0x

�Support of COWIN in India's fight against COVID pandemic and repurposing this technology through Digital Public Goods (DPGs) for Universal Immunization Programs

​

U-WIN

Content

Vaccine Supply Chain Management Challenges

A Complex Six-Level Vaccine Supply Chain

Lack of

real-time visibility

No visibility of

storage temperatures

Short shelf life, long supply chain

Non-standard

record-keeping

Mismatch in

demand and supply

1

2

3

5

National store/

Manufacturer

State Store

Divisional

Store

District

Store

Taluk/Block

PHC/CHC

Limited infrastructure

Lack of transparency

Three Critical Questions

Where are my Vaccines ?

Are they in adequate Quantity?

Are they Stored in Recommended

Temperature?

eVIN : How It Works

eVIN Cloud Server

eVIN Web Dashboard

Temperature Logger

eVIN Mobile App

Health worker enters:

- issues

- receipts

- stock counts

- discards

- orders

​

​

Health worker/ manager gets:

- real-time stock views

- alerts on low stock/expiry

- optimal order recommendations

- delivery status

- temperature alarms

- SOP reminders

- general announcements

eVIN: Based on continuous improvement�from 2014 to 2021, eVIN is modified based on feedback from end users and technology interventions

2014

2015

2018

2021

Techno-economic of eVIN assessment by Government of India in December 2018

Findings:

​

• Over 90 million vaccine doses saved with Return On Investment of 2.91 (Every 1 USD invested would return 2.91 USD)

Replicable Best practices from eVIN:

1) More than 75% reduction in Stock outs

2) Dedicated resource at District, Regional and State level for system strengthening.

3) MoHFW approved training module and SOPs with all Cold Chain Handlers.

4) 99% Activity/Adherence rate

5) 7 Million transactions every month by Health Care workers and 20 Million temperature samples every month

6) Digital indentation process

​

​

Tech Backbone of India’s COVID -19 Vaccination Program

Co-WIN – A Scalable, Inclusive and Open Platform for Universal Vaccination

Guiding Principles

Single Source of Truth

Unbiased distribution of vaccines through a single source of data to remove information asymmetry and align stakeholders

Feedback and Analysis

Data on vaccination and recording of AEFI helps form data-driven public health policy and evaluate the efficacy of different vaccines

Equitable and Inclusive

Equitable vaccination across multilingual states, with multiple modes for registration to ensure accessibility for all

Evolvability and Scalability

Dynamic architecture capable of evolving and accommodating changes as per circumstances, built for a scale of a billion plus citizens

Digital Acknowledgement

Every vaccination event is digitally acknowledged, and the acknowledgment is traceable and verifiable.

Dose intervals

Minimum interval between the first and second dose is maintained

Consistent vaccine schedules

A person who has been given first dose of a particular vaccine, receives the second dose of the very same vaccine and not another vaccine.

Verification and tracking

Each vaccine does is administered to an identifiable individual only, thus preventing pilferage and fraud.

For the first time in the country a Digital System ensured:

Advantages for Citizens – Agency at the core, luxury of choice

Core Functionalities

Track Vaccination Schedule

Guidance on interval between two doses based on vaccine brand

Instant Digital Certificate

Issued post vaccination

Universally authenticable

Blended Registration

Digital & Offline Walk-ins

Mobile # | Choose from 10 Photo IDs

Convenience in Slot Booking

Choose vaccination slot based on convenient time and location

Modes of Registration

• Offline on-site registration
• Online registrations through portal
• Assisted registration through support centres and call-centres

Simplified Access

• Find vaccination centre using maps
• Sign-up with mobile number and verify with a four-digit OTP
• Multilingual – Power of vernacular

Minimal Data Inputs

• Non-sensitive data inputs
• Required - Name, age & gender
• Multiple photo identification options
• Monosyllabic / single-word prompts

​

​

• More than 2 Billion dose administered
• 1.2 Billion Dose 1
• 940 Million Dose 2
• 170 Million Precaution dose

​

​

• More than 1 Billion citizens registered
• 85% onsite and 15 % online

​

​

​

​

​

Co-WIN – Achievements

​

• Of the more than 4,25,000 vaccination centres registered on Co-WIN, 74% are in Rural areas

​

• Nearly 70% of all doses administered through Co-WIN have been administered through Rural CVCs

​

• More than 740 million doses have administered through special sessions
• People without Identity cards, Near to Home CVCs and Workplace CVCs.

​

• More than 9 million grievance addressed
• > 8 million through “Raise and Issue”
• > 1 million through call center

​

​

Co-WIN – Achievements

Three Pillars

Innovative, technology-based, health system strengthening tool which was rolled out in 2015 with Technical Support from UNDP under GAVI HSS support.

​

eVIN is rolled out 36 States and UTs and digitizing the vaccine stocks and storage temperatures in more than 29,000 Cold Chain points in the Country

​

​

Leveraging eVIN platform. The Co-WIN platform is a state of the art digital solution from the Government of India to achieve universal vaccination against COVID-19. Each dose of vaccination is digitally acknowledged using a QR-based certificate.

Co-WIN has been developed for empowering both citizens as well as Government/Health Care Workers

After the success of eVIN and Co-WIN in ensuring seamless management, recording and reporting of COVID vaccine, MoHFW has planned to build a 3^rd pillar based on the existing 1^st(eVIN) & 2^nd (Co-WIN) pillar for registering beneficiaries, recording and reporting of Universal Immunization Program.

Pillar 1

Pillar 2

Pillar 3

U-WIN

Key advantages of utilizing eVIN and Co-WIN for U-WIN (Universal Immunization Program)-WIN

Key advantages of utilizing eVIN and Co-WIN for U-WIN (Universal Immunization Program)-WIN

• Comprehensive and uniform beneficiary database of more than 1.1 Bullion beneficiaries are already registered includes 530 Million females, out of which reproductive age group females are 374 Million.
• More than 250,000 registered Vaccinators and COVID Vaccination Centers.
• Health Care workers and Program Managers of all states and UTs are well versed.
• Technically Sound Architecture to handle massive database for all states and UTs.
• Leveraging eVIN and Co-WIN Human Resources network in the form of VCCM (Vaccine and Cold Chain Manager), Project officers, IT officers and State Project officers will be able to scale up U-WIN.

​

​

U-WIN Key Modules

Learnings

GOVERNANCE

04

03

01

02

Dedicated and skilled Human Resource

Building Standard operating procedures

Regular Capacity building and review mechanism

Strong Government ownership

TECHNICAL

01

Traditional database to Big Data Architecture

02

Authorized access to Security Audit and Compliance

03

Licensed Products to Sustainable open-source solution

04

Data Triangulation to API based interoperability

India’s G-20 Presidency: Health Agenda 2022-23

Priority Areas

• Health Emergencies prevention, preparedness and response
• Strengthening Cooperation in Pharmaceutical Sector with Focus on Availability & Access to Safe, Effective, Quality and Affordable Medical Countermeasures—VTD (Vaccine, Therapeutics & Diagnostics)
• Digital Health Innovations and Solutions to Aid Universal Health Coverage and Improve Healthcare Service Delivery

Co-WIN is a strong case study to showcase how India’s leadership in digital public goods offers unique lessons and digital public solutions that can be adapted by countries worldwide.

18

​

Thank You.

​