When Ghana received 50,000 COVID-19 vaccine doses from India last month, it hit a frustrating roadblock: It had not trained enough staff to distribute them.

The country was still rolling out shots received in late February from the global vaccine-sharing program COVAX, and didn¡¯t have the capacity to expand that operation, according to the head of Ghana¡¯s immunization program.

Rather than going straight into the arms of health workers, the additional doses were put in cold storage in the capital Accra, Kwame Amponsa-Achiano said, adding that his team had received two days¡¯ notice about the shipment.