Discussion Thread: Get to Know the NODE

MyJLN Home Forums COVID-19 Response Discussion Thread: Get to Know the NODE

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    • #1857
      Greg Olson
      @golsonmsh-org

      On June 4, the JLN hosted Get to Know the NODE a virtual discussion and launch of the COVID-19 Network for Open Dialogue and Exchange (NODE). Adolfo Martinez Valle (Mexico) hosted a discussion with Gitchi Diaz (Philippines) and Lydia Dsane-Selby (Ghana) about their experiences with joint learning and opportunities they see for joint learning during the COVID-19 pandemic.

      Due to technical issues, here is a truncated recording of the discussion that is missing the opening welcome (Kamiar Khajavi) and remarks by Feng Zhao. The slides are available here.

      Unanswered Questions

      Here are the questions that went unanswered during the discussion on June 4. We will ask our discussants to share their comments and reactions here, but encourage everyone to share your thoughts and reactions to the questions too.

      • Countries often deal with scarce resources, where should the money be spent?
      • What are countries doing to sustain other health services? Do they have a strategy to avoid unintended consequences like decreased vaccinations, avoiding treatment for chronic illnesses, etc.?
      • Is it possible to quantify any decrease in essential service use by analyzing claims data?
      • What is the role of emergency medical services in tracing, testing, and training in communities?
      • How can we involve and interest non-medical professionals in the fight against COVID-19? It often seems that the response only concerns medical professionals and government/political officials, but there are non-medical positions, like community engagement roles, that could be well suited to non-medical professionals.
      • How can a poor country that is affected by conflict effectively respond to COVID-19?
      • How can multi-sectoral partnerships and digital tools improve access to health care services?
      • Since COVID-19 spreads easily, are there any countries that have effectively limited transmission within health facilities to non-COVID patients? How did they do it?
      • What strategies did Ghana, Mexico, and the Philippines use for confining and deconfining?
      • Health insurance is an effective way to attain UHC. During this pandemic, how can process flows that integrate COVID-19 management be included as countries are encouraged to leverage health insurance?
      • What role do health insurers have in helping to promote healthy behaviours among their insured populations?
      • How can countries ensure that primary health care does not get neglected due to the urgency of pandemic response?

      Please use the reply features below to post your thoughts, reactions, and comments to the unanswered questions.

    • #1992
      Sugma Purbowo
      @sigmahealth

      Health insurer should hire family physicians to run their role in preventing the disease effectively and efficiently.

      Zoning your hospital in order to avoid within hospital spreads.

      Monitoring PHC more regularly and intensively and posing it as a hub of healthcare facilities in order to avoid its neglect.

       

       

    • #1997
      • Countries often deal with scarce resources, where should the money be spent?

      Money should be spent on use of traditional containment measures (syndromic surveillance, contact tracing and isolation), continuation of vaccination, disease control (HIV, Malaria, TB, Diabetes, Hypertension etc), and reproductive health programs through use of community health workers and telemedicine. 

      What are countries doing to sustain other health services? Do they have a strategy to avoid unintended consequences like decreased vaccinations, avoiding treatment for chronic illnesses, etc.?

      Community health workers have been of great use in rural India to sustain non-Covid services. Telemedicine services have been legalised. Online services (consults, drugs and diagnostics at home) saw significant growth in urban areas.  

      • Is it possible to quantify any decrease in essential service use by analyzing claims data?

      Hospital services saw a dramatic reduction in claims as per National Health Authority (NHA) that manages a country-wide public health protection scheme during country-wide lockdown. Other essential services like vaccinations, communicable disease control programs, and antenatal care are provided directly by public healthcare. 

      • What is the role of emergency medical services in tracing, testing, and training in communities?

      Emergency Medical Services may not have direct role in tracing, testing, and training. They should be reserved to attend to serious cases only. 

      • How can we involve and interest non-medical professionals in the fight against COVID-19? It often seems that the response only concerns medical professionals and government/political officials, but there are non-medical positions, like community engagement roles, that could be well suited to non-medical professionals.

      Community engagement was prominent and effective in rural India. Residential societies played an important role in enforcing social distancing in their localities. 

      • How can a poor country that is affected by conflict effectively respond to COVID-19?

      Poor countries should have their own strategies to prioritise limited resources. They should not ape developed world in wasting their limited resources. 

      • How can multi-sectoral partnerships and digital tools improve access to health care services?

      Covid response has to be multi sectoral as the pandemic involves lives and livelihoods. Digital tools are being effectively used wherever possible in contact tracing, mobile tracking, tele-consulting, rapid health workforce training, intense public awareness creation. 

      • Since COVID-19 spreads easily, are there any countries that have effectively limited transmission within health facilities to non-COVID patients? How did they do it?

      By designating certain facilities with requisite infrastructure as Covid-only hospitals, while others continue to serve non-Covid health needs. This has been the most effective strategy to reduce cross-infection in hospitals. 

      • What strategies did Ghana, Mexico, and the Philippines use for confining and deconfining?
      • Health insurance is an effective way to attain UHC. During this pandemic, how can process flows that integrate COVID-19 management be included as countries are encouraged to leverage health insurance?

      Health insurance (public, private, and employee) has to have a coherent response in announcing Covid-specific packages, make suitable package enhancements to cover additional costs involved in PPE use and isolation, disseminate information widely to beneficiaries, and make advances to empanelled hospitals to manage their cash-flows. 

      • What role do health insurers have in helping to promote healthy behaviours among their insured populations?

      Health insurers have access to their beneficiaries and shall use social messaging tools to reinforce health life styles and personal protection methods

      • How can countries ensure that primary health care does not get neglected due to the urgency of pandemic response?

      National-level or state-level human resource pooling and efficient distribution as per priorities will ensure adequate utilisation of workforce in primary healthcare. 

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MyJLN Home Forums COVID-19 Response Discussion Thread: Get to Know the NODE