Health did not identify any additional communication risks to the vaccine rollout. 48Department of Health, ATAGI statement on AstraZeneca vaccine in response to new vaccine safety concerns, 8 April 2021, available from https://www.health.gov.au/news/atagi-statement-on-astrazeneca-vaccine-in-response-to-new-vaccine-safety-concerns [accessed 27 May 2022]. Table 2.8:Planned communication phases for the vaccine rollout, Purchase announcements, policy announcements, Establishing authoritative, enduring sources of information, Preparatory work with providers and priority groups, Safety and effectiveness messages specific to approved vaccine, Campaign focuses on uptake call to actions, Access information, dose completion and consumer monitoring, Responsive to consumer questions and concerns, Reiterating COVIDSafe behaviours as well as vaccination. 4.61In August2021, people with a recorded measure of cultural and linguistic diversity159 had a lower uptake for vaccination than the national average. The distribution and delivery of COVID-19 vaccines has been one of the largest exercises in health logistics in Australian history. 4.19As there were no supply constraints for AstraZeneca from April2021, Health advised the ANAO that it focussed on assessing the proportionality of allocations of mRNA vaccines (Pfizer and Moderna) from this point on. Recruitment and allocation of vaccination workforce. Table 3.7:Sector-specific advisory groups, Aboriginal and Torres Strait Islander Advisory Group on COVID-19. As at 1 July 2022, there had been 8.2 million reported cases of COVID-19 in Australia and 9,930 deaths. Table 1.1:Australias COVID-19 vaccine purchase agreements, Number of doses per agreementa (millions), Total number of doses per vaccine (millions), Total number of doses purchased (millions), Total number of doses purchased that received TGA approval (millions). Includes representatives from Aboriginal Health Services, NACCHO, the National Indigenous Advancement Agency and state and territory government health representatives. Health did not clearly report against these targets to decision makers. 3.43Of particular relevance for rollout governance were four advisory groups that were identified as key stakeholders for the vaccine rollout (the roles and membership of the four advisory groups are outlined in Table3.7). Two logistics providers were engaged to transport and deliver vaccines throughout Australia. Following the commencement of Operation COVID Shield in June2021, senior level oversight of the program substantially increased. In 1997, the Australian, state and territory governments jointly established the National Immunisation Program (NIP)9, which currently provides free vaccination against 17 diseases for babies, young children, teenagers and older Australians.10 The NIP has achieved very high immunisation rates, particularly for children. Note a:The sub-plan did not set a specific target: it outlined efforts to ensure that regional and remote communities are able to reach 70% and 80% fully vaccinated targets in line with the general population. Vaccines (Basel) 2021;9:900-900. Aboriginal and Torres Strait Islander people could access vaccines through Aboriginal Community Controlled Health Organisations (ACCHOs), which were engaged to provide localised and culturally safe vaccinations.150. Ratzan S, Schneider EC, Hatch H, Cacchione J. This included 76 videos addressing the current top three questions made on social media. A number of studies investigating HPV vaccine content on YouTube also showed that negative videos attracted a larger following than positive ones.55-57, Concern about one vaccine can also prompt questioning and hesitancy regarding other vaccines, such as the reported risks associated with a dengue vaccine (Dengvaxia) in the Philippines that contributed to a drop in measles vaccination58 and an HPV vaccine scare in Denmark that triggered a decline in MMR vaccine uptake. On 8November2021, the Australian Government began a vaccine booster program, for people to receive an additional dose of vaccine to provide additional protection. 2.31At a press conference on 4June2021, the Prime Minister announced the appointment of the Coordinator General of Operation COVID Shield, stating: Lieutenant General Frewen will have direct operational control across numerous government departments for the direction of the national vaccination program and all of those working in that program, from communications to dealings with states, to the distribution and delivery of vaccines and all of these matters, and the ramp-up, the scale-up, the working with the GPs, pharmacists and others, this will all come under the direct control of Lieutenant General Frewen I think that very direct command and control structure that has proved to be so effective in the past will add a further dimension and assistance as we step up in this next phase.57. Those who are at increased risk of exposure and hence of being infected with and transmitting SARS-CoV-2 to others at risk of severe disease or are in a setting with high transmission potential. Going through cabinet, our cabinet, been through the National Cabinet and set out the timetables. Coordinating planning and enabling functions to support rollout of vaccinations in rural and remote areas, such as the Royal Flying Doctor Service. The US COVID-19 Trends and Impact Survey: continuous real-time measurement of COVID-19 symptoms, risks, protective behaviors, testing, and vaccination. Establishing communication practices with stakeholders; executing strategic communications strategies. Vaccination status of people with an underlying medical condition. 