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Preparing for home-based management of SARS-CoV-2

A playbook

Deloitte has released a playbook that will help district administrations in India and around the world address the rising threat of the Omicron COVID-19 variant. The protocols outlined in the playbook can enable governments to quickly scale health care support and resources required to address surges in COVID-19 (SARS-CoV-2) cases.

This ‘plug and play’ model complements the official guidelines issued by the respective government authorities for supervised home-based care. When thoughtfully deployed, such a model can greatly enhance Health Equity by improving quality and access to health care.

 

The playbook, designed and supported by Deloitte, the Public Health Foundation of India (Dr. K. Srinath Reddy), and the Post Graduate Institute of Medical Sciences in Haryana (Dr. Dhruva Chaudhry), highlights the importance of collective digital and human interventions.

The playbook builds upon the learnings gained from Niti Aayog, “Sanjeevani Pariyojana”, a supervised, virtual home care initiative launched in Karnal, Haryana, India in May 2021 as well as our experience in South Africa. During the peak of the second wave, the Government of Haryana and Deloitte initiative had helped the people of Karnal quickly access healthcare at home, effectively bringing the fatality rate down by 50 percent.

 

1. Integrated Command and Control Centre

Integrated Command and Control Centre supplemented by tracking systems and digital facilities. It will provide real-time situational analysis, manage prevention and detection measures in addition to the management of scarce resources such as beds, oxygen, and medical professionals.

2. Virtual Health

Virtual Health, a tele-health monitoring system, to support citizens with any potential escalations after exhibiting symptoms. It is managed by carefully selected, extensively trained, and clinically supervised volunteers who operate under a strict protocol for identifying symptoms, monitoring patients in home isolation, and referring licensed doctors to the patients in need.

3. Tiered Medical Infrastructure

Tiered Medical Infrastructure to enable effective utilisation of all tiers, starting from frontline health workers to tertiary care hospitals in an equitable and effective manner in the event of a pandemic surge.

4. Outreach, Education, and Communication

Outreach, Communication, and Education to empower people with the right information at the right time through the right medium and a message that prompts positive action.

5. Scale and Replicate

Scale and replication of best practices and lessons learnt across geographies to manage emerging health priorities.

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