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 |