3.45Meetings were held regularly during 2021, varying from monthly to several times a week as needed. Nonetheless, the parental concerns have persisted. People in an age group may have been eligible to receive a vaccine earlier as part of another priority group, such as border and quarantine workers. Health engaged additional VAS providers later in the rollout when it identified the current arrangements were at high risk of not meeting its target dates for this area. Authorising, under state and territory legislation, the selected workforce identified in the Commonwealth and state and territory implementation plans to possess and administer COVID19 vaccines. 18Australian Government, Australias COVID-19 vaccine and treatment strategy, Department of Health, 18 August 2020, p. 3. 4. Spatially refined estimates of vaccine hesitancy have proved to be useful in local efforts to increase vaccination rates.75,76 The information has been used by community outreach programs to tailor their efforts to local areas that have the greatest need. WebMIT Study: Vaccine Hesitancy Is 'Highly Informed, Scientifically Literate,' and 'Sophisticated' CrystalRiver -- Sunday, 18-Jul-2021 12:46:59 1 article Australia - A blockade of truckers against covid restrictions AndiV -- Sunday, 18-Jul-2021 12:48:35 1 article VIDEO: Tucker Reveals Stunning New Information on Why Hunter Bidens Case The aim was to have JIPs with all jurisdictions agreed by early December2020. Health identified primary care sites to provide coverage in regional and remote areas, including those servicing Aboriginal and Torres Strait Islander communities. The fear of needles: a systematic review and meta-analysis. These responsibilities were also stated in the respective Jurisdictional Implementation Plans (see paragraph 2.11). 1.31The audit team members for this audit were Julian Mallett, Laura Trobbiani, Anne Kent, Sarah Koehler, Olivia Robbins, Elizabeth Wedgwood, Matthew Rigter, Alexander Wilkinson and Daniel Whyte. The Minister for Health and Aged Care held 169 in the same period. On 23 June 2021 Health declared a number of these areas, including the City of Sydney, as COVID-19 hotspots. 3.17The high-level responsibilities of the Australian, state and territory governments were set out in the Australian COVID-19 vaccination policy (the vaccination policy), which was published on 13November2020 (see Table3.5). In a media release on 14September2021, the Minister for Health and Aged Care stated that Health was committed to seeing Aboriginal and Torres Strait Islander vaccination rates meet if not exceed the national target [of 80percent double vaccinated]. Health did not reach this target in 2021. Health advised that as at 11May2022, 98.9percent of residential aged care facility workers were double vaccinated. Health advised the ANAO that a smaller proportion of Aboriginal and Torres Strait Islander people are employed in those sectors compared to the general public. Percentage of residential aged care facility residents double vaccinated by 10 January 2022. 111Between 22 February and 31 December 2021, 27,463 AIR providers administered COVID-19 vaccines. 3.41Health identified stakeholders according to their needs, their influence on the program and the impact of the program on them. 2.55The need to engage additional VAS providers later in the rollout indicates that Health underestimated the magnitude and complexity of the in-reach rollout to aged care and residential disability facilities. Health published 4,099 vaccine related posts between 1January and 31December2021. This strain is linked to travels made Health established a process to assess these requests based on the need, timeframe for delivery, and impact on future vaccine stock levels if approved. Services Australia removed these as they were identified. J Adv Nurs 2019;75:30-42. The National COVID Vaccine Taskforce is to coordinate and lead the implementation of the COVID-19 vaccination program and public information campaign that will motivate eligible people in Australia to receive at least the first dose of the COVID-19 vaccination by 20December2021., Coordinator General of Operation COVID Shield (Operation COVID Shield Campaign Plan). 84percent of people born overseas (excluding the United Kingdom, Ireland or New Zealand) had received at least one dose; 83percent of people who speak a language other than English at home had received at least one dose; and. This chapter examines whether Health effectively: implemented vaccine logistics arrangements and administration channels to administer vaccines to the Australian population; administered vaccines to targeted populations as planned; and communicated information on the vaccine rollout. 