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Community based COVID preparedness (CBCP) 25082021

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The coronavirus pandemic has shown us a new world where the status quo no longer exists.
•‘The world has seen many crises over the past 30 years, including the Global Financial Crisis of 2007-09. Each has hit human development hard but, overall, development gains accrued globally year-on-year. COVID-19, with its triple hit to health, education, and income, may change this trend.’ UNDP Administrator Achim Steiner
• But the pandemic also shows us the wisdom of what is already inherent in the SDGs; the challenges we face cannot be dealt with in isolation or by a piecemeal approach.
• WHO COVID-19 Strategic Response and Preparedness Plan 2021 also highlights the need for coordinated response to plot a course out of the pandemic.

Community based COVID preparedness (CBCP) 25082021

  1. 1. Community Based COVID Preparedness (CBCP)- A framework N M Prusty Aditi Ghosh Prafulla Rath 25 August, 2021
  2. 2. Introduction • The coronavirus pandemic has shown us a new world where the status quo no longer exists. • ‘The world has seen many crises over the past 30 years, including the Global Financial Crisis of 2007-09. Each has hit human development hard but, overall, development gains accrued globally year-on-year. COVID-19, with its triple hit to health, education, and income, may change this trend.’ UNDP Administrator Achim Steiner • But the pandemic also shows us the wisdom of what is already inherent in the SDGs; the challenges we face cannot be dealt with in isolation or by a piecemeal approach. • WHO COVID-19 Strategic Response and Preparedness Plan 2021 also highlights the need for coordinated response to plot a course out of the pandemic.
  3. 3. What we need to do To end the COVID-19 pandemic, and build resilience and readiness for the future, we need to • Supress Transmission • Reduce Exposure • Counter Misinformation • Protect the Vulnerable • Accelerate access to new COVID-19 tools including vaccines, etc. • Reduce Mortality and Morbidity from all causes
  4. 4. What role community or community organisation or institution (NGO/PRI/RWA) can play? (max 3 words) • Please go to www.menti.com and use the code 9042 9830
  5. 5. WHO Framework for Preparedness and Response Engagement with community via community- based, civil society and local government organizations at the grassroots level is essential to find sustainable solutions and empower communities. Communities must be involved in co- creating solutions. As we move to a next phase when vaccines and other biomedical tools become available, trust building, and engagement of communities becomes even more critical. Link
  6. 6. COVID 19 Scenario in India • We have seen that COVID-19 has not only gripped urban India but it has reached remotest part of rural India (more than 533 out of 700+ villages) in a matter of months. • It has completely overwhelmed our entire health and administrative system. • It has significantly eroded our development gains. • We have also learned that a majority of the COVID 19 cases does not require hospitalisation and can be managed effectively at home isolation/covid care centre.
  7. 7. COVID 19 Scenario in India ‘Every second family in the villages we work has an individual with symptom of Covid 19. But they are terrified of going to hospital. For them going to hospital implies inviting certain death’- a field coordinator of local NGO reports during May 2021. What does this highlights? Any idea?
  8. 8. Rationale for CBCP This gives us a lesson on the importance of community- based approach for COVID 19 preparedness (RWA, ward, village, gram panchayet level ) in urban, peri urban or rural areas: - Engaging community effectively - Awareness building on risks and risk appropriate behaviour - Leveraging and reinforce existing community resources - Mobilise community organisations and institutions Roads to community resilience should be paved with community-based approach.
  9. 9. History …. The history of Community Based Disaster Preparedness (CBDP) in India can be traced back to 2000’s when coastal Odisha was ravaged by a super cyclone and NGO community tried the model CBDP. Following which government of India and United Nations Development Program (UNDP) launched CBDP program in 17 states and 176 multi-hazard districts. This bottom -up approach for disaster management was designed with the understanding that community is the first responder during a disaster, so it is important to equip community and community level institutions with information, knowledge and skills to reach the last mile effectively during a disaster when the system is generally overwhelmed. It showed huge success in building community resilience. Some of those successful community-based approaches and practices can be brought into the present COVID context. https://ndma.gov.in/Governance/Guidelines
  10. 10. Key elements of CBCP - Risk Awareness - Promotion of CAB - Mapping vulnerability and resources - Mobilising/strengthening resources - Early detection, isolation, basic care - Ensuring medical consultation - Monitoring patient’s health - Transferring critical patients to health facility on time
  11. 11. Framework for CBCP
  12. 12. Key activities for Preparedness ➢ Formation of Task Team and their Orientation ➢ Awareness - Covid Risks, CAB, Vaccines, etc ➢ Develop a SOP for response activation ➢ Case Management (home isolation- COVID care centre- facilitating hospitalisation) ➢ Promote Vaccination/ Address Vaccine Hesitancy ➢ Community level Support System (food, medicine, child care, care for old, other medical emergencies, cremation) ➢ Creating resource inventory (testing centre, health care providers, health facilities, ambulance, etc) ➢ HH Data base ➢ Identification of inflection hotspots (market, common water point, etc) ➢ Business continuity plan (to run essential services)
  13. 13. Response Action ➢ Activate Response according to SOP ➢ Continue Awareness ➢ Surveillance for Early identification of cases ➢ Inflection Prevention (isolation of suspected cases, sanitization, restriction on hotspots, etc) ➢ Implement guideline for management of COVID cases (asymptomatic, mild, moderate, severe) ➢ Activate support system ➢ Establishment and management of COVID care centre ➢ Facilitating medical consultation for patients, access to medicine/oxygen, organise ambulance/transportation for hospitalisation ➢ Data base management and sharing with district authorities
