Community Vaccination Program: Vaccination solutions and key capabilities
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Community Vaccination Program:
Vaccination solutions and key capabilities
E2E vaccination
programme tailored
to community needs
Our experience
supports the smooth
and efficient roll-out
of programs at scale
We have all elements
of a large scale
vaccination program
in place
We have also
designed a solution
for the private sector
A vaccination
program of this
design can be scaled
across multiple
geographies
©2021 Right to Care NPC 1
We have all necessary capabilities, partners and an end-to-end
vaccination program fully designed and ready to aid communities
With an integrated supply chain, clinic management, tracking and communications solution, we can assist in
providing community vaccine access with minimal effort
E2E vaccination
programme tailored
to community needs Context and rationale Primary objectives
Our experience • A nationwide vaccination roll-out is expected to be the 1• Ensure effective and efficient running of a community
supports the smooth
largest national health undertaking in the history of vaccination program by deploying a readily available
and efficient roll-out
of programs at scale any country E2E “plug-and-play” vaccination program managed
by RTC
We have all elements
of a large scale
vaccination program • Governments are likely to require extended time
in place period to set-up vaccination programs with the workforce
relegated to many other communities
We have also 2• Operationalize a large-scale vaccination blueprint that
designed a solution can be leveraged across the private and public
for the private sector sector
• Rapid “plug-and-play” solutions are required to
A vaccination effectively mitigate community risk
program of this
design can be scaled
across multiple
geographies • Get all community members vaccinated as soon as
3
• Fully integrated E2E vaccination program has been
developed and can be readily launched with minimal effort, possible to respond to the COVID-19 pandemic
rapidly responding to community needs
Disclaimer Extent and timing of vaccination program is dependent on vaccination availability and allocation
©2021 Right to Care NPC 2
Utilising our world-leading large-scale comprehensive HIV care and treatment and
disaster medicine experience we can successfully roll-out a program of this scale
We have successfully responded to several national healthcare and disaster emergencies, both recently and
in the distant past, as such the team has all relevant experience to appropriately respond
E2E vaccination
programme tailored Our experience
to community needs
Massive SA Urgent disaster Logistics and mass vaccine
Our experience healthcare solutions management program planning
supports the smooth
and efficient roll-out • Pioneered HIV treatment in SA • National surge capacity for oxygen, beds • Implemented post-disaster vaccine
of programs at scale programs, rapid screening and
• Now running the largest treatment site in • Disaster Medicine and critical care treatment in Ebola
We have all elements the world out of Helen Joseph Hospital training
of a large scale • Large scale courier chronic medicine
vaccination program • Built Africa’s largest NGO/NPC • Facility readiness for COVID support program for HIV/TB
in place
• First African Global HIV Organization • Equipment provision (vents, CPAPS) • Pharmacy lockers and parcel delivery of
We have also (supporting multiple countries) medicines.
