The National Covid19 Vaccination Programme is the largest public vaccination programme rolled out in the history of the Irish state.
The worldwide Covid19 pandemic posed the greatest health threat to people and society in the last century. To date across the globe 6.6 million people have lost their lives to Covid19 including 8,000 people in Ireland.
The development and roll out of vaccines to protect the world from the threat of Covid marked the start of a turning point in our battle against the virus across the world.
In Ireland it marked the start of a national vaccination programme unseen of in magnitude before to protect initially the most vulnerable to the disease when vaccines were in scarce supply and later extended to the wider population over the following two years.
Delivering a programme of work of this scale required the entire health service including our hospitals, our community services, GPs and pharmacists and our public health services supported by our Government, our Department of Health and our National Advisory Immunisation Committee to work together to rapidly establish a national project to roll out vaccines as quickly as possible.
Initially vaccines were prioritised for the most vulnerable and for healthcare workers. The programme for administration commenced within the Acute Hospitals and Residential Care Settings. Mass vaccination centres were established across the country to deliver vaccines to the wider population, supported by GPs and community pharmacies.
There were many critical success factors to the Vaccination Programme. The overall approach to engagement, building a comprehensive and trusting customer service model and the development of a Contractor Relationship Manager Team to support the public and frontline staff through emerging challenges, was important.
To date 97% of the population of people over 18 have completed their primary vaccination. The programme has delivered 8 million primary vaccines and 4 million booster vaccines since December 2020. Ireland has the second highest uptake in the EU for primary vaccination, and are in the top 5 countries or higher for uptake of booster 1 and booster 2.
Delivering the National Covid19 Vaccination Programme required the rapid development of a programme management infrastructure to include:
· Governance structure including clinical governance
• Workforce planning- Employment, education, training
• Building ICT
• Finance
• Communications
• Operations
• Vaccine Management
• Vaccination facilities
The impact of the vaccine roll-out cannot be underestimated and has ensured:
- the immunisation of the population against Covid 19,
- protected individuals and society
-enabled the health system to function appropriately, and
-allowed the Irish economy to reopen and return to normal
This was the first time a vaccination programme of this size was rolled out in Ireland, and it required the development and implementation of new ICT systems and processes to manage end to end user information and access. The benefits of the ICT systems in place ensured all vaccination information was captured and collated, using data to inform decisions relating to population health during the pandemic. The development of a digital dashboard which pulled information from all vaccine centres into a centralised filing system was important to ensure equity of access and ensure interventions could be put in place to support low vaccine uptake.
This informed strategic public health decisions based on demographics, epidemiology trends and up-to-date data and future projections. It was core to safety of society during the pandemic.
The learning from the development and implementation for the national roll out of Covid-19 vaccinations has great potential to support childhood vaccination programmes and other public health priorities inclusive of the future redesign and integration of our health services.