COVID-19 VACCINATION IN MANITOBA TECHNICAL BRIEFING - March 17, 2021
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COVID-19 VACCINATION IN MANITOBA
TECHNICAL BRIEFING
March 17, 2021
OPERATIONAL UPDATES
VACCINE DELIVERY MODEL UPDATES
Winnipeg Brandon Thompson Selkirk
SUPERSITES 8,106 1,765 966 1,028
In larger centres, supersites
allow for rapid and large-scale DOSES DOSES DOSES DOSES
vaccination for increased ADMINISTERED ADMINISTERED ADMINISTERED ADMINISTERED
IN LAST WEEK IN LAST WEEK IN LAST WEEK IN LAST WEEK
speed and efficiency.
55,080 7,276 1,909 1,028
TOTAL DOSES TOTAL DOSES TOTAL DOSES TOTAL DOSES
ADMINISTERED ADMINISTERED ADMINISTERED ADMINISTERED
847 182 127 257
AVG. DAILY DOSES AVG. DAILY DOSES AVG. DAILY DOSES AVG. DAILY DOSES
65 11 7 15
3 EST. DAILY STAFF EST. DAILY STAFF EST. DAILY STAFF EST. DAILY STAFF
(FTE) (FTE) (FTE) (FTE)
COVID-19 DOSE DELIVERY SCHEDULE
Doses Received & Projected
90.0 K
80.0 K
70.0 K
60.0 K
50.0 K
40.0 K
30.0 K
20.0 K
10.0 K
0.0 K
14-Dec- 21-Dec- 28-Dec- 11-Jan- 18-Jan- 25-Jan- 1-Feb- 8-Feb- 15-Feb- 22-Feb- 1-Mar- 8-Mar- 15-Mar- 22-Mar- 29-Mar- 12-Apr- 19-Apr- 26-Apr- 2021- 2021- 2021- 2021- 2021-
4-Jan-21 5-Apr-21
20 20 20 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 05-03 05-10 05-17 05-24 05-31
AstraZeneca 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 18.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K
Moderna Doses 0.0 K 7.3 K 0.0 K 0.0 K 7.4 K 0.0 K 0.0 K 8.1 K 0.0 K 0.0 K 6.1 K 0.0 K 20.5 K 0.0 K 40.6 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K 0.0 K
Pfizer Doses 2.3 K 11.7 K 1.2 K 7.0 K 9.4 K 9.4 K 0.0 K 2.3 K 3.5 K 15.2 K 17.6 K 16.4 K 16.4 K 14.0 K 42.1 K 41.0 K 37.4 K 37.4 K 37.4 K 37.4 K 37.4 K 37.4 K 0.0 K 0.0 K 0.0 K
Total 2.3 K 19.0 K 1.2 K 7.0 K 16.8 K 9.4 K 0.0 K 10.4 K 3.5 K 15.2 K 23.7 K 16.4 K 54.9 K 14.0 K 82.7 K 41.0 K 37.4 K 37.4 K 37.4 K 37.4 K 37.4 K 37.4 K 0.0 K 0.0 K 0.0 K
As of March 15, 2021
5
SUPERSITE
INVENTORY
MANAGEMENT
Projected for the next 30 days
5,000
0
10,000
15,000
20,000
25,000
30,000
2021-03-14
2021-03-15
2021-03-16
2021-03-17
2021-03-18
Winnipeg
2021-03-19
2021-03-20
2021-03-21
2021-03-22
2021-03-23
Brandon
2021-03-24
2021-03-25
2021-03-26
2021-03-27
2021-03-28
Thompson
2021-03-29
2021-03-30
Projections as of March 15. Each rise in doses represents a scheduled delivery.
