Hospital Preparedness for Outbreak at Patan Hospital: Lesson Learnt from COVID-19

Shrestha, Ashis; Rajbhandari, Piyush; Bajracharya, Sumana

doi:10.33314/jnhrc.v18i1.2547

Cited by 15 publications

(12 citation statements)

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“…59 Given the increasing number of COVID-19 patients in neighboring India, for the isolation and management, Patan Hospital, Kathmandu, Nepal began outbreak preparedness in reference to WHO interim guidance utilizing best available resources. 60 Together with the decision of country-wide lock-down, other specialized hospitals have been made available in Kathmandu, and in other provinces by the government of Nepal. 61 Nepal scaled up from partial (18 March) to countrywide lockdown (24 March), together with other non-pharmacological interventions (NPI), like social distancing, personal habits, and quarantine, similar to the measures planned by India.…”

Section: Introductionmentioning

confidence: 99%

Quarantine, isolation and lockdown: in context of COVID-19

Shah

2020

J Patan Acad Health Sci

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Quarantine and lockdown, combined with restriction to the movement of people, along with measures like universal use of masks, social distancing, tracking, testing, isolation and specialized centers to manage COVID-19 patients, have been successful in the control and spread of the virus in China and most Asian countries, unlike in Europe and America. This review is written to provide information on quarantine, isolation and lockdown in the context of COVID-19 management. The quarantine and lockdown from historical, socio-cultural, and its effect on special circumstances, for example, the internal and international migrants, daily wage workers, refugees, and the ways in which countries have managed this issue, including the measures taken by Nepal to manage the quarantine and lockdown is briefly presented in this review.

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Section: Introductionmentioning

confidence: 99%

Quarantine, isolation and lockdown: in context of COVID-19

Shah

2020

J Patan Acad Health Sci

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“…It was agreeable that outbreak preparedness was a major challenge in a scarce resource setup in our setup and in other countries as well [4,6,7,9,10,11]. Hospitals in other countries had a similar experience to combat Covid-19 concurrently safeguarding the staff and their families using a rapid response structure which were similar to strategic response framework used in this hospital [5,6].…”

Section: Discussionmentioning

confidence: 81%

“…An expert panel has highlighted the importance of a critical care triage system to allocate scarce resources [1,3,4,5]. Managing a hospital in a critically changing environment is a challenge [6,7,8,10,11,12] and it is important to focus on maintaining essential health care services while technically sound use of scarce resources for the Covid-19 response [9,13].…”

Section: Introductionmentioning

confidence: 99%

Strategic Framework for Strengthening Health System Response to Covid -19 Pandemic

Jayawardena¹,

Dharmaratne²,

Hewawasam³

et al. 2021

Sri Lankan J Med Admin

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The novel Covid-19 pandemic has emerged a new sequel of distributing scarce resources according to a critical triage system and has put the healthcare management into a greater difficulty in allocating resources. Different countries have addressed these issues in different manners but highlighted on having a good response framework. The Covid operation cell was established during the first wave of Covid-19 in Base Hospital Horana and it was consisted of all relevant stakeholders. It was expanded during the second wave and the functions were done according to the strategic response framework. Decisions were made through several subcommittees. The framework outlined the objective of addressing issues on resources management in health care services at the Base Hospital Horana and to propose strategic actions to strengthen health care services during the Covid-19 pandemic. The strategic response framework included institutional policies, continuation of patient care, human resource management, logistic management, caring and emotional support for Health Care Workers (HCWs) and environment cleanliness. Most of the developments within the hospital were done to continue healthcare services to the patients while safeguarding the staff. The outcome of the response framework was to give the maximum service for patients without any intra-cross infections among HCWs.

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“…Nepal represents a real scenario of low-and middleincome countries (LMICs) where pandemic mitigation efforts are impacted largely by the lack of medical supplies and infrastructure. This includes personal protective equipment (PPE) and ventilators, the limitation of well-trained manpower, the unavailability of enough diagnostic kits; a lack of a proper coordination mechanisms among stakeholders, and poor reporting and documentation of cases (41)(42)(43)(44). This pandemic has taught Nepal that it should invest more in research and development in the public health sector, besides the current primary focus on curative medicine.…”

Section: Discussionmentioning

confidence: 99%

Early Epidemiological Features of COVID-19 in Nepal and Public Health Response

Dhakal

Karki²

2020

Front. Med.

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Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), was first reported in late 2019 from Wuhan, China. Considering COVID-19's alarming levels of spread and severity, the World Health Organization (WHO) declared a global pandemic on March 11, 2020. The first case of COVID-19 in Nepal was reported on January 23, 2020. The Government of Nepal implemented different public health measures to contain COVID-19, including border closures and a countrywide lockdown. We collected the daily data provided by the Ministry of Health and Population (MoHP) of the Government of Nepal and illustrated the early epidemiological characteristics of COVID-19 in Nepal. By May 31, 2020, 1,572 cases and eight deaths were reported in Nepal associated with COVID-19. The estimate of prevalence for COVID-19 among tested populations was 2.25% (95% CI: 2.15-2.37%) and case-fatality rate was 0.5%. The majority of the cases were young males (n = 1,454, 92%), with overall average age being 30.5 years (ranging from 2 months to 81 years) and were mostly asymptomatic. There were only five cases from three districts until the end of March, but cases surged from April and spread to 57 out of 77 districts of Nepal by the end of May 2020 despite the continuous lockdown. Most of these cases are from the southern plains of Nepal, bordering India. As the effect of COVID-19 is expected to persist longer, the Government of Nepal should make appropriate strategies for loosening lockdowns in a phase-wise manner while maintaining social distancing and personal hygiene and increasing its testing, tracking, and medical capacity.

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Hospital Preparedness for Outbreak at Patan Hospital: Lesson Learnt from COVID-19

Cited by 15 publications

References 0 publications

Quarantine, isolation and lockdown: in context of COVID-19

Quarantine, isolation and lockdown: in context of COVID-19

Strategic Framework for Strengthening Health System Response to Covid -19 Pandemic

Early Epidemiological Features of COVID-19 in Nepal and Public Health Response

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