18 May Design of a new health system could emerge from the Covid crucible, for universal health coverage (The Hindu, GS-2, health, social sector)
Context:- Big cities which got crumbled from the COVID-19 now showing a bit recovery. This window of aftermath of the 2nd wave of pandemic provides an opportunity to the government so that next destruction can be saved.
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- Small cities followed by the rural india is under the most stress due to deficiency in:
- Infrastructure
- health workforce
- availability of drugs and other medical supplies
- population health literacy
- connectivity to higher levels of care
- Small cities followed by the rural india is under the most stress due to deficiency in:
- Why rural areas were not mush affected in the COVID-19 1st wave
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- Travel restriction even after lockdown
- Open field and proper ventilating houses
- Lowere density.
- Less chronic disease such as hyper tension, diabetes and cardiovascular disease
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- Why now they are on the ciritical stage
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- Kumbh mela leds to flood of devoties
- Elections in 5 states and panchayat elections in Uttar pradesh
- How we can make it in less critical or in a fine stage
- They cover surveillance, screening, isolation and referral
- home and community-based isolation
- monitoring of active cases in home isolation
- health infrastructure (such as Covid Care Centre at sub-centre or PHC level and a Dedicated Covid Health Centre at CHC or sub-district level)
- trained human resources
- in-patient and out-patient services
- clinical management
- home care
- post-Covid management
- community mobilisation
- risk and behaviour change communication.
- some areas will need a fresh look or modification.
- Use of RAT as RAT is easier to use than RT-PCR
- primary healthcare teams must indeed conduct household visits for symptom surveillance
- Engagement of the local community is vital
- NSS and NCC resources can be drawn upon
- Taking help from Community-based organisations, which have grassroots presence
- commuting between urban and rural areas must be restricted to reduce the risk of transmission
- Technology-enabled frontline health workers can catalyse the transformation of healthcare
- Decentralised planning, delivery and monitoring are needed at the district level,
- support from the police will be essential, public health system should not to be seen in silos.
- Decentralised, data-driven decision making must be enabled by easily operable
Download Daily Current Affairs of 18th May 2021
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