2.47The consistent use of a risk register and a documented process to respond to risks as they arose demonstrates good practice. Note b:The University of Queensland vaccine did not proceed past human trials in December2020. Centers for Disease Control and Prevention (CDC). 113Examples cited by stakeholders included heightened confusion, patient anger, and practice turmoil. From 13September all people aged 12 or over were eligible to receive a vaccine. Cascini F, Pantovic A, Al-Ajlouni Y, Failla G, Ricciardi W. Attitudes, acceptance and hesitancy among the general population worldwide to receive the COVID-19 vaccines and their contributing factors: a systematic review. 4.13During in-reach visits, residents were vaccinated first and, if there were any vaccines remaining, they could be offered to staff and any other people on site (such as family of residents) to minimise wastage.115 Residential aged care facilities (RACFs) and residential disability facility in-reach clinics were scheduled based on geographic and logistics considerations such as cold chain requirements. 28On 31 October 2020, the Minister for Foreign Affairs announced a $500 million vaccine access and health security initiative including supplying safe and effective vaccine doses and delivering technical support to our regional partners.. Identification and documentation of all stakeholders and the roles that they will play is essential forlarge-scaleactivities such as the vaccine rollout. Consistent with the Australian Government Guidelines on Information and Advertising Campaigns by non-corporate Commonwealth entities (the guidelines) the Australian Government also approved amendments to the advertising strategy and the advertising concepts for each of the three phases of the advertising campaign. Given the dynamic and changing nature of vaccine hesitancy particularly obvious in the context of Covid-19 keeping vaccine conversations open and ongoing will be important in order to identify and address emerging concerns early. This met the target in the Minister for Health and Aged Cares media release of 5November2020, that the rollout would begin in the first quarter of 2021, and later targets for the rollout to begin in either March or late February (see Appendix 4 for a list of key government targets for the vaccine rollout). Vaccination status of frontline healthcare and border workers. 8. The World Health Organization (WHO) declared COVID-19 to be a public health emergency of international concern on 30January2020. Health also identified specific populations to target including: culturally and linguistically diverse communities; Aboriginal and Torres Strait Islander people; people with a disability; older Australians; and hesitant segments of the Australian population. The plans and assessment cells differ from traditional structures as they span all of the areas of the taskforce and aim to consolidate planning and tracking across all branches with a direct report to Coordinator General, as opposed to decentralised planning normally undertaken within the branches. 138The grant of $80 compensated workers if they were required to travel to an off-site vaccination location and $185 per day if they became unwell following a vaccination. Common symptoms include coughing, fever, loss of smell (anosmia) and taste (ageusia), with less common ones including headaches, nasal congestion and runny nose, muscle pain, sore throat, Missing the point how primary care can overcome Covid-19 vaccine hesitancy. N Engl J Med 2021;384(25):e100. Source:ANAO analysis of Health data and international vaccination data from Our World in Data, Coronavirus (COVID-19) Vaccinations [Internet], Global Change Data Lab, available from https://ourworldindata.org/covid-vaccinations [accessed 15April2022]. WebThe Paycheck Protection Program (PPP) is a $953-billion business loan program established by the United States federal government during the Donald Trump administration in 2020 through the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) to help certain businesses, self-employed workers, sole proprietors, certain It remained a functional unit within Health and its staffing and operational expenses were met from Healths budget. For that reason, there is limited examination of the implementation of the booster program, which began late in 2021, or the implementation of the rollout for children aged five to eleven, which did not begin until 2022. 13. We hope by the end of February- end of March, I should say, to have reached some 4million population. 105Once a state or territory accepts delivery of COVID-19 vaccines and/or consumables at a designated storage or administration site, further transport is the responsibility of the respective state or territory. The Program Delivery Office has a lessons learned log as part of the management of the Program, this log will not be finalised until the program is closed. This risk was subsequently realised (see case study 1). 