2021-03-31
2021-04-01
Selkirk
2021-04-02
Closing Stock Balance - Supersites
2021-04-03
2021-04-04
2021-04-05
2021-04-06
Morden
2021-04-07
2021-04-08
2021-04-09
2021-04-10
Total
2021-04-11
2021-04-12
2021-04-13
INVENTORY Managing Vaccine Supplies Effectively
MANAGEMENT •Vaccine shipments expected •Manitoba holds the minimum viable
"week of..." level of inventory
•Booking appointments •Extending timeline for 2nd
2-3 weeks in advance doses resulted in a temporary
inventory build-up, which is being
•Need to manage inventory for used in supersite appointments
booked appointments this week
and planned immunizations with
FITs, pop-ups, and allocations to •Spreading out supersite
First Nation partners appointments throughout a week
provides a better client experience
6
INVENTORY Managing Vaccine Supplies Effectively
MANAGEMENT • Pfizer vaccine used at supersites • Received 20K doses on March 12
& by some FITs with 2/3 allocated to First Nation
• All vaccine currently in stock will be partners and will be delivered to
used by March 23 communities over the next
• Another 14,040 doses arrive this few days
week that will be used between • The 1/3 half will be used by
March 24 and 27 FITs, popups and other sites by
March 31
• Moderna is used for
targeted populations, in smaller • AstraZeneca
volumes so inventory is often / Covishield has been shipped to
higher medical clinics and pharmacies
(18K doses)
7
INVENTORY MANAGEMENT
Days worth of inventory based on Daily Maximum Capacity per Channel
• All supersites can administer
9
their entire weekly supply in 8 7.89
less than a week. 7
7.44
7.13
7.43
6.38 6.35 6.35
• As a result, clinics could be 6
Days worth of Inventory
5.92 5.93 5.89 5.89
5.58
open only for a part of the
5.44
5
4.83 4.96 4.84
week. 4.13
4 3.88
3.75 3.67 3.67
3.58
• While this has occurred, it is 3
3.22
2.91 3.01 2.83 2.82 2.82
2.76
not ideal. 2
2.28
2.14 2.23
2.01 2.08
1.67 1.77 1.79
1.63
1.47 1.42 1.48
1.24
• Our goal is for supersites get
1.17 1.10 1.03 1.11 1.12
1 1.00 1.02
0.79 0.74 0.67
0.63
0.49
as close as possible to zero -
0.27 0.17 0.15
0.33
inventory the day before the 2021-03-15 2021-03-20 2021-03-25 2021-03-30 2021-04-04 2021-04-09 2021-04-14
Supersites FITs/Pop-ups
next shipment arrives.
8
INVENTORY MANAGEMENT
Inventory turnover ratio March 15 – March 31
FITs/Pop-ups 0.30
Supersites 1.52
• The inventory turnover ratio shows the number of times the inventory has been used and replaced within a
certain period of time.
• A lower turnover rate indicates slower vaccine administration, while a higher ratio implies either faster vaccine
administration or insufficient inventory.
• Supersites are able to burn through supplies faster than FITs and pop-up clinics.
• However, Manitoba's model recognizes that FITs and pop-ups are necessary to immunize people who aren’t
able to visit a supersite.
9
DOSE ADMINISTRATION PROJECTION
Daily Doses Administered - Projection
Does not include doses allocated to First Nations
9,000 200,000
8,000 180,000
7,000 160,000
140,000
6,000
120,000
5,000
100,000
4,000
80,000
3,000
60,000
2,000 40,000
1,000 20,000
- -
Supersites FIT Popup Clinic Total Cumulative
Projected as of March 15
10LOW-RANGE SCENARIO
Based on Pfizer, Moderna and
AstraZeneca/Covishield
vaccines.
70% uptake rate
Projected as of March 8 (no change)
9HIGH-RANGE SCENARIO
Based on Pfizer, Moderna,
AstraZeneca/Covishield,
Jenssen, and Novavax.
70% uptake rate
Projected as of March 8 (no change)
12DELIVERING 1.5 MILLION DOSES
Daily
SECOND • Manitoba continues to report Site / Approach Maximum
Capacity
QUARTER Daily Maximum Capacity
Supersites
EXPANSION • This shows how many doses
(RBC 1st & 3rd floor, Backup Site,
Keystone, Selkirk, Thompson, Vaxport)
11,658
Building from Manitoba's could be delivered on any
small, deliberate and safe given day in Manitoba if we Distributed Model 5,000
starting point to deliver the had adequate supply.
largest immunization Focused
1,815
campaign in provincial Immunization Teams
• This will be updated as
history
new facilities and staff are
Pop-up Clinics 500
added to increase capacity.