designed a solution • Testing for COVID waves 1 & 2
for the private sector
A vaccination Pharmacy regulatory & Rapid launch of COVID-19 Grant funding governance
program of this
design can be scaled
importation of medicines/vaccine respiratory support & mental experience
across multiple health resilience training
geographies
• Right to Care, Wits Health Consortium have • Right to Care (with FPD and NDOH) worked • 20 years of grant funding experience,
completed the importation of Section 21 to design an interactive online training (current R1.7Bn/yr, from USAID, Global
medicines for over 50 medicines in program for doctors and nurses Fund, CDC and GIZ)
various situations:
• Training program set up as a massive • No findings of fraud or mismanagement,
• named patient basis, clinical research online open course
and early treatment programs • We can manage funding monies safely
• Right to Care and FPD enrolled more than
10 000 participants by end of January
• Audited by BIG4 audit firms
2021
©2021 Right to Care NPC 3
Proposed –
to be confirmed
Our solution will be integrated into any community with ease
We have thought through the complete end-to-end solution for HCWs, high risk containment populations,
and are well positioned to finalise design and costing
E2E vaccination
programme tailored Our design incorporates a number of participants across all stages of the plan
to community needs
Our experience
supports the smooth Operational
and efficient roll-out management
of programs at scale
We have all elements
of a large scale
vaccination program
in place
We have also
designed a solution
for the private sector 1 2 3 4 5 6 7
Training of nurses Import, warehousing Vaccination site Client National Approved nurses to Healthcare
A vaccination to administer COVID- and distribution of design and roll out management and communication administer vaccine economics
E2E Process
program of this 19 vaccinations vaccines to sites tracking strategy tracking throughout
design can be scaled
across multiple
geographies
The proposed program will be overseen by Right to Care, with all identified players already indicating a willingness to progress the
opportunity
©2021 Right to Care NPC 4
Management: We have a proven track record in program
management across numerous countries and programs
We have the capabilities and knowledge to support the Programme Implementation and Management of the
vaccine rollout in numerous countries
E2E vaccination
programme tailored Our program management expertise
to community needs
Typical PMS structure: strategic layer with 8 strategic RTC has an excellent track record in Programme Implementation and
Our experience layer functions and operational layer Management, having implemented, amongst other programmes, the
supports the smooth EQUIP Programme in many countries with multiple partners, utilising
and efficient roll-out effective systems which include:
of programs at scale
We have all elements
of a large scale • Tracktech
vaccination program • Datastore
in place • MIE
• Emergency growth
• SAGE People 300
We have also
designed a solution Financial HR employee Risk Project
for the private sector management management management management
systems systems system system
A vaccination
program of this
design can be scaled Current projects and experience amongst others
across multiple
geographies
COVID response: Right ePharmacy: E-Lab solutions: Knowledge Centres:
• Emergency medicine Drug distribution innovation in: • Zambia • South Africa
• Equipment enhancement and • South Africa • Zambia
• Zambia
supply • Nigeria • Zimbabwe
• South Africa
• Oxygen distribution • Tanzania • Malawi
• Lesotho
• GIS mapping • Liberia
• Vulnerability index mapping
• Community mobilisation
• Predictive modelling
©2021 Right to Care NPC 5Management: We will respond to perceived issues for vaccination
roll-outs using total continuous quality improvement (TQCI)
Using our tried and tested TQCI approach we will effectively respond to all perceived issues efficiently and
effectively
E2E vaccination
programme tailored Our program management expertise
to community needs
Potential issues Our solution and TQCI elements
Our experience
supports the smooth • Unclear and ineffective management of
and efficient roll-out vaccine roll out plans (across countries) Using our tried and tested solutions, we will create a platform for tracking processes and
of programs at scale outcomes across the value chain
• Vaccine availability This will include:
We have all elements • Risk management system
of a large scale • Ineffective logistics management • Quality assurance
vaccination program including: • Issue logs and interventions
in place • Recipient prioritisation • Overall program co-ordination
• Cold chain management
We have also • Storage and distribution TQCI elements:
designed a solution • Vaccination site access
for the private sector • Scheduling 1 2 3 4