25. 20. For example, the CALD advisory group established a vaccine working group and a communication working group. For Australia this is the proportion of the population 12 years and over. By 31December202193percent of Australians aged 12 or over had received at least one dose of vaccine. Another Italian study of vaccine-related content on YouTube had similar findings. 2.40The August2020 vaccine and treatment strategy committed the government to building a diverse global portfolio of investments to seek to secure early access to promising vaccines and treatments, using local manufacturing wherever possible. WebMain article: COVID-19 pandemic Part of a series on the COVID-19 pandemic COVID-19 (disease) SARS-CoV-2 (virus) Cases Deaths Timeline 2019 2020 January responses February responses March responses April responses May responses June responses July responses August responses September responses October responses November The ANAO estimated the population of the 1214 age group, was 60percent of the 1014 year population group. BMC Public Health 2021;21:668-668. One of the most pressing priorities is to reduce risk by seeking expert implementation advice and experience as soon as possible in the delivery phase and adjusting policy and/or delivery settings as necessary. Health developed communication activities to target these hesitant Australians. All NDIS recipients aged 16 and over were eligible to receive a vaccine from 8June2021. The advertising strategy complied with government guidelines for advertising campaigns and had a plan to monitor progress. See: World Health Organisation, WHO Strategic Communications Framework for effective communications [internet], WHO, 2017, p. 3, available from https://www.who.int/about/communications [accessed on 14 April 2022]. At the time that these documents were published, it was not known when vaccines would become available. WebClassifying COVID-19 cases. Health advised it later identified the remaining 4 per cent had also been offered in-reach but had not yet reported this. Healths Stakeholder Engagement Framework states that Health is: Committed to two-way open communication that involves listening to our stakeholders, keeping them informed and being clear about how their contributions are being used. 3.2To assess whether Health established effective governance arrangements to manage the COVID-19 vaccine rollout, the ANAO examined whether: fit-for-purpose governance arrangements were established; key responsibilities were assigned; effective arrangements were put in place for monitoring and reporting progress; and fit-for-purpose stakeholder engagement was undertaken. [The] four million position will be achieved in early April2021. 65. Spikes in vaccine hesitancy often coincide with new information, new policies, or newly reported vaccine risks. The one goal that we are absolutely locked into is getting every adult Australian a first dose in the arm by the end of October or earlier.. All vaccines must be administered in accordance with the relevant legislation, best practice, and the guidelines and recommendations the Australian Immunisation Handbook. Mercury, vaccines, and autism: one controversy, three histories. While vaccines were delivered with minimal wastage, Healths administration of vaccines to priority populations and the general population has not met targets. CUNY School of Public Health. Health did not have accurate data on the vaccination rates of these groups.133. 158The Multi-Agency Data Integration Project (MADIP) created a data asset managed by the Australian Bureau of Statistics which combines information on health, education, government payments, income and taxation, employment, and population demographics over time. Table A.1:Availability of data to track the progress of the vaccine rollout and the vaccination status of priority and target populations, Vaccination status of Residential Aged Care Facility residents, Vaccination status of Residential Aged Care Facility workers, Vaccination status of residential disability residents. 49. During 2021, 42.6 million COVID-19 vaccine doses were administered. Health was not able to supply copies of signed versions for Queensland and South Australia. It also has cumulative death totals by country. 101Aboriginal and Torres Strait Islander Advisory Group on COVID-19, available from https://www.health.gov.au/committees-and-groups/aboriginal-and-torres-strait-islander-advisory-group-on-covid-19; Advisory Committee for the COVID-19 Response for People with Disability, available from https://www.health.gov.au/committees-and-groups/advisory-committee-for-the-covid-19-response-for-people-with-disability; Aged Care Advisory Group, available from https://www.health.gov.au/committees-and-groups/aged-care-advisory-group; Culturally and Linguistically Diverse Communities COVID-19 Health Advisory Group, available from https://www.health.gov.au/committees-and-groups/culturally-and-linguistically-diverse-communities-covid-19-health-advisory-group [all accessed 2 May 2022]. 