COVID-19 SERVICES

Surveillance

Community, case contact, migrants, helplines, involvement of other agencies, IT systems

Triage

Segregating COVID suspected and other patients at health facilities

Testing

Kiosks, infrastructure and screening to minimize exposure to the healthcare worker, safe transport of samples

Referral linkages and Transport

Of suspected cases. E.g.- RBSK vans, ambulance, empanelment of private ambulances

Facility Preparedness

Emergency, screening for COVID and segregation services in public health facilities, dedicated facilities, building infrastructure in short time, isolation beds, fever clinics, availability of required equipment including ventilators, oxygen therapy

Quality of Services SOP

Clinical protocols for PPE, oxygen therapy, ventilator use optimization, biomedical equipment management for maximizing up time, infection control/contamination prevention, bio medical waste Management, remote monitoring devices, protocols for use of drugs such as HCQ etc.

Reporting and Monitoring

Facility level compilation and analysis of surveillance reports for the catchment areas and real time updates on suspected/ positive cases.

Redployment

Short term engagements (retired professionals, Medicine and Nursing students), volunteer recruitment and payment mechanisms.

Capacity Building

Of health workers (including programme managers, Medical Officers, Nurses, paramedics and FLWs) in COVID management, safety/infection control measures, use of IT platforms such as VC

Role Played by ASHAs

In awareness creation, tracing and follow up

Health worker safety

In awareness creation, tracing and follow up

Resource Planning

Estimating case load, no. of beds, ICU, quarantine beds

Geographical planning

Identifying hot spots, planning for containment, zonation

Telemedicine and telehealth

Training, capacity building and providing medical advice

Integrate COVID 19 reporting into existing systems Use of Artificial Intelligence
Forecasting requirements

PPE, Medicines, Consumables, Disinfectants etc.

Logistics

Streamlining supply/distribution management

Private sector involvement

Areas of support (Supply of Medical Goods/Products, testing and treatment), contracting and payment mechanisms.

Resource pooling from other sectors

Border area, Tribal/ Minority areas funds, District Mineral funds, CSR etc.

Government fund transfer

Insurance coverage for Health workers, Expenditure for health infrastructure including testing facilities.

Programme Management

For state and district coordination, creating dedicated teams

District level surveillance

Teams and functioning

Clear plan documents and SOPS

For short term, medium term and long-term plan for outbreak management

Convergence with non- health departments

Police, WCD, RD, PRI, etc.

Stakeholder participation

(SHG, VHSNC, MAS) For infection control measures in community- making of masks, sanitizers, spraying of public places, distancing protocols IEC etc.

Coordination with non-health departments

For hot spot management: delivery of medicine, grocery and other essential supplies.

Use of innovative mediums for IEC

And community mental health

RMNCH services delivery NCD and communicable diseases

Availability of care and delivery of medicines

Continuity of critical services

Such as dialysis, cancer care, requiring blood transfusions

Emergency care
Others

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