Case Study:- Pandemic Pivot

1.Building Healthcare infrastructure –hospitals, medical supplies, waste

management.
Problem: In this pandemic we observed the biggest pitfall was unavailability of beds in
hospitals especially at district headquarters where the tertiary health services are there. As we
know in India 70% of people are living in small towns or rural areas and the majority of
patients are coming to big cities from these areas.

At tertiary Healthcare level:-

To overcome these problem in next wave of covid which might be more dangerous than the
previous we can strategize in following ways:-
1. We have to strengthen our tertiary healthcare centres this can be done by enlisting of
the hospitals which can provide their services at the times of pandemic.
2. After enlisting of the hospitals we check the availability of all diagnostic and
therapeutic facilities:- This can be done by making sure that every bed should have an
oxygen supply.
3. Make plans for regular medicines and oxygen supplies.
4. Establish effective waste care management system ;- This is can be done at hospitals
by a proper segregation of the waste and proper transport from the generation site of
waste to the hospital waste care dumping station. The waste care should be
transported in packed form so during shifting of this infected waste no spillage occurs.

At Primary and Secondary healthcare level:-

We observed a complete failure of primary and secondary healthcare services during this
covid pandemic. Some of the salient features of this failure are as follows:
1. Lack of beds and oxygen supply .
2. Untrained staff to face the covid situation.
3. Deficiency of medicine and healthcare protective equipments like gloves , PPE kits,
masks and sanitizers.
4. No diagnostic and treatment protocol by the govt.
These pitfall causes a migration of patients to the tertiary levels where already scarcity of
beds was a big problem.
Strategy:-
1. Govt should increase the no of beds in primary and secondary healthcare hospitals.
2. Make a plan for proper oxygen supplies to these hospitals (establishing of oxygen
concentrator plant).
3. Establish a Tele-Medicine portal at primary and secondary so that they can get help
from tertiary level during emergencies.
4. Ongoing training programs/ CME for primary and secondary hospitals either online
and offline.
2. Development & revamping medical education system.
1. Regular ongoing training programmes for doctors and paramedical staff for the
coming next wave.
2. Making a fixed protocol to treat any disease in a pandemic.
3. Requesting Government to make a law to follow treatment and diagnostic protocol for
every practitioners (every doctor is prescribing their own way there was no fixed
guideline from govt).
4. Line listing of all retired private doctors who can wilful provide services as and when
required.
5. Select speciality trainer who can give training to medical and paramedical staff.
6. CME hours should be mandatory for renewal of each medical practitioners license
whether the CME is offline or online.
7. Indian medical association should conduct regular CME.
8. Exports of pharmaceuticals products from India increased from US$6.23 billion in
2006–07 to US$8.7 billion in 2008-09 a combined annual growth rate of
21.25%.India exported $11.7 billion worth of pharmaceuticals in 2014.
Pharmaceutical export from India stood at US$17.27 billion in 2017–18, and is
expected to grow by 30 per cent to reach US$20 billion by the year 2020.And India
Share in This 40%. The 10 countries below imported 56.5% of that total:
Rank Country Value (US$ millions) Share
1 United States $3800 32.9%
2 South Africa $461.1 3.9%
3 Russia $447.9 3.8%
4 United Kingdom $444.9 3.8%
5 Nigeria $385.4 3.3%
6 Kenya $233.9 2%
7 Tanzania $225.2 1.9%
8 Brazil $212.7 1.8%
9 Australia $182.1 1.6%
10 Germany $178.8 1.5%

3. Conducive business environment for pharmaceutical industry

1. To make a good environment in pharma industry government of India should allot
special grants to big pharmacy college and Research and Development wings of
pharmaceutical companies.
2. Govt should provide financial subsidy to pharmaceutical company to develop raw
materials for the drugs which they were importing from foreign countries.
3. Govt should reduce taxes on emergency and indigenously new developing drug.
4. Reduce import duty on essential drugs.
4. Public campaigns and programs addressing Healthcare from
public policy from Public policy front
1. Health hygiene education should be incorporated from primary level .This should
include proper way of handwashing, cleanliness and make them educate about
nutritional value about food.
2. Audio visual campaigns for prevention of communicable and non-communicable
disease:-
 Non-communicable Disease:- e.g. Hypertension ,Diabetes and Obesity
 Communicable Disease :- e.g. Covid-19, Tuberculosis ,Chicken pox etc.
3. Involve religious leaders and famous persons to mobilise people for good practices
during pandemics.
4. Mobilise social groups and big industrialists to help the people during pandemic.

5. Effective implementation of Public campaigns

1. Mapping of geographical area in which public campaigns are going to be held.
2. Identity difficult and unreachable areas which includes slum areas.
3. Campaigns should be in there local language.