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ACT Grants Vaccination Playbook

“ACT Grants’ mission was to create a model that enables successful vaccination of marginalized at-risk populations at an accelerated pace. ACT has demonstrated this model through a targeted pilot in Bangalore and has used the learnings to create a playbook that can be used by government administrations, CSRs and others to replicate in other geographies and enable rapid scale up.”

ACT 's Vaccine Implementation Plan

Background

India is currently reeling under the second wave (which may soon morph into a third) and owing to severe supply constraints, is struggling to vaccinate its entire population resulting in severe costs in terms of both lives and livelihood. This is overwhelming the health system and threatening to significantly delay economic revival.

The government began the vaccination drive earlier this year rightfully focusing on prioritizing healthcare workers, the elderly, and populations with co-morbidities. With the on-set of the second wave at the end of March/ early April, the government also opened the same for all the eligible population – however, owing to shortages in supply, the rollout has been severely impacted leading to significant delays and limited solutions to address this in the short term. 

As the country works towards addressing the supply issue through ramping up manufacturing of approved vaccines and approving newer vaccines, there is a strong need to ensure that the available supply is allocated in a fair and equitable manner towards populations that are most at risk of contracting the disease.   

ACT model

ACT’s mission in partnership with UWB and Sattva is to create a model that enables successful vaccination of vulnerable at-risk populations at an accelerated pace. ACT will use the next few weeks to demonstrate the same through targeted pilots and use the learnings to create playbooks that can be used by government administrations, CSRs and others to replicate in other geographies and enable rapid scale up. 

Rationale for ACT’s city focus

ACT’s mission in partnership with UWB and Sattva is to create a model that enables successful vaccination of marginalized at-risk populations at an accelerated pace. ACT will use the next few weeks to demonstrate the same through targeted pilots and use the learnings to create playbooks that can be used by government administrations, CSRs and others to replicate in other geographies and enable rapid scale up. 

Prioritisation within the selected cities

Keeping in mind the focus on equity, ACT will look at targeting vulnerable populations across two tracks within the focused geographies and the available pool of vaccine will be divided equally between the 2 tracks: 

  1. high density-low income areas 
  2. high risk occupational groups and other vulnerable groups

Track 1: Allocation for high density-low income areas

Step 1: Zone Prioritization

Parameter: Slum population in the zone.

Method: Bangalore is divided into 8 zones. For the first iteration, vaccines are divided in the ratio of the total slum population in each of the zones.

Rationale: Zonal priority has been taken into account for the first iteration to facilitate some coverage across all zones. Ward priority (mentioned below) is given preference for all iterations after the first to allow for distribution of vaccines based on actual risk.

Step 2: Ward Prioritization

Parameter: Population density in the ward.

Method: All the wards in Bangalore are ranked in order of their population density. The ward with the highest density is ranked 1.

Rationale: Population density is deemed to be the most important parameter in the transmission of virus as density is a common impediment to basic social distancing measures and increases the chances of contact.

Step 3: Slum Allocation

Parameter: Slum population in the ward.
Method: In each zone, the wards with the highest population density are identified. Vaccines are allocated to 70% of the slum population in these wards in an attempt to saturate these areas.
Rationale: This localised saturation is believed to be effective in cutting the chain of transmission.

Track 2: Allocation for high risk occupational groups and other vulnerable groups

This track includes organised and unorganised workers in the following indicative occupations:

  • Construction workers
  • Crematorium workers
  • Delivery executives
  • Domestic workers
  • Drivers (truck, bus, auto cars)
  • Kirana shops
  • Mandi workers
  • Milk vendors
  • MSMEs
  • Restaurant staff
  • Retailer and mall employees
  • Security guards/ Housekeeping 
  • Sex workers
  • Street vendors
  • Warehouse and logistics staff 
  • Wastepickers

and other vulnerable groups like

  • PWDs
  • Trangenders

Allocation Approach: All of these vulnerable groups will be given equal priority. Mobilization feasibility of a particular group to also be considered.

Implementation of the above prioritization will be driven by a Community Coalition encompassing public and private stakeholders such as private hospitals, NGOs, CSRs and facilitators such as ACT Grants  and other social impact organisations. For example, partners such as Zomato and Swiggy will be leveraged to mobilise vaccinations for delivery personnel whereas partners such as Indian Oil will be leveraged to mobilise those working at gas stations. 

Annexure

1.1 Verification Process

Category

1st Verification

2nd verification (When 1st verification is unavailable)

Construction workers

Employer ID

Call to employer/ beneficiary and verify nature of job

Crematorium workers

NGO/ Municipal ID Card

NGO undertaking/ confirmation through personal verification

Delivery executives

Employer ID/ Occupation certificate

Call to employer/ beneficiary and verify nature of job

Domestic workers

Apartment ID (if applicable)

Call to employer/ RWA

Drivers (truck, bus, auto cars)

Driving License

NA

Kirana shops

Registration certificate

Call to beneficiary and verify nature of job

Mandi workers

Registration certificate

Call to beneficiary and verify nature of job

Milk vendors

Federation ID

Call to employer

MSMEs

Udhyog Adhar number

Call to employer/ beneficiary and verify nature of job

People with disabilities

PWD Certificate

NGO undertaking

Restaurant staff

Employer ID/ Occupation certificate

Call to employer/ beneficiary and verify nature of job

Retailer and mall employees

Employer ID/ Occupation certificate

Call to employer/ beneficiary and verify nature of job

Security guards/ Housekeeping

Employer ID

Call to RWA/ employer

Sex workers

NGO undertaking/ confirmation through personal verification

NGO undertaking

Street vendors

ID from Municipal Corporation

Call to beneficiary and verify nature of job

Transgender community

NGO undertaking

NA

Warehouse and logistics staff

Employer ID/ Occupation certificate

Call to employer/ beneficiary and verify nature of job

Wastepickers

ID from Municipal Corporation

NGO undertaking/ confirmation through personal verification

 

Over and above the suggested verification process, other government databases (database containing details of underprivileged beneficiaries entitled to several schemes) available to verify one’s occupational details, can be explored in consultation with government, ACT and experts.

 

Slum population will be verified by BPL cards. Where BPL cards are not available, voter ID cards with slum location as address will be used as means of identification. An NGO will be leveraged to identify slum dwellers without IDs