Current Daily
Maximum Capacity 18,973
TARGET CAPACITY Q2 20,000
14CONTINUED Protecting Manitobans, Building Capacity
PROGRESS • Pop-sites began this week, with • FITs have given more than 6,900
more to be announced in future first doses to people in congregate
weeks living facilities.
• Morden opening next week, RBC • Vaxport pilot immunized more than
expansion later this month 700 people
• Eligibility criteria continue
to expand for general population
and First Nation people – today will
shift to 73 / 53
• Covishield doses being
administered by medical clinics
and pharmacies
15CONTINUED Online Booking Launching Today
PROGRESS • Online appointments will begin to • Requires email address and health
be accepted later today card number
• Available for supersites, not the • Call centre will continue to be an
distributed model with medical option
clinics and pharmacies or pop-ups
16WORKFORCE UPDATE
WORKFORCE RECRUITMENT
CURRENT WORKFORCE
1,768 Immunizers
118
28 Clinic Managers
33 Clinical Leads
this week 526 Navigators
119 Observers
2,474
STAFF
As of March 15, 2021
181. We are actively focused on hiring navigators for several regions
RECRUITMENT including Northern RHA, Interlake-Eastern RHA and Southern Health -
EFFORTS Santé Sud.
2. Students:
• Hiring over 100 students to work full-time over the
spring and summer to support immunization efforts as navigators.
• Hiring 50 student immunizers (term positions) to support
immunization efforts over the spring and summer.
3. Partnership with the Institute of Health and Healing (Ongomiizwin
Health Services) of the Rady Faculty to Health Sciences to
provide travelling immunizers to support First Nations communities.
4. Working with the Associations to support the hiring for the five new
occupations (dental hygienist, chiropractor, massage therapist, athletic
therapist, optometrist) under February 9 order.
19DAILY OPERATION SCHEDULE
As of March 15, 2021
SUPER SITES
WINNIPEG BRANDON
RBC Convention Centre Keystone Centre
110 22
TOTAL STAFF (FTE) TOTAL STAFF (FTE)
45 Immunizers (FTE) 11 Immunizers (FTE)
1,633 Doses/Day 465 Doses/Day SELKIRK
THOMPSON Former Selkirk & District
Vaxport General Hospital
12 19
TOTAL STAFF (FTE)
TOTAL STAFF (FTE)
5 Immunizers (FTE)
8 Immunizers (FTE)
212 Doses/Day
337 Doses/Day
20DAILY OPERATION SCHEDULE
As of March 15, 2021
POP-UP & FIT SITES
Prairie Mountain Health
Dauphin
Winnipeg RHA Northern RHA
FIT Team 14 Flin Flon
7 TOTAL STAFF (FTE) 14
TOTAL STAFF (FTE) 4 Immunizers (FTE) TOTAL STAFF (FTE)
7 Immunizers (FTE) 180 Doses/Day 4 Immunizers (FTE)
327 Doses/Day 180 Doses/Day
Interlake-Eastern RHA Southern Health - Santé Sud
Gimli Morris
11 14
TOTAL STAFF (FTE) TOTAL STAFF (FTE)
2 Immunizers (FTE) 4 Immunizers (FTE)
90 Doses/Day 180 Doses/Day
21WORKFORCE
PLANNING • Flexibility: Looking for opportunities to find efficiencies in
operations to increase the average 7.5 immunizations per
hour.
• Ensuring we can meet the needs of all clients with language,
accessibility, and cultural safety.
• Responding to supply and demand volume of doses by
looking for opportunities to scale.
• There is an Indigenous work stream in the Task Force working
with Treaty Partners making recommendations specific to
meeting the needs of this population.
