click here to download a pdf copy of this circular

TO:
HEADS OF PROVINCIAL HEALTH DEPARTMENTS
HEADS OF PHARMACEUTICAL SERVICES DISTRICT
AND PHC MANAGERS
COVID-19 VACCINE PROGRAMME MANAGERS
COVID-19 VACCINATION SITE MANAGERS
COVID-19 VACCINATORS

 

SUBJECT: PREFERENTIAL USE OF J&J COVID-19 VACCINES TO REACH RURAL AND HARD-TO-REACH COMMUNITIES

The COVID-19 Vaccination programme continuously strives to vaccinate as many people as possible, and to ensure that everyone has equal and fair access to vaccination. In order to ensure equitable access to vaccination, provincial departments of health and private sector groups are requested to prioritise the use of the Johnson & Johnson (J&J) COVID-19 vaccine in rural areas, and in pop-up and other mobile outreach sites. The reasons for this recommendation are as follows:

  • The J&J vaccine has a longer shelf life than the Pfizer vaccine, meaning it can be stored for longer periods of time in rural areas where uptake might not be as high as in urban areas;
  • People who are vaccinated at fixed vaccinations sites (including fixed outreach sites) in urban areas are more likely to be able to return for the second dose of a two-dose regimen. The J&J vaccine is a one dose regimen meaning that people living in rural areas, and those reached through pop-up and mobile sites, will not need to return for a second dose.

 

The definition that should be used to determine whether a vaccination site is situated in a rural area is:

  • If the population density of the sub-district in which the site is situated is less than 80 people per square km, the site is regarded as rural;
  • If the population density is more than 80 people per square km, the site is not rural.

The list of sub-districts which are regarded as rural (as well as the source data for this allocation) have been shared with the provincial vaccine coordinators and supply chain teams. An appendix indicating which sub-districts are considered rural has been included with this circular.

 

Given the limited resources in South Africa, it is essential that we use the right vaccines in the right areas, ensuring all our people have fair and equitable access to vaccination. Once the supply pipeline of J&J vaccines stabilises, we will revise this guidance and extend the use of the vaccine to additional areas/sites.

 