A vaccination • Lack of country infrastructure Recruitment Budgeting and Monitoring and Stakeholder
(personnel and
program of this expenditure evaluation engagement
design can be scaled • Insufficient human resources including: management of human
(tracking and monitoring) (& management)
resources)
across multiple • Available vaccinators
geographies • Lack of training
• Ineffective quality assurance systems 5 6 7 8
Agile contracting Effective data Effective Risk management
• Management of adverse events and legal systems procurement
management processes
• Monitoring and reporting
©2021 Right to Care NPC 6Regulatory: We have the necessary knowledge and capabilities to
support regulatory agencies on vaccine roll-outs
We have the capabilities and knowledge to support regulatory agencies’ readiness to expedite vaccine
approval ensuring that our vaccination program adheres to the necessary standards and regulations
E2E vaccination
programme tailored
to community needs Current vaccine and regulatory status
Our experience 1• South African Health Products and Regulatory Authority (SAHPRA) has adopted a priority review approach for all COVID-19 vaccine
supports the smooth applications supported by dedicated technical committees
and efficient roll-out
of programs at scale 2• SAHPRA has enabled mechanisms that allow rapid approval and availability of vaccines to the national vaccination effort
We have all elements
of a large scale 3• Approved vaccines are subject to batch release by the National Control Laboratory for Biological Products and quality monitoring
vaccination program
in place 4• Vaccines are required to adhere to stringent cold-chain requirements and monitoring throughout the supply chain
We have also 5• Adverse Event Following Immunization (AEFI) and related safety reporting and monitoring in line with the pharmacovigilance plan
designed a solution for COVID-19 vaccines
for the private sector
A vaccination
program of this Our support to SAHPRA and the DOH
design can be scaled
across multiple
geographies Streamlining processes Regulatory reliance Quality assurance & Pharmacovigilance
Technical assistance
and procedures procedures reporting training and support
• To improve efficiency of • Development of • To support vaccine cold- • Quality assurance • For vaccine and medicine
decision making for procedures and work- chain logistics and supply surveillance and reporting safety reporting and
health products and sharing methodologies to chain management systems at facilities monitoring
vaccines expedite review systems
©2021 Right to Care NPC 7Response: Our response will be aligned to government’s vaccine
allocation and roll-out requirements
Government’s vaccine roll-out plans have remained relatively unclear, leading us to planning and positioning
ourselves to be ready, supported by donors, should government engage the private sector
E2E vaccination
programme tailored SA Government’s planned roll out SA Government’s reported vaccination supply
to community needs
Government is believed to have secured >30m vaccine doses
Our experience from various sources
supports the smooth
and efficient roll-out Details of timing and how the roll-out will take place remains
of programs at scale unclear
We have all elements The following planned phases for the vaccination roll-out have
of a large scale been identified 9m doses secured1 1.5m doses secured1
vaccination program
Phase 1 Phase 2 Phase 3
in place 1m doses arrived 1 February 2021
• 1.2m frontline • 2.5m essential • 22.5m other
We have also healthcare workers workers persons over 18
designed a solution • 1.1m people in
for the private sector congregate settings
• 5m people >60
A vaccination • 8m people >18 with
12m doses secured1 12m doses secured1
program of this co-morbidities
design can be scaled
across multiple
geographies
We will be
ready to act
• Concern that government will • It is believed private sector • Donors safe in the knowledge
fail to deliver on its promises involvement will be required RTC handling funds
©2021 Right to Care NPC Source: SA department of health, Deloitte Analysis, Business Tech, The Globe and mail 1)IOL 8Logistics: We have partnered with SA’s largest and leading
pharmacy logistics company, support could cover other regions
Orion, a SAHPRA approved cold-chain logistics and distribution provider will act as the backbone of the
South African vaccination program, with the possibility for expansion to other regions
E2E vaccination
programme tailored Orion’s logistics cold-chain network Why Orion:
to community needs
• Orion’s SA distribution
Orion ‘s warehousing facility in Bloemfontein and
Our experience Johannesburg is SAPHRA licenced network comprises of 14
supports the smooth branches (2 SAHPRA
and efficient roll-out approved) – biggest SA
of programs at scale healthcare logistics provider
We have all elements • Strong outlying area
of a large scale coverage
vaccination program
