Statement of Need

The COVID-19, neocorona virus places an unprecedented challenge on humanity. Protecting healthcare workers is an important way to mitigate morbidity, mortality and maintain social order.

Response of The Organisation

Based on the India Study, Center for Disease Dynamics and Economics Policy (CDDEP), John Hopkins’ University, Dakshas, SFCT is focused on a simple 3 point Prevention Program : Protect Vulnerable, Predict a week ahead and Practice Online

Protect Vulnerable Groups 1


Vulnerable » Healthcare workers


  • 3 Village Community Health Workers
  • 100 District Medical Officer Surveillance team members
  • 50 Government Community Clinics and 200 staff
  • Government Tertiary Health Centers
    ° 5 Cardiology Residents
    ° 7 Emergency Room Doctors and Staff
  • Non Profit Healthcare Units
    ° 24 Doctors and Staff of Pain Relief and Palliative Care Society
    ° 62 Doctors and Staff of Vivekananda Health Center, Ramakrishana Math

Elderly


  • Bed-ridden elderly need assisted living. Their care-givers needed rapid upskilling in infection control
  • Numerous reports from other countries suggested that old age homes were high risk zones with high mortality
  • Whole program was designed and delivered online, expect for no-contact PPE delivery

Homeless and Migrants


  • They are a major beneficiary of Dakshas healthcare as they don’t have access to welfare schemes
  • Collaborations leverage to reach out
    ° NPO like Aman Vedika and
    ° new associations with Mitti-Cafe, SAFA, COAST and Inqui-Lab

Food distribution lines


  • To prevent infection transmission during food distribution
  • Supplied Santizer, Gloves, Masks and Hypochlorite to staf
  • Advocated for controlled distribution. GHMC later restricted Nonprofits from distributing to crowds
  • Predictive a Week Ahead: Patient forecast 7 days hence to optimize Hospital Preparedness at District level
  • Practice Online:
    ° Remote Orthopedics clinic
    ° Remote Elderly Monitoring Dashboard

Impact


  • Reduce the peak of Pandemic
  • Spread out its effect over manageable time-frame
  • Protect those at highest risk
  • Sustainable end-to-end health care delivery via Dakshas Orthopedic Platform

Work done so far:


Protect vulnerable groups
  • Online Training of Care-giver and Care-takers: Infection Control and reverse-barrier nursing
  • PPE distribution: Rational estimation, Bulk Purchase and Weekly supply
  • Remote Monitoring: Health Status and Utilization of PPE
  • Coordination with local health authorities :Activating the health system
  • Special measures for Homes within 3km of containment zone: COVID-19 Suspected Case Protocol

Dakshas Protection Program Against COVID-19: 6548


 

Total

Old Age Homes

Municipal Shelter Home

Namalgundu Women shelter home

PDS Ration Shops

Govt

Aman Vedika Temporary Shelter

Adibatla Community Health center

Tertiary Hospital

Service

District Medical Officer

NonProfit Healthcare Units

Total

Units

305

63

11

1

175

43

6

1

3

1

2

305

Vulnerable

4200

2610

260

570

–

 

760

–

 

 

 

4200

HCW

430

–

 

–

 

135

–

3

159

100

86

467

Bedridden

599

594

5

–

–

–

–

–

 

 

 

599

Nurse-Assist

241

236

3

–

–

–

–

–

 

 

 

241

Regular Staff

1041

464

52

 

525

 

 

 

 

 

 

1041

Protecting Healthcare Workers in Community Basti Dawakhana


The first point of contact of any patient is generally their government community center. There are 73 such centers in Hyderabad and another 150 in the nearby districts, which have four healthcare workers each and see an average of 50-100 patients per day. They see the bulk of cases in primary care and would be the first to contact any cases in the community. They also ensure that healthcare units and hospitals units upstream are not overwhelmed by treating the majority of minor complaints. Dakshas surveyed 73 of these clinics, 2/3 of which requested support. Dakshas was able to supply 5 such clinics for this week while the survey was being conducted. Dakshas has supplied a total of 298 units. Over these last four weeks it has developed a well-defined supply chain, which can easily support these 50 Basti Dawakhanas. We request your support to ensure that these front line workers are protected as the lockdown is opened up and the risk of spread of infection may rise.

