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Vaishnavi Jayakumar Profile picture
@vjayakumar
Sep 24, 2022 • 70 tweets • 38 min read • Read on X
➕
Aggregating PCV shortage reports here. Here you go @nppa_india, because one lives in hope!

#PCV #Shortage #TherapeuticGoods #Vaccine #Immunisation

thehindu.com/news/cities/ch…

@MSF_access @malini_aisola @das_seed
@gavi @UNICEFIndia @SerumInstIndia @CDSCO_INDIA_INF

📍Tamil Nadu
📍TAMIL NADU, Tiruppur Dt #PcvShortageIndia

📍MaHARASHTRA, Thane Dt #PcvShortageIndia

📍 TELANGANA, Medchal Dt. #PcvShortageIndia

📍TAMIL NADU, Kanyakumari Dt. #PcvShortageIndia

📍UTTAR PRADESH #PcvShortageIndia

📍HARYANA, Jhajjar Dt #PcvShortageIndia

📍JAMMU & KASHMIR, Budgam Dt #PcvShortageIndia

📍UTTAR PRADESH, Sitapur Dt. #PcvShortageIndia

📍 MAHARASHTRA, Pune Dt. #PcvShortageIndia

📍UTTAR PRADESH, Sambhal Dt. #PcvShortageIndia

📍TAMIL NADU, Thoothukudi Dt. #PcvShortageIndia

📍 MAHARASHTRA, Thane Dt. #PcvShortageIndia

📍MAHARASHTRA, Ahmednagar Dt. #PcvShortageIndia

📍TELANGANA, Ranga Reddy Dt. #PcvShortageIndia

📍KARNATAKA, Belagavi Dt. #PcvShortageIndia

📍UTTAR PRADESH. #PcvShortageIndia

📍 MAHARASHTRA, Palghar Dt. #PcvShortageIndia

📍 MAHARASHTRA, Thane Dt. #PcvShortageIndia

📍 MAHARASHTRA, Thane Dt. #PcvShortageIndia

📍 TAMIL NADU, Ariyalur Dt. #PcvShortageIndia

📍 TELANGANA #PcvShortageIndia

📍 TAMIL NADU, Tirunelveli Dt. #PcvShortageIndia

📍 MAHARASHTRA, Jalgaon Dt. #PcvShortageIndia

📍 MAHARASHTRA, Pune Dt. #PcvShortageIndia

📍 MAHARASHTRA, Thane Dt. #PcvShortageIndia

📍 UTTAR PRADESH, Moradabad Dt. #PcvShortageIndia

📍 TELANGANA, Hyderabad Dt. #PcvShortageIndia

📍 MAHARASHTRA, Palghar Dt. #PcvShortageIndia

#EveryBreathCounts @StopPneumonia

📍 UTTAR PRADESH, Moradabad Dt. #PcvShortageIndia

@Stop_Pneumonia #EveryBreathCounts

📍 TELANGANA #PcvShortageIndia

📍 MAHARASHTRA, Thane Dt #PcvShortageIndia

📍 MAHARASHTRA, Pune Dt. #PcvShortageIndia

📍 UTTAR PRADESH, Dt Sambhal #PcvShortageIndia

#Vaccine @Vaccinate4Life
@Stop_Pneumonia
#EveryBreathCounts

📍 TAMIL NADU, Coimbatore Dt. #PcvShortageIndia

📍 MAHARASHTRA, Mumbai Suburban Dt. #PcvShortageIndia

@Vaccinate4Life @MoHFW_INDIA
@OfficeOf_MM @MalathyIyerTOI

📍 TAMIL NADU, Villupuram Dt. #PcvShortageIndia

@patrictweets
@Vaccinate4Life
@MoHFW_INDIA
@PIBFactCheck

📍 TAMIL NADU, Tirupattur Dt. #PcvShortageIndia

@NHM_TN @patrictweets @TNDPHPM

📍 UTTAR PRADESH, Gautam Buddha Nagar Dt. #PcvShortageIndia

📍 WEST BENGAL
#PcvShortageIndia

📍 UTTAR PRADESH, Barabanka Dt. #PcvShortageIndia

📍 KARNATAKA, Bellary Dt. #PcvShortageIndia

📍 TAMIL NADU, Cuddalore Dt #PcvShortageIndia

📍 TAMIL NADU, Chennai Dt.
#PcvShortageIndia

📍 TELANGANA, Medchal Dt. #PcvShortageIndia

📍 TAMIL NADU, Erode Dt. #PcvShortageIndia

📍 UTTAR PRADESH, Jhansi Dt. #PcvShortageIndia

📍 ODISHA, Khordha Dt.
#PcvShortageIndia

📍 TELANGANA, Medchal Malkajgari Dt.
#PcvShortageIndia

newindianexpress.com/states/telanga…
📍 TELANGANA, Medak Dt.

#PcvShortageIndia

📍 TAMIL NADU, Poonamallee Dt.

#PcvShortageIndia

📍 KARNATAKA, Shivamogga Dt.