in place truck Product is delivered Vaccines stored Vaccine is picked by • Orion is SAHPRA licensed
collects from to Orion central local at Orion's local Orion and delivered
We have also manufacturer depot depot to site/clinic • Current Orion network
designed a solution includes hospitals,
for the private sector clinics, SANBS,
pharmacies etc. amongst
Additional African Coverage
A vaccination others (public and private)
program of this
Fleet > 400 vehicles 3.5k drop points Orion footprint includes: • Orion has no 3rd party
design can be scaled
across multiple dependence
geographies
• Services run 24/7 and
Key include live temperature
Figures >450 staff >500k parcels weekly monitoring
• International logistics is
supported through Courier IT • Highly secure network
(group company)
• Strong links with FedEx could • Ability to integrate with
Cold chain fleet 150
Additional 50 in 2021 be utilised to support other systems in real-time
vehicles
international supply chain (API integration)
©2021 Right to Care NPC 9Clinics: Drawing on our world-leading Comprehensive HIV Care and
Treatment experience, we bring the mobile clinics to you
We bring the mobile clinic solution to you, minimising barriers to service and creating an ensuring rapid
community vaccination
E2E vaccination
programme tailored Onsite vaccination process
to community needs
Our experience A simple E2E process design which we can simply recreate in other African countries
supports the smooth
and efficient roll-out
of programs at scale
We have all elements
of a large scale
vaccination program
in place
Vaccines delivered Container clinics set- Community members to Clients present their Nurse administers
We have also to clinic site up outside sites register for vaccination voucher at container vaccine at mobile
designed a solution (incl. potential timeslot clinic clinic
for the private sector booking)
A vaccination RTC to appoint and
Mezzanine booking system to be
program of this manage qualified nurses
utilised based on voucher process
design can be scaled
across multiple
geographies
• Less Covid-related downtime/disruption to community
• Visible community clinics to drive up peer acceptance (proven in HIV epidemic)
• No congestion at clinic (due to social distancing and booking system) to reduce risk of COVID spread
©2021 Right to Care NPC 10Clinics: Our sites will be designed using a disaster medicine
approach and rollouts across sites confirmed using a simple model
Using our experts and existing data we will rapidly identify priority sites for roll-out, thereby ensuring
appropriate coverage in hotspots as well as an efficient program roll out
E2E vaccination
programme tailored We have already prepared preliminary vaccination plans as follows:
to community needs
Site management plans and designs in
Roll-out vaccines to HCW and public Hospital prioritisation and roll out
place
Our experience facing employees at scale approach
supports the smooth
and efficient roll-out
of programs at scale
Two-layered prioritisation method is We prepared a roll-out schedule to cover Command and control will be co-ordinated
We have all elements proposed: the top 150 hospitals in SA using a disaster medicine approach with the
of a large scale establishment of 3 command levels
vaccination program 1. Prioritisation based on population group
in place • Gold : Central co-ordination centre
2. Second layer: prioritisation based on We can perform similar assessments and
hospital modelling for any country in order to • Silver : Co-ordination within geographical
We have also prioritise and enable an efficient roll-out area
designed a solution
for the private sector • Bronze : Local command structure
A vaccination
program of this Priority Description Estimated Population
design can be scaled First tranche
across multiple 1 Medical practitioners1 62 000
2 Nurses2 400 000
geographies Second tranche
3 EMS personnel1 53 000
4 Hospital cleaning staff 20 000
5 Lab personnel1 20 000
6 Other medical personnel1 74 000
7 Critical oxygen supply chain workers 5 000
Third tranche
8 Food retailer employees3 276 000
9 School teachers4 450 000
10 Prisoners5 155 000
11 Police 193 000
12 Taxi drivers and operators 400 000
13 Persons over the age of 75 years 1 030 000
©2021 Right to Care NPC Sources: 1 MPCSA; 2 SANC; 3 Retailer Integrated Reports; 4 World Prison Brief 11Data management: We will utilise a fully functional m-Vaccination
control tower through digital services
Mezzanine has a widely established vaccination control tower allowing centralised visibility, real time data
availability & analytics for action and decision-making, data review rooms supported by the IS unit
E2E vaccination
programme tailored M-Vaccination control tower
to community needs
1 5
Register and validate eligible Manage bulk, targeted
Our experience
vaccine beneficiaries and communication to subsets of
supports the smooth
