The world needs more ideas to address the immediate impacts of COVID-19 and its long-term consequences.
Image: REUTERS/Phil Noble – RC2A6I9OAYDW
Andrin Schwere
Topic Curator, UpLink, World Economic Forum Geneva
I contracted COVID-19 during the second wave, however, my symptoms were mild. As was the norm prevalent at that time, I had to isolate myself at home in my small village in Palamu district, Jharkhand. Home isolation was challenging as I was away from my family whilst also managing household chores and cooking for myself. Being alone was only making me feel all the sicker. During my isolation, I had severe stomach aches, chest pain, excess sweating, and gastro issues. Due to the lack of doctors in the village, I had spoken to a few doctors whose details I got thru references, however, their medication didn’t work.
I felt all the more isolated and it took a toll on my mental health. I then decided to look for COVID-19 care-related helpline numbers when I came across NISHTHA Swasthya Sampark helpline that provided free teleconsultation by a remote doctor. I immediately called the helpline and I was connected to a remote doctor. The doctor queried about my name, address, age, and the health issues I was facing and carried out a thorough diagnosis. The doctor suggested a couple of exercises, asked to drink plenty of water, eat nutritious food and meditate.
I began following the doctor’s advice. What amazed me through this entire process was that I received multiple follow-up calls from the NISHTHA Swasthya Sampark helpline checking on my health status and my well-being. Seeing the rising number of infections, deaths of young and old couples with being isolated, I feared for my life. But with this helpline, I was totally relieved and received immense support from the NISHTHA Swasthya Helpline team. It just felt like a family member checking on my health status which helped me recover soon.
“I thank all those involved in launching the NISHTHA Swasthya Sampark helpline for this excellent initiative and for helping people in isolation. I feel much better today. They were there for me when I needed emotional support the most”
I am a physiotherapist based in Jharkhand and President of Arogya Foundation of India, Dhanbad Bagh. During the second COVID wave, there was a rise in post covid complications amongst recovered patients. To address this issue, we started consulting patients as remote doctors for the NISHTHA Swasthya Sampark helpline – a helpline for post-COVID care. This helpline was launched by the Govt of Jharkhand in partnership with USAID-NISHTHA.
I have been working on this helpline for the last 2 months and have attended multiple calls with regards to post- COVID breathing problems, muscular weakness, emotional and physiological problems. Being a physiotherapist, I aim to improve patients’ quality of life and ensure that their lives are back to normal.
In these months I have attended to multiple patients calling in with breathing problems & spondylitis issues. For those with breathing problems, I demonstrated breathing exercises virtually, while those with spondylitis issues were shown different yoga exercises and postures. I also attended to patients who suffered facial and hemiparesis (one side body paralyzed) paralysis. These patients were anxious about their health. I showed them specific exercises for their paralysis and also counseled them to boost their confidence.
During my follow-up calls with the patients, I received plenty of positive feedback about the helpline. They were satisfied with the helpline’s services. Patients were also happy with the treatment they received.
“The NISHTHA Swasthya Sampark helpline has helped many COVID recovered patients who needed constant care during their post covid recovery. I was trained virtually on the features of the app and on connecting with patients through this tech-based platform. I thank all the stakeholders involved in launching this helpline that can help patients who are in dire need of immediate care and treatment”
PATIENT STORIES
In addition, we provide technical advice to the tech platform by addition of new features for low bandwidth/offline compatibility, better training of health providers, improved security practices, improved data dashboards, and more reliable system performance. The SoPs and technology developed in this project will be used for national replication of eSanjeevani Platform implementation for amplified impact.
The platform has enabled over 25000 consultations for many health issues faced in rural areas. The project is currently working in five aspirational districts – Khunti, Gumla, Loherdaga, Simdega, and Ranchi.
However, owing to the implementation of eSanjeevani a telemedicine initiative in the district, the mother could bring the child to the nearest Health and Wellness Centre (HWC) for treatment and immediate care instead of traveling to far-flung city hospitals. The Community Health Officer (CHO) provided first aid to the child and initiated teleconsultation with a remote doctor for a further treatment plan. The remote doctor prescribed necessary medications and the child is on the road to recovery. Telemedicine enables timely, affordable as well as quality healthcare treatment