2021

A REPORT ON LOOPHOLES IN

VACCINATION DRIVE OF

KOKILABEN HOSPITAL

SUBMITED BY: HERA. H KHAN, MBA HHM ( STUDENT)

SYMBIOSIS INSTITUTE OF HEALTH SCIENCES, PUNE
VACCINATION DRIVE
KOKILABEN DHIRUBHAI AMBANI
HOSPITAL, MUMBAI
AIM: To identify loopholes in the vaccination drive of Kokilaben Dhirubhai
Ambani Hospital.

OBJECTIVES:
• To learn about vaccination barriers and enablers.
• To make the vaccination process more efficient, rapid& easier.
• To develop strategies to reinforce vaccine confidence among the
communities.

INTRODUCTION:
Kokilaben Dhirubhai Ambani Hospital is supporting the fight against
COVID-19 through its COVID Vaccination Drive and are currently
administering the following vaccines:
COVISHIELD on Monday, Wednesday and Friday
9:00 AM to 5:00 PM
COVAXIN on Tuesday, Thursday and Saturday
9:00 AM to 2:00 PM
Sputnik V (limited slots) on Saturday

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3:30 PM to 4:30 PM

ELIGIBILITY:
• People over the age of 18 and above are eligible for the vaccine.
(Eligibility criteria shall be applicable as per Government
notification valid from time to time)
• As per the latest government guidelines, the second dose of
Covishield, Covaxine & Sputnik can only be administered 84 days, 28
days and 21days respectively after the first dose.

REGISTRATION:
• Beneficiaries can register themselves via Cowin app or on
www.cowin.gov.in and confirmed appointment. No walk-in
candidates are allowed.
• Time: 9AM – 4:30PM as per the slot and Vaccine availability.

PRICING:
Kokilaben Hospital has procured vaccination at differential
pricing through private cold supply chains as per the
prevailing policy.
• Charges for vaccination: Rs 1200/- for Covaxin, Rs 780/- for
Covishield, Rs 1145/- for Sputnik V

DOCUMENTATION:
• A government ID proof for all the eligible candidates and
certificate of first dose of vaccination (if eligible).

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 • For the safety of the crowd at the venue, adherence to social
distancing norms is strictly followed.
Venue: Upper Basement - Entry from Gate No 5.

WORK FLOW:

Entry Doctor's
Waiting Billing
Consultation

Exit Recovery Vaccination Registeration

• Waiting: There is a separate waiting area in the basement hall for

all the beneficiaries who have appointment for the day. They are
provided a beneficiary information form with the token no for the
entry. Social distancing norms are fully maintained.

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 • Entry: Entry is done on the basis of token no with the count of 10
people at a time. The security staff check their appointment & do
their thermal screening and allow them to enter.
• Billing: There is a separate billing area where beneficiary can pay
their desired vaccination charges through their convenient mode.
i.e., cash/card and collect their receipt of payment.
• Doctor’s Consultation: It is mandatory to take doctor’s
consultation or advice before taking the vaccine. This can lead to
prevent many adverse health effects to the beneficiaries and make
the vaccines safe for them.
• Registration: For registration there are two separate portals for
registration of different age groups i.e., first for age group between
18-44 and other is for above 44 years.
Registration involves 3 steps:
* Creation of beneficiary ID: A beneficiary ID is created in the
portal if the beneficiary is not registered before.
* Verification: In this process beneficiary is verified through its
valid identification proof (Aadhaar, PAN card, Passport, other) and
the mobile no used at the time of registration.

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 * Approved: After the successfully completion of
abovementioned process the beneficiary is approved for the
vaccination.

• Vaccination: There are 6 separate areas for vaccination in the

vaccination room. All the beneficiaries have to show their
beneficiary forms along with billing receipt and in case of second
dose they have to show their first dose certificate to avoid any
confusion and then they take their desired vaccines safely as per
their respective slots.
• Adverse Effect: If any patient collapsed at the time of vaccination
or any adverse health condition happens, there is a separate adverse
effect room for them to be taken care of with all necessary drugs
like adrenaline etc. There is a Crash cart having IV fluids &
cannulation tools, emergency drugs, pediatric intubation & C.V.P
insertion kits.

