B4SA Vaccination Rollout - OHS Presentation 9 June 2021
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B4SA Vaccination Rollout OHS Presentation 9 June 2021
Executive Summary
1. The official launch of the mass vaccination programme was 17 May
• The programme is starting off on a relatively modest scale, but is ramping up over the coming weeks
• ~1.5mn people have been vaccinated as at 8 June 2021 (~1mn in Phase 2 and ~0.5mn through the Sisonke Programme) with over 80k
doses being administered per day
2. The mass vaccine rollout programme aims to cover the most vulnerable groups first
• The aim is to vaccinate all 40 million South African adults
• We will start with the 5.4 million > 60s to ensure they are vaccinated before mid-Winter
• This will reduce the burden on our healthcare system and prevent up to 40,000 deaths
• The Electronic Vaccine Delivery System (EVDS) is live and sites have started using it to report their vaccination progress
• We have secured the vaccine supply for this (~62 million doses over the year)
3. We all need to rally around this common and important national agenda
• This is the largest vaccination rollout in our country’s history, and is critical for our health, healthcare system and economic recovery
2
There was a smooth start to the mass vaccination programme and we have
demonstrated the ability to scale up
Key statistics as at 8 June on the Phase 2 rollout More needs to be done to scale up the
programme
~130 Private sites have been South Africa started off with small numbers and
has demonstrated the ability to scale up with >75k
online this week vaccinations administered per day in the past
week
~295
More needs to be done to scale up the
Public sites have been programme, including
online this week • Ensuring that the delivery of vaccines is
brought forward where possible
• Getting more people to register for
People have received
~1mn their first jab
vaccines
• Getting more vaccination sites onboarded
to get more jabs in arms quicker
• Ensuring that EVDS works well to allow
>2.4mn Over 60s registered vaccination sites to work more efficiently
and provide more accurate and frequent
reporting 3The public and private sectors continue to work collaboratively to deliver on
the vaccination programme
…which report to the Joint Strategic Oversight
There are 5 workstreams… Committee
B4SA Steerco chaired by Martin Kingston Objective of Have overview of the work across the
the workstreams and the critical path
Finance and Information Service Delivery Supply, Stakeholder Committee Unblock bottlenecks arising in each of
Workstream the workstreams
Funding flows and Data Platforms Allocation Engagement,
Report
Management and Delivery Communication
and Advocacy Membership NDoH DG (Co-chair) and team
B4SA Leadership and workstream leads
Labour representitives
B4SA Leads
3x sessions/week (interim)
Work with
Meeting
cadence 2x sessions/week (longer-term)
Government Leads
Stream leads meet regularly to workshop matters within their workstreams
A war room has been setup, consisting of B4SA and NDoH representatives to
• Update on progress on the dashboard
• Review throughput and root causes for any gaps identified
• Media monitoring update
• Key action items and other
4Notable progress has been made to kick start the vaccination programme
and we continue to work to close out on some key issues
Workstream Key achievements to date Key items to close out
Vaccine price, administration fees and payments Finalising the sale and distribution contract to enable
Finance and processes defined and agreed the vaccination of uninsured patients at private sites
Funding flows
Information Released the EVDS to public for registrations of over 60s Finalising the reporting and dashboards to keep track of
vaccination progress
and Data Sites have been trained on EVDS
Management
~500k Healthcare workers were vaccinated through the Accelerating registration and curation process of sites and
Service Sisonke programme and ~1mn in Phase 2 setting up ~89 workplace and ~4 mass vaccination sites in
Delivery the coming weeks
Platforms ~130 private sites are expected to be online during this
week Designing the ramp up of sites to match the supply pipeline
Securing supply of doses sufficient for 47mn lives Allocation algorithm to allocate stock in the short term
Supply, vaccine-constrained environment
Allocation and Concluded a distribution tender and developing
distribution plans
Delivery
Aligning on allocation mechanism between public,
private and OHS sites
Stakeholder National communication plan has been developed and is Setting up more regular joint media briefing sessions
Engagement, ready for executive sign off between NDoH, B4SA and other key partners
Communications
and Advocacy
5~1.5mn people have received their first jabs as at 8 June 2021
Figures reported per NDoH
Cumulative no. of people who have received their first jab 1, 000 people
Vaccination figures are reported at midnight for the previous day
Weekday Weekend x Ave. weekly vaccinations ~480k healthcare workers have been
1 525 fully vaccinated with J&J
1 337 1 343 1 350 The total vaccinations at the end of the
