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- Corona Guideline for Containment & Management in Peri Urban Rural & Tribal Areas | SOP, Corona Guideline For Villages, Testing Tracking and Treatment, Managing COVID at Rural Level
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According to the guideline, RAT training should also be given to health officials and ANMs. RAT kits should be made available at every health center and sub-center. (File photo)
So far, the corona that is causing the deaths in the cities is spreading rapidly in the villages. In such a situation, the government has issued a separate guideline for the villages, so that its infection can be prevented. According to this guideline, ASHA workers have been instructed to monitor cold-fever and in case of infected community health officers to look into the cases over the phone. Apart from this, ANM has also been told to be trained for rapid antigen test.
Guidelines for the villages of the center
Monitoring and treatment
- ASHA workers should supervise cold-fever cases in every village. Along with them there will also be a Health Sanitization and Nutrition Committee.
- Patients who have been found to have symptoms of corona should see the Community Health Officer (CHO) on the phone at the village level.
- Cases of those already infected with serious illnesses or decreased oxygen levels should be sent to major health institutions.
- OPD should be run at every sub-center for cold-fever and respiratory infections. Its time in the day should be fixed.
- After the suspects are identified, their health centers must undergo rapid antigen testing (RAT) testing or have their samples sent to nearby Kovid centers.
- Health officers and ANMs should also be trained in RAT. RAT kits should be made available at every health center and sub-center.
- After being tested at health centers, the patient should be advised to remain isolated until their test report is received.
- Those who have no symptoms, but have been close to an infected and have been less than 6 feet away without a mask or a prescription, suggest quarantine. They should also be tested immediately.
- Contact tracing should be done. However, it depends on the spread of infection and the number of cases, but it should be done according to the guidelines of ICMR.
Home and Community Isolation
- About 80–85% of the cases are coming with no or very few symptoms. Such patients do not need to be admitted to the hospital. These should be isolated in homes or covid care facilities.
- Follow the existing guidelines of the center during patient home isolation. Family members should also be quarantined according to the guidelines.
Monitoring in home isolation
- It is very important to check the oxygen level of the corona patient. For this, there should be adequate pulse oximeters and thermometers in every village.
- Such a system should be developed through ASHA workers, Anganwadi workers and village volunteers. This system should work to provide the necessary equipment on loan to those patients, whose test report is positive.
- After each use, the thermometer and oximeter should be sanitized with a cloth soaked in an alcohol-based sanitizer.
- Frontline workers, volunteers, and teacher visits for frequent information about patients who have undergone quarantine and home isolation. In the meantime they follow all measures and guidelines to avoid infection.
- Home isolation kit should be provided. These include paracetamol 500mg, ivermectin tablets, cough syrup, multivitamins. Apart from this, a pamphlet should also be given which precautions are to be followed in isolation. Information about medicines, monitoring etc. should also be given. A contact number should also be given, on which information can be obtained regarding deterioration or correction or discharge.
- The patient and the people who are taking care of him constantly monitor the situation. If severe symptoms occur, medical attention is needed immediately. Immediately contact the doctor in case of difficulty in breathing, oxygen level below 94%, constant pressure or pain in the chest, confusion or forgetfulness.
- If the oxygen level of the patient is less than 94%, then he should be immediately sent to a health center where there is a facility of oxygen bed.
- 10 days after asymptomatic sampling and 3 consecutive days of fever, the patient can finish home isolation and no further testing is required.
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