• Recovery: Beneficiaries are advised to take rest for a while after

taking vaccines and for the same there are two separate recovery
rooms with all the necessary health supplements like water,
glucose etc. Vaccination certificates are also provided here.

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 • Exit: After collecting their vaccination certificate from the
recovery room beneficiaries can exit from the center through the
same way.

CHALLENGES & SUGGESTIVE MEASURES:

The main challenges faced in the following departments and the

suggestive measures to improve are as follows:

• Waiting area: The waiting duration is sometimes too long.

Beneficiaries are of all age groups. Many of them come without
having their breakfast, mostly age group of 18-44 collapsed at the
time of vaccination. There is a group who are still reluctant
towards the safety of vaccines in the center and having
trypanophobia. If we increase a bit lighting in the waiting area this
will not only emit positive energy but also enhance the look of the
area along with, we can also set a screen in the area showing all the
necessary details like common post vaccination symptoms, safety
measures taken by the centers, protocols before giving the vaccines
etc. and can also offer them paid beverages like tea, coffee or
packed snacks like biscuits (parle g) or chocolates etc. This will

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 • reduce the adverse after effects cases of vaccination and help in
overcoming the boredom in the waiting duration and also deviate
the mind of the beneficiaries.

• Billing department: Billing counter is the most rushing area.

There are only two desks for more than 350 beneficiaries and they
always argue with the staff because of slow billing process. There
is only one card machine in the billing desk for card payment and
no labelling on counter for crowd segregation for both the different
payment modes(cash/card). There is only a single printer at the
corner for printing the billing receipt from both the counters. The
server of the billing portal lost quiet often for a longer period. This
hampers a lot of time and energy of the staff and makes the process
slower. If we fix the above-mentioned issues in the billing
department working process will be more efficient and faster.

• Registration desk: There is no serial process wise labelling on

the desk. Most of the beneficiaries come directly on the registration
counter without taking doctor’s consultation. The registration staffs
have to tell them one by one and send them back. Many
beneficiaries for second dose, mostly age group of 45+ comes
without first dose certificate then the staff have to regenerate the
certificate again. These small steps kill a lot of time and further

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 delays the registration process. If we do process wise labelling on
the counter desk and send them advance reminder about carrying
their first dose vaccination certificate with them, this will reduce a
lot of time of the staff and the process becomes much efficient and
rapid.

• Vaccination room: Most of the beneficiaries still have doubts

regarding the vaccines and they continuously interrogate the
vaccination staffs about the safety, accuracy, efficacy and hygiene
of the process and makes the process slower. Some of them tighten
their muscles due to trypanophobia and often blames or even
misbehaves with the staff for having post vaccination symptoms
like body pain or rashes. If we aware them priorly in the waiting
hall through wall posters, short advertisements in the screen in the
hall that their safety is our main priority and the hospital along
with the staff take complete care of all the safety measures in the
vaccination and aware them about the common post vaccination
symptoms. This will not only boost the vaccination confidence
among the people but also avoid conflict between the staff and the
beneficiaries. It also the reduce the vaccination time and makes the
process more efficient and rapid.

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 • Recovery room: The glucose is only limit to those who ask for it,
rather it should be given in a little quantity to everyone in the
recovery room who have taken the vaccine as it not only reflects
the extra patient care but also improve the patient- hospital
relationship, enhance the prominence of the hospital which makes
this hospital to be different in the league.

CONCLUSION:

In conclusions the organization desires to devise powerful health

techniques concerning mass vaccination and avoid assembling people at
fitness-care gadgets for vaccination.

The use of the upper basement and parking area served as a super region
to offer offerings and approaches, SARS-CoV-2 testing and COVID-19
vaccine management. With months of successive repetition of every
manner and recurring physical surroundings, we find that COVID-19
vaccination region secure, effective & powerful.

Their consciousness is on preserving the high speed of vaccination and

the introduction of dual doses of COVID-19 vaccines. The effects of the
survey show the fact that the corporation have work to make experience
of the disaster and how to deal with the COVID-19 vaccine respectfully,
thoughtfully, legally, and in particular – accurately and safely.

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