#PcvShortageIndia #WorldPneumoniaDay
#EveryBreathCounts @Vaccinate4Life

📍UTTAR PRADESH, Bijnor Dt.

#PcvShortageIndia #WorldPneumoniaDay

📍 MAHARASHTRA, Palghar Dt.

#PcvShortageIndia
#WorldPneumoniaDay

FYI more myths @Vaccinate4Life @nppa_india ?

📍 UTTAR PRADESH, Gautam Buddha Nagar Dt.

#PcvShortageIndia #WorldPneumoniaDay

📍 UTTAR PRADESH, Lucknow Dt.

#PcvShortageIndia #WorldPneumoniaDay

📍 UTTAR PRADESH, Gautam Buddha Nagar Dt.

#PcvShortageIndia

📍 UTTAR PRADESH, Gautam Buddha Nagar Dt.

#PcvShortageIndia

📍 RAJASTHAN, Tonk Dt.

#PcvShortageIndia

📍TELANGANA, Rangareddy Dt.

📍 UTTAR PRADESH, GB Nagar Dt.

#PcvShortageIndia

📍 UTTAR PRADESH, Mirzapur Dt.

#PcvShortageIndia

📍 TAMIL NADU

#PcvShortageIndia

thehindu.com/news/national/…
📍 MAHARASHTRA, Lonavala Dt.

#PcvShortageIndia

📍 HARYANA, Karnal Dt.

#PcvShortageIndia

m.tribuneindia.com/news/haryana/g…
📍 UTTAR PRADESH, Lakhimpur Kheri Dt.

#PcvShortageIndia

livehindustan.com/uttar-pradesh/…
📍 UTTAR PRADESH, Mainpuri Dt.

#PcvShortageIndia

📍UTTAR PRADESH, Lucknow Dt.

#PcvShortageIndia

📍TELANGANA

#PcvShortageIndia

📍UTTAR PRADESH, Kanpur Nagar Dt.

#PcvShortageIndia

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More from @vjayakumar

Vaishnavi Jayakumar Profile picture
Nov 1
🧵Social media outrage shouldn't surprise any longer, but enough already on Institute of Mental Health letter @U2Brutus_off @realitycheckind @GaneshKaladaran and other conspiracy theorists. 😡

What the TN Health Secretary seems to propose is change in FUNCTIONING not OWNERSHIP. I am of the firm view that given the challenges, the present organisational set up is not capable of handling the transformational change that is required at IMH. We need to bring several institutional reforms to ensure that IMH emerges as premier institution providing 'Gold Standards' of care for its inmates. This will require a complete 360-degree transformation. Given the fact that the institute has huge opportunities to raise resources from national and international organisations as well as from the Corporate Social Responsibility (CSR) funds it needs a robust frame work to mobilise r...
What has been proposed instead of the current organisational setup is a FULLY OWNED GOVT company.

To distinguish from wholly owned govt COMMERCIAL companies like SIPCOT which are profit-seeking, it's stressed it should be a NOT FOR PROFIT company since it's not profit-seeking.
The term NON-PROFIT is sometimes conflated with NOT FOR PROFIT NGOS (whether NGO is society, trust or section 8 company), but here TN Govt is rightly retaining full ownership & responsibility of IMH's services. Just under a different type of govt entity, nothing to do with NGOs. Not for profit IS NOT THE SAME as Non-profits All charitable NGOs are non-profits i.e. not for profit but All Non-profits ≠ NGOS Many Govt enterprises can be not for profit too.
Read 8 tweets
Vaishnavi Jayakumar Profile picture
Nov 10, 2023
🧵MDR-TB Drug shortage RTI response finally arrived, with some key information dodged. All information requested is available to anyone with access to Ni-kshay Aushadhi portal yet @TbDivision has ducked questions on the tender cancellation and delivery of late tender. Appealing.

