• David N Ngandu, Gloria D Sclar, Ambia Ahmed, Sumayo A Awale, Caroline Fernandes, Joshua Goldstein, Hina Hashmi, Shruti Joshi, Swapnika Mallipeddi, Marie Louise Mudasigana, Leslie Nicoll, Daisy E Parker, Grace Price, Ann Tucker, Elizabeth A Vinton, Andrew Volkers, Elizabeth A Jacobs, and Kathleen M Fairfield.
• MaineHealth Institute for Research, Scarborough, ME, USA.
• J Gen Intern Med. 2024 Nov 1; 39 (15): 301830273018-3027.

BackgroundThe COVID-19 pandemic disproportionately affected people from structurally vulnerable communities. There was a need to improve COVID-19 testing in these communities to reduce viral spread and connect to treatment.ObjectiveWe created a partnership between an academic medical center and three community-based organizations (CBOs) to offer low-barrier COVID-19 walk-up testing clinics in Portland, Maine. Our objective was to examine whether the co-created testing clinics reached structurally vulnerable populations.DesignThe clinics offered COVID-19 rapid antigen tests three times a week outside CBO sites from January 2022 to May 2023. Clinic staff administered a brief survey on reason for testing and then instructed participants on how to self-swab. While staff processed the test, participants were invited to complete an additional survey about their demographics and testing perceptions.ParticipantsAdults seeking COVID-19 testing with specific outreach to people who are unhoused, immigrants, and low-income and/or uninsured.Main MeasuresNumber of tests conducted and result, reasons for testing, and testing perceptions.Key ResultsOf 246 completed tests, 18 were positive for COVID-19 (7%). Participants sought testing for a variety of reasons, including symptoms (60%), close contact exposure (29%), and/or need for a negative test result to access services or an activity (33%). Overall, people primarily tested due to symptoms with only 7% testing due to close contact exposure alone. The clinics reached vulnerable populations. Among the 130 people completing the participant survey, 39% were unhoused, 22% spoke a language other than English at home, 23% were uninsured, and 46% earned less than $20,000 in 2019. Qualitative field notes captured key elements of clinics that influenced reach, and how this collaboration with CBOs helped build trust with our target populations.ConclusionsProviding low-barrier walk-up clinics partnering with trusted CBOs was observed to be helpful in reaching structurally vulnerable populations for COVID-19 testing.© 2024. The Author(s), under exclusive licence to Society of General Internal Medicine.

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