Mkhize's wishlist: Covid-19 vaccine rollout in February

The South African government is hoping to rollout its Covid-19 vaccine programme as early as next month, health minister Dr Zweli Mkhize, said in a press conference on Sunday, in response to criticism from several quarters that it has dropped the ball in securing a vaccine supply.
Health minister, Dr Zweli Mkhize
Health minister, Dr Zweli Mkhize
The furore started when the country missed the deadline to pay the R327m deposit to secure enough vaccines from Covax to cover 10% of the country's population. The department of health blamed the missed deadline on an administrative issue.

Then in his family meeting last week, in which he announced that the South Africa was moving to amended level 3 restrictions to curb the second wave of the pandemic, President Cyril Ramaphosa said that the vaccine would be available in the second quarter of the year.

However, the Mkhize said: “In fact, we are targetting February. Although all of that is going to depend very much on the success of the current bilateral negotiations that we’re having with various companies."

He said the target date was “really more our wish” and no deals had been reached to deliver vaccines by February, but the government was “fighting” to secure supplies before the second quarter of the year.

Target


Government has set a minimum target of 67% of the population to receive the Covid-19 vaccine in an effort to achieve herd immunity, he said. The rollout of the vaccine will be done in phases beginning with the most vulnerable in the population.

Phase one includes frontline health care workers (HCW), with a target of 1.25-million people.

In the second phase, the following population will be targetted:
  • Essential workers. Target population: 2.5 million
  • Persons in congregate settings. Target population: 1.1 million
  • Persons >60 years. Target population: five million
  • Persons >18 years with co-morbidities. Target population: eight million

Phase three will involve other persons >18 years, with a target population of 22.5 million.

“This means that by the end of phase three, 40,350,000 citizens will have been immunised, which is equivalent to approximately 67.25% of the population, as we have indicated.

“At this stage, we have secured the doses that will be acquired through Covax, which will ensure that we immunise 10% of the population through this mechanism. In line with the president's statement, we expect the processes will have delivered the vaccine by the beginning of the second quarter,” Mkhize said.

The minister said the funds to pay the outstanding amount after the deposit that has been made by the Solidarity Fund, around R1.8bn, have been allocated.

“Having secured for 10% of the population, we have embarked on other efforts to get the rest of the 57% of the population to be targeted by end 2021, but more importantly, we are making efforts to obtain vaccines much earlier, hopefully as early as February 2021.

Negotiations


“This will very much depend on the success of current bilateral negotiations we are in the midst of with various companies,” Mkhize said.

In addition, government has approached medical aids to be part of the co-financing.

“The process is now at a stage where the Council for Medical Schemes has engaged various medical schemes and I have signed amendments of regulations to allow for vaccines and other therapeutics to be part of the prescribed minimum benefits.

“Business has also been engaged, particularly through Business Unity South Africa (Busa). Therefore, the total financing arrangement will include medical schemes, business and government, with an arrangement made with the Solidarity Fund to provide a platform for the collection of funds, and for expedited and controlled procurement processes,” the Minister said.

To optimise availability of stock for South Africa, government is negotiating with all the manufacturers and pursuing those who are indicating a capability of making vaccines available sooner.

“We are in sensitive discussions and at this stage are bound by Non-Disclosure Agreements but we will make announcements as soon as negotiations are concluded and the NDAs have been lifted,” said Mkhize.

Government is working closely with the South African Health Products Regulatory Authority (Sahpra) for regulatory clearance.

The Department of Health has embarked on distribution and delivering structures through national government, the public sector, private sector, civil society, labour, traditional leaders and structures that will report to provincial and district coordinating councils.

“This will ensure that we take all of society with us and get community buy-in, and a well-coordinated campaign… with a good uptake of the vaccinations offered,” the minister said.

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