Beneficiary


Parameter

Quantity

Units

Basti Dawakhana

50

units

Medical Staff

200

healthcare workers

Patients per week

22500

patients per week

One-time Cost per clinic

3200/-

No touch thermometer

Weekly Cost per clinic

7615/-

Infection Control Kit

Predict A Week Ahead:


Predict number patients at each district 7 days ahead, so hospitals in the district may prepare for the patients who will present next week.

Practice Online:


1. Orthopedic Decision Support for Primary Care


  • a. Allows Primary Physician to manage 95% of orthopedic prescriptions
  • b. 5% escalated to specialist within the program for remote opinion

2. Remote Monitoring of Elderly in Old age homes


  • a. Caregivers enter data in forms via mobile
  • b. Dashboard ear-marks abnormal vitals and red-flags
  • c. Remote medical team recommends various responses
  • d. Dashboards accumulates responses based on type, geography, vendor etc

Volunteering Opportunities:


Quarter

Activity details

Role of volunteers

Number of volunteers required

3-6 months

Senior Management

Data Analysis and Decision Making

1

 

 

Communication Strategy

1

 

 

Process Audit and Automation

1

 

Fund Raising

Grant Writing

1

 

Salesforce Nonprofit Success Pack

Coaching

1

 

Communication

Plan & Implement communication

1

 

Creative

Graphic Designer and Video

1

Dakshas Service Partners

  • Elder Spring

    Dakshas is a healthcare delivery partner for Elder Spring, providing hospitalization for surgery and medical treatment; physicians, physiotherapists, nurse assistants, medical camps and fall-prevention programmes across old age homes in Hyderabad for destitute and abandoned seniors.

    Elder Spring
  • NIN

    Dakshas developed a unique CSR model in collaboration with the Communications Division at NIN, where a lifestyle shift at the workplace generated CSR funds to support treatment of marginalized patients. Program ensures health flows both ways, while resources flow one way.

    NIN
  • Urban Community Health Centers

    Dakshas is grateful for the guidance and support to run free pain clinics in Urban Community Health Centers at Panipura and Lalapet. Patients are provided free screening, physiotherapy and remote/onsite orthopedic consultation. Further investigations and interventions are delivered through the government healthcare system.

    Urban Community Health Centers
  • Ramakrishan Mission, Hyderabad

    Dakshas provides bone and joint surgery service to more than hundred patients a day at the Vivekananda Health Centre, Ramakrishan Mission, Hyderabad. Patients are categorised based on the requirement, preventive or secondary care is provided within the premises, including investigations, physiotherapy and minor procedures. Surgical interventions are carried out at partner institutions near the patient's home.

    Ramakrishan Mission, Hyderabad
  • You See

    You See provides Dakshas with access to serve rural citizens at weekend camps through cloud-based electronic medical records and a portable radiograph for its community out-reach programs.

    You See
  • Pratham

    Pratham provides Dakshas with general duty assistants who take care of destitute or abandoned bedridden seniors in old age homes and hospitals. It is hoped that these nurse assistants will, in time, return to their village and serve their own communities.

    Pratham

Dakshas Support System

  • Philanthropic individuals and alumni networks in Hyderabad who have nutured Dakshas from its nascent stage to its current state. Individuals who are always there to shore up Dakshas with their skills, network, material and monetary contributions.

    Dakshas Support Group

  • Philanthropic Individuals from alumni networks and support systems who share Dakshas' values and always step up to plug gaps as the programme continues to grow and evolve.

    Dakshas' Volunteers

  • It is at the Vivekananda Health Centre that the Dakshas model emerged. During our formative months, we were nurtured by their firm belief in us and their patient guidance.

    Vivekananda Health Centre

  • All of Dakshas' growth is because of the immensely benevolent, patient and diligent support of TATA Trusts. Their faith in the program has reaffirmed ours in it.

    TATA Trusts

  • Virtusa's CSR helped Dakshas pivot from being a service to becoming a product, enabling healthcare providers with free capacity to channelize it in aid of marginalized patients and at a variable cost.

    Virtusa

  • Incubation at N/Core opened Dakshas to organization development, to tackle problems at scale and pivot to a product.

    N/Core

  • EPAM's generous support allowed Dakshas to envision health education programmes in schools and support marginalized patients at the same time.

    Epam

  • Timely support by Sonata Software equipped Dakshas with surgical instrumentation, which it continues to use for its marginalized patients.

    Sonata Software

  • SEWA supported Emergency Medical First Responder Training of Dakshas' volunteers who work with bedridden seniors in old age homes.

    SEWA