Sangwari continued its efforts in supporting and strengthening public health system. The goal is thoughtfully reflecting in variety of activities taken up by the organisation. Sangwari is also helping other fellow organisations apart from the government system. In this quarter the activities were mainly directed towards mitigation and as a response to covid-19 pandemic. We supported by on site trainings, developing training materials and this time going beyond just supporting we actually contributed in service program, thus put a step forward for better camaraderie and involvement in the existent system.
A. Training and training Materials
- Covid Training-
- Covid-19 2nd wave hit us harder than the 1st wave, not only because the virus has changed its structure but also inadequate preparedness of the system and lot of misinformation, myths still persisted around the virus existence, how it spreads, infects, make people sick, testing, management and prevention. Looking at the need we initiated training and awareness program. Due to lockdown, restricted mobility and gathering most of these trainings were conducted online. The topics were,
- Covid-19 – general awareness and prevention
- Covid 19- home isolation covid care
- Covid 19- vaccination myths and facts
- Strengthening secondary level care-
As the 2nd covid wave progressed, due to inadequately prepared secondary level health facilities, tertiary care hospitals were increasingly overwhelmed by the number of patients and seriousness of their illness. Sangwari advocated for strengthening of secondary level centres like Community Health Centres (CHCs) through training health care workers (HCWs). With the advantage of providing critical covid illness care at the medical ICU, Sangwari proposed 7 days residential Covid ICU training for Medical officers (MOs) at CHCs. This training included
- Classroom teachings for- orientation for ICU, stabilization of critically ill patients, syndromic diagnosis, diagnosis of covid and managing severe covid, etc
- Bed side clinical teaching- examination and evaluation of critically ill patients, case presentations
- Daily rounds and Case discussion- detailed ICU rounds and learning.
- Evaluation- pre-test and post-test, case presentations and OSCE examination
- Strengthening Primary level care- With the continues learning from Home Isolation Covid Care program on the field discussed in details above, Sangwari was invited for Training Mitanin trainers for the same. Sangwaris shared their learning and training materials with Mitanin Distrcit co-ordinators (DC), Block co-ordinators (BC) and Mitanin Trainers (MTs). We conducted such one training at the district and 2 at the block levels. Training mainly included
- Proper and effective use of Personal Protective Equipment (PPEs) provided to Mitanins
- Hands on training and troubleshooting for use of finger-pulseoximeter, digital thermometer, Infrared thermometer.
- SOPs for field visits for covid patients.
- Animal Bite Training-
- Snake bites are particularly common during monsoon season and so as the mortality and morbidity due to them. Deaths due to snake bites are particularly more due to late presentation of the patients to the hospitals and inadequate management. Looking at this training need district level training was proposed for doctors and staff nurses who were actually handling these cases. Sangwari asked for block wise training and conducted training at all blocks of the Surguja district for better penetration. This training included
- Snake bite- diagnosis, management and prevention
- Rabid animal bite- management and reporting
- Scorpion sting- management and prevention
- Bee-wasp stings- management
- Interactive case scenarios
- System strengthening for managing these animal bites management.
- Pre-test and post-test evaluation done along with the feedback sessions from the participants to improve the quality of trainings and thus learning.
- Training Materials- Due to need of hour and urgency Sangwari has developed training materials for wider use. Link for the training materials- https://sangwari.net/publications/
Future Activities- Training of Medical officers for Sickle cell disease diagnosis and management, next batches for covid critical care management are due in the upcoming months.
Outputs- From March 2021 to June 2021