Assessment of health system preparedness to deal with the second wave of COVID-19 in a remote tribal district Surguja, Chhattisgarh, India-April 2021

Authors

  • Amitabha Dan 1Urban Health Unit and Training Centre, Chetla of AIIH and PH, Kolkata, West Bengal, India
  • Pushpendra Ram District Programme Manager, Ministry of Health, Surguja, Chhattisgarh, India
  • Khyati Aroskar Department of Epidemology, India EIS programme, NCDC, New Delhi, India
  • Pragati B. Gaikwad Airport Health Organisation, Mumbai, Maharashtra, India
  • Achhelal R. Pasi Airport Health Organisation, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20213552

Keywords:

Tribal, COVID-19, Surguja, District hospital, Quarantine, Vaccine

Abstract

Background: Present study was conducted to assess the preparedness of the Surguja district to curtail COVID-19.

Methods: We conducted a cross-sectional observational study from May 2020 to March 2021 through records of 2 primary health centres areas selected by convenient sampling (farthest and nearest to district headquarters). Data on existing facilities and logistics was from district headquarters. Preparedness was assessed through checklist. Observations were presented as rates, ratios and proportions. Standard error of difference between two proportions was used as test of significance and p value≤0.05 was considered significant.

Results: For Surguja district population of 925938 (65% rural), overall attack rate was 1.15%, case fatality rate was 0.96% (102/10636); there was 1 DCH, 9 DCHC, 6 CHCs, 25 PHCs, 3 upgraded PHCs, 197 subcentres, 12 CCC, 01 RT-PCR laboratory and 228 COVID vaccination centres. There were 1151 isolation beds; 300 with oxygen support (26%); ICU beds 134 (11.60%) with 34 ventilators. Cumulative 258229 tests; antigen 67.90%, test positivity rate 4.10% (urban 8.2%, rural 1.7%).  This urban-rural difference in test positivity rate was statistically significant (p<0.001). Health care workers, 94.81% (12722/13418) had received one dose of vaccine with 53.36% (6789/13418) both doses. Above 45 years eligible population; 66.68% (154254/231331) received one dose of vaccine.

Conclusions: Surveillance and management of COVID-19 were as per GOI guidelines issued. However, to enhance response we recommended strict implementation of appropriate behaviour in community, establishment of containment zones/facilities for high risk population in urban area blocks and increasing laboratories with RT-PCR testing in appropriate proportions.

Author Biography

Amitabha Dan, 1Urban Health Unit and Training Centre, Chetla of AIIH and PH, Kolkata, West Bengal, India

Joint Director - Public Health in Ministry of Health & Family Welfare, Govt of India

References

Pasi AR, Gaikwad PB, Aroskar K, Kumar T, Teddy R, Kundu M, et al. Early detection of suspected cases of COVID-19: role of thermal screening at international airports in India. Int J Community Med Public Health. 2020;7:4817-22.

Dikid T, Chaudhary S, Goel K, Padda P, Sahu R, Kumar T, et al. Responding to COVID-19 pandemic: Why a strong health system is required. Indian J Med Res. 2020;151(2):140-5.

WHO. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel Coronavirus (2019-nCoV), 2020. Available at: https://www.who.int/news-room/detail/30-01-2020-statement-on-the-secondmeeting-of-theinternational-health-regulations-(2005) emergency committee-regarding-the-outbreak-of-novel-corona virus (2019-ncov). Accessed on 20 June 2021.

WHO. COVID-19 can be characterized as pandemic. WHO, 2020. Available at: https://www.who.int/dg/speeches/detail/whodirector-general-s-opening-remarks-atthe- media-briefing-on-COVID-19-11-march-2020. Accessed on 20 June 2021.

WHO. COVID-19 weekly epidemiological update – 2 March 2021, as of 28th March 2021. Available at: https://www.who.int/publications/m/item/weeklyepidemiological-update-2-March-2021. Accessed on 20 June 2021.

The Hindu special correspondent: Coronavirus/ India becomes first country in the world to report over 4 lakh new cases, 2021. Available at: https://www.thehindu.com/news/national/coronavirus-india-becomes-first-country-in-the-world-toreport-over400000newcasesonapril302021/article34453081.ece. Accessed on 20 June 2021.

Deccan Herald. Coronavirus India Tracker: Sate wise COVID-19 cases and deaths, 2021. Available at: https://www.deccanherald.comnational. Accessed on 20 June 2021.

National Centre for Disease Control. COVID-19 outbreak- guideline for setting isolation facility/ward, 2021. Available at: https://ncdc.gov.in/WriteReadData/l892s/42417646181584529159. Accessed on 20 June 2021.

Government of Chattisgarh. Demography of Surguja district in Chhattisgarh, 2021. Available at: https://surguja.gov.in/demography/. Accessed on 20 June 2021.

Wikipedia. Demography of Ambikapur, 2021. Available at: https://en.wikipedia.org/wiki/Ambikapur. Accessed on 20 June 2021.

Gupta D, Biswas D, Kabiraj P. COVID-19 outbreak and Urban dynamics: regional variations in India. Springer. 2021.

ICMR. Advisory on strategy for COVID-19 testing in India; version VI dated 4th September 2020 recommended by National Task Force on COVID-19, 2021. Available at: https://www.mohfw.gov.in/pdf/AdvisoryonstrategyforCOVID19TestinginIndia.pdf. Accessed on 20 June 2021.

Philip M, Ray D, Subramanian S. Decoding India's Low Covid-19 Case Fatality Rate. J Human Develop Cap. 2021;22(1):27-5.

Ansari AA, Desai HD, Sharma K, Jadeja DM, Patel R, Patel Y, et al. Prevalence and cross states comparison of case fatality rate and recovery rate of COVID 19/SARS-COV-2 in India. J Family Med Prim Care. 2021;10(1):475-80.

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Published

2021-08-27

How to Cite

Dan, A., Ram, P., Aroskar, K., Gaikwad, P. B., & Pasi, A. R. (2021). Assessment of health system preparedness to deal with the second wave of COVID-19 in a remote tribal district Surguja, Chhattisgarh, India-April 2021. International Journal Of Community Medicine And Public Health, 8(9), 4456–4462. https://doi.org/10.18203/2394-6040.ijcmph20213552

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Original Research Articles