India’s Covid vaccination drive has expanded eligibility for the jab, even as production is yet to ramp up. This means policy must be finetuned to allocate vaccines to those who need them most. First, instead of leaving allocation of vaccines among the states to vaccine manufacturers, the Indian Council of Medical Research must guide vaccine makers, based on transparent parameters such as vulnerable populations size, rate of vaccination, number of Covid cases, positivity rate and record of vaccine wastage. Vulnerability should be measured in terms of both the current pace of pandemic spread and size of both healthworker/frontline worker groups and the elderly population. States should prioritise vaccine delivery by vulnerability.
Second, ICMR must provide clear information on the minimum and maximum gap between the two doses of vaccines being administered. This will help avoid panic among those who have already taken the first shot but are finding it difficult to get the second. Third, the central government must strengthen and simplify the technological backbone of the vaccination drive, the CoWIN app. It must be easy to access irrespective of technological savvy. The app must be programmed to prioritise those who have had their first dose, so that they can get their second jab within the stipulated time frame. Voluntary organisations should help the digitally non-savvy to get enrolled, till vaccine supplies increase to a level when walk-in registration at vaccination centres becomes feasible. Four, map out delivery centres to maximise access and minimise crowding and infections.
Rather than a few big centres, favoured by some states, the focus should be on many smaller centres—using local primary health centres, community halls and other such facilities to set up vaccination centres. Arrangements must be made to whisk away those who develop allergic reactions to well-equipped intensive care units. It will make it easier for people particularly those who are daily wagers and informal sector workers to get vaccinated.
Courtesy - The Economic Times.
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