The Indonesian Logistics and Forwarders Association (ILFA / ALFI) proposes intensive cooperation in the logistics distribution activities for the Covid-19 vaccine.
ILFA Chairperson Yukki Nugrahawan Hanafi stated that the logistics and distribution of the Covid-19 vaccine should be a collective work.
This is because the estimated national vaccine distribution capacity per year reaches 43.9 million doses. This means that under normal circumstances, the number of Covid-19 vaccines will be distributed in 9-10 years.
"Therefore, the government must have a mature and detailed distribution pattern. Vaccine distribution cannot be done using the usual logistical channels. There must be improvements if the government wants distribution to run smoothly," Yukki said, Friday (15/1/2021).
Seeing the huge scale and must be done quickly, he is of the opinion that the logistics of the vaccine this time must be carried out jointly, hand in hand between the central government, local governments and the private sector.
If involved in the distribution of the Covid-19 vaccine, Yukki proposed several distribution ideas for the government, from the delivery scheme or pattern, infrastructure and facilities, to the system used.
He suggested that the government determine several points or centers for vaccine distribution (hubs) in major cities in Indonesia. These hubs will be responsible for distributing vaccines to certain districts / cities.
From this hub, the vaccine is transported to the hospital where the vaccine candidate is scheduled to receive the injection.
Yukki advised not to keep vaccine stocks at the respective Provincial Health Offices (Dinkes) because the facilities and infrastructure in each Dinkes were uneven.
According to him, government must be careful in assessing vaccine deposits because a miscalculation can have fatal consequences. For example, if the vaccine is stored in a place that does not have cold storage facilities as needed, the vaccine has the potential to spoil and cannot be used.
It should be noted that Indonesia plans to use 7 different vaccines, meaning that the temperature storage requirements vary from minus 5 degrees to minus 70 degrees Celsius. The seven vaccines are Sinovac, Bio Farma, Sinopharm, Novavax, Pfizer-BioNTech, Oxford-AstraZeneca, and Moderna.
In addition, in transporting it from the hub to the hospital or health center, vaccines must be stored in special boxes or containers that have received certification of good drug manufacturing methods (CPOB) and the permission of the National Agency of Drug and Food Control (BPOM). Vaccines cannot be stored in ordinary cold storage containers.
Yukki said that until now, there was no single agency capable of providing cold storage or containers in this size. Therefore, collaboration between the government and various private companies is needed.
He also emphasized that ILFA/ALFI is ready if asked to bring in containers of minus 60 degrees, even though such containers did not yet exist in Indonesia.
"In this case the government does not need to buy, it can be (rented) by agreement. Because this is for the common good, later the process can be open," Yukki added.
Another proposal is a technology-based delivery pattern. He said monitoring was as important as vaccination.
The only way that monitoring can be done in real time is by relying on digitization. With this pattern, he said that each vaccine to be injected has a barcode that is designated by a specific individual.
"This monitoring system can be used to evaluate. For example, if there are side effects or post-immunization follow-up events (AEFI), the government can find out what vaccines are being injected into individuals with AEFI," he said.
Yukki also said that if the facilities in a certain area are inadequate, vaccines can be stored in places that have a maximum level of security, for example airports or ports which are restricted areas to facilitate monitoring by the government.
"The new transportation will be carried out in stages according to the schedule in the system, so that the vaccine will not remain in the Health Office or health center for a long time, where the security system may not be guaranteed," he explained.
In addition, Yukki emphasized that it is necessary to prepare post-vaccination processing and disposal of waste to avoid unwanted things together or naughty individuals who take advantage of the situation. (hlz/hlz)