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Govt issues guidelines on Covid management in rural, peri-urban areas | India News – Times of India


NEW DELHI: As rural areas see an increase in Covid-19 circumstances, the Centre on Sunday issued new guidelines for containment of the virus advising that peri-urban and rural areas plan a minimal 30-bedded Covid Care Centre for asymptomatic circumstances with comorbidities or gentle circumstances the place house isolation isn’t possible.
Provision of Rapid Antigen Test (RAT) kits must be made in any respect public well being services together with Sub-centres or Health and Wellness Centres and Primary Health Centres, the Union Health Ministry mentioned.
Noting that in addition to city areas reporting a big quantity of circumstances, a gradual ingress is now being seen in peri-urban, rural and tribal areas as nicely, the ministry launched the ‘SOP on Covid-19 Containment and Management in Peri-urban, Rural & Tribal areas’ to allow communities strengthen major stage healthcare infrastructure in any respect ranges to accentuate Covid-19 response.
It mentioned Covid Care Centres (CCC) can admit a suspect or confirmed case however ought to have separate areas for suspected and confirmed circumstances with ideally separate entry and exit for every.
“Suspect and confirmed cases should not be allowed to mix under any circumstances,” the SOP mentioned.
According to the SOP, in each village, lively surveillance must be finished for influenza-like sickness/ extreme acute respiratory infections(ILI/SARI) periodically by ASHA with assist of Village Health Sanitation and Nutrition Committee (VHSNC).
Symptomatic circumstances might be triaged at village stage by tele-session with Community Health Officer (CHO), and circumstances with comorbidity or low oxygen saturation must be despatched to greater centres.
Identified suspected Covid circumstances ought to hyperlink for testing to well being services both via Covid-19 fast antigen testing or by referral of samples to nearest Covid-19 testing laboratory, in accordance with ICMR guidelines.
CHOs and ANMs must be skilled in performing Rapid Antigen Testing. Provision of RAT kits must be made in any respect public well being services together with Sub-centres, Health and Wellness Centres and Primary Health Centres, the doc mentioned.
Depending upon the depth of surge and quantity of circumstances, so far as possible, contact tracing must be finished as per Integrated Disease Surveillance Programme’s (IDSP’s) guidelines, it said.
“Nearly 80-85 per cent Covid-19 cases are asymptomatic/ mildly symptomatic. These patients do not require hospitalisation and may be managed at home or in Covid care isolation facilities,” the SOP said.
As monitoring of oxygen saturation is necessary for monitoring of Covid sufferers, it’s fascinating for every village to have ample quantity of pulse oximeters and thermometers.
The SOP beneficial creating a system of offering pulse oximeters and thermometers on mortgage to households with a confirmed case of Covid via ASHA/ Anganwadi staff and village-stage volunteers.
Pulse oximeters and thermometers must be sanitised after every use with cotton or material soaked in alcohol-primarily based sanitiser.
Follow-ups for sufferers present process isolation or quarantine may very well be finished via family visits by a frontline employee/ volunteers/ instructor duly following required an infection prevention practices together with use of medical masks and different acceptable precautions.
“Home Isolation kit shall be provided to all such cases which should include required medicines such as Paracetamol 500 mg, Tab. Ivermectin, cough syrup, multivitamins (as prescribed by the treating doctor) besides a detailed pamphlet indicating precautions to be taken, medication details, monitoring proforma for patient condition during home isolation, contact details in case of any major symptoms or deterioration of health condition and the discharge criteria,” the SOP said.
The well being infrastructure deliberate for peri–city, rural and tribal areas shall be aligned to the already talked about 3-tier construction — Covid Care Centre (CCC) to handle gentle or asymptomatic circumstances, Dedicated Covid Health Centre (DCHC) to handle reasonable circumstances and Dedicated Covid Hospital (DCH) to handle extreme circumstances, based on the doc.
The CCCs are makeshift services below the supervision of nearest PHC/CHC and could also be arrange in faculties, neighborhood halls, marriage halls, panchayat buildings in shut proximity of hospitals or healthcare services, or tentage services in panchayat land, college floor, and so forth.
These CCCs must be mapped to a number of Dedicated Covid Health Centres and a minimum of one Dedicated Covid Hospital for referral functions.
Such COVID care centres also needs to have a Basic Life Support Ambulance (BLSA) networked amongst such CCCs outfitted with enough oxygen assist on 24×7 foundation, for making certain protected transport of sufferers to devoted greater services if the signs progress from gentle to reasonable or extreme.
Primary Health Centres or Community Health Centres and Sub District Hospitals in these areas shall be the Dedicated Covid Health Centre for management of Covid-19. The facility might plan a minimal of 30 bedded DCHC. District must be ready to extend DCHC beds as per the case trajectory and anticipated surge of circumstances, the doc said.
These centres shall supply look after all circumstances which were clinically assigned as reasonable (Patient breathless; Respiratory Rate greater than 24 per minute; Saturation between 90 to
District hospitals or different recognized personal hospitals or a block of these hospitals shall be transformed as devoted Covid Hospitals.
In addition, sub-district or block stage hospitals fulfilling the necessities can also be designated as devoted Covid hospitals for the recognized CCC and DHCC in their catchment space. The upgradation in well being services shall be undertaken primarily based on case trajectory or the surge in circumstances, the SOP said.

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