and efficient roll-out capture critical information population groups
of programs at scale
We have all elements 2 6
of a large scale Manage a central database of Link patients to individual
vaccination program patient/beneficiary information vaccine products to support
in place and eligibility criteria pharmacovigilance
We have also
designed a solution 3 7
for the private sector Allocate vaccination slots Manage vaccine service
(place, time, vaccine) to platforms, including payment to
A vaccination individuals service providers
program of this
design can be scaled
across multiple 4 9 8
geographies Track vaccine administration, Manage vaccine and related
Centralise master facility list
support follow-up vaccinations commodity availability,
administration
and reminders to patients ordering and receipting
Data review rooms
Similar approach in Transition interventions Improved data
(platform for decision making and Strengthen program
terms of operationalising by using real-time data
change tracking – technical support performance and analytics
SRs in HIV programs to from multiple sources
from the implementation science (IS) workforce management & insights
be adopted with a holistic view
unit)
©2021 Right to Care NPC 12Data management: Simple implementation modules ready to go and a
99% service level availability, a truly world class enterprise solution
Mezzanine is a widely established vouchering & beneficiary management system, which will efficiently
manage an individual’s vaccination journey, and can be easily integrated into employee databases (via APIs)
E2E vaccination
programme tailored Mezzanine footprint Implementation modules
to community needs
Mezzanine technology stack is an ISO 27001 approved
and GDPR compliant offering that has been used across Supply chain visibility and management are recommended for initial implementation (A);
Our experience healthcare services across multi-country and multi-partner thereafter, vouchering and beneficiary management to manage demand amongst priority cohorts
supports the smooth deployments (B), + other functionality
and efficient roll-out
of programs at scale
A
We have all elements 1. Inventory management
of a large scale 2. eOrdering
vaccination program Mezzanine 3. eReceiving
in place leverages mobile technology to enable 4. Cold chain monitoring*
transformative policy & business
interventions in low resource settings
We have also BB
designed a solution
Offering benefits
1. Beneficiary management
for the private sector (Eligibility & Patient Records)
2. Vouchering (Scheduling)
mVacciNation includes a 99% service level 3. Laboratory track & trace
A vaccination
availability due to world-class Software as a 4. Workforce digital training
program of this
service provision
design can be scaled
across multiple • Network provider agnostic
geographies • A web app provides real-time online access
for managers
• Cloud hosted full technology stack
(infrastructure, hosting, network)
• World class security and data governance
Beneficiaries loaded Beneficiaries checked Analytics and bulk
• Dedicated support desk
onto system through against system, receive communication
• Digital workflow and configurable modules batch upload SMS with details and through cloud based
• Business intelligence platform and (self register to opt-in) presents themselves at system-
framework service point
• Interoperability
©2021 Right to Care NPC 13Comms: Effective comms is required to create positive vaccination
sentiment
These communications should be transparent and demonstrate a clear grip of the issues at hand in order to
garner trust and disperse fears regarding the vaccine
E2E vaccination
programme tailored UJ-HSRC Survey Results– If a COVID-19 vaccine was available, would you take it? Key Insights
to community needs
67%
Our experience
• The UJ-HSRC findings show
supports the smooth
and efficient roll-out 67% of South Africans
52% surveyed agreed that they
of programs at scale
are either definitely or likely
We have all elements going to take the vaccine
of a large scale according to the survey
vaccination program conducted in the first week
in place of January 2021
18%
We have also 14% 15%
12%
designed a solution
for the private sector 6% • This is higher than the
53% for South Africa per
A vaccination Yes, I would I would I would No, I would (Don’t know) Total % - Total % - the latest IPSOS survey
program of this definitely get probably get probably definitely Yes, No, (December 2020), but
design can be scaled the vaccine the vaccine not get the not get the definitely definitely / closer to the IPSOS global
across multiple vaccine vaccine / probably probably not average of 66%
geographies
Refer to appendix for IPSOS
survey results (Dec 2020)
• This is however still low,
The UJ-HSRC survey noted that among other factors, leadership and transparency have a supporting that
significant bearing on vaccine acceptance interventions are
