You are here: Home » Current Affairs » Coronavirus » News
Business Standard

India's Covid-19 vaccination challenge needs a private sector helping hand

The media and opposition figures have justifiably asked why Bharat Biotech's candidate was approved at the same time as AstraZeneca's, when it hasn't even finished or published results from Stage III

Coronavirus Vaccine | Coronavirus Tests | Coronavirus

Mihir S Sharma | Bloomberg 

Coronavirus vaccine
COVID-19 vaccine administration dry run is being conducted, at a health care centre in Chennai on Saturday.

The Indian state faces one of the world’s most formidable challenges: rolling out a Covid-19 vaccination program for 1.3 billion people. To succeed, many things have to go right in a country that usually gets a lot wrong. The government would be wise to enlist the country’s private sector in this gargantuan effort — and soon.

The vaccine rollout is already off to a shaky start. The government last week announced emergency approval for two vaccines. The first, a joint effort from AstraZeneca PLC and Oxford University, is being produced by the Serum Institute of India, the world’s largest vaccine manufacturer. The other has been developed by the Indian company International Ltd.

The media and opposition figures have justifiably asked why Bharat Biotech’s candidate was approved at the same time as AstraZeneca’s, when it hasn’t even finished or published results from Stage III trials. There’s no evidence that Indian drug regulators allowed political considerations to affect their decision. Still, the timing is suspect, given that the approval comes after right-wing legislators began to attack regulators for preferring “foreign” vaccines, and the government itself has begun to show a distinct protectionist tilt.

If the approvals appear rushed, unfortunately the rollout seems anything but. India’s health administrators just completed a massive practice exercise in four states — something that surely should have been wrapped up weeks ago.

Worse, even though the Serum Institute has already produced 50 million doses of the AstraZeneca vaccine, CEO Adar Poonawalla admitted in an interview published on Monday that he hasn’t yet been given a purchase order from the government or even a “letter that says, ‘We want the vaccine.’” He needs to get those 50 million doses on trucks and out of his factory fast, so he can start producing and storing more.

Nor has the government allowed the Serum Institute to export any of its existing doses to other poor countries, even though Prime Minister Narendra Modi himself promised at the United Nations that India’s manufacturing would be the solution to the pandemic in the developing world. Of the billion doses that the Serum Institute intends to produce, half are ultimately expected to go to other developing countries.

This has the whiff of typical Indian bureaucratic delays and lack of accountability. The ugly truth about India is that its problems rarely revolve around production; too often they center on distribution. We produce more than enough food but can’t distribute it to our population, so we have a third of the world’s malnourished children. While we generate more than enough electricity, our distribution system is inefficient and unprofitable — and so businesses and homes are plagued by constant power cuts.

The government can’t afford to let something similar happen with Covid-19, which has already killed 150,000 Indians. Having a massive domestic research and manufacturing base will mean little if bureaucratic delays and state inefficiency impede vaccination programs. As the U.K. — facing pressure to inoculate its population before a more infectious strain of the virus spreads further — can attest, such delays will cost lives.

What does work in India is the private sector. The Serum Institute intends to sell the vaccine on the open market as well as to the government — and at the very reasonable price of $14 a shot. (The government will be charged $2.70.) Private sales of the vaccine would address several problems. Allowing private healthcare providers to give out shots would ease the burden on the creaking state healthcare system. Even for regular healthcare, Indians tend to turn to the private sector because it has a better track record of delivery. Without a private component to vaccine delivery, scaling up quickly will be impossible.

Furthermore, the easy availability of the vaccine at a reasonable price should reduce the chance that rampant black markets emerge and disrupt the government’s own program, which will be targeted at high-risk and high-exposure groups.

Finally, parallel private delivery keeps the Indian state accountable. Voters will be right to ask questions if the government doesn’t get the vaccines it requisitions delivered with an efficiency that is at least in the same ballpark as private actors.

The fact is that Indians are accustomed to our private sector stepping in to fill the gaps left by a very imperfect state. But companies can’t set up their own vaccine distribution networks until the government allows them to do so. In facing its greatest challenge in decades, the Indian state had better start looking at the private sector as not just a partner, but an essential one.

Dear Reader,

Business Standard has always strived hard to provide up-to-date information and commentary on developments that are of interest to you and have wider political and economic implications for the country and the world. Your encouragement and constant feedback on how to improve our offering have only made our resolve and commitment to these ideals stronger. Even during these difficult times arising out of Covid-19, we continue to remain committed to keeping you informed and updated with credible news, authoritative views and incisive commentary on topical issues of relevance.
We, however, have a request.

As we battle the economic impact of the pandemic, we need your support even more, so that we can continue to offer you more quality content. Our subscription model has seen an encouraging response from many of you, who have subscribed to our online content. More subscription to our online content can only help us achieve the goals of offering you even better and more relevant content. We believe in free, fair and credible journalism. Your support through more subscriptions can help us practise the journalism to which we are committed.

Support quality journalism and subscribe to Business Standard.

Digital Editor

First Published: Tue, January 05 2021. 07:31 IST