Health Emergency and Disaster Nursing
Online ISSN : 2188-2061
Print ISSN : 2188-2053
ISSN-L : 2188-2061
VAMOS-VaxNOW: A nurse-led interdisciplinary disaster response to address vaccine equity in central Texas during the COVID-19 pandemic
Karen E. JOHNSONLi-Chen LINShalonda Estelle Brazzell HORTONAna TODDNancy GUILLETStephanie MORGAN
ジャーナル オープンアクセス

2022 年 9 巻 1 号 p. 23-30


Aim: This paper examines nurse-led interdisciplinary efforts to address COVID-19 vaccine inequities in Texas, United States (US) through the founding of a two-pronged community-based vaccination program, VAMOS-VaxNOW.

Methods: Using state/federal reports and guidelines, local/national news sources, and volunteers’ voices, we frame our efforts within the sociopolitical and historical contexts that contributed to the need for VAMOS-VaxNOW.

Results: Like most states, Texas distributed most of its vaccine supply to mass hubs that could efficiently serve large amounts of people. Nursing faculty at The University of Texas at Austin quickly recognized the need to expend effort into mobile clinics to reach populations who were likely to face barriers to accessing mass hubs (e.g., language barriers, transportation/mobility limitations, institutional mistrust). Leveraging long-standing relationships with community partners, we launched our first mobile vaccine clinic (VAMOS) with a historically Black church in March, 2021. From there we partnered with other community organizations serving populations experiencing vaccine inequities (e.g., Spanish-speaking churches, apartment complexes) to host mobile clinics. We also began a home visit program (VaxNow) for those facing mobility challenges or other barriers to accessing mass hubs. Our “hub-and-spoke” model was the first of its kind in our community and served as a model for others launching similar efforts.

Conclusions: VAMOS-VaxNOW highlights the importance of nurse-led, interdisciplinary disaster response. Early mobilization planning guided by a deep understanding of how present-day and historical inequities shape disaster outcomes, thoughtful leaders collaborating with community partners, compassionate volunteers, and building trust were key factors in leading the successful operation.

© 2022 The Authors. Health Emergency and Disaster Nursing published by NPO Disaster Nursing Group.
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