COVID19 pandemic is taking away both lives & livelihoods of many globally, and this crisis is getting bigger and deeper from bad to worse with every passing minute. In the face of this unprecedented humanitarian crisis, everything went topsy-turvy leaving people requiring to seek help from various quarters and from each other.
Despite best efforts by government agencies, non-government and private organisations, health care facilities across various parts of the country finding it difficult to offer services to the needy and sick. The infrastructure seems to be falling apart due to the overwhelming flow of Covid positive patients seeking immediate medical attention flocking around designated Covid hospitals and care centres.
Besides the reported shortage of certain medicines and life-support arrangements, the fatigue among over-worked health professionals is causing serious concern. It appears a decentralised approach to health care-giving may be a sustainable way out for this tricky and demanding situation. Thereby creating small or medium-sized interim care-giving facilities for L1 patients at the community level primarily through a participatory approach may bring certain ease to the situation and help create a breather by reducing the pressure from the key/designated Covid hospitals.
Reports indicate that a large number of Covid positive patients do not require hospitalisation and those who require again have different levels of emergency, a good number of them can be treated with basic care and medication. Keeping this in view, this concept note proposes the development of basic Covid Care centres at the community level that can be managed with support drawn from private hospitals in the neighbourhood.
This will offer tremendous support to the sick, reassurance to the affected families by bringing health care to their doorstep and a viable alternative to families living in a small household with very little or no room for their family members to be home isolated/ quarantined having tested Covid positive. There’s the scope and need to also empower the individual societies/ Resident Welfare Association (RWAs) and High Rise Apartment Complexes for them to create/manage basic Covid Care units within their premises for the benefit of their respective residents only should they require health-care support.
Since the number of cases is multiplying at a rate faster than we had anticipated, it might be ideal to create Covid care facilities in every sector by engaging with multiple stakeholders. This is a micro-level health care intervention that can be created across various parts of Noida, which is reeling under tremendous pressure of growing Covid cases currently. This will prevent a lot of people (L1 Patients) from going to proper hospitals and instead can be taken care of in the neighbourhood centres.
And for other emergent medical needs, the patient will have the partner/supporting hospital. Families/ patients from the neighbouring areas will be able to avail this neighbourhood Covid care facility managed jointly by health professionals from the partner hospital or private doctors, general practitioners/ paramedics and a group of dedicated neighbourhood volunteers. This could be a vital move to distress the healthcare system enabling rejuvenation time for the health professional and the supporting infrastructure.
This concept, proposed by 7X Welfare Team – Noida and Global Foundation, New Delhi favours a PPP model and can follow a simple operational approach as mentioned below: