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GS Paper: GS2-13.Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.

  • Taiwan: a role model for pandemic management

    As many nations struggle to keep COVID-19 infection numbers down, the island of Taiwan presents an example of how to be prepared in the event of a pandemic. As the global total of infections has neared 700,000, with over 30,000 deaths, Taiwan’s count stood at 300, with only 5 deaths.

    When you read through this article, try and map the best practices which could be incorporated in India. You might have to tweak a few. UPSC Mains may ask a question on “what could be done better etc.” and this is where you shine!

    Taiwan Model of Healthcare Management

    • Located less than 150 kilometres from the original viral source – China – Taiwan has seen far fewer cases of the coronavirus in the past month, with a much lower infection rate.
    • It is also worth noting the practices utilized by Taiwan’s hospitals as they seek to curb the virus and protect patients and medics.

    Following were the not so exceptional measures which helped Taiwan authorities contain coronavirus:

    1) Smaller staff groups

    • One of the early steps taken was the reduction of the workgroup sizes within medical facilities.
    • This reduces the risk of a community spread within the hospital emerging from infected patients being treated.
    • Depending on the size of the staff handling an area of the hospital, and the number of patients being overseen there, one infection could jeopardize the safety of an entire ward.

    2) Traffic control in hospitals

    • Hospitals were establishing separate entrances and exits for in- and out-patients to help prevent the spread of infection via regular hospital traffic.
    • In effect, hospital entry began to resemble airport customs, with visitors passing through a temperature checkpoint and showing IDs before admittance.

    3) Maintaining a high bed-per-capita ratio

    • Many countries have found that they do not have nearly enough hospital beds to care for patients suffering from a highly infectious disease like COVID-19.
    • In response, Taiwan has nearly 1,000 negative pressure isolation rooms (an isolation technique used in hospitals to prevent cross-contamination from room to room) available, with the capacity to add significantly more through room reconfigurations.
    • This is a remarkably high number, given the relatively small population of the island, and speaks to the country’s preparedness and advanced medical infrastructure.

    4) Best public health policy

    • Finally, Taiwan has benefited greatly from the close coordination between its hospitals and central government.
    • Within the country’s nationalized healthcare system, every citizen and resident is assigned a health card, embedded with a computer chip reflecting their identity and medical history.

    Significance of the Taiwanese model

    • Taiwan’s biggest success can be attributed to how ready the country and its hospitals were from Day-1, while other states were still assessing whether the virus was a threat to them at all.
    • Many of these countermeasures can be easily duplicated by India.
    • However, the willingness and effectiveness with which doctors and medical officials have worked to cooperate with each other and the public is a testament to the country’s smart and rational approach to healthcare and disease prevention.
  • [pib] YUKTI web-portal

    Union Ministry for HRD has launched a web-portal YUKTI (Young India Combating COVID with Knowledge, Technology and Innovation).

    There are various web/portals/apps with peculiar names, ex. DISHA, SWAYAM. Note them down with their one line purpose. UPSC Prelims may quiz you on these.

    YUKTI web-portal

    • YUKTI is a unique portal and dashboard to monitor and record the efforts and initiatives of MHRD.
    • The portal intends to cover the different dimensions of COVID-19 challenges in a very holistic and comprehensive way.
    • The primary aim of the portal is to keep academic community healthy, both physically & mentally and to enable a continuous high-quality learning environment for learners.

    Utility of the portal

    • The portal allows various institutions to share their strategies for various challenges which are there because of the unprecedented situation of COVID-19 and other future initiatives.
    • It will give inputs for better planning and will enable MHRD to monitor effectively its activities for coming six months.
    • It will establish a two-way communication channel between the Ministry of HRD and the institutions so that the Ministry can provide the necessary support system to the institutions.
  • [pib] ‘Bharat Padhe Online’ campaign

    Union HRD Ministry has launched a week-long ‘Bharat Padhe Online’ campaign for Crowdsourcing of Ideas for Improving Online Education ecosystem of India.

