COVID-19 RESPONSE 2020
Statement of Need

The COVID-19, neocorona virus places an unprecedented challenge on humanity. Protecting healthcare workers is an important way to mitigate morbidity, mortality and maintain social order.

Response of The Organisation

Based on the India Study, Center for Disease Dynamics and Economics Policy (CDDEP), John Hopkins’ University, Dakshas, SFCT is focused on a simple 3 point Prevention Program : Protect Vulnerable, Predict a week ahead and Practice Online

Protect Vulnerable Groups

1.Vulnerable » Healthcare workers

  • 3 Village Community Health Workers
  • 100 District Medical Officer Surveillance team members
  • 50 Government Community Clinics and 200 staff
  • Government Tertiary Health Centers
    ° 5 Cardiology Residents
    ° 7 Emergency Room Doctors and Staff
  • Non Profit Healthcare Units
    ° 24 Doctors and Staff of Pain Relief and Palliative Care Society
    ° 62 Doctors and Staff of Vivekananda Health Center, Ramakrishana Math
  • 2.Elderly

    • Bed-ridden elderly need assisted living. Their care-givers needed rapid upskilling in infection control
    • Numerous reports from other countries suggested that old age homes were high risk zones with high mortality
    • Whole program was designed and delivered online, expect for no-contact PPE delivery

    3.Homeless and Migrants

  • To prevent infection transmission during food distribution
  • Supplied Sanitizer, Gloves, Masks and Hypochlorite to staff
  • Advocated for controlled distribution. GHMC later restricted Non-profits from distributing to crowds
  • Predictive a Week Ahead: Patient forecast 7 days hence to optimize Hospital Preparedness at District level
  • Practice Online:
    ° Remote Orthopedics clinic
    ° Remote Elderly Monitoring Dashboard
  • IMPACT

    • Reduce the peak of Pandemic
    • Protect those at highest risk
    • Spread out its effect over manageable time-frame
    • Sustainable end-to-end health care delivery via Dakshas Orthopedic Platform

    Work done so far

    ​1.Protect vulnerable groups

    • Online Training of Care-giver and Care-takers: Infection Control and reverse-barrier nursing
    • PPE distribution: Rational estimation, Bulk Purchase and Weekly supply
    • Remote Monitoring: Health Status and Utilization of PPE
    • Coordination with local health authorities :Activating the health system
    • Special measures for Homes within 3km of containment zone: COVID-19 Suspected Case Protocol
    2.Predict A Week Ahead

    Predict number patients at each district 7 days ahead, so hospitals in the district may prepare for the patients who will present next week

    3.Protecting Healthcare Workers in Community Basti Davakhana

    The first point of contact of any patient is generally their government community center. There are 73 such centers in Hyderabad and another 150 in the nearby districts, which have four healthcare workers each and see an average of 50-100 patients per day. They see the bulk of cases in primary care and would be the first to contact any cases in the community. They also ensure that healthcare units and hospitals units upstream are not overwhelmed by treating the majority of minor complaints. Dakshas surveyed 73 of these clinics, 2/3 of which requested support. Dakshas was able to supply 5 such clinics for this week while the survey was being conducted. Dakshas has supplied a total of 298 units. Over these last four weeks it has developed a well-defined supply chain, which can easily support these 50 Basti Dawakhanas. We request your support to ensure that these front line workers are protected as the lockdown is opened up and the risk of spread of infection may rise.

    Food distribution lines

    • To prevent infection transmission during food distribution
    • Supplied Sanitizer, Gloves, Masks and Hypochlorite to staff
    • Advocated for controlled distribution. GHMC later restricted Non-profits from distributing to crowds
    • Predictive a Week Ahead: Patient forecast 7 days hence to optimize Hospital Preparedness at District level
    • Practice Online:
      ° Remote Orthopedics clinic
      ° Remote Elderly Monitoring Dashboard

    Practice Online

    1. Orthopedic Decision Support for Primary Care

    • a. Allows Primary Physician to manage 95% of orthopedic prescriptions
    • b. 5% escalated to specialist within the program for remote opinion

    2. Remote Monitoring of Elderly in Old age homes

    • a. Caregivers enter data in forms via mobile
    • b. Dashboard ear-marks abnormal vitals and red-flags
    • c. Remote medical team recommends various responses
    • d. Dashboards accumulates responses based on type, geography, vendor etc

    Dakshas Protection Program Against COVID-19: 6548

     Total Old age Homes Municipal Shelter Home Namalgundu Women shelter home PDS Ration Shops Govt Aman Vedika Temporary Shelter Adibatla Community Health center Tertiary Hospital

    Service

     District Medical Officer Non-Profit Healthcare Units Total
    Units 305 63 11 1 175 43 6 1
     3 1 2 305
    Vulnerable
     4200 2610 206 570 - 760 - 4200
      HCW 430 - - - 135 - 3 159 100 86 467
    Bedridden 599 594 5 - - - - - 599
      Nurse-Assist 241 236 3 - - - - - 241
     Regular-Staff 1041 464 52 525 1041

    Beneficiary  

     Parameter Quantity Units
    Basti Davakhana 50 units
    Medical Staff 200 healthcare workers
     Patients per week 22500 Patient per week
     One-time Cost per clinic 3200/- No touch thermometer
     Weekly Cost per clinic 7615/- Infection Control Kit

    Volunteering Opportunities

    Quarter  Activity details Role of Volunteers No. of Volunteers required
     3-6 months Senior Management Data Analysis and Decision Making 1
     Communication Strategy  1
     Process Audit and Automation 1
     Fund Raising Grant Writing 1
     Salesforce Non-profit Success Pack Coaching 1
     Communication Plan and Implement Communication 1
     Creative Graphic Designer and Video 1

    Dakshas Support System

    Dakshas Service Partners