Yojana 2020: Resilient Health Systems & Digital Initiatives

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Resilient Health Systems and Digital Initiatives
  • Health system signifies a collective term consisting of various interlinked components.
  • These components include:
    • Health financing and financial protection.
    • Health Service and Quality norms.
    • Trained and skilled Human resources.
    • Health infrastructure.
    • Medical education.
    • Effective regulatory systems.
    • Equity & access to health services.
    • Multi-stakeholder participation.
    • Community engagement and reforms.

EVIN

  • Electronic Vaccine Intelligence Network.
  • Strengthening immunization supply chain systems.
  • Providing real time information on vaccine stocks & flows.
  • Storage temperatures across all cold chain points.
  • Across all 27,000 cold chain points in the country.
  • eVIN has been successfully piloted by countries like Indonesia, Sudan and Malawi.

Mission Indradhanush

  • Ensures full immunization for children.
    • Upto two years and pregnant women.
  • Provides vaccine for 12 vaccine preventable diseases.
  • Vitamin A doses, ORS packets and Zinc tablets.
  • Seven targeted diseases include:
    • Diphtheria
    • Whooping Cough
    • Tetanus
    • Poliomyelitis
    • Measles
    • Meningitis
    • Hepatitis B

Intensified Mission Indradhanush

  • Launched on 8th Oct, 2017.
  • Within 2 months 30.46 lakh children immunized.
  • 2.96 lakh sessions held.
  • 7.94 lakh children completely immunized.
  • 6.4 lakh pregnant women immunized.
    • 3.59 lakh pregnant women completely immunized.
  • Two subsequent phases of intensified mission Indradhanush:
    • Aimed to achieve the full immunization target of 90 % by Dec 2018.
    • The rebooted second phase took off in a more structured in a cohesive manner.
  • The full immunization coverage has reached 91.16 % in 2019 - 20.

ASHAs

  • Accredited Social Health Activists.
  • Important role of mobilizing the beneficiaries.
  • The motivated Auxillary Nurse Midwife (ANMs) administered vaccines.
  • Administered vaccines to approximately 37.6 million children and 9.46 million pregnant women in the past 6 years across seven phases.

Mobile Applications

  • Mobile App based contact tracing.
  • Useful in identifying potential cases and gathering information about the spread of diseases.
  • COVID Safe app using a Bluetooth signalling protocol first of all was used by Australia.
    • Allows heal officials to access crucial information.
    • If a person contact the virus.
  • Similarly Hong Kong has mandated StayHomeSafeApp to be downloaded by each and every citizen.
  • Also some countries have started giving paired wristbands to those who are put under disease surveillance.
    • Using geofencing technology to help catch violators.

Open Sourced Analytics and Modelling Tools

  • 2019-nCOV paved the way for the scientists around the world to start working on the development of a treatment or vaccine.
  • Ecosystem of open science, open-data and open-source platforms sharing dashboards.
  • Next Strain is an open source application that tracks the evolution of viruses and bacteria.
    • Collects data from around the world from labs.
    • Centralizes them at one place in the form of a genomic tree.
  • Kerala՚s Corona Safe Network:
    • Corona Literacy Mission to create awareness on COVID-19.
    • Corona Care Centre for converting educational institutions into hospitals to offset for shortages.

GIS and ICCC

  • Geographic Information Systems.
  • Smart City՚s Integrated Control and Command Centre.
  • GIS helps epidemiologists to map disease occurrence against multiple parameters including demographics, environment, geographies etc.
  • In India GIS has been extensively deployed to fight the pandemic.
  • ICCC is being used to carry out CCTV surveillance of public places.

Tele-Health Technologies

  • Allows patients to be seen diagnosed remotely by doctors.
  • Via an audio visual real-time two ways interactive communication system.
  • A cost effective technique to filter those with moderate symptoms from severe cases.
  • It can handle more patients than in-person care since it is available anytime.

Drones

  • Being deployed on the frontlines to contain the spread of novel coronavirus.
  • Facilitates aerial broadcasting.
  • Spraying disinfectant.
  • Conducting aerial thermal sensing.
  • Monitors traffic.
  • Deliver medical supplies in infected areas.
  • Ministry of Civil Aviation has launched GARUD portal to fast track conditional exemptions given to govt. agencies for COVID-19.
  • Drone makers have used these for:
    • Detecting temperature
    • Heart and respiratory rates
    • Detecting people sneezing and couging in crowds

Robots

  • Providing services and care to those quarantined or practicing social distancing.
  • To minimise human contact and exposure to the virus.
  • To make hospitals safer for front-line healthcare workers.
    • Reducing the risk of clinical staff contracting and spreading COVID-19.
  • A germ killing robot called ‘Germ Falcon’ has been developed by Los Angeles based Dimer UVC Innovations can be used for sanitising airplanes.
  • In India Zafi Medic robot was unveiled at Mahatma Gandhi Memorial Government Hospital by Chennai՚s Propeller Technologies to deliver food and medicines to COVID-19 Patients.
  • Kerala is using Sayabot to raise awareness and automate sanitization processes, Incubated in Kerala Startup Mission, Asimov Robotics has debuted its KARMI.
    • Both gives semi-autonomous care in quarantine wards.
    • Able to disinfect the hospital premises using ultra-violet radiation.

3-D Printing

  • Healthcare, aerospace and automotive sectors.
  • As a disruptive digital manufacturing technology.
  • 3D printing face shields are being developed by 3D manufacturers around the world.
  • 3D-printed splitters were developed as an attachment for the exhalation outlet of the ventilator in Italy.
  • 3D-printed face shields in various hospitals of Mumbai, Bengaluru based Harkness Screens.
  • DRDO is working with the private sector to produce ventilators on a mass scale.
    • To be used by researchers and healthcare professionals.
    • Vital enzymes that are needed to make test kits for the virus.

E-Sanjeevani

  • Ministry of Health and Family Welfare.
  • A national teleconsulation service launched during the COVID-19 pandemic.

Conclusion

  • Greater need for affordable healthcare.
  • Adequate coverage and inclusive social security for all.
  • Scaling up analytics and quality w. r. t to shift of virtual operations.
  • Innovation has to be both at speed and scale.

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