22#PROTECTMB CAMPAIGN
RESEARCH
Understanding • For the past 3+ months, • We also leveraged this data to
Manitoba has incorporated directly consult Manitobans on
Manitobans' questions about vaccine intention campaign design – 8,000
perspectives and and confidence in government’s Manitobans who had previously
attitudes on vaccine efforts into various public identified as accessible patients
opinion research surveys and were asked for perspectives on
COVID-19 EngageMB consultation surveys. language and design.
vaccination
• Based on these responses, • As we build the direct-
we’ve been able to develop a engagement community around
view of Manitoba’s profile of #ProtectMB, we will be able to
vaccine intent and have received return to these individuals for
100,000 responses from additional perspectives and
Manitobans. feedback on the campaign and
the vaccination effort.VACCINATED MANITOBANS: 6%
KEENERS ~63%
Will get the vaccine as soon as they are able
Skew older (45% are 55+) and more likely women. Are more likely to
be supportive of government's vaccination effort (90% supportive)
ACCESSIBLE ~12%
Likely to get the vaccine, but not in a rush
Skew younger (57% are 35-54). Are more likely to be supportive
of government's vaccination effort (90% supportive)
SKEPTICS ~9%
Ambivalent about vaccination, has
concerns and is undecided
Skew younger (46% are 25-44) and slightly more likely men.
Are slightly less likely to be supportive of
government's vaccination effort (85% supportive)
INACCESSIBLE ~10%VACCINATED MANITOBANS: 6%
KEENERS ~63%
Will get the vaccine as soon as they are able
Skew older (45% are 55+) and more likely women. Are more likely to
be supportive of government's vaccination effort (90% supportive)
ACCESSIBLE ~12%
Likely to get the vaccine, but not in a rush
Skew younger (57% are 35-54). Are more likely to be supportive
of government's vaccination effort (90% supportive)
SKEPTICS ~9%
Ambivalent about vaccination, has
concerns and is undecided
Skew younger (46% are 25-44) and slightly more likely men.
Are slightly less likely to be supportive of
government's vaccination effort (85% supportive)
INACCESSIBLE ~10%VACCINATED MANITOBANS: 6%
KEENERS ~63%
Will get the vaccine as soon as they are able
Skew older (45% are 55+) and more likely women. Are more likely to
be supportive of government's vaccination effort (90% supportive)
ACCESSIBLE ~12%
Likely to get the vaccine, but not in a rush
Skew younger (57% are 35-54). Are more likely to be supportive
of government's vaccination effort (90% supportive)
SKEPTICS ~9%
Ambivalent about vaccination, has
concerns and is undecided
Skew younger (46% are 25-44) and slightly more likely men.
Are slightly less likely to be supportive of
government's vaccination effort (85% supportive)
INACCESSIBLE ~10%VACCINATED MANITOBANS: 6%
KEENERS ~63%
Will get the vaccine as soon as they are able
Skew older (45% are 55+) and more likely women. Are more likely to
be supportive of government's vaccination effort (90% supportive)
ACCESSIBLE ~12%
Likely to get the vaccine, but not in a rush
Skew younger (57% are 35-54). Are more likely to be supportive
of government's vaccination effort (90% supportive)
SKEPTICS ~9%
Ambivalent about vaccination, has
concerns and is undecided
Skew younger (46% are 25-44) and slightly more likely men.
