466 How to do better: the case of the COVID-19 vaccination of irregular migrants in Rome

Abstract EP3.1, e-Poster Terminal 3, September 3, 2025, 10:35 - 11:00 Aims The aim of this study was to explore the challenges faced by vulnerable migrant populations, particularly those who are precarious or undocumented, in accessing COVID-19 vaccinations. Given the huge role of volunteer and humanitarian organisations in facilitating vaccination efforts for these groups, we decided to examine the perspectives of local and regional authorities on the barriers to vaccine access. Methods This study stems from a subset of data provided by two non-governmental, non-profit organisations, which were involved in vaccinating thousands of migrants in the Lazio region. The sample predominantly included male migrants under the age of 50. To gain a broader understanding of systemic barriers, we designed a questionnaire for personnel from local and regional authorities. The questionnaire is aimed at assessing logistical challenges, resource availability, and policy gaps that affect vaccination access for irregular migrants. Results Our findings revealed that while 64.3% of the vaccinated migrants possessed residence permits that granted them access to healthcare, they were unable to access the National Health Service through conventional pathways. Without the support of volunteer organisations, these migrants would have been unable to receive the vaccine. Additionally, the responses from local and regional authorities will highlight several logistical, resource-related, and policy challenges that hindered vaccination efforts for irregular migrants. Conclusions Improving healthcare access for irregular migrants is not only a human rights imperative but also a key public health issue. Given their close interaction with vulnerable populations, such as the elderly and sick, addressing barriers to healthcare access for migrants would contribute to safeguarding public health. The study advocates for a reevaluation of service delivery models to better include vulnerable migrant groups and ensure equitable access to essential health services, particularly during global health crises.