Medicine

Medicine

12127) hospitalizations and 6608 (ui95%: 5725 to 7546) covid-19 related deaths among individuals aged 80 years or more resident in portugal. prevented fractions were 3.7% (ui95%: 0 to 7.6%), 79.7% (ui95%: 77.3 to 81.7%) and 75.8% (ui95%: 73.2 to 78.1%), respectively. it would require to vaccinate 59 individuals (ui95%: 52 to 69) to prevent one hospitalization and 94 individuals (ui95%: 82 to 109) to prevent one death in the target population. conclusions: the booster vaccination strategy had considerable impact on preventing severe outcomes in the portuguese population aged 80 and more years old. key messages: high vaccine coverage combined with high vaccine effec- tiveness resulted in considerable reduction of severe covid-19 outcomes. information on number of outcomes of different severity levels averted by covid-19 booster vaccination allows to strength public health communication

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HIGHLIGHTS who: M Waize and colleagues from the Germany Public Health Research Centre, Universidade NOVA de Lisboa, Lisbon have published

Medicine

That can alleviate the impact of violence and bring perpetrators to justice. health facilities can play key proactive roles in facilitating effective responses to address the problems of violence. this research sought to answer the questions: what support services are available to female adolescents in the event of violence; what are the barriers to accessing these services; and what roles can health workers play in removing these barriers? methods: the study used an ethnographic approach involving 40 in- depth interviews and 9 focus group discussions with female adolescents, 17 in-depth interviews were conducted with health providers and community leaders. the study setting comprised intentionally sampled slum communities in lagos and oyo states, southwest nigeria. thematic data analysis was conducted to address the study questions. results: potential support services available to female adolescents in the study setting included the community development association, police, family members, and health facilities. identified barriers to utilizing available support services included stigmatization, non-formalization of police reports of violence, ambiguous attitudes of health workers to abused adolescents, and unfamiliarity on the part of adolescents. although resources are available to adolescents in the event of violence, the lack of coordination of services has led to gross inefficiency for intervening. conclusions: to address the inefficiency of services, the health sector is best positioned to ensure synergy among the key stakeholders to reduce stigma and stop abuse experience among adolescent girls. beyond a reactionary, curative approach, health provi- ders need to play a preventive role through education, advocacy, and coordination of interventions at the community level. key messages: health workers at primary health facilities need to support adolescents who experience violence, especially those who using their services. in addition, health workers are best positioned to create synergy among available support services to alleviate and mitigate the impact of violence on female adolescents in the community

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HIGHLIGHTS who: Elizabeth J King et al. from the Russia School of Public Health, University of Michigan, Ann Arbor, Ann

Medicine

Iii548

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HIGHLIGHTS who: from the Abstract citation ID: ckac, A health promotion intervention for vulnerable schools (BeE-school): a cluster-randomized trial Rafaela

Medicine

Finally, 21 studies have been included in the review, comprising of nine review articles and 12 individual studies, with most studies stemming from the usa. results show that pn models are consistently associated with improvements in a wide range of health related outcomes, mostly with timely access to healthcare services. implementation strategies and measurements used in assessing pn models show hetero- geneity between studies. however, a number of consistencies were found including; a longitudinal approach, using of non- clinical navigators who share similarities to the participant groups and who engage as facilitators. additional considera- tions for gender and age may further improve the outcomes. conclusions: in order to improve on the success of the pn models and their application in removing barriers to healthcare access for people experiencing homelessness, more research is needed that focuses on the feasibility, acceptability and scalability of the approach outside the usa. key messages: people experiencing homelessness experience considerable barriers in accessing healthcare service leading to dispro-portionately larger burden of disease as well as lower life expectancy. patient navigation models have a great potential in removing barriers and facilitating timely access to healthcare services in people experiencing homelessness

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HIGHLIGHTS who: from the (UNIVERSITY) have published the article: Finally, 21 studies have been included in the review, comprising of

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