This highlights the importance of an effective and well managed employee engagement required to increase
platform to ensure leadership visibility and promote employee willingness to get vaccinated public perception and
at the workplace increase vaccine acceptance
©2021 Right to Care NPC 14Comms: In response to the reluctance around vaccinations a social
behaviour change campaign (SBCC) is required
We believe that RTC is best placed to deliver on a SBCC campaign of this nature due to our knowledge and
experience within this space – we have already developed a high level comms approach
E2E vaccination
programme tailored Our high-level SBCC approach Why RTC
to community needs
• 21 years of experience in
Our experience Our experience in COVID-19, VMMC, and HIV SBCC campaigns will inform our three-pronged SBCC public healthcare and deep
supports the smooth approach; aimed to encourage vaccine uptake once the quantitative and qualitative work has networks within the private
and efficient roll-out been finalised sector
of programs at scale
• PEPFAR South Africa's
Education and “myth-
We have all elements Real life stories Practical information top-performing partner in
busting” HIV/TB care and treatment
of a large scale
vaccination program as well as voluntary medical
in place • Provided by medical • Stories of medical • Clear referral male circumcision (VMMC)
professionals professionals who have pathways and calls to
• Our footprint (SA) covers
We have also lost their lives to action
seven provinces cutting
designed a solution • High level COVID-19 to emphasize across national; provincial,
for the private sector understanding about the need for the vaccine • Easy set-up of and local government
vaccines appointments spheres of the Department of
A vaccination • Develop a network of Health
program of this • To speak to key respected medical • Appointment
design can be scaled • We have deep relationships
fears/myths professionals in local reminders
across multiple with health care workers
geographies
clinics who support the (WhatsApp/SMS)
vaccine
• Ability to implement
• Information required
research through
• Include open webinars in order to receive
quantitative surveys and
with leading medical vaccine qualitative focus groups
scientists in the country
• Leading partner of both
In keeping with the ethos of RTC and the call of the WHO, PEPFAR and various country partners, NDOH and the private
RTC's golden thread of community, ubuntu, solidarity, and patriotism will be highlighted with sector
tangible reference to people's lived experiences rather than jargon-heavy pharmaceutical content
©2021 Right to Care NPC 15We have already designed an E2E program for rapid roll-out in the
private sector Proposed –
to be confirmed
We have thought through the complete end-to-end solution for private sector and are well positioned to
finalise design and costing as vaccinations are made available
E2E vaccination
programme tailored
to community needs Operational
management
Our experience
supports the smooth
and efficient roll-out
of programs at scale
We have all elements
of a large scale
vaccination program
in place
E2E Process 1 2 3 4 5 6
We have also
Manufacturer to Orion to distribute vaccines RTC to set-up/manage Mezzanine to coordinate Deloitte to provide Approved nurses to
designed a solution to clinics
produce vaccine clinics at workplace employees at clinics employee comms platform administer vaccine
for the private sector
A vaccination
program of this
design can be scaled
across multiple
geographies
Key Employer
Benefits Reduced staff Reduced staff movement Limited Early vaccination Minimal Ease of
downtime (limiting infection risk) infrastructure costs for all staff management effort implementation
©2021 Right to Care NPC 16Our program would be tested in South Africa, with rapid response in
other geographies upon receipt of key information
Our approach is simple enough to be scaled across multiple geographies, however key unknowns across
national vaccine position, supply chain and regulatory aspects needs to be understood for each geography
E2E vaccination
programme tailored Key elements to be understood before scaling across multiple geographies Why
to community needs
Our experience National position Supply Chain Regulatory & compliance
• These questions need to be
supports the smooth
understood in order to
and efficient roll-out
1. Is national vaccine access 1. What is the desired roll- 1. Who are the key identify if there is a need:
of programs at scale
secured – if so – which out timing? regulatory bodies in-
We have all elements vaccines? country?
of a large scale 2. Who are the key − To expand supplier
vaccination program 2. Who can procure vaccines? distribution/logistics 2. Has emergency base
in place (i.e. government, medical companies in-country? regulatory
aids e.t.c.) approval/clearance
We have also 3. Are their cold-chain already been done?
