The influence of HARP (The Health Access for Refugees’ Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England

Background Evidence suggests that people who are asylum seekers and refugees experience poorer physical and mental health compared to the general UK population and poor outcomes from COVID-19 if unvaccinated. However, this population can experience vaccine hesitancy and other barriers inhibiting the...

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Main Authors: Marie-Clare Balaam, Melanie Haith-Cooper
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2025.2457808
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author Marie-Clare Balaam
Melanie Haith-Cooper
author_facet Marie-Clare Balaam
Melanie Haith-Cooper
author_sort Marie-Clare Balaam
collection DOAJ
description Background Evidence suggests that people who are asylum seekers and refugees experience poorer physical and mental health compared to the general UK population and poor outcomes from COVID-19 if unvaccinated. However, this population can experience vaccine hesitancy and other barriers inhibiting their up-take of the COVID-19 vaccine. Objectives This study explored the influence of HARP (Health Access for Refugees’ Project) workshops on the intention to have the vaccine in people who are asylum-seekers and refugees. Methods A qualitative study including clients (asylum-seekers and refugees), volunteers and HARP staff was undertaken to explore perceptions of HARP workshops and their influence on the barriers to the uptake of the COVID-19 vaccine including vaccine hesitancy. Semi-structured telephone interviews were undertaken with 10 participants, HARP clients (n = 1), HARP volunteers (n = 6, of whom 4 had been clients) and staff (n = 3). Data were thematically analysed. Results Intention to have the vaccine was influenced by trusted sources including peers and health professionals. Tailoring evidence-based information to individuals and challenging misinformation were important influencers on vaccine uptake. HARP activity increased the uptake of vaccines in large accommodation centres and hotels. Grassroots-level interventions such as HARP workshops appear to increase intention to take up the COVID-19 vaccine in asylum seeking and refugee communities. Conclusion This model could be adopted for health screening such as breast cancer and other vaccinations within asylum seeking and refugee communities.
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spelling doaj-art-5419a84019644a339d49c16d688bcd742025-02-05T12:46:15ZengTaylor & Francis GroupGlobal Health Action1654-98802025-12-0118110.1080/16549716.2025.24578082457808The influence of HARP (The Health Access for Refugees’ Project) on vaccine hesitancy in people seeking asylum and refugees in Northern EnglandMarie-Clare Balaam0Melanie Haith-Cooper1University of Central Lancashire (UCLan)University of BradfordBackground Evidence suggests that people who are asylum seekers and refugees experience poorer physical and mental health compared to the general UK population and poor outcomes from COVID-19 if unvaccinated. However, this population can experience vaccine hesitancy and other barriers inhibiting their up-take of the COVID-19 vaccine. Objectives This study explored the influence of HARP (Health Access for Refugees’ Project) workshops on the intention to have the vaccine in people who are asylum-seekers and refugees. Methods A qualitative study including clients (asylum-seekers and refugees), volunteers and HARP staff was undertaken to explore perceptions of HARP workshops and their influence on the barriers to the uptake of the COVID-19 vaccine including vaccine hesitancy. Semi-structured telephone interviews were undertaken with 10 participants, HARP clients (n = 1), HARP volunteers (n = 6, of whom 4 had been clients) and staff (n = 3). Data were thematically analysed. Results Intention to have the vaccine was influenced by trusted sources including peers and health professionals. Tailoring evidence-based information to individuals and challenging misinformation were important influencers on vaccine uptake. HARP activity increased the uptake of vaccines in large accommodation centres and hotels. Grassroots-level interventions such as HARP workshops appear to increase intention to take up the COVID-19 vaccine in asylum seeking and refugee communities. Conclusion This model could be adopted for health screening such as breast cancer and other vaccinations within asylum seeking and refugee communities.http://dx.doi.org/10.1080/16549716.2025.2457808asylum seekers and refugeesvaccine hesitancycovid-19 vaccine uptakegrassroots interventionspublic healthpeer support
spellingShingle Marie-Clare Balaam
Melanie Haith-Cooper
The influence of HARP (The Health Access for Refugees’ Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England
Global Health Action
asylum seekers and refugees
vaccine hesitancy
covid-19 vaccine uptake
grassroots interventions
public health
peer support
title The influence of HARP (The Health Access for Refugees’ Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England
title_full The influence of HARP (The Health Access for Refugees’ Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England
title_fullStr The influence of HARP (The Health Access for Refugees’ Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England
title_full_unstemmed The influence of HARP (The Health Access for Refugees’ Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England
title_short The influence of HARP (The Health Access for Refugees’ Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England
title_sort influence of harp the health access for refugees project on vaccine hesitancy in people seeking asylum and refugees in northern england
topic asylum seekers and refugees
vaccine hesitancy
covid-19 vaccine uptake
grassroots interventions
public health
peer support
url http://dx.doi.org/10.1080/16549716.2025.2457808
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