    ‘Bharat Padhe Online’ campaign

    • Students and teachers are the main target audience of this campaign.
    • Students who are currently studying in schools or higher educational institutions are the ones engaging with the existing digital platforms offering various courses etc. on a daily basis.
    • They can share what is lacking in the existing online platforms and how it can be made more engaging.
    • The educators across the country can also come forward to contribute with their expertise and experience in the field of education.
  • India COVID-19 Emergency Response and Health System Preparedness Package

    The Centre has approved a centrally funded ‘India COVID-19 Emergency Response and Health System Preparedness Package’ with the objective of strengthening national and state health systems.

    About the Package

    • The package is 100 per cent centrally funded project under the National Health Mission.
    • It will be implemented in three phases from January 2020 to March 2024.
    • It aims at strengthening national and state health systems to support prevention and preparedness, procurement of essential medical equipment, consumables and drugs, etc.
    • The three phases of the project are Phase – 1 from January 2020 to June 2020, the second phase is from July 2020 to March 2021 and the third phase from April 2021 to March 2024.

    What are the major activities planned under this package?

    • The key activities to be implemented under Phase -1 includes support to states/UTs for the development of dedicated COVID-19 hospitals and other hospitals, isolation blocks, negative pressure isolation rooms, ICUs with ventilators, the oxygen supply in hospitals etc..
    • The central package will also assist the state/ UTs for the Procurement of Personal Protection Equipment (PPE), N95 masks and ventilators, over and above what is being procured and supplied by the govt.
    • The activities under the first phase also include the disinfection of hospitals, government ambulances, etc.
  • [pib] Integrated Government Online Training (iGOT)

    The Union govt. has launched a training module for management of COVID-19 named ‘Integrated Government Online training’ (iGOT) on DIKSHA platform of MHRD.

    About iGOT

    • It is training module for management of COVID-19 on DIKSHA platform for the capacity building of frontline workers to handle the COVID-19 pandemic efficiently.
    • Courses on iGOT have been launched specially for Doctors, Nurses, Paramedics, Hygiene Workers, Technicians, Auxiliary Nursing Midwives (ANMs), State Government Officers, Civil Defence Officers, Various Police Organisations.
    • They are also available to NCC corps, Nehru Yuva Kendra Sangathan (NYKS), NSS volunteers, Indian Red Cross Society, Bharat Scouts and Guides and other volunteers at the stage.

    Back2Basics: DIKSHA Portal

    • HRD ministry has launched Diksha Portal (diksha.gov.in) for providing a digital platform to a teacher to make their lifestyle more digital.
    • It aims to serve as National Digital Infrastructure for Teachers.
    • The portal will cover the whole teacher’s life cycle – from the time they were enrolled as student teachers in Teacher Education Institutes (TEIs) to after they retire as teachers.
    • It will enable, accelerate and amplify solutions in the realm of teacher education. It will aid teachers to learn and train themselves for which assessment resources will be available.
  • [pib] Kendriya Bhandar

    Kendriya Bhandar which functions under the Department of Personnel and Training (DoPT) has taken the unique initiative of providing “Essentials Kits” to needy families during the ongoing lockdown.

    About Kendriya Bhandar

    • The Central Govt. Employees Consumer Cooperative Society Ltd. is popularly known as Kendriya Bhandar.
    • It was set up in 1963 as a welfare project for the benefit of Central Govt. employees and public at large.
    • It is functioning under aegis of Ministry of Personnel, Public Grievances & Pensions and was registered with Delhi Registrar of Cooperative Societies.
    • Subsequently, it was registered with Central Registrar of Cooperative Societies, Govt. of India as a Multi-State Consumer Cooperative Society in September 2000.
  • Delhi’s ‘5T’ war against virus

    Delhi CM has announced a “5T plan” created by his government to contain COVID-19 spread in Delhi. These five Ts are testing, tracing, treatment, teamwork and tracking-monitoring.

    5Ts strategy

    1)Testing

    • Testing when done on a mass scale enables the actual data of people affected by novel coronavirus.
    • Like South Korea, Delhi will be testing on a large scale.
    • Through rapid testing, the government will also be able to identify COVID-19 hotspots and take necessary action.