  14. 14. Example- GP Level Preparedness
  15. 15. Structure and Functions District Administration- a Focal Person for CBCP (A senior person from district administration) GP level Coordination Committee ( GP-CC) Awareness Team( AT) Surveillance Team(ST) Members - Facilitating Agency(FA) -PRI/Community Member - Member from health unit Case Management Team(CMT) Key Function - Share Risk Information -Promote CAB - Share Information local Covid19 Management Protocol - Psychosocial first aid - Community Support including cremation Key Function -Early Detection of Cases - Coordinating Testing and Isolation - Ensure regular Sanitization Key Function - Management of Covid care centre - Facilitating medical consultation, availability of medicine, oxygen, etc. - Coordinate hospitalisation Role of GP Level Coordination Committee (GP-CC) - Overall coordination - Resource management - Data Management
  16. 16. Key Stakeholders ➢ Community ➢ Community Coordination Committee ➢ GP level Coordination Committee ➢ CBOs, NGOs, PRIs and other CSOs ➢ Representatives of GP, Ward, Mohalla etc. ➢ Frontline Functionaries of Health & Family Welfare Department like AWW, ASHA, ANM , Grass root Community Volunteers etc. ➢ Officials of Health Department at Primary, Secondary and Tertiary level ➢ Mental Health Counsellors, Psycho-Social Care providers ➢ Disaster Management Authority at District, State and National Level ➢ Institutions related to Disaster Management and Health ➢ Administrative heads at block, district, state and National level
  17. 17. Key Program Elements and Arrangement Situation Analysis Stakeholder Analysis Needs Analysis Vulnerability Analysis CBCP Process Guiding Principles CBCP Roadmaps Implementation Plan Mainstreaming CBCP Addressing Underlying Risk Preparedness to Response Capacity Building Monitoring & Follow up Financial Plan
  18. 18. Prioritisation Criteria If you have to prioritise amidst a pandemic situation •Priority 1: Villages with equal or more infection rate than national average •Priority 2: Villages with more than 10% (xx%) infection rate •Priority 3: All Villages in districts with equal or more inflection rate than national average •Priority 4; All Villages in any District. COVID Safe Village!!!!
  19. 19. Technology Solutions Technology can play an important role- various technology enabled solutions are available for tracking and tracing of cases, identification of medical resources like oxygen, medicine, hospital beds, etc. There are AI powered as well with manual interface. • MyGov Saathi (self4society.mygov.in) • Corona saathi app • Arogya Setu • Cov Relief • VCP (Virtual Care Platform) • Psycho-Social Tele-counselling • Tele-Medicine An effective use of this should be considered during the process.
  20. 20. Key Considerations - District administration plays the facilitator and enabler role. There should be one point contact to minimise time loss in navigating system. - Accountability lies with Health & District Authorities to ensure medicine and oxygen supply, beds at hospitals and other resources to ensure CAB. - Village level effort should be complemented through massive communication drive in district level, sufficient quantities of N-95 masks, sanitizers, and vaccines for front line workers and staff operating in the area. - Making the committee and task team inclusive keeping in mind gender and intersectionality (caste, class, age, etc). - This is the time we need to put all resources in appropriate use. Village medicine store attendants, paramedics, and informal doctors who generally manages the deceases in villages can be roped in and trained along with ASHA and AWW to expand the services at villages. - For data driven decision making, real time Covid Dashboard in each village- connected to district level Dashboard. Continued..
  21. 21. Key Considerations - District Administration along with Facilitating agency need to make provision for financial support for the action including services for patients who cannot afford to bear testing, medicine, transportation and hospitalisation cost. - Ensuring comprehensive health insurance (if not available in the market, create a fund to reimburse the actual medical cost) that covers the medical expenses incurred by frontline village workers and non-profit staff, so as to enable them to serve the community with a sense of security and safety. - Setting up mental health counselling helpline in each district and giving online training to counsellors. - Ensure that people can avail benefits of public welfare schemes- like free ration(PDS), immunity booster, Direct Benefit Transfer(DBT), PMJDY, intensifying NREGA. - Review and Refine the process time to time to meet the changing needs.
  22. 22. Conclusion • This is just a conceptual framework. It might need adjustment and adaptation based on ground situation. • Time is the essence to save life and reduce suffering, so the ‘UNGENCY’ will be key in all actions and decisions without compromising quality of care. • Now, the infection rate is showing some sign of downward trend- it is the right time to focus on community based preparedness(CBCP)! THANK YOU! For a Typical Project- Access Google link
  • reyan_md

    Sep. 10, 2021

The coronavirus pandemic has shown us a new world where the status quo no longer exists. •‘The world has seen many crises over the past 30 years, including the Global Financial Crisis of 2007-09. Each has hit human development hard but, overall, development gains accrued globally year-on-year. COVID-19, with its triple hit to health, education, and income, may change this trend.’ UNDP Administrator Achim Steiner • But the pandemic also shows us the wisdom of what is already inherent in the SDGs; the challenges we face cannot be dealt with in isolation or by a piecemeal approach. • WHO COVID-19 Strategic Response and Preparedness Plan 2021 also highlights the need for coordinated response to plot a course out of the pandemic.

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