Jorge Browne Salas, Adelina Comas-Herrera, Gemma Drou Roget, Stefanie Ettelt, Cleusa P. Ferri, Paulo José Fortes Villas Boas, Nina Hemmings, Manuela Hödl, Roxanne Jacobs, Yorelle Kalika, Ngaire Kerse, Florien Kruse, Shoshana Lauter, Kai Leichsenring, Klara Lorenz-Dant, Lee-Fay Low, Terry Lum, Joanna Marczak, Christine Musyimi, Elisabetta Notarnicola, Déborah Oliveira, Eleonora Perobelli, Camille Oung, Maria Pierce, Tan Maw Pin, Tara Puspitarini Sani, Andrea Schmidt, Marguerite Schneider, Cheng Shi, Heidemarie Staflinger, Marta Szebehely, Lisa van Tol, Patrick Alexander Wachholz, Petr Wija, Gloria Wong, Kayla Wong, Yida Ying, Jessica Yu
(please see below for author affiliations, acknowledgements and suggested citation).
About this series:
This is the first of a new LTCcovid series of international overviews that aims to provide concise and timely information on current long-term care policies and practices in relation to Covid-19. These overviews are generated by sending a question to a list of experts in long-term care who have volunteered through the LTCcovid initiative. If you would like to be part of the list of experts or would like to suggest a question for the next overviews, please email email@example.com.
Following the enormous impacts of Covid-19 among people who use long-term care, most countries have prioritized people who live and work in care homes for vaccinations. However, there are concerns that vaccine supply, vaccine hesitancy and other barriers to vaccination are affecting the vaccination uptake among people who work in long-term care. In some countries this has led to a debate on whether it should be compulsory for people working in this sector (or particularly in care homes) to be vaccinated, or whether there are other measures that may be more acceptable and effective at increasing vaccination take-up and may not deter people from working in the sector. This post provides an overview of the situation in May 2021 in 24 countries.
Is there a discussion on making vaccination for Covid-19 compulsory in your country for long-term care staff in your country? Is this happening already for vaccinations for other conditions (such as flu)?
- Most countries have stated that staff working in long-term care would be among the first groups to be prioritized for Covid-19 vaccinations but in many countries there have been practical difficulties in facilitating access to vaccination for this group which, added to some vaccine hesitancy, has resulted in lower vaccination rates for staff than ideal.
- Vaccines are mandatory for healthcare personnel in Italy.
- While many countries have debated whether to make Covid-19 vaccinations mandatory for certain groups, including people working in long-term care, none of the 24 countries for which we have information have adopted this as a national policy, although there are some local/regional examples where this has become the practice or where providers require that their employees are vaccinated.
- There are a few examples of other vaccinations (such as flu) being made mandatory for staff working in long-term care and/or health care.
- Most countries do not have data systems that support monitoring of vaccination rates among staff working in the long-term care sector.
Canada (British Columbia)
Hong Kong SAR
Contributors and affiliations:
Jorge Browne Salas (Facultad de Medicina, Pontificia Universidad Católica de Chile)
Adelina Comas-Herrera (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, UK)
Gemma Drou Roget (Department of Epidemiology and Methodology of Social and Health Sciences, UManresa, Universitat de Vic-Universiat Central de Catalunya, Spain)
Stefanie Ettelt (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, UK)
Cleusa P. Ferri (Universidade Federal de São Paulo, Department of Psychiatry, Escola Paulista de Medicina – Unifesp, Brazil)
Paulo José Fortes Villas Boas (Botucatu Medical School, São Paulo State University – Unesp, Brazil)
Nina Hemmings (Nuffield Trust, UK)
Manuela Hödl (Institut für Pflegewissenschaft, Medical University of Graz, Austria)
Roxanne Jacobs (Alan J. Flisher Centre for Public Mental Health, University of Cape Town, South Africa)
Yorelle Kalika (Active Global Home & Community Care, Singapore)
Ngaire Kerse (Department of General Practice and Primary Health Care, New Zealand)
Florien Kruse (Radboud University Medical Centre, IQ healthcare, the Netherlands)
Shoshana Lauter (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, UK)
Kai Leichsenring (European Centre for Social Welfare Policy and Research, Austria)
Klara Lorenz-Dant (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, UK)
Lee-Fay Low (University of Sydney, Australia)
Terry Lum (University of Hong Kong)
Joanna Marczak (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, UK)
Christine Musyimi (Africa Mental Health Research and Training Foundation, Kenya)
Elisabetta Notarnicola (CERGAS – SDA Bocconi School of Management, Italy)
Eleonora Perobelli (CERGAS – SDA Bocconi School of Management, Italy)
Déborah Oliveira (Universidade Federal de São Paulo, Department of Psychiatry, Escola Paulista de Medicina – Unifesp, Brazil and Inter-American Development Bank)
Camille Oung (Nuffield Trust, UK)
Maria Pierce (Independent consultant, Ireland)
Tan Maw Pin (University of Malaya, Malaysia)
Tara Puspitarini Sani (Atma Jaya University, Indonesia)
Andrea Schmidt (Austrian National Institute of Public Health, Austria)
Marguerite Schneider (Alan J. Flisher Centre for Public Mental Health, University of Cape Town, South Africa)
Cheng Shi (University of Hong Kong)
Heidemarie Staflinger (Chamber of Labour for Upper Austria)
Marta Szebehely (Department of Social Work, Stockholm University, Sweden)
Lisa van Tol (Leiden University Medical Center, Department of Public Health and Primary Care, the Netherlands)
Patrick Alexander Wachholz (Botucatu Medical School, São Paulo State University – Unesp, Brazil)
Petr Wija (Institute for Social Policy and Research, Czech Republic)
Gloria Wong (University of Hong Kong)
Kayla Wong (University of Hong Kong)
Yida Ying (Active Global Home & Community Care, China)
Jessica Yu (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, UK)
This overview has been edited by Adelina Comas-Herrera and Nina Hemmings, who are supported by the Social Care COVID Recovery and Resilience Project (funded by the National Institute for Health Research (NIHR) Policy Research Programme (NIHR202333)). The views expressed in this article are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care).
National discussions on mandatory vaccination among long-term care staff in 23 countries. LTCcovid international overviews of long-term care policies and practices in relation to Covid-19 (No. 1, May 2021)