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Is ‘centralization’ limiting vax driving? | India News


India’s race to stay ahead of the renewed rise in Covid-19 with an accelerated vaccination program is hampered by perceived centralization hurdles, which are due to complaints from states that want to increase numbers but are unable to do so due to reasons. ranging from window registration to lack of flexibility in expanding the network of centers and inoculating willing citizens beyond the stipulated age group, even when vaccines are available.
In Tamil Nadu, where several health centers run by the Greater Chennai Corporation are believed to unofficially vaccinate people over the age of 18, senior government doctors said a dynamic system that allows states to expand coverage, depending on the availability of vaccines and registration density, was the practical way. to avoid waste. “Once opened, a vial must be used within four hours. Chennai has the capacity to vaccinate 60,000 people. On a good day, we vaccinate about 35,000, but sometimes the number drops to 15,000. Why not offer the vaccine to young or healthy people who want it? “said a doctor.

Is 'centralization' limiting vax driving? | India News

Officials from the Nagpur Municipal Corporation said they were still waiting for government permission to begin vaccination in 32 private hospitals that are currently not spliced. The number of vaccinations can increase by about 10,000 per day if these proposed centers join the network. “Eleven of these hospitals had done a commendable job of inoculating healthcare workers and other front-line workers, so it’s not like they’re unfit for exercise,” said one official.
A few days ago, the Nagpur District Guard Minister Nitin Raut had ordered the corporation and the zilla parishad to double the vaccination target to 40,000 per day by increasing the number of centers from the existing 160 to 300. Raut suggested that Mobile vaccination centers will be sent to residential centers. areas to vaccinate people in age-appropriate groups. The option of home vaccination should be available to bedridden people, he said. But for all of this to be possible, the guidelines would need to be changed, something states say they are not yet allowed to do.
In Bengaluru and other parts of Karnataka, the top-down approach to vaccination is preventing execution on the ground, alleged a senior civic official. “The political bosses insist that we wait for the instructions from the Center. The first days of vaccination for seniors were chaotic as Co-Win was full of technical problems. However, we allowed visits without making any announcements and the situation stabilized. Even when it comes to implementing Covid containment measures, we are told to wait as the state government has to get permission from the Center. ”
Karnataka’s March 14 request to the Center to allow vaccination teams to visit nursing homes and remote villages was rejected by the Union Ministry of Health. “Since there is a BJP government in the state, the political bosses prefer a wait-and-see approach,” the official said.
Epidemiologist Dr. Giridhara R Babu, who is a member of Karnataka’s technical advisory committee on Covid, suggests that offline and walk-in vaccines should be encouraged rather than pre-registration and over-reliance on Co-Win. “The Center and state governments should work on micro plans to increase the rate of vaccination,” he said.
According to experts, the excessive centralization of the campaign has meant a lack of initiative on the part of state governments and local agencies to encourage the target population to register for vaccination. Earlier this week, at least 50 villages in Gujarat’s Rajkot wrote to the district administration, saying they would not allow health teams to enter their areas for vaccination. “We need to engage RWA and Anganwadi workers, and publicize the need for mass immunization,” said Dr. Vinay Aggarwal, former national president of the Indian Medical Association.
Andhra Pradesh Covid-19 Nodal Officer Dr Rambabu said the administration’s wait-and-see approach had had a negative impact on the vaccination campaign. The health department last week launched a campaign in villages to improve vaccination coverage. It is speculated that the relatively better performance of the Gujarat vaccine of around 2 lakh people a day is the result of unofficially bending the rules.

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