Getting set up as a Vaccination site! - April 2021 Dr Unben Pillay
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Getting set up as a
Vaccination site!
April 2021
Dr Unben Pillay
Introduction
As a major component of the National Department of Health’s (NDOH) overall COVID 19
response, Government will source, distribute, and oversee the rollout of vaccines.
• Government will facilitate the purchase of vaccines to be distributed to provincial
governments and the private sector.
• Available stock will be procured from different manufacturers
• The vaccination system will be based on a pre-vaccination registration and an
appointment system.
• Those vaccinated will be placed on a national register and provided with proof of
vaccination.
• A national rollout committee oversees vaccine implementation in both the public and
private sectors.
Unlike other common vaccinations, the COVID-19 vaccine necessitates specific processes
for storage, administration, recording and monitoring.
To manage the scale of the national program, processes have been established to ensure that
population level immunity is achieved as rapidly as possible.
1Establishing a Covid-19 Vaccination Site
Identify vaccinator/s
Review participation Estimate your
and complete covid-19
requirements vaccination capacity
training modules
Complete the Master
Development of your
Facility List (MFL) Secure vaccination
own site
application and confirm stock
implementation plan
site accreditation
Decide and
communicate the site
activation date
2Establishing a Covid-19 Vaccination Site
1. Review participation requirements
2. Estimate your vaccination capacity
3. Identify vaccinator/s and complete covid-19 training modules
4. Complete the Master Facility List (MFL) application and confirm site accreditation
5. Development of your own site implementation plan
6. Secure vaccination stock
7. Decide and communicate the site activation date
3Participation Requirements
Confirm that the following vaccination site
requirements will be in place*
• Space for screening, registration, vaccinating, observation and
recording.
• All the necessary equipment and furniture to provide the
vaccination services including IT hardware, desks, tables, and chairs
etc.
• Sufficient cold chain storage capacity to comply with the
manufacturers' vaccine storage requirements and to accommodate
the volume of vaccine required.
• WHO PQS continuous temperature monitoring and logging devices
to monitor the vaccines' storage temperature, which displays
alarms, min/max temperatures, and a log of temperature readings
• Appropriate waste disposal systems.
• Alternative power sources to maintain the cold storage conditions in
a power failure event.
4Establishing a Covid-19 Vaccination Site
• Review participation requirements
• 2. Estimate your vaccination capacity
• Identify vaccinator/s and complete covid-19
training modules
• Complete the Master Facility List (MFL)
application and confirm site accreditation
• Development of your own site implementation
plan
• Secure vaccination stock
• Decide and communicate the site activation
date
5Estimate your capacity plan
A capacity plan will enable each site
to prepare for the successful roll-out
of COVID-19 Vaccines
• A capacity planning calculator will be provided
to aid assessment of your capacity to
administer COVID-19 vaccines, either in your
own capacity or standalone vaccine site.
6Establishing a Covid-19 Vaccination Site
Review participation requirements
Estimate your vaccination capacity
3. Identify vaccinator/s and complete covid-19 training modules
Complete the Master Facility List (MFL) application and confirm site accreditation
Development of your own site implementation plan
Secure vaccination stock
Decide and communicate the site activation date
7Identify the Vaccinator/s
Vaccines must be administered by appropriately
trained and competent individuals.
• On identification of vaccinators, all should access and
complete an online vaccination course.
• Links to accredited courses are provided:
• www.knowledgehub.org.za
• A list of accredited vaccinators will need to be provided as
part of the enrolment as a NDoH vaccination site on the
Electronic Vaccine Data Systems (EVDS).
8Establishing a Covid-19 Vaccination Site
• Review participation requirements
• Estimate your vaccination capacity
• Identify vaccinator/s and complete covid-19 training
modules
• 4. Complete the Master Facility List (MFL) application and
confirm site accreditation
• Development of your own site implementation plan
• Secure vaccination stock
• Decide and communicate the site activation date
9Register as a new user on MFL
Each vaccination site must register for accreditation
and inclusion in the MFL.
Each vaccination site must appoint a Health facility
representative (e.g. Facility manager) whose role is to:
• Confirm authentication
• Create user access requests
• Can create MFL requests to add/edit facility data.
• Can view facilities’ data
• Can export facilities’ data
• Training is available to support the facility administrator.
