The Center stated that the four major requirements of the CVC under the Kovid-19 vaccination program – adequate space, adequate cold storage facilities, availability of adequate number of vaccinators and medical assistants and adequate arrangements for adverse effects after vaccination .
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The Centre’s reply came on the apex court’s question whether it would use mobile vans, vehicles and railways to reach rural areas and disadvantaged sections to carry out a nationwide public awareness campaign for Kovid-19 vaccination and ensure vaccination of people at their homes. Is planning to ensure accessibility so that people have to travel less and there is less possibility of infection from Kovid-19.
The Center said in its 218-page detailed affidavit, “It is clarified that it will be difficult to adequately manage adverse effects in a home environment or to have vaccinations near the door and any adverse effects may occur.” It is that the management of the case could not be done properly and in such a situation there is a delay in reaching the health facility even if an ambulance is stationed nearby. ”
The government said that the beneficiaries can book slots in identified CVCs through Kovin software based on their residence PIN code which will facilitate them to get vaccinated in nearby CVCs. The Center stated that it is not possible to maintain a protocol to monitor each beneficiary for 30 minutes after vaccination, as each household may have one or two beneficiaries and each and every household may have more than 30 minutes for the vaccination team Staying time may not be practically possible.
The government said that this would delay the entire vaccination campaign. The Center said that vaccines need to be kept in a “vaccine carrier” to maintain their specific temperature and protect it from contamination.
She said that if the vaccine was applied at home, the box containing the vaccine would need to be repeatedly opened, which would make it difficult to maintain its temperature range. It is necessary to maintain the vaccine at the correct temperature to prevent the effectiveness of the vaccine and the adverse effects after vaccination.
Fear of wastage of vaccine
The government said that vaccination at home may put undue pressure on healthcare workers and advance front health workers to vaccinate those who are not named in the list of beneficiaries. Therefore these health workers will need additional protection.
In addition to this, when the vaccinators travel to different places to get vaccinated, they will be at risk of getting infected with Kovid-19. The vaccination team will need a place to sit at home and they will have to spend some time inside the beneficiary’s home. The government said that a large population in India lives in rural areas which are administered by the panchayat units at the grassroots level.
“After entering the digital age of the country, all these gram panchayats have established Common Service Centers (CSCs), which have digital platforms used by the people,” the government said. These CSCs and its infrastructure are widely and effectively used in rural areas. This gives access to the Internet to those people who may not be proficient in using it or they do not have direct access to it. ”
The Center said that cremation laborers (whether permanent, contractual or hired by contractors) working in all cremation ghats have already been included in the ‘Front Front Workers’ category. Similarly, all the panchayat personnel from rural areas involved in Kovid-19 activities have also been included in the category of advance front personnel, irrespective of their age, the Center said.
Fear of wastage of vaccine
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