Successes, Emerging Improvements, and Lessons Learned From Thematic Groups at the Stakeholder Workshop on COVID-19 Vaccination Intensification and Scale-up

Thematic areaSuccessesChallengesLessons Learned
Collaboration and coordination
  • Joint strategy and plan for COVID-19 vaccination uptake activities

  • Formation of National Vaccine Pillar with diverse stakeholders

  • Collaborative planning on developing microplans and implementation

  • Political and government leadership commitment at regional level

  • Timely availability and disbursement of funding

  • Unifying approaches took time

  • Delay of microplan implementation at lower levels

  • Use bottom-up approaches to reduce time

  • Enhance demand forecasting tools to improve reporting and communication across national and regional levels

  • Continuous awareness and education promotion to combat vaccine misconceptions

  • Incentives to reach vaccination targets

  • Used community health care workers to bridge gap to communities

  • Inadequate information on disease epidemiology, treatment, and vaccines

  • Lack of Internet connection at facilities to access and enter data systems

  • Create sustainable capacity building plans at regional and national levels

  • Advocate vaccination to influential local and national leaders, religious leaders, and important members of society

Data management
  • Standardized data collection tools through registers and weekly reports

  • Systematic collection of COVID-19 data from vaccination points to the national level through an online system

  • Periodic data reporting, verification, and feedback mechanism to lower levels

  • Delays in data entry led to backlogs

  • Lack of human resources to complete data entry

  • Build human capacity for data entry at vaccination points

  • Integrate data collection systems to national online systems

Demand creation
  • Engaged and sensitized key stakeholders across village, ward, district, regional, and national levels

  • Used peers and call back strategies to sensitize PLHIVs

  • Aired local and national media coverage of vaccination uptake and dialogues

  • One-on-one demand creation strategy effective at addressing myths

  • Types of vaccines affected acceptance rate

  • Variance of COVID-19 vaccination acceptance among rural versus urban communities

  • Competing family and community values

  • Maximize weekends to ensure no drop in vaccination progress

  • Engage government-specific HIV organizations and religious leaders to reach PLHIV network

  • Incorporate relevant media and press for widespread appeal and education

Supply chain
  • Single-dose vaccines accelerated vaccination coverage

  • Weekly monitoring of vaccine inventory

  • Stakeholders filled gap in transportation of vaccination distribution

  • Unable to meet demand for single dose vaccines

  • Lack of daily vaccination monitoring at facility levels

  • Vaccine wastage due to short half life

  • Consider client vaccination preference when forecasting demand

  • Increase capacity for cold chain vaccination storage

Service delivery
  • Integrated COVID-19 vaccination activities at HIV clinics and community ART outreach services

  • Merged vaccination activities with mass gatherings such as political events, religious gatherings, markets, sport outings, and sociocultural events

  • Employed vaccine champions for hard-to-reach populations

  • Political will and support from leaders at national and subnational levels

  • Lack of knowledge, misconceptions, and stigma around COVID-19

  • Logistic shortages including intermittent supply of vaccines, limited trained staff, lack of transport, small number of vaccination certificates

  • Low commitment and buy-in among health care providers

  • Multifaceted approach of door-to-door, temporary fixed points, integration with other services, and community gatherings

  • Improve logistic vaccination shortages to ensure consistent availability of supply

  • Involve stakeholders at all levels to increase political will and vaccination support

  • Abbreviation: PLHIV, people living with HIV.