India Government gears up for roll out of Covid -19 Vaccine

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An important focus of the dry run will be on the management of any possible adverse events following immunisation (AEFI). In addition, adherence and management of infection control practices at the session site, to prevent disease transmission

KRC TIMES Desk

2,360 Training of Trainers sessions held; more than 7,000 district trainees trained

Dry Run for vaccine administration in 4 States next week

Government of India is gearing up for the roll out of Covid-19 vaccine across the country. As the vaccine administrators will play an important role in the vaccination process, training of trainers and those who shall administer the vaccine are been taken up across various States.

To strengthen the capacity of human resource for Covid-19 vaccine introduction and roll-out, detailed training modules have been developed for different categories of vaccine handlers and administrators. These include training for medical officers, vaccinators, alternate vaccinators, cold chain handlers, supervisors, data managers, ASHA coordinators and all others involved in the implementation process at different levels. The training includes all operational aspects of training, like the organization of vaccination sessions, use of Co-WIN IT platform for the management of the entire vaccination process,  deployment of HR  Cold chain preparedness, Management of adverse events,  communications and intersectoral coordination, biomedical waste management,  infection prevention protocols etc.

2,360 participants were trained during national level Training of Trainers which comprised state immunization officers, cold chain officers, IEC officials, development partners etc. As on date, the State level training had been completed in all States/UTs with the participation of more than 7000 district level trainees, except Lakshadweep which will conduct it on 29th of this month. Further cascading down to 681 districts about 49,604 have completed the training of Medical Officers on operational guidelines. Vaccination team training has been completed in 1399 out of 17831 blocks/ planning units. It is an ongoing process in the other blocks.

To facilitate redressal of queries on Covid-19 vaccination and Co-WIN portal related queries, national 1075 and state 104 Helpline capacity has also been strengthened to address queries beyond their routine support.

As a step to prep up for the administration of Covid-19 vaccine, and to assess the readiness of the planned activities, a dry run has been planned in four states to start with, viz. Andhra Pradesh, Assam, Gujarat, Punjab considering the geographical locations. Each State will plan it in two districts and preferably in different (five) session type settings e.g. district hospital, CHC/PHC, urban site, private health facility, rural outreach etc. This exercise will enable end-to-end mobilisation and testing of Covid-19 vaccination process (except the vaccine) and check the usage of Co-WIN in field environment, the linkages between planning, implementation and reporting mechanisms and identify challenges and guideway forward prior to actual implementation including improvements that may be required in the envisaged process. This will also provide hands-on experience to programme managers at various levels.

This two-day activity is planned on 28th & 29th December 2020 and will include activities from the necessary data entries in Co-WIN to vaccine receipt & allocation to the deployment of team members, mock drill of session sites with test beneficiaries to reporting and evening meeting. This will also include testing for cold storage and transportation arrangements for Covid-19 vaccine, management of crowd at the session sites with proper physical distancing.

An important focus of the dry run will be on the management of any possible adverse events following immunisation (AEFI). In addition, adherence and management of infection control practices at the session site, to prevent disease transmission. The mock drill will include concurrent monitoring and review at the block and district levels, and preparation of feedback to be shared with the State and Union Health Ministry.

Detailed checklist has been prepared by the Union Health Ministry and shared with the four States to guide them in the dry run.

The National Expert Group on Vaccine Administration of Covid-19 NEGVAC) has recommended three prioritised population groups including  Healthcare Workers (HCWs) (about 1 crore), Frontline Workers (FLWs) (about 2 crores), and Prioritized Age Group (about 27 crores).   As vaccines are temperature sensitive and need to be stored in specific temperature, the present cold chain system consisting of 85,634 equipments for storage of vaccine at about 28,947 cold chain points across the country will be used for the cold chain administration. The current cold chain is capable of storing an additional quantity of Covid-19 vaccine required for the first 3 Crore prioritised population i.e Health Care Workers and Front Line Workers.

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