What strategic actions may be implemented to reach high immunisation coverage for clinically vulnerable individuals? A process for achieving regional consensus using World Cafè methods.

BACKGROUND AND STUDY

DESIGN

Clinically vulnerable individuals, including the elderly, are at increased risk of adverse health outcomes following infections, due to immunosenescence, chronic inflammation, or underlying medical conditions. Despite measures such as the National Immunisation Prevention Plan and Regional Laws, immunisation coverage for herpes zoster, pneumococcus, and COVID-19 in the Apulia Region has declined in recent years. This study outlines strategic actions to improve vaccination coverage for clinically vulnerable individualss in the region, using methods like the World Café (WoCa) to achieve regional consensus.

METHODS

On 31st May 2023, a working group of Apulian researchers and healthcare workers, supported by the Regional Immunisation Committee, conducted a workshop. The WoCa method facilitated structured discussions across five thematic domains to generate innovative solutions for enhancing immunisation rates.

RESULTS

Key actions included active vaccination reminders in all formats of informed consent and during healthcare visits; improved training for healthcare workers conducting outreach; involving pharmacies in patient guidance alongside general practicioners (GPs) and public health operators; establishing vaccination clinics near specialist centres and employing mobile units; launching media campaigns to counteract misinformation using authoritative voices; providing vaccinology and scientific communication training for professionals; implementing a hub-and-spoke logistics system under the governance by the Department of Prevention (DP); and ensuring seamless communication between digital platforms for vaccine data reporting and monitoring.

CONCLUSION

The findings demonstrate the value of WoCa in achieving regional consensus to enhance immunisation for frail individuals. Collaboration among healthcare professionals, institutions, and the public is vital to raise awareness, improve accessibility, and address logistical challenges, ensuring equitable access to vaccination for vulnerable populations.