Federal actors |
National Advisory Committee on Immunization (NACI) [20] |
-Offered recommendations in Canada for the use of and prioritization of COVID-19 vaccines. |
Public Health Agency of Canada (PHAC) [21] |
-Provided information to healthcare professionals and the public on vaccination, gave community engagement funding through the Immunization Partnership Fund [22] and managed the Canadian Adverse Events Following Immunization Surveillance System (CAEFISS). |
Health Canada [20,21] |
-Authorized health products for use in Canada and monitored the CAEFISS in partnership with PHAC. |
COVID-19 Vaccine Task Force [23] |
-Guided the Government of Canada on vaccine decision making. |
Minister of Health [24] |
-Provided leadership and support to provinces on enacting health policy and helped to ensure adequate vaccination supply. |
Transport Canada [25] |
-Vaccine transportation for Northern and remote First Nation communities and monitored vaccine transportation policies. |
Canada Border Services Agency (CBSA) [26] |
-Adjusted measures (including quarantine conditions) to allow for safe travel. |
Public Services and Procurement Canada (PSPC) [27] |
-Helped to identify, procure and coordinate the delivery of COVID-19 vaccines and supplies such as needles and personal protective equipment for vaccinators. |
Minister of Digital Government [28] |
-Introduced an enhanced digital vaccine receipt that featured a national QR code. |
Health Canada’s First Nations and Inuit Health Branch [29] |
-Launched Operation Remote Immunity to administer booster doses in Northern and First Nation communities. |
Provincial actors |
Ontario COVID-19 Science Advisory Table [30] |
-Provided weekly summaries of relevant scientific evidence for the COVID-19 Health Coordination Table of the Province of Ontario, integrating information gathered from existing consultative bodies. |
Ontario COVID-19 Vaccine Distribution Task Force [31] |
-Oversaw COVID-19 vaccine distribution and delivery (e.g., transportation within province, storage, location of earliest vaccine clinics). |
Ontario Ministry of Health [32] |
-Coordinated and monitored the vaccine roll-out, and developed policies to prioritize, create eligibility criteria, provide financial support to public health unit, regulate/mandate vaccination of healthcare workers, and provide billing codes to remunerate pharmacy and physician vaccination services. |
Ontario Ministry of Education [33] |
-Introduced health and safety measures to protect against COVID-19 whilst promoting education workers to get vaccinated and supporting vaccine clinics on school sites |
Public Health Ontario [34] |
-Coordinated public health units that ran clinics and provided outreach services to isolated communities. |
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Ontario Community Support Association (OCSA) [35] |
-Established programs to support vaccine access for people who did not have access to transportation (e.g., ride programs). |
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Ontario Medical Association (OMA) [36] |
-Provided guidance and support to physicians and the public and advocated for an equitable, safe, and accessible COVID-19 vaccination framework in Ontario. |
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Ontario Pharmacists Association [37] |
-Provided training, information and support to pharmacists delivering vaccines, and collaborated with provincial stakeholders to establish a pharmacy vaccine distribution channel separate from public channels. |
Community actors |
Regional Hospitals in partnership with Indigenous leaders [38] |
-Organized earliest vaccination clinics, tested the travel logistics in Northern Ontario and support the administration of the vaccine to Indigenous and remote communities. |
Public Health Units [39] |
-Responsible for managing and overseeing the public outreach and primary vaccine distribution channel for each public health region in the province. |
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Healthcare workers (e.g., physicians, nurses, pharmacists, paramedics) [37,40] |
-Administered vaccines to individuals and advised patients on the safety and efficacy of the vaccines. |