Impact of fairness-based techniques in optimization of vaccine allocation among refugees during pandemics: a scoping rewiew
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Public Health Department, Koc University Faculty of Medicine, Türkiye
Koc University Faculty of Medicine, Turkiye
Public Health Department, Faculty of Medicine, Koc University, Türkiye
Publication date: 2023-04-27
Popul. Med. 2023;5(Supplement):A1343
Objective: The refugees’ access to vaccination is an important operational issue to be solved for fair and equitable public health interventions. The objective is to explore the impact of fairness-based techniques in optimization of vaccine delivery during pandemics on the vaccination rate among refugees. Methods: This is a scoping review conducted by using the Keywords such as modeling, distribution, pandemics, fairness, optimization, vaccine allocation and refugees. A librarian conducted the literature search in Pubmed, Scopus, Web of Science, Cochrane library, and Ovid MedLine databases for the period of 2009-2021. Two researchers completed the screening of the articles after literature search starting from title, abstracts, and full texts. The disagreement on selection of articles were solved by unanimous group decision of all researchers. Results: A total of 4152 articles were obtained. In the first step, the title screening yielded in 280 articles for abstract screening that resulted in 31 articles for full-text reading. Eight articles published between 2015 and 2021 were included in the study and 23 articles were excluded due to exclusion of refugees in their Discussion on vaccines allocation. The study design used in the articles were cross-sectional (25%), qualitative (25%) and modelling study (12.5%). Half of the articles included only refugees, while the other articles included new arrived migrants. Methods such as community participation, digital health messages and national refugee centers have been used for varying definitions of fairness in vaccine allocation. The three main outcome measure observed in the studies were access to vaccines, vaccine acceptance and vaccination rate. Conclusions: Studies evaluating fair distribution of vaccines in refugee populations during pandemic periods are scarce. Although they used different Methods, studies have shown that refugees and immigrants have a high intention to vaccinate, and barriers for fair vaccine allocation were the lack of information on vaccination strategy.