Dataset Information

Multidimensional dynamic healthcare personnel (HCP)-centric model from a low-income and middle-income country to support and protect COVID-19 warriors: a large prospective cohort study.

ABSTRACT:

Objectives

Healthcare personnel (HCP) are at an increased risk of acquiring COVID-19 infection especially in resource-restricted healthcare settings, and return to homes unfit for self-isolation, making them apprehensive about COVID-19 duty and transmission risk to their families. We aimed at implementing a novel multidimensional HCP-centric evidence-based, dynamic policy with the objectives to reduce risk of HCP infection, ensure welfare and safety of the HCP and to improve willingness to accept and return to duty.

Setting

Our tertiary care university hospital, with 12 600 HCP, was divided into high-risk, medium-risk and low-risk zones. In the high-risk and medium-risk zones, we organised training, logistic support, postduty HCP welfare and collected feedback, and sent them home after they tested negative for COVID-19. We supervised use of appropriate personal protective equipment (PPE) and kept communication paperless.

Participants

We recruited willing low-risk HCP, aged <50 years, with no comorbidities to work in COVID-19 zones. Social distancing, hand hygiene and universal masking were advocated in the low-risk zone.

Results

Between 31 March and 20 July 2020, we clinically screened 5553 outpatients, of whom 3012 (54.2%) were COVID-19 suspects managed in the medium-risk zone. Among them, 346 (11.4%) tested COVID-19 positive (57.2% male) and were managed in the high-risk zone with 19 (5.4%) deaths. One (0.08%) of the 1224 HCP in high-risk zone, 6 (0.62%) of 960 HCP in medium-risk zone and 23 (0.18%) of the 12 600 HCP in the low-risk zone tested positive at the end of shift. All the 30 COVID-19-positive HCP have since recovered. This HCP-centric policy resulted in low transmission rates (<1%), ensured satisfaction with training (92%), PPE (90.8%), medical and psychosocial support (79%) and improved acceptance of COVID-19 duty with 54.7% volunteering for re-deployment.

Conclusion

A multidimensional HCP-centric policy was effective in ensuring safety, satisfaction and welfare of HCP in a resource-poor setting and resulted in a willing workforce to fight the pandemic.

SUBMITTER: Dutta U

PROVIDER: S-EPMC7902325 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Multidimensional dynamic healthcare personnel (HCP)-centric model from a low-income and middle-income country to support and protect COVID-19 warriors: a large prospective cohort study.

Dutta Usha U Sachan Anurag A Premkumar Madhumita M Gupta Tulika T Sahoo Swapnajeet S Grover Sandeep S Sharma Sugandhi S Lakshmi P V M PVM Talati Shweta S Biswal Manisha M Suri Vikas V Singh Mini P MP Ghai Babita B Chhabra Rajesh R Bharti Bhavneet B Samanta Jayanta J Arora Pankaj P Mohindra Ritin R Malhotra Sunita S Singh Gurmeet G Guru Rashmi Ranjan RR Pandey Navin N Koushal Vipin V Kumar Ashok A Bhogal Ranjitpal Singh RS Aggarwal Arun K AK Goel Kapil K Malhotra Pankaj P Yaddanapudi Narayana N Mahajan Pranay P Thakur J S JS Sehgal Rakesh R Ghosh Arnab A Sehgal Inderpaul Singh IS Agarwal Ritesh R Jayashree Muralidharan M Bhalla Ashish A Jain Sanjay S Kochhar Rakesh R Chakrabarti Arunaloke A Puri Goverdhan Dutt GD Ram Jagat J

BMJ open 20210222 2

<h4>Objectives</h4>Healthcare personnel (HCP) are at an increased risk of acquiring COVID-19 infection especially in resource-restricted healthcare settings, and return to homes unfit for self-isolation, making them apprehensive about COVID-19 duty and transmission risk to their families. We aimed at implementing a novel multidimensional HCP-centric evidence-based, dynamic policy with the objectives to reduce risk of HCP infection, ensure welfare and safety of the HCP and to improve willingness ...[more]

PMID: 33619195

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Dataset Information

Multidimensional dynamic healthcare personnel (HCP)-centric model from a low-income and middle-income country to support and protect COVID-19 warriors: a large prospective cohort study.

Objectives

Setting

Participants

Results

Conclusion

Publications

Multidimensional dynamic healthcare personnel (HCP)-centric model from a low-income and middle-income country to support and protect COVID-19 warriors: a large prospective cohort study.

Similar Datasets

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