Are slightly less likely to be supportive of
government's vaccination effort (85% supportive)
INACCESSIBLE ~10%THE #PROTECTMB JOURNEY
Capture ‘keen’ and Routine and relevant
Identify demographics
‘accessible’ interest: information: Get vaccinated:
and eligibility:
Visit site and Welcome email and Book Appointment
Complete profile
newsletter sign-up weekly updates
Access fact-based Share materials
Notification of Celebrate and
and current within personal
Eligibility Champion
information networks
• Myth/Facts • Key value • Selfies and social
information proposition for frames
• Stories of joining. • Stories of positive
vaccination • Data-driven experience
• Real-time updates updates (location, • Peer and celebrity
age, etc.) influenceTHE #PROTECTMB JOURNEY
Capture ‘keen’ and Routine and relevant
Identify demographics
‘accessible’ interest: information: Get vaccinated:
and eligibility:
Visit site and Welcome email and Book Appointment
Complete profile
newsletter sign-up weekly updates
Access fact-based Share materials
Notification of Celebrate and
and current within personal
Eligibility Champion
information networks
• Myth/Facts • Key value • Selfies and social
information proposition for frames
• Stories of joining. • Stories of positive
vaccination • Data-driven experience
• Real-time updates updates (location, • Peer and celebrity
age, etc.) influenceWELCOME
Joss,
Dr. Marcia Anderson receives her first dose of the COVID-19 vaccine at an immunization
clinic dedicated to priority Indigenous populations, operated by the Manitoba First
Nations COVID-19 Pandemic Response Coordination Team, in partnership with the
Assembly of Manitoba Chiefs, Manitoba Keewatinowi Okimakanak, Southern Chiefs’
Organization, Keewatinohk Inniniw Minoayawin Inc., First Nations Health and Social
Secretariat of Manitoba and the Manitoba government.THE #PROTECTMB JOURNEY
Capture ‘keen’ and Routine and relevant
Identify demographics
‘accessible’ interest: information: Get vaccinated:
and eligibility:
Visit site and Welcome email and Book Appointment
Complete profile
newsletter sign-up weekly updates
Access fact-based Share materials
Notification of Celebrate and
and current within personal
Eligibility Champion
information networks
• Myth/Facts • Key value • Selfies and social
information proposition for frames
• Stories of joining. • Stories of positive
vaccination • Data-driven experience
• Real-time updates updates (location, • Peer and celebrity
age, etc.) influenceTHE #PROTECTMB JOURNEY
Capture ‘keen’ and Routine and relevant
Identify demographics
‘accessible’ interest: information: Get vaccinated:
and eligibility:
Visit site and Welcome email and Book Appointment
Complete profile
newsletter sign-up weekly updates
Access fact-based Share materials
Notification of Celebrate and
and current within personal
Eligibility Champion
information networks
• Myth/Facts • Key value • Selfies and social
information proposition for frames
• Stories of joining. • Stories of positive
vaccination • Data-driven experience
• Real-time updates updates (location, • Peer and celebrity
age, etc.) influenceDATA-DRIVEN
ADVERTISING
• Based on research, advertising will
Ensuring be targeted to 25+, with a skew
towards older and female
Manitobans who are populations.
keen, and likely to
share, are our first • Behaviour segments will be
targeted including interests in
target personal health, family and
parenting, elder care and regular
news readers.
• Ads will also be targeted and
aligned to web content and
analytics will be used to re-target
and re-engage interested
Manitobans.ONGOING
RESEARCH
AND • As the community grows, • Stories, myths/facts content,
EngageMB will be used to better videos and other creative will be
ADAPTATION refine our understanding. developed and adapted as we
learn more, introduce new
• If we are seeing low uptake in an vaccines or vaccination models,
Ensuring our area or a community, or we want or face challenges in delivery.
campaign is agile, to test new approaches or
to respond to creative, the community of
Manitobans connected to
emerging needs #ProtectMB will continue to
inform our efforts.VACCINATED MANITOBANS: 6%
KEENERS ~63%
Will get the vaccine as soon as they are able
Skew older (45% are 55+) and more likely women. Are more likely to
be supportive of government's vaccination effort (90% supportive)
ACCESSIBLE ~12%
Likely to get the vaccine, but not in a rush
Skew younger (57% are 35-54). Are more likely to be supportive
of government's vaccination effort (90% supportive)
SKEPTICS ~9%
Ambivalent about vaccination, has
concerns and is undecided
Skew younger (46% are 25-44) and slightly more likely men.
Are slightly less likely to be supportive of
government's vaccination effort (85% supportive)
INACCESSIBLE ~10%KNOWLEDGE
TRANSLATION
AND PLANNING • A coordinating table that includes • This will allow us to identify
Data Science, Public Health, communities, populations and
Communications and demographics that are falling
Aggregating, Engagement and Vaccine Task behind on vaccination.
analysing and Force officials will meet to
evaluate current outcomes and • In some cases, this will result in
acting on data data, identify data needs and targeted advertising of
recommend policy and #ProtectMB, in others it will
communications responses. require unique community
creative, and in many cases it will
• A full picture of uptake and require a policy or service
hesitancy will be gathered response.
through past vaccination
behaviour (influenza, H1N1), • Continuous review, research and
public opinion results and actual recommendation will help to
vaccination data. advance vaccination results.COVID-19 VACCINATION IN MANITOBA
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