designed a solution 3. What is the current in- facilities/networks in- − To change program
for the private sector country sentiment towards country? 3. What is the extent of structure to respond to
vaccines medical aid coverage in- specific geographical
A vaccination 4. Do any standardised country? needs
program of this 4. Have any programs already stock tracking systems
design can be scaled been established? exist? 4. Are vaccines a prescribed
across multiple minimum benefit for all
geographies • An early understanding of
5. Has government identified 5. Do any standardised medical aids? these elements will ensure a
existing mass vaccination tracking systems exist? swift roll-out across
sites? i.e. patient data, hospital multiple geographies
data/clinics data
6. What is the willingness of
private sector to pay
towards a program?
7. What is the national
nursing capacity?
©2021 Right to Care NPC 17Our current understanding of the Malawi vaccination status and
roll-out will allow for rapid intervention
With vaccinations anticipated to arrive at the end of January for approximately 20% of the population
(~3.6mn), assistance and preparation for a March roll-out is urgently required
E2E vaccination
programme tailored Our understanding of Malawi
to community needs
Regulatory/
Our experience Vaccination status Supply Chain
Compliance
supports the smooth
and efficient roll-out
of programs at scale • Astra Zeneca supply confirmed • Existing medical stores trust and • Key regulatory bodies include:
immunisations run a parallel system of
We have all elements • Procurement through government cold chain with: • Medical council of Malawi
of a large scale
vaccination program • Expected vaccine arrival end Jan ’21 • MOH • Nurses and midwives council of
in place Malawi
• Roll-out expected Mar ‘21 • GAVi
• Medicine and poisons board of
We have also
• No identified mass vaccination sites • UNICEF Malawi
designed a solution
for the private sector
• Target 20% population (3.6mn)
• Current country system has cold-chain • No emergency clearance has been
A vaccination • Priority rollout – facilities for existing vaccination issued for vaccinations as yet
program of this • HCW, treatments and drugs
design can be scaled • Elderly • In-country medical aid coverage is low
across multiple • Population with co-morbidities • Paper based stock tracking systems as healthcare is free at point of care
geographies
• Current national vaccine coverage • Standardised patient tracking systems • Vaccinations are given for free
~90%, most vaccines free at point of exist for patients in EMR HIV positive (including private clinics)
service clients
• Mixed sentiment towards vaccine myths
• Large national nursing capacity
covering all levels of health care services
(community, secondary, tertiary)
©2021 Right to Care NPC 18Our current understanding of the Zambia vaccination status and
roll-out will allow for rapid intervention
~11 million doses have been secured through the African union and Covax facility, government parastatal
Medical Stores Ltd is expected to be the key distributor, with existing cold-chain infrastructure in place
E2E vaccination
programme tailored Our understanding of Malawi
to community needs
Regulatory/
Our experience Vaccination status Supply Chain
Compliance
supports the smooth
and efficient roll-out
of programs at scale • Astra Zeneca – 8.7 million doses through • Desired vaccination roll-out in February • Key regulatory bodies include:
the African union 2021
We have all elements • Zambia medicines regulatory
of a large scale • Covax facilty – 2.7 million doses • Vaccine distribution to be done through authority
vaccination program government parastatal:
in place • Procurement through government • Health professionals council
•
• Government (MOH) have prepared a
We have also
vaccination strategy
designed a solution
• Vaccination pre-clearance per WHO,
for the private sector
• Priority rollout – • MSL is the key medical logistics however additional in-country clearance
• HCW (COVID-19 centres and other) provider in Zambia, and has available would be required
A vaccination • High risk populations (>55 and cold-chain facilities and standardised
program of this those with co-morbidities) stock tracking systems • Medical aid/insurance coverage limited to
design can be scaled employed sector
across multiple • No mass vaccination sites planned at • Additional tracking details are available
geographies present through MSL, systems are currently
used for ordering drugs and supplies
• Private sector has been paying for staff
to be tested for COVID-19, assumption
this would be further expanded to
vaccinations
©2021 Right to Care NPC 19You can also read
