Second wave wreaked havoc on health services in Punjab: study | Chandigarh News


CHANDIGARH: The second wave of Covid a few months ago disrupted essential health services in the Punjab, but its impact has been more intense on public health facilities than on private institutions, according to a study.
The study was carried out in Amritsar and focused on eight public institutions and 47 private institutions engaged in the fight against Covid.
The pandemic has had the most impact on antenatal care, institutional deliveries and emergency services, with a significant difference observed between the public and private health care sectors in the delivery of these health services. .
All other essential health services – routine immunization services, screening and treatment of noncommunicable diseases, routine laboratory services, blood bank services, dental services, and imaging and diagnostic X-ray services – have been affected. same way in public and private health institutes.
Among the multiple reasons given by respondents, financial difficulties encountered during the lockdown was the most common reason cited by all health centers for the disruption of essential health services, followed by insufficient staff to provide services – one reason cited by 96.3% of respondents. . The closure of outpatient services at the direction of the state government was cited as the reason for the disruption by 94.5% of participants.
“Need for capacity building, responsive health care system”
Decrease in the volume of outpatients (94.5%), decrease in the volume of inpatients due to the cancellation of elective care (87.2%), unavailability of inpatient services / hospital beds (78 , 1%) and clinical staff deployed to provide relief from Covid-19 (72.7%) were the other main reasons cited for the disruption of essential health services.
Based on the results of the study, the experts recommended the creation of a strong public health care infrastructure and the recruitment of health personnel according to established standards.
To motivate health workers, recognition and financial incentives to do extra work were also suggested.
Experts also focused on providing health insurance coverage to private health professionals engaged in the fight against Covid-19, establishing better partnerships and transparency between the public health sector. and private and regular training of health workers to improve their efficiency.
The results of the study by Dr Priyanka Devgun, Dr Shivesh Devgan and Dr Harjot Singh from the Guru Ram Das Institute of Medical Sciences and Research, Amritsar; Dr Sukhpal Singh, District Immunization Officer, Amritsar; and Dr Amanbir Singh, Medical Officer of Health, Amritsar, have been published in the latest edition of the Journal of Community Health Management.
Emphasizing the keys to ensuring appropriate care-seeking behavior and adherence to public health advice essential to defeating the Covid-19 pandemic, Dr Priyanka Devgun, concluded: “Capacity building and a responsive health system, maintaining the confidence of the population in the ability of the health system to safely meet basic needs and controlling the risk of infection in health facilities hold the key. ”

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