Appendix A: Table showing which sub-districts are classified as rural

MFL Subdistrict Province District
Amahlathi LM Eastern Cape Amathole
Blue Crane Route LM Eastern Cape Sarah Baartman
Mhlontlo LM Eastern Cape OR Tambo
Enoch Mgijima LM Eastern Cape Chris Hani
Ndlambe LM Eastern Cape Sarah Baartman
Ngqushwa LM Eastern Cape Amathole
Engcobo LM Eastern Cape Chris Hani
Umzimvubu LM Eastern Cape Alfred Nzo
Matatiele LM Eastern Cape Alfred Nzo
Elundini LM Eastern Cape Joe Gqabi
Senqu LM Eastern Cape Joe Gqabi
Emalahleni LM Eastern Cape Chris Hani
Great Kei LM Eastern Cape Amathole
Sundays River Valley LM Eastern Cape Sarah Baartman
Kou-Kamma LM Eastern Cape Sarah Baartman
Kouga LM Eastern Cape Sarah Baartman
Makana LM Eastern Cape Sarah Baartman
Dr B Naude LM Eastern Cape Sarah Baartman
Mnquma LM Eastern Cape Amathole
Inxuba Yethemba LM Eastern Cape Chris Hani
Intsika Yethu LM Eastern Cape Chris Hani
Sakhisizwe LM Eastern Cape Chris Hani
Walter Sisulu LM Eastern Cape Joe Gqabi
Raymond Mhlaba LM Eastern Cape Amathole
Mohokare LM Free State Xhariep
Matjhabeng LM Free State Lejweleputswa
Phumelela LM Free State Thabo Mofutsanyana
Kopanong LM Free State Xhariep
Masilonyana LM Free State Lejweleputswa
Nketoana LM Free State Thabo Mofutsanyana
Ngwathe LM Free State Fezile Dabi
Mantsopa LM Free State Thabo Mofutsanyana
Moqhaka LM Free State Fezile Dabi
Letsemeng LM Free State Xhariep
Mafube LM Free State Fezile Dabi
Setsoto LM Free State Thabo Mofutsanyana
Tswelopele LM Free State Lejweleputswa
Nala LM Free State Lejweleputswa
Tokologo LM Free State Lejweleputswa
Mangaung MM Free State
Dihlabeng LM Free State Thabo Mofutsanyana
Midvaal LM Gauteng Sedibeng
Lesedi LM Gauteng Sedibeng
uMshwathi LM KwaZulu-Natal uMgungundlovu
AbaQulusi LM KwaZulu-Natal Zululand
Emadlangeni LM KwaZulu-Natal Amajuba
Ulundi LM KwaZulu-Natal Zululand
Msinga LM KwaZulu-Natal Umzinyathi
Richmond LM KwaZulu-Natal uMgungundlovu
uPhongolo LM KwaZulu-Natal Zululand
eDumbe LM KwaZulu-Natal Zululand
Nkandla LM KwaZulu-Natal King Cetshwayo
Mpofana LM KwaZulu-Natal uMgungundlovu
Mthonjaneni LM KwaZulu-Natal King Cetshwayo
uMhlabuyalingana LM KwaZulu-Natal Umkhanyakude
Gr Kokstad LM KwaZulu-Natal Harry Gwala
Jozini LM KwaZulu-Natal Umkhanyakude
Ubuhlebezwe LM KwaZulu-Natal Harry Gwala
Impendle LM KwaZulu-Natal uMgungundlovu
uMngeni LM KwaZulu-Natal uMgungundlovu
Big 5 Hlabisa LM KwaZulu-Natal Umkhanyakude
Umvoti LM KwaZulu-Natal Umzinyathi
Inkosi Langalibalele LM KwaZulu-Natal Uthukela
Endumeni LM KwaZulu-Natal Umzinyathi
Dannhauser LM KwaZulu-Natal Amajuba
Dr N Dlamini Zuma LM KwaZulu-Natal Harry Gwala
Mkhambathini LM KwaZulu-Natal uMgungundlovu
Okhahlamba LM KwaZulu-Natal Uthukela
Thabazimbi LM Limpopo Waterberg
Blouberg LM Limpopo Capricorn
Ba-Phalaborwa LM Limpopo Mopani
Musina LM Limpopo Vhembe
Mogalakwena LM Limpopo Waterberg
Mookgophong/Modimolle LM Limpopo Waterberg
Ephraim Mogale LM Limpopo Sekhukhune
Collins Chabane LM Limpopo Vhembe
Makhado LM Limpopo Vhembe
Lephalale LM Limpopo Waterberg
Maruleng LM Limpopo Mopani
E Motsoaledi LM Limpopo Sekhukhune
Greater Giyani LM Limpopo Mopani
Molemole LM Limpopo Capricorn
Lepelle-Nkumpi LM Limpopo Capricorn
Bela-Bela LM Limpopo Waterberg
Dr Pixley Ka Isaka Seme LM Mpumalanga Gert Sibande
Lekwa LM Mpumalanga Gert Sibande
Mkhondo LM Mpumalanga Gert Sibande
Steve Tshwete LM Mpumalanga Nkangala
Thaba Chweu LM Mpumalanga Ehlanzeni
Msukaligwa LM Mpumalanga Gert Sibande
Victor Khanye LM Mpumalanga Nkangala
Chief Albert Luthuli LM Mpumalanga Gert Sibande
Bushbuckridge LM Mpumalanga Ehlanzeni
Emakhazeni LM Mpumalanga Nkangala
Dipaleseng LM Mpumalanga Gert Sibande
R Moiloa LM North West Ngaka Modiri Molema
Maquassi Hills LM North West Dr Kenneth Kaunda
Naledi LM North West Dr Ruth Segomotsi Mompati
Greater Taung LM North West Dr Ruth Segomotsi Mompati
Ratlou LM North West Ngaka Modiri Molema
Mamusa LM North West Dr Ruth Segomotsi Mompati
JB Marks LM North West Dr Kenneth Kaunda
Moses Kotane LM North West Bojanala
Ditsobotla LM North West Ngaka Modiri Molema
Kgetlengrivier LM North West Bojanala
Kagisano-Molopo LM North West Dr Ruth Segomotsi Mompati
Tswaing LM North West Ngaka Modiri Molema
Lekwa-Teemane LM North West Dr Ruth Segomotsi Mompati
Karoo Hoogland LM Northern Cape Namakwa
Magareng LM Northern Cape Frances Baard
Ubuntu LM Northern Cape Pixley ka Seme
Dawid Kruiper LM Northern Cape ZF Mgcawu
Nama Khoi LM Northern Cape Namakwa
Siyathemba LM Northern Cape Pixley ka Seme
Tsantsabane LM Northern Cape ZF Mgcawu
Richtersveld LM Northern Cape Namakwa
Khai-Ma LM Northern Cape Namakwa
Renosterberg LM Northern Cape Pixley ka Seme
Joe Morolong LM Northern Cape John Taolo Gaetsewe
Ga-Segonyana LM Northern Cape John Taolo Gaetsewe
Gamagara LM Northern Cape John Taolo Gaetsewe
Kai !Garib LM Northern Cape ZF Mgcawu
Thembelihle LM Northern Cape Pixley ka Seme
Phokwane LM Northern Cape Frances Baard
!Kheis LM Northern Cape ZF Mgcawu
Kamiesberg LM Northern Cape Namakwa
Siyancuma LM Northern Cape Pixley ka Seme
Emthanjeni LM Northern Cape Pixley ka Seme
Kgatelopele LM Northern Cape ZF Mgcawu
Umsobomvu LM Northern Cape Pixley ka Seme
Kareeberg LM Northern Cape Pixley ka Seme
Hantam LM Northern Cape Namakwa
Dikgatlong LM Northern Cape Frances Baard
Breede Valley LM Western Cape Cape Winelands
Matzikama LM Western Cape West Coast
Saldanha Bay LM Western Cape West Coast
Swellendam LM Western Cape Overberg
Hessequa LM Western Cape Garden Route
Prince Albert LM Western Cape Central Karoo
Bitou LM Western Cape Garden Route
Bergrivier LM Western Cape West Coast
Oudtshoorn LM Western Cape Garden Route
Mossel Bay LM Western Cape Garden Route
Swartland LM Western Cape West Coast
Laingsburg LM Western Cape Central Karoo
Kannaland LM Western Cape Garden Route
Knysna LM Western Cape Garden Route
Overstrand LM Western Cape Overberg
George LM Western Cape Garden Route
Cederberg LM Western Cape West Coast
Witzenberg LM Western Cape Cape Winelands
Theewaterskloof LM Western Cape Overberg
Cape Agulhas LM Western Cape Overberg
Beaufort West LM Western Cape Central Karoo
Langeberg LM Western Cape Cape Winelands