1/ A little thread on the new evidence emerging on how and why the 75:25 ratio of allocation of vaccine doses across the union government and private hospitals may actually be slowing down overall vaccination rates in India. #VaccineForAll
2/ Given the high prices for vaccines in private hospitals, the allocation of 25 per cent of doses to private hospitals is essentially a reservation for the rich. It weakens the goal of equality and allows for discrimination to persist in the vaccine policy.
3/ In addition, GoI has now admitted that vaccination rates are slowed down due to the 25 per cent allocation.

An official press release, dated 14 July 2021, admits to four problems with Private Covid Vaccination Centres (PCVC), which includes private hospitals.
4/ First, many PCVCs were not placing indents for the full quantity of doses earmarked for them. Secondly, even when indents were made, the required payments were not made by PCVCs. Thirdly, even when payments were made, the dispatched doses were not lifted by PCVCs.
5/ Finally, even when doses were lifted, actual administration of doses by PCVCs fell short. See pib.gov.in/PressReleasePa….

In sum, the allocation of doses for private hospitals is significantly under-utilised. Poor demand at higher prices appears to be the proximate cause.
6/ If 100 per cent of the doses are procured by GoI and supplied to all for free, this 25 per cent quantity too can be administered more efficiently and equitably, and without discrimination.
7/ This is why the GoI should immediately end the 25 per cent allocation for private hospitals. There should be a unified procurement of all vaccine doses and free and universal vaccination for every Indian.

End.
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More from @ramakumarr

16 Jun
1/ <Thread> on how India's vaccination drive is proceeding in June 2021, and whether it would meet GoI's goals. GoI had said that it would administer 12 crore doses in June. Data till 15 June show that there would be a 25% shortfall from the target of doses for the full month.
2/ First, the goals. On 30 May, GoI put out a press release saying it would "make available" 12 crore for June 2021. I had written about this in @thewire_in: bit.ly/2S2ahAX. I had noted that a similar target was not met in May 2021. It won't be met in June 2021 either.
3/ Second, the method for this mid-month assessment. I take vaccination data from 1 June to 15 June, and then double it to see if the targets for the full month of June 2021 would be met. I also look at total vaccine doses administered in India, by the type of vaccines.
Read 21 tweets
1 Jun
1/ <Thread> On why Government of India's (GoI) vaccine plan for June 2021 is plain misleading. GoI says it will "make available" 12 crore vaccine doses in June, of which 6.1 crore is GoI quota and 5.9 crore will be available for direct purchase by States and private hospitals.
2/ You can read the press release of GoI, dated 30 May 2021, here at bit.ly/3vAG8Y3.
3/ Two points emerge from the press release and the data on vaccinations in May 2021. (a) GoI's promise to "make available" vaccines to States in May was hardly met; (b) the doses it has now promised to "make available" for June 2021 will also not be met. Most numbers are trash.
Read 31 tweets
27 May
1/ <Thread> on the Niti Ayog's press release "Myths & Facts on India’s Vaccination Process". It is a pity that the Niti Ayog, unlike its venerable predecessor Planning Commission, is being turned into a joke in the public eye by its present incumbents. pib.gov.in/PressReleasePa…
2/ Myth 1: The criticism against GoI is that it delayed placing advance purchase orders for vaccines till January 2021. Other nations had placed orders by June 2020 itself. Bangladesh placed its first order with SII in November 2020. Why couldn't the GoI place orders earlier?
3/ Orders were not placed with foreign or domestic producers till 2021. On the foreign front, none of the discussions from "mid-2020" resulted in any order placed till April 2021. Further, no foreign vaccine had emergency use approval in India to facilitate placement of orders.
Read 25 tweets
14 May
A thread on the claims made by GoI in its press conference yesterday (see pib.gov.in/PressReleasePa… and for the recording). Let me take, one by one, their so-called repudiation of "reports in a section of the media followed by some uninformed tweets"! 1/n
Their first graph was accompanied by a claim that of all vaccines given in the world, 13% are in India. First, this graph with absolute data shows that India's is NOT the world's "largest" vaccination programme, as claimed. China and US are ahead of us even in absolute terms. 2/n
Secondly, India's share in world population is 18%. But we have given only 13% of all vaccines. Details like this will never be admitted, as it will diminish the spirit of "positivity"! Also, the kind of graph as attached below will never be shown, as it spreads "negativity"! 3/n
Read 14 tweets
28 Apr
A thread on the allocation of vaccines across Indian States. Some argue that the existing allocation of #vaccines is fine, that the new system of States being free to buy vaccines directly would be equally fine, and that there is nothing to worry. Is is true? Hardly. 1/n
How do we check if the current allocations are equitable? Some compare allocations with population shares. But this would be wrong, as the eligible population is only those >45 years of age (till 30 April). A note from two scholars from AshokaU gives some interesting results. 2/n
They have 2 graphs: allocation/case and allocation/45+ individual. First, vaccine allocation/case is the lowest in Maharashtra, Kerala and Delhi (<5/case), and highest in Gujarat and Rajasthan (>29/case). M, K & D are States badly affected by rising cases. Why the disparity? 3/n
Read 16 tweets
25 Apr
A thread on Bharat Biotech's (BB) pricing of Covaxin at Rs 600/dose for State governments and Rs 1200/dose for private hospitals. The pricing of Covaxin at prices higher than Covishield puts the so-called Indian vaccine even more out of bounds for the poorer Indian citizens. 1/n
Covishield (Oxford-AstraZeneca) was a 97% public funded vaccine. Yet, Oxford exclusively licensed it to AstraZeneca. AstraZeneca exclusively licensed its Indian market to Serum Institute (SII). SII is now making a close to "super profit". Public funded, but private profits. 2/n
Bill Gates played a major role in convincing Oxford Uni of the IPR way; that was how AstraZeneca got an exclusive license. The license remained exclusive though the vaccine was to be marketed on a non-profit basis in perpetuity. The Covaxin case is much like the Oxford case. 3/n
Read 14 tweets

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