To commence the enrollment process please access via
https://mfl.csir.co.za/
10Establishing a Covid-19 Vaccination Site
• Review participation requirements
• Estimate your vaccination capacity
• Identify vaccinator/s and complete covid-19 training
modules
• Complete the Master Facility List (MFL) application and
confirm site accreditation
• 5. Development of your own site implementation plan
• Secure vaccination stock
• Decide and communicate the site activation date
11Infrastructure Implementation
Patients will move through vaccination site in 3 steps
Registration Vaccination Observation
! Patient is asked medical ! Patient is seated for 15
! On arrival Patient questions and grants mins
presents the “proof of consent. • Any adverse events
! Vaccinator administers will need to be
timeslot voucher” and recorded using the
vaccine,
is registered for ! completes vaccine NDoH process, as
digital/physical card (note indicated in the
vaccination knowledgehub.org.za
if a second dose may be
! Patient is directed to ! Once time has lapsed, staff
required) and need to advise patient
the vaccination station ! logs the vaccine on the
he/she may leave
EVDS system
! patient is directed to the
observation station
12Infrastructure Implementation
Site Layout
Observation area
Exit
Sanitization &
Temp checks
Entrance
Registration Area Vaccination area
13Infrastructure Implementation
A site should have the following in place
Enough vaccinators
Vaccine ancillary items
Waste disposal system
Back-up electricity supply
Wheelchair access
Good ventilation and lighting
Internet access
Onsite security
14Infrastructure Implementation
Equipment & Consumables
IT, systems and data reporting
• 2 Dedicated Computers / Laptops / Tablets for capturing on EVDS
• Access to any Internet browser
• Internet access
• Optional Barcode Scanner (manual capturing is an option)
Refrigeration, cold chain monitoring
• Refrigeration.
• Dedicated vaccine fridge.
• Sufficient vaccine fridge space required for minimum number of doses.
Cold chain monitoring and requirements
• Please follow guidelines as per provided on NDOH knowledge hub
• WHO Approved continuous temperature monitoring device
• Fridge/s at 2° - 8°C for vaccine storage
• Any commercially available fridge meeting requirements, may be used.
15Infrastructure Implementation
Equipment & Consumables
Power security Requirement- 2- 4 hours back up power for the fridge
Consumable’s ordering
Ancillary supplies Syringes for vaccination: 1ml or 2ml (1 syringe per dose)
may vary depending Needles suitable for intramuscular vaccination: 22-25G and 25mm-38mm (1 needle per dose)
on the type of
Syringes for reconstitution - 5ml (if required) (1 per vial)
COVID-19 vaccine.
Vaccination sites Needles for reconstitution- 21G (if required) (1 per vial supplied)
must maintain an Cotton wool balls (1 per number of vaccine recipients)
adequate supply of
the following A safety box for disposal of used syringes and needles (1 per 100 doses supplied)
ancillary supplies Hydrogen Peroxide disinfectant*
PPE as outlined in infection control guidelines
Vaccine spills should be disinfected with an appropriate antiviral disinfectant
(e.g. Hydrogen peroxide-based disinfectants).
16Infrastructure Implementation
Equipment & Consumables
Resus equipment and medication eg AED, resus drugs
• Adrenalin Injection (1:1000) solution – 2 ampoules
• Hydrocortisone injection (100 mg) -1 vial
• Syringes
• Needles
• IV fluids, (Ringer- Lactate solution or normal saline) with drip set
• AEFI reporting form
Stock management system
• Information on stock ordering will be supplied to practices/sites that are accredited in the MFL
Waste management
• Each vaccination site must develop a waste disposal plan, which includes the name of the contracted
waste disposal company, number of waste disposal containers available, number of red/yellow
disposal bags available/ proof of regular waste disposal e.g., last destruction certificate
17Infrastructure Implementation
Patient scheduling will be via EVDS
18Establishing a Covid-19 Vaccination Site
• Review participation requirements
• Estimate your vaccination capacity
• Identify vaccinator/s and complete covid-19 training
modules
• Complete the Master Facility List (MFL) application
and confirm site accreditation
• Development of your own site implementation plan
• 7. Secure vaccination stock
• 8. Decide and communicate the site activation date
19Site activation And Stock logistics
20Please communicate your intention to register as a vaccination site at:
https://login.uffp.co.za
21You can also read