    2)Tracing

    • The second T is tracing, which involves identifying and quarantining people who have come in contact with infected persons.
    • Delhi authorities are taking the help of police to trace whether the people who have been advised to self-quarantine are actually doing it or not.

    3)Treatment

    • The third component is the treatment.
    • Serious patients who are suffering from heart diseases and patients above 50 years will be isolated in hospitals and the rest with minor symptoms will be kept in isolation in hotels and dharamshalas.

    4)Teamwork

    • The fourth element of the five-point plan is teamwork and collective efforts are being made to fight the virus.
    • All State governments must learn from each other and work together.

    5)Tracking and monitoring

    • The fifth T is tracking and monitoring.
    • The state should ensure that all these measures are in place and all the systems are functioning smoothly.

     

    Also read:

    ‘Bhilwara Model’ for containment of coronavirus

  • [pib] “Samadhan” Challenge

     

    A mega online challenge – SAMADHAN – has been launched to test the ability of students to innovate.

    “Samadhan” Challenge

    • The Innovation Cell of the Ministry of HRD and All India Council for Technical Education in collaboration with Forge and InnovatioCuris has launched this online challenge.
    • Under the challenge, the students and faculty will be motivated for doing new experiments and new discoveries and provide them with a strong base leading to spirit of experimentation and discovery.
    • The students participating in this challenge will search and develop such measures that can be made available to the government agencies, health services, hospitals and other services for quick solutions to the Coronavirus epidemic and other such calamities.
    • Apart from this, through this challenge, work will be done to make citizens aware, to motivate them, to face any challenge, to prevent any crisis and to help people get livelihood.
  • ‘Bhilwara Model’ for containment of coronavirus

    Bhilwara in Rajasthan was one of the early hotspots of the COVID-19 outbreak. The government responded with extraordinarily aggressive measures — and the ‘Bhilwara model’. The success of the model is attributed to the fact that Bhilwara, which was the first district in Rajasthan to report most number of covid cases has now reported only one positive case since March 30.

    What is the Bhilwara Model?

    • The Bhilwara COVID-19 containment “model” refers to the steps taken by the administration in Rajasthan’s Bhilwara district to contain the disease, after it emerged as a hotspot for coronavirus positive cases.
    • Bhilwara district was among the most-affected places in India during the first phase of the COVID-19 outbreak.
    • The measures taken by the state govt. included imposing a curfew in the district which also barred essential services, extensive screening and house-to-house surveys to check for possible cases.
    • It went for detailed contact tracing of each positive case so as to create a dossier on everybody they met ever since they got infected.

    What did the administration do as part of the containment strategy?

    • The “Bhilwara model” of tackling COVID-19 cases involves, simply, “ruthless containment”.
    • Within three days of the first positive case the district health administration in Bhilwara constituted nearly 850 teams and conducted house-to-house surveys at 56k houses and of 280k people.
    • Thousands were identified to be suffering from influenza-like illness (ILI) symptoms and were kept in home quarantine.
    • Intense contact tracing was also carried out of those patients who tested positive, with the Health Department preparing detailed charts of all the people whom they had met since being infected.
    • The state also took the help of technology, using an app to monitor the conditions of those under home quarantine on a daily basis along with keeping a tab on them through GIS.
    • The administration backed up the surveys by imposing a total lockdown on the district, with the local police ensuring strict implementation of the curfew.
    • The patients were treated with hydroxychloroquine (HCQ), Tamiflu and HIV drugs.

    What were the challenges the administration faced in imposing these extraordinary measures?

    • The biggest challenge that the administration faced was containing the rising number of cases after the initial outbreak.
    • The doctors of the private hospital who had tested positive had come into contact with numerous people including the staff and patients who visited the private hospital during the period when the doctors were already infected.
    • Some of these patients had come from other states and after the first case of COVID-19 was detected.
    • The government also had an uphill task ahead of them assembling the teams of doctors, auxiliary nurse and midwives and nursing students who went to conduct the house-to-house surveys.
    • Owing to the fact that Bhilwara, a thriving textile city with an estimated population of 30 lakh, it was also a difficult task for the government to strictly impose the curfew uniformly in all areas.