Question

Briefly explain all dimensions of quality of care for vaccination program against Covid-19 in relation to Principles of Health Services .

Answer 1

The COVID-19 pandemic has significantly disrupted society, with necessary social distancing measures to reduce the risk of transmission resulting in the closure of businesses, schools, and other aspects of daily life.

So there is much care is needed during the vaccination programme also ,

Guiding Principles
1. Immunization is a core health service that should be prioritized for the prevention of communicable diseases and
safeguarded for continuity during the COVID-19 pandemic, where feasible.5
Immunization delivery strategies may
need to be adapted and should be conducted under safe conditions, without undue harm to health workers,
caregivers and the community.6
2. VPD surveillance should be maintained and reinforced to enable early detection and management of VPD cases,
and where feasible, contribute to surveillance of COVID-19.
3. National authorities will need to continuously monitor the dynamics of COVID-19 in their country or region.
National Immunization Technical Advisory Groups (NITAGs) have an important role in providing advice with
respect to the maintenance, adaptation, suspension and/or reinstatement of immunization services.
4. If provision of immunization services is negatively impacted by COVID-19, countries will need to design strategies
for catch-up vaccination for the period post COVID-19 outbreak and make plans which anticipate a gradual
recovery. Implementation of catch-up will require strategies to track and follow-up with individuals who missed
vaccinations, assess immunity gaps, and re-establish community demand. Innovation and creativity will be
required.
5. Based on the current understanding of transmission of the COVID-19 virus and recommendations for physical
distancing, mass vaccination campaigns should be temporarily suspended. Countries should monitor and
re-evaluate at regular intervals the necessity for delaying mass vaccination campaigns.
6. The conduct of outbreak response mass vaccination campaigns will require a careful risk-benefit analysis on a
case-by-case basis, assessing risks of a delayed response against the risks associated with an immediate response,
both in terms of morbidity and mortality for the VPD and the potential impact of further transmission of the
COVID-19 virus.
7. Where feasible, influenza vaccination of health workers, older adults, and pregnant women is advised.

The groundwork for public acceptance of a COVID-19 vaccine must be carefully started before a vaccine becomes available. The health community will likely benefit from early public enthusiasm for a COVID-19 vaccine, and it is critical to build on that momentum to encourage swift, broad vaccine uptake as it becomes available. To promote future COVID-19 vaccine uptake, the following approaches are suggested.

First, a COVID-19 vaccine should rapidly be delivered to the public as soon as rigorous testing has been completed, and efficacy and safety have been established. The vaccine should be equitably and justly distributed, particularly targeting individuals at highest risk for complications and disease transmission to others if initial vaccine supply does not meet demand. Second, the plan for a COVID-19 mass vaccination program should proactively address known potential obstacles to vaccine acceptance using linguistically and culturally competent messaging. Third, public health officials should develop a robust COVID-19 vaccine educational campaign harnessing traditional and social media, with a particular focus on involving social influencers and targeting misinformation. Fourth, frontline health care workers should be taught how to make strong recommendations for COVID-19 vaccination, including, if relevant, sharing their personal experiences with COVID-19 and the vaccine.