Background and Objective:
The project “Access To Vaccination for Newly Arrived Migrants”-AcToVax4NAM (Grant n.101018349, 3rd EU Health Programme) intended to describe the vaccination offer and the critical issues that hinder the access to immunization services for Newly Arrived Migrants (NAMs).

Methods:
The survey was conducted among the Consortium Countries (Greece, Italy, Spain, Cyprus, Malta, Germany, Poland and Romania) through a standardized data collection template to investigate the organization of National Health System (NHS), immunization services and vaccination offer. The representatives of all Countries, with the support of national experts in the field of migration and/or immunization offer, filled in the template.

Results:
Regarding the NHS organization, migrants not registered with the NHS and those undocumented are guaranteed only for emergency care in most Countries. Migrants’ access to the NHS largely depends on their status (documented/undocumented) and the country of origin (EU countries/Third countries). Information collected on the vaccination offer identified that, unlike the general population, migrants are not always offered all the vaccinations included in the National Immunization Program (NIP) due to their legal status and the impossibility of assessing vaccination status and follow-up. The main barriers to vaccination collected are legal, economic, organizational, logistic/physical and linguistic/cultural. The solutions adopted by Countries to overcome the barriers include vaccination campaigns, communication strategies, training activities, free vaccinations to adults, collaboration with non-governmental organizations and flexibly of vaccination services. During COVID-19 pandemic, all Countries included undocumented migrants in the vaccination campaigns.

Conclusion:
The survey collected information on main barriers to immunization of NAMs and possible solutions to overcome them. Indeed, assessing the differences within the consortium countries can help to identify strategies and ensure a better vaccination uptake. In the end, the experience of vaccination against COVID-19 organized with an inclusive approach, should be a starting point for including migrants in the NIP.