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“Many personal healthcare institutions involved in the vaccination process are not accountable to the Ministry of Health, which, in the opinion of STT, complicates the efficient and smooth organization of this process,” said Rūta Kaziliūnaitė, deputy director of STT.
“This issue of state importance should be centralized as much as possible, leaving as little room for interpretation as possible. In anticipation of greater public confidence during the pandemic, the preconditions for corruption risks should be reduced, and the STT will work together to achieve it, ”he said.
According to the STT, the vaccination process is not sufficiently controlled.
“Although the directors of the municipal administrations have been instructed to designate the municipal COVID-19 vaccination coordinator and the personal health center that organizes vaccination in the municipal territory, no document details the functions of these coordinators, the responsibility of its implementation, the control mechanism, “says the report.
According to the service, health institutions are not obliged to coordinate vaccine demand requests with the municipal vaccination coordinator, the Health Emergencies Center (ESSC) or other entities responsible for emergency management or the fluid organization of vaccination .
According to the STT, the need for the vaccine is also not justified.
Vaccine Treatment Facilities The ESSC submits applications for the COVID-19 vaccine, indicating the number of people to be vaccinated, but they are not required to provide lists of patients to be vaccinated, data to support their prioritization, or other information to determine the amount and need for the vaccine. validity and legitimacy.
Nor is the traceability of the use of vaccines guaranteed.
“There is no regulation on how and how long before the people included in the priority lists are informed about the possibility of vaccination, how the lists are changed if they do not want or cannot vaccinate at a certain time and who would receive the vaccines already ordered. in such cases, ”says STT.
“It should also be noted that there is not enough traceability of the use of the vaccine or control over its use,” the report said.
It also states that the current regimen allows a “broad” decision on who vaccinated.
According to the STT, the current procedure stipulates that if it is not possible to vaccinate people on the reserve list with the remaining diluted doses of the vaccine within the specified time, the treatment facilities must follow the criterion of rationality and consume all doses within the priority group specified already at the vaccination site. able to reach her urgently.
In the opinion of the service, in this way medical institutions provide opportunities to vaccinate anyone, on the basis that there is no possibility of vaccinating people on the established lists.
In addition, the treatment of cases in which “there is no possibility” of vaccination and the information on the possibility of vaccination “already present at the vaccination site or that may arrive urgently” is not foreseen.
According to the STT, prevention of abuse is also not guaranteed.
Vaccination can be carried out in other places, if this is agreed with the medical institution that organizes the process.
“It is not clear how the prevention of abuse is ensured, so, for example, people who do not belong to the priority group, for example if they refuse, are not vaccinated at home or at work, but other people who do not have vaccine as a priority issue, “the report said.
The STT proposes to the Ministry to detail the procedure for preparing for vaccination and the procedures for compiling priority lists of people to be vaccinated.
It is also recommended to prepare recommendations for municipal administrations, to detail in detail the aspects of responsibility for non-compliance or improper performance, eliminating aspects that are risky from an anti-corruption point of view and legal uncertainties.
Among other things, the STT proposes to publish detailed data on the designated responsible entities in the municipalities, their functions, the organization of vaccination and its results.
“According to STT corruption prevention specialists, a centralized vaccination control system, a unified information system, gathering all the information related to vaccination, clearly defined responsibilities, would help reduce the risk of corruption,” he said The report.
The Ministry must inform the STT within two months from the date of receipt of the conclusion of the anti-corruption assessment of how the comments and suggestions provided in the conclusion of the anti-corruption assessment have been taken into account or are expected to are taken into account.
As part of the evaluation of the COVID-19 vaccination process, the STT corruption prevention specialists will also review local legislation in this area.
An anti-corruption assessment of the vaccination process was carried out after it became clear that in some treatment facilities, people could have been vaccinated against COVID-19 in violation of established procedures.
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