2021 marked the start of change in Karnataka’s health sector, but the prevention of noncommunicable diseases mus- The New Indian Express
While half of the Greek alphabets are used to name the variants of SARS-CoV-2, the year 2021 ends without end for Covid-19. Now is the best time to see how healthcare in Karnataka has evolved this year. Despite a huge increase in capacity, the second wave caught us all by surprise. However, the state must be credited with an unprecedented increase in the capacity of all types of beds (ICU, oxygen and regular), oxygen supply and referrals.
The government had to reserve 50% of beds in private hospitals via notification to treat Covid-19 patients. This not being enough, the government had to set up shrinking hospitals in association with private hospitals and hotels. In Bangalore alone, private hospitals have linked up with 32 hotels, providing more than 1,200 beds for treatment facilities to patients recovering from Covid-19.
Yet patients not requiring 24/7 care / hospitalization continued to occupy hospital beds, creating an artificial bed shortage for patients seeking new admissions. Following any health emergency in the future, such transient and inequitable care mechanisms cannot be seen as a sustainable model.
In addition to pandemic management and surveillance, best practices have been implemented to improve laboratory infrastructure, facilitate sample flow to regional genome sequencing laboratories, and improve tertiary care facilities. Some of the best practices can be maintained with minor modifications. For example, chronic care management may use multi-level intake processes (CCC, DCHC, or DCH) and mobile teams to oversee home care. Tele-checking patients’ vital signs can help ensure continuity of care. Using nonprofit and professional groups to introduce Covid-19 vaccination can be institutionalized to promote occupational health. The tele-ICU can be extended to provide emergency and intensive care throughout Karnataka.
The state has capped the prices of Covid-19 tests, HRCT, digital x-rays and bed costs; similar measures can help reduce direct medical expenditure and promote universal health coverage. Strengthening comprehensive primary health care (CSSP) is essential to prevent disease, ensure a continuum of care, and reduce the burden on secondary and tertiary hospitals. Karnataka was ranked the first state in establishing health and wellness centers (HWCs) to provide health care to communities. More specifically, the planned CHF 11,595 can prevent and control the growing burden of noncommunicable diseases (NCDs). While 15% of Karnataka’s citizens suffer from diabetes, 25% have a prevalence of hypertension, according to the recent NFHS survey, which is in part the result of the increasing burden (> 30%) of being overweight or obese in the area. ‘State.
HWCs can implement community-level detection and management of NCDs, including long-overlooked mental health issues. Karnataka State Police data reveals that over 850 cases of suicide and attempted suicide were reported from March 2020 to May 2021. Many have taken this drastic step due to fear, unemployment, poverty and other social reasons.
More based on better reporting or actual burden, Karnataka also experienced the highest share of domestic violence. The government should prioritize investments in mental health promotion. Karnataka’s medical hotline has done a good job avoiding 2,062 suicides over the past eight years. Strengthening the HWCs would be a game-changer in this regard, as their service includes the screening and basic management of NCDs, including mental health disorders.
Better nutritional status
The results of NFHS-5 showed improved nutritional status, with reduced growth retardation and wasting. However, anemia remains a significant problem among women and children at 47.8 percent and 65.5 percent, respectively. The government’s decision to include the egg and banana in the midday meal is welcome. In addition, more attention needs to be paid to sanitation and hygiene as it is a vicious cycle; without adequate sanitation, nutritional deficiencies cannot be filled.
Mathrupoorna is a brilliant dietary supplementation initiative for pregnant and breastfeeding women that has taken a back seat due to Covid-19 and needs to be further strengthened by engaging stakeholders within the community.
Karnataka has been a model state in its fight against Covid. To sustain the gains obtained so far, it is crucial to strengthen surveillance and be vigilant in the fight against the multiple variations and waves; Equally important is building a robust and resilient health system for proactive management of multidimensional aspects of health.