1 267
3rd week of the rollout was 2.3 times
1 193
1 118 that of the first week and 1.2 times
1 045 that of the second week
964 968 970
898 An average of 73.2k vaccines were
828
762 administered per day last week, up
647 652
701 from 32.3k in the first week of the
641 642
557
597 rollout
519
480 492
There are low rates of vaccinations
over weekends and sites will be
encouraged to scale up on these days
Sisonke 17/05 18/05 19/05 20/05 21/05 22/05 23/05 24/05 25/05 26/05 27/05 28/05 29/05 30/05 31/05 01/06 02/06 03/06 04/06 05/06 06/06 07/06 08/06
32.3 62.5 73.2
Source: National Department of Health
6KwaZulu-Natal and Gauteng lead the vaccination drive, each with ~400k
vaccinations
Figures include Sisonke vaccinations
Province Cumulative no. of vaccinations by province, 000
KwaZulu-Natal 376
KZN and Gauteng are
currently leading with the
Gauteng 392 number of vaccinations
administered to date
Western Cape 230
Vaccination rollout in the
Limpopo 145 Northern Cape is receiving
attention to find ways of
Eastern Cape 146 supporting and unblocking
key issues stalling rollout
North West 78
Free State 80
Mpumalanga 58
Northern Cape 19
Grand Total 1 525
7
Source: National Departmentt of Health Official Report for 6 June 2021Projected supply timeline and capacity
Figures as of 02 June 2021 and subject to change
Expected Pfizer vaccine supply to June 2021, 000 doses
Covax Pfizer
3.8mn commercial Pfizer doses are
expected to have been delivered by the
2 666
end of June with an additional ~1.3mn
Covax doses to be confirmed by the end
1 392 June
There is a required daily capacity of
~195k vaccinations/day to consume this
651 636 636 supply over the next 6 weeks
325 325 1 274
190
17 May 24 May 31 May 7 Jun 14 Jun 21 Jun 05 Jul Additional supply
Of the 20mn commercial doses from
Committed daily capacity of all sites, including sites with no permits1, 000 jabs/day (weekly, cumulative) Pfizer, 8.5mn are expected in Q3 and
6.9mn in Q4
Capacity required Private sector (no permits) Private sector (with permits) Public sector2 Currently 190k doses are expected
per week in July – this schedule is
250 227.9 being negotiated by the NDoH
218.1
200 182.6 190.5 58.2 Of the 10mn additional Pfizer doses, 8m
164.9 48.4
16.4 20.9
9.5 are expected in Q3 and 2mn in Q4
150 40.5 43.7 43.8 43.8
33.2 The weekly delivery schedule is being
100 86.5 finalised
52.5 4.8
20.6 125.9 125.9 125.9
50 1.6 122.1 125.6 The timing of 31mn JnJ doses is still TBD,
6.93
44.0 61.1 largely dependent on FDA findings
0
17 May 24 May 31 May 7 Jun 14 Jun 21 Jun 28 Jun
1. Assuming facilities will operate 5 days a week
2. These are planned public sector sites - the NDoH has asked provinces to scale back on capacity while supply is constrained thus not all of the capacity will come online
Source: National Department of Health, Service Delivery Workstream 8Initial OHS sites planned for 14 - 21 June 2021
Industry Total capacity (jabs/day) No. of sites The NDoH is responsible for the
process of approving OHS sites that
will be coming online
Mining 17 580 44 NDoH will prioritise and expedite
applications from sites that can
manage Pfizer pack sizes and have the
potential for high throughput
Agriculture 960 9
‒ The priority sites will be the initial
89 and then a further 51 sites
As at 8 June 2021, there are 18 OHS
Industrial 900 19 sites that have been issued permits
‒ 5 sites have started vaccinating and
have administered ~1.6k jabs
Other1 4 860 17
Total capacity 24 300 89
1. Other industries include Higher Education, Clothing and Textile, Training Services, Motoring, Food, Local Government, Television, Financial Services, Hospitality, Electricity, Construction
9There are risks to successful execution, but we continue to ensure that they
are being mitigated
Vaccine hesitancy and Security of vaccines
Logistics plans 1 2 3
1 Controllable risks misinformation
Distributors may not be able to Poor communication could result in Vaccination sites will become
deliver vaccines and related vaccine uptake being low and hotspots for criminal activity as
supplies to sites timeously manufacturers cutting supply due to vaccines become a high demand
wastage product
KPIs for distributors to be made NDoH to amplify communication strategy NATJOINTS to monitor the
public and regularly tracked and Private sector and institutions to support implementation of the signed off
managed by NDoH with the communication of key messages security protocols
4 5 6
2 Uncontrollable risks Low vaccine efficacy Supply commitments not met High impact third wave
Additional variants or side Manufacturers may not be able The impact of the third wave may result
effects may develop which to honour supply commitments in increased infection, hospitalisation
will reduce the effectiveness due to increased demand or and mortality rates that will reduce the
of the vaccines – of which manufacturing inefficiencies availability of healthcare workers to
only two types have been support the vaccination rollout
secured
May be managed through adjusting lock
down regulations to limit movement and
infection rates
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