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Getting the Shots: Methods to Gain Adherence to a Multi-Dose Vaccination Program for Inner City, Drug-Involved Prostitution Communities

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Abstract

Street-based sex-work and poly-substance drug use, coupled with low vaccination rates and limited utilization of the mainstream health care system, put the sex worker communities of Bogotá’s city center at extreme risk of infection with the hepatitis B virus (HBV). Vaccination is critical to maintaining low prevalence of the disease and low incidence of new cases, yet the floating and inconsistent nature of Bogotá’s drug-involved female and transsexual prostitution communities make it difficult to complete a 3-dose vaccination program. Between December 2011 and March of 2012, the Fénix Foundation collaborated with the Bogotá Health Department to deliver free HBV vaccines to this vulnerable population. This paper outlines methods used in the vaccination program to generate a 37.7 % adherence rate, significantly higher than that previously reported for HBV vaccination programs also targeting marginalized populations. This program’s practices are based on the Fénix peer leader method, and are offered as a model that can be applied to other health interventions operating in analogous contexts, with similarly high-risk populations.

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Acknowledgments

The authors gratefully acknowledge the support of the Fulbright US Student Program.

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Authors and Affiliations

  1. Perelman School of Medicine at the University of Pennsylvania, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA

    Giffin W. Daughtridge

  2. Fundación Social Fénix, Carrera 3a, No. 21-46, Apto. 2604-A, Bogotá, Colombia

    Timothy W. Ross

  3. Universidad de La Salle, Carrera 5 N. 59A 44, Bogotá, Colombia

    Paola A. Ceballos

  4. Weill Cornell Medical College, 1300 York Avenue, New York, NY, 10065, USA

    Carmen E. Stellar

  5. 2400 Chestnut St. Apt. 1704, Philadelphia, PA, 19103, USA

    Giffin W. Daughtridge

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  1. Giffin W. Daughtridge
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  2. Timothy W. Ross
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  3. Paola A. Ceballos
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  4. Carmen E. Stellar
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Correspondence to Giffin W. Daughtridge.

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Daughtridge, G.W., Ross, T.W., Ceballos, P.A. et al. Getting the Shots: Methods to Gain Adherence to a Multi-Dose Vaccination Program for Inner City, Drug-Involved Prostitution Communities. J Primary Prevent 35, 93–102 (2014). https://doi.org/10.1007/s10935-013-0333-0

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