Open access: No Location: Calgary Key recommendations Integrate culturally-responsive forms of healthcare delivery. Integrate barrier-reducing and hesitancy specific measures that factor in structural and systemic components of hesitancy and under-vaccination. Factor personal and external motivators to promote vaccine uptake and confidence. Engage patients at various stages to build trust. Form educational and outreach partnerships with private groups, community organizations, and leaders. Key populations: refugees Future research/gaps identified: Lack of literature discussing local refugee experience with COVID-19 vaccination systems Key findings Integration timeline Community organizations