it does not work “, assures Gabrielle Legourd. A policy also defended by Elsa Vidal and Médecins du monde, because “It takes into account the constraints exerted on these populations, for which we already have a lot of requirements”.

The government seems to be getting down to it: in a circular addressed to the prefects and regional health agencies (ARS), it asks to prioritize “In situ vaccination” migrants accommodated in state structures.

A profitable strategy

The involvement of payroll associations, supported by the health insurance services and the ARS. At Secours populaire, the first field trips are underway, with very positive feedback according to Annie-Claire Cottu. At the Red Cross, the figures speak for themselves: 8,000 vulnerable people have been vaccinated thanks to its recent devices. And this, despite the difficulty of tracing certain audiences for the injection of the second dose.

→ EDITORIAL. The right to the vaccine

During the campaign among the homeless in Strasbourg, 90% of first-time vaccines were totally vaccinated at the end of July. “It’s a surprising example, we had given them a piece of paper with a date and a place, a street crossing and they came back”, relates Gabrielle Legourt.

Beyond vaccination, she sees this campaign as “An additional opportunity” to raise awareness more generally about access to healthcare and the rights available to precarious populations. A feeling shared by Annie-Claire Cottu: “It’s a step forward in taking their health into account. “


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