Screenshots of unanswere / improperly answered questions of RTI filed on 2023 MDR-TB Drug shortage in India. RTI reply can be read at https://docs.google.com/document/d/1a2i5l1yPd0B5DErffnRNrza56TZ_4qOE-UJL8he088M/edit?usp=drive_link
Screenshots of unanswere / improperly answered questions of RTI filed on 2023 MDR-TB Drug shortage in India. RTI reply can be read at https://docs.google.com/document/d/1a2i5l1yPd0B5DErffnRNrza56TZ_4qOE-UJL8he088M/edit?usp=drive_link
RTI reply denies communication to procure emergency supply locally while also stating that "States were requested to procure few drugs locally for a limited period by utilizing the approved budget under National Health Mission (NHM)."
Cost = ~8.65 crores. Potential loss 43 lakhs? Approximately 8.65 crores was spent by States National Health Mission Funds to meet the SOS requirements caused by tendering delays. Issue landing page = http://bit.ly/TB-or-not-2be Spreadsheet chart derived from Annexure 4 of RTI response : https://docs.google.com/spreadsheets/d/e/2PACX-1vRuFUfD2V65ZxmcD6e8WWIltdRGSmropG8LUbSAi9lwNPiWd4xHFArZY-O8ZN7_crYuRrB1DIKlNZGE/pubhtml?gid=1046679671&single=true
@ramyakannan @RupsaChak @ScienceTales @kalyanray30 @RemaNagarajan @pushpanarayan @Banjotkaur @tabassum_b @TbHivActivist @SpeakTB Stock at hand at CMSS warehouse & GMSD (c/o Union Govt) or State Drug Store is of no bearing to the patient. Last mile delivery starts with District Drug Store (DDS) which sends monthly drugs to TB Units & Peripheral Health Institutes. PHIs should also have 1 month reserve stock
Annexure 3 of RTI reply shows how the last level of supply chain is inadequate for MDR-TB drugs, especially Cycloserine which has less than a month's requirements from August 2023 at the DDS level. https://docs.google.com/document/d/1a2i5l1yPd0B5DErffnRNrza56TZ_4qOE-UJL8he088M/edit#heading=h.sg7nejtvrr1i Issue landing = http://bit.ly/TB-or-not-2be
Annexure 3 of RTI reply shows how the last level of supply chain is inadequate for MDR-TB drugs. Actual distribution only happens from the District Drug Store level which (particularly in the case of Cycloserine and at some points Linezolid) is barely 20 - 40 % of the total drug stock instead of vice versa. https://docs.google.com/document/d/1a2i5l1yPd0B5DErffnRNrza56TZ_4qOE-UJL8he088M/edit#heading=h.sg7nejtvrr1i Issue landing = http://bit.ly/TB-or-not-2be
Read 5 tweets
Vaishnavi Jayakumar Profile picture
Sep 26, 2023
Thread : Collating 2023 India's MDR TB drug shortage reports (via social media) below.

TB Mukt Abhiyan, ya TB Maut Abhiyan?

Wake up @nppa_india ! There's an MDR / XDR TB #DrugShortage - stockouts at DOTS centres, as well as private.

#TBornot2be
#AccounTBility

#TeamISthmUS
Read 36 tweets
Vaishnavi Jayakumar Profile picture
Jun 15, 2023
THREAD : I only recently learnt that nearly all NTA tests are computerised.

This means that exam centres are dependent on computer labs of private colleges or on standalone online testing centres.

Elections have taught us, that any private institution, is bad news for access.. Plank of wood on 8 steps do...So called ramp in 3 unfaste...Karnataka polling booth ina...
Whether school or college, private organisations seem blissfully unaware that they're required by law to provide accessibility by 15-6-2022.
Private schools as polling booths have steadfastly refused to install permanent ramps despite a decade of advocacy
bit.ly/design4diversi…
So the Varanasi online testing centre (others weren't any better) had this steep incline masquerading as a wheelchair ramp last afternoon.

NTA was patient with our bombarding solutions by 4 architects for a temporary ramp before 3 pm today. So were Varanasi district officials. Front view of 6 riser stepp...Side view of 6 riser steppe...
Read 13 tweets
Vaishnavi Jayakumar Profile picture
Jun 7, 2023
2500+ people endorsed overnight, the disability sector's representation to @MoHFW_INDIA minister @mansukhmandviya on restoring the suddenly dropped questions from the upcoming National Family Health survey NFHS-6. Read it @ bit.ly/question-of-in…

#NfhsDrops #QuestionOfInclusion Jigsaw of letters NFHS with...
Will be going through the NFHS-6 questionnaire compilation today.

And posting thoughts and doubts as I go along on this thread.

drive.google.com/file/d/1nVC-0a…

Starting with a term I've never heard of : GAUNA -
apparently rooted in child marriage customs as the 'consummation ritual '
indiatoday.in/india/story/ch…

So this send off to house of 'husband' after menarche for consummation / the start of actual married life is apparently a custom in some North Indian states.
In some cases gauna occurs only after legal age but pestering happens 😑

#NFHS-6 #ChildMarriage
Read 22 tweets
Vaishnavi Jayakumar Profile picture
Jun 5, 2023
Baffled that public health policy organisations & professionals are mum about @IIPSMumbai dropping anemia ALTOGETHER from #NFHS-6, barring few voices below.

Why @jsa_india @SOCHARASOPHEA @PHMglobal @SNEHAmumbai @jan_arogya @CEHAT1 @napmindia @iphindia etc?

#QuestionOfInclusion Diagram of Prevalence of An...
2 decades of anemia data in NFHS dropped because ... What?

Here's the entire NFHS-6 set of schedules and manuals released quietly by IIPS after the disability sector made a noise :
drive.google.com/file/d/1nVC-0a…

References to anaemia still persist in the instructions to interviewers !
For 2 decades India (& the world) has been using capillary blood for demographic health surveys. IIPS made it clear that the data is not for diagnosis but estimates. If the evidence pointing to capillary blood Hb results being higher has been around for so long, why act only now?
Read 7 tweets

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