25% doses allotted to pvt hospitals, but they account for only 7.5% of total jabs

25% doses allotted to pvt hospitals, but they account for only 7.5% of total jabs

95% Shots By Public Sector In Nearly 80% Dists

Rema Nagarajan & Atul Thakur TNN

04.06.2021

The government’s vaccination policy has reserved a 25% quota for the private sector, but analysis of actual inoculations till May 30 shows that private centres account for barely 7.5% of total doses administered. The proportion exceeds10% in only seven states/UTs and 80-odd of the 750 districts listed on CoWin. Even the little the private sector has done is concentrated in a few urban pockets, with just 25 districts in some of the country’s largest metropolises accounting for 54% of all private vaccinations.

In almost 80% of districts, the public sector has provided more than 95% of all vaccine doses so far. The private sector’s share is less than even 1% in half the districts, especially in predominantly rural areas and in the Northeast.

The highest share of private hospitals in vaccination is, not surprisingly, in urban mega sprawls like Bengaluru, Delhi, Hyderabad, Mumbai, Kolkata and Chennai with the Bengaluru municipal corporation (BBMP) area recording the highest share of 44% of the private sector.

TOI downloaded data from the CoWin portal for more than 1.6 lakh vaccination centres as of 7am on Sunday. The centres were then categorised into public and private and the data analysed to arrive at these numbers. The data is for all doses of vaccines administered from the start of the drive on January16, about 20.8 crore doses, of which the private sector administered about 1.6 crore. Of these 1.6 lakh centres, we were unable to clearly categorise a little more than 17,000.

Delhi has highest private sector share in vaccination

But these accounted for barely 0.4%, or 9 lakh, doses administered and so would not change the picture significantly.

The analysis raises questions about whether a 25% quota for the private sector is justified by actual performance. It also underlines that such a quota seems to be discriminating against semi-rural and rural populations since the private sector is almost entirely limited to urban settings and within them to the larger cities, one of the concerns flagged by the Supreme Court.

Among states and UTs, the highest private sector share in vaccination (21%) was in Delhi, followed by Chandigarh (15%), Telangana (14%), Maharashtra (13%), Tamil Nadu (12%) and Karnataka (12%). However, even in Delhi, there were districts like northeast where 99.85% of vaccinations have been done in government centres. Similarly, even in the most urbanised state of Tamil Nadu, there are districts like Kallakurichi, with a population of about14 lakh, where the private sector hardly exists in the vaccination landscape.

With rural India being home to over 65% of the country’s population, and hence being almost entirely dependent on the government for Covid vaccination, this raises the question of how giving the private sector such a big role is supposed to spur vaccination as argued by the Centre.

In many ways, vaccines are more necessary for rural populace which has little or no access to health infrastructure.

Times View

The analysis raises questions about whether a 25% quota for the private sector is justified by actual on-ground delivery. It discriminates against rural and semi-rural populations — that’s over two-thirds of India — since the private sector is almost entirely limited to urban settings and within those, to the larger cities, one of the concerns flagged by the Supreme Court. In many ways, vaccines, which are said to reduce hospitalisation and guard against death, are even more necessary for a rural populace that has little or no access to health infrastructure. Also, how does it serve the larger objective of spurring vaccination and achieving ‘herd immunity’? If the pandemic should have taught the world one lesson, it is that no woman or man, nation or region is an island – and for urban Indians to believe that what happens in our villages will stay in our villages would be a fatal fallacy.