Vaccine Rollout 2.0: Australia needs to do 3 things differently
- Written by Stephen Duckett, Director, Health Program, Grattan Institute
Australia’s vaccine rollout started just over four months ago. It has not gone well, to put it mildly. To date, only 24% of the population have had at least one dose of a vaccine, and nearly 5% – 1.2 million people – have been fully vaccinated.
This rate is far too slow. The United Kingdom and the United States are showing that effective mass vaccination programs can work, with more than 80% of Brits and 54% of Americans having received their first dose. Australia should be just as ambitious.
The federal government should press the reset button and shift to Rollout 2.0.
Rollout 1.0 was plagued with supply problems – there just wasn’t enough of either vaccine available. But from July, there will be more supply, with about two million Pfizer doses, and half a million Moderna doses available per week from October – more than enough to cover the whole adult population.
With supply looking sorted, the federal government should set a new goal for when all adults will be able to receive full vaccination by.
The government – and its army of rollout consultants – has had months to learn from its mistakes. The actual army has also been called in.
Read more: Calling in the army for the vaccine rollout and every other emergency shows how ill-prepared we are
The government has no excuse not to have all arrangements in place for an efficient vaccination program when the vaccines begin rolling in.
Three key things need to be done differently to achieve this goal.
1. Fix the logistics
The supply side of Rollout 1.0 was a shemozzle. GPs and state governments had no idea how many doses were going to arrive and when. This was partly due to slow supply of doses from overseas, but mainly due to slow supply from the local producer, CSL.
That should not be a worry under Rollout 2.0.
But Rollout 1.0 was also a distribution nightmare. It was seemingly impossible for anyone to organise to get doses from place A to place B.
There are now fewer anecdotes about distribution disasters than a few months ago, but the government needs to assure the public that the supply chain and distribution networks are working efficiently.
Read more: How the Pfizer COVID vaccine gets from the freezer into your arm
If I can be notified when my book or beer is due to arrive – and even the driver’s name – then GPs and state vaccine hubs should be able to be notified when their doses are due to arrive.
And it should be as easy for me to book my vaccination online as it is to book a restaurant table or parcel pick-up online, with advance bookings helping to guide where extra doses should be allocated.
2. Widen the channels
Of the Australians who are getting vaccinated, just over half are doing so through GPs and primary care clinics.
If Rollout 2.0 is to make use of the millions of new doses arriving every week, it will need to deliver at least three times as many doses every week as it has been able to achieve so far.
Government planning seems to be putting GPs front and centre of Rollout 2.0 – the same strategy that failed in Rollout 1.0.
Sure, GPs should be invited to step up, but governments should continue to put a focus on mass state-run vaccination hubs that can vaccinate up to 1,400 people every eight hours, compared to GP clinics that can vaccinate only 100 to 300 people in the same time.
Luis Ascui/AAPRollout 2.0 needs to increase both the hours existing outlets are available and expand the number of large vaccination hubs. It should also introduce new outlets such as pharmacies.
States should bring vaccines to people, by providing on-site pop-up vaccination centres at major sports events, workplace hubs, universities, major public transport stations, housing commissions, and regional town centres.
When the Pfizer vaccine is approved for people under 16, states should also arrange for vaccinations to be done in schools.
Because more doses will be available within one month, states should no longer stockpile doses to ensure second-dose availability but rely on fewer supplies for this purpose.
A faster rollout will need a bigger workforce. Planning needs to start now on how we should draw on medical, nursing, and pharmacy students to contribute to Rollout 2.0.
3. Tackle vaccine hesitancy
As the government fixes the supply side, it also needs to tackle the demand side – vaccine hesitancy. About 25% of Australian adults say they may not get the jab. The aim should be to change the minds of those who are unsure, rather than focusing on those who are much less willing.
Authors: Stephen Duckett, Director, Health Program, Grattan Institute
Read more https://theconversation.com/vaccine-rollout-2-0-australia-needs-to-do-3-things-differently-163479