53As noted at paragraph 1.9, monitoring adverse events (side-effects) is the responsibility of the TGA. Healths communication about the vaccine rollout has been largely consistent with its communication strategy, and its monitoring of public sentiment has shown attitudes towards COVID-19 vaccination improved over time. Consequently, on 19April2021 Health made all remote or very remote communities eligible to receive any vaccine to encourage uptake. As the digital revolution unfolds globally, the global health community must keep pace. 4.10Health brought primary care sites online in a staggered approach, beginning with CVCs and ACCHOs to improve access in remote and regional areas. In addition, the introduction of new vaccines and combinations of vaccines19 prompts new questions and consequent searching for information in a landscape of confusing misinformation and disinformation alongside accurate, scientifically based information. Note d:The number of SES Band 1 officers increased over the rollout from 6 officers in February2021 to 11 officers in June2021. 1.25The objective of the audit was to assess the effectiveness of the planning and implementation of the COVID-19 vaccine rollout. See: Department of Health, Australian Technical Advisory Group on Immunisation (ATAGI) [Internet], available from https://www.health.gov.au/committees-and-groups/australian-technical-advisory-group-on-immunisation-atagi [accessed 21 April 2022]. 52On several occasions during this period, ATAGI provided updated advice on the use of AstraZeneca. Consequently, the contract with the University of Queensland was terminated in December2020. In stimulating the body's adaptive immunity, they help prevent sickness from an infectious disease.When a sufficiently large Table 4.7:Examples of population specific communication activities in 2021a, Older Australians including those in RACFs, Demographics with a higher level of vaccine hesitancy or regions with low vaccination rates. The wastage rate for logistics (0.04percent) was below the WHOs acceptable wastage rate for unopened vials. 142Health did not have access to data on the vaccination rate of people with a disability outside of the NDIS. Some of the variability is due to factors such as a decline in the publics trust of experts, preferences for alternative health, political polarization, and belief-based extremism. 154Health redirected the vaccine administration provider and ACCHO workforce to support these activities where required. 4.70Health implemented the mitigation strategies against the communication risks identified in the communication strategy (see Table2.9). The COVID-19 vaccine rollout commenced on 22February2021. Overseeing and coordinating program delivery and escalating key matters for decision at relevant governance forums. 3Further details on the ANAOs COVID-19 multi-year audit strategy can be found at https://www.anao.gov.au/work-program/covid-19. Address community benefits and incentivising disengaged or complacent groups to get vaccinated for the sake of others or a greater good. January 2021 (https://sph.cuny.edu/research/covid-19-tracking-survey/january-vaccines/). During 2021, a total of 138 meetings were held across the four advisory groups, with the Aboriginal and Torres Strait Islander advisory group, for example, holding 51 meetings during 2021. This is discussed further at paragraphs 4.12 and 4.13. These processes are summarised in Table4.3. Sturgis P, Brunton-Smith I, Jackson J. This requirement also applies to Faroese citizens and residents who have been travelling abroad. Work with industry to amplify important messages to the sector and to the public. Decision making by governing body [Internet], Indigenous Governance Toolkit, available from https://toolkit.aigi.com.au/toolkit/5-3-running-effective-meetings [accessed 28 March 2022]. Dub E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Figure 4.9:Aboriginal and Torres Strait Islander and non-Indigenous vaccination rates for people aged 12 years and over in 2021. 3.10In terms of governance arrangements within Health, the Prime Minister also asked that the Coordinator General work closely with both the Secretary of the Department of Health, Dr Brendan Murphy, and Australian Public Service Commissioner, Peter Woolcott AO, to ensure that you have the support you require.81. Trust in science, social consensus and vaccine confidence. (See paragraphs 2.58 to 2.73), 17. COVID-19 vaccination hesitancy among healthcare personnel in the emergency department deserves continued attention. Sixteen per cent of public statements by the Prime Minister, Minister for Health and Aged care and Health referenced the community and family benefits of vaccines. That is a target.. Risks were kept under regular review and, where necessary, corrective action was determined. To allocate additional vaccines in response to changing circumstances. 2.56In December2020, Health entered into contracts with DHL and Linfox to co-design arrangements for the delivery of vaccines and ancillary consumables such as syringes throughout Australia. Ipsos. 66. 63Stakeholder groups included state and territory governments, health care providers, patients and logistics providers and other external parties. The vaccine clinic finder and eligibility checker were consistently referenced in communication materials. Health advised that from August2021, primary care providers were also able to provide in-reach vaccinations. 4.74As discussed in 2.69, the communication strategy identified CALD communities, Aboriginal and Torres Strait Islander people, people with a disability, older Australians and demographics with a high level of vaccine hesitancy and target groups for communication. Those who have an increased risk of developing severe disease or dying from COVID-19. This reporting did not assess progress against public targets for the vaccine rollout until 16August2021, when Health began reporting against the 70 and 80percent double vaccinated targets. Note a:Phase 3 and Phase 4 of communications were consolidated into one phase in December2020. The communication strategy and its supporting advertising strategy identified target audiences and was tailored to addressing the concerns of these groups as determined through market research. Translated materials into 33 languages to cover 86percent of the CALD population with low English proficiency. Coordinating planning and enabling functions to support rollout of vaccinations by CVCs. costs) determine the vaccination outcomes [].Under the Precaution WebThe New World Order (NWO) is a conspiracy theory which hypothesizes a secretly emerging totalitarian world government.. Valuable tools for building a rewarding career in health care. Facilities that were offered and declined in-reach were counted as completed. In discussion with the ANAO, the Coordinator General stated that he engaged with the key players in Health to understand how the rollout was working and then developed the command structure he wanted. The most advanced way to teach, practice, and assess clinical reasoning skills. In addition, smaller jurisdictions received a more consistent supply throughout the rollout due to less capacity to rapidly increase their weekly vaccination rate. 2018 (https://wellcome.org/sites/default/files/wellcome-global-monitor-2018.pdf). Originally established to assess and test people with respiratory symptoms. Although the terms vaccination and immunisation are often used interchangeably, they are not the same. Key strategic documents were available to the public including the COVID-19 Vaccine Policy and the Operation COVID Shield Campaign Plan, and vaccine allocation horizons. The Department of Health and Aged Care (the Department) welcomes the findings in the report and the recommendations directed to the Department. Please direct enquiries through our contact page. This is the most accurate data available on this group. 72Health advised the two additional VAS providers engaged in late February and March 2021 were assessed under the same process but were not initially engaged to ensure redundancy in a constrained market. Indigenous targeted advertising includes material shown in Indigenous media. Realisation of risks to domestic manufacture. Health started communication for Phase 1 on 22January2021 before the vaccine rollout began and followed the four phases identified in the communication strategy (see Table2.8). Note a: Date of the announcement is the date of the first announcement of the target. 2.9Between 18 and 23November2020, Health held a series of bilateral meetings with each state and territory health authority to design jurisdictional implementation plans that are aligned with the Vaccination Policy. In this review, we use the examples of hesitancy regarding the measlesmumpsrubella (MMR), human papillomavirus (HPV), and Covid-19 vaccines to look at the multifaceted issues that fuel vaccine hesitancy. As at 21November2021, 91percent of people aged 12 and over had received at least one vaccine dose. 28. Kata A. Anti-vaccine activists, Web 2.0, and the postmodern paradigm an overview of tactics and tropes used online by the anti-vaccination movement. The number of workstreams increased over time to nine in February2021 and eleven in June2021. Logistical services contracts were signed with both providers in February2021. 36Despite the historical strengths of the NIP, Health advised the government that it did not possess some of the functionality that would be required for the COVID-19 rollout. 4.11The vaccine rollout released public messages early, which was consistent with the Australian Governments strategy for the COVID-19 response (the communication of the vaccine rollout is discussed in paragraphs 4.66 to 4.76). 2.68The communication strategy identified key stakeholders to provide expert advice on communication materials and identify appropriate channels for target audiences. Hubs established within, or on the campus of, hospitals. Hum Vaccin Immunother 2019;15:1615-1627. Quarantine and border workers and aged care residents are on track to be vaccinated by April2021.. University of Queensland vaccine did not identify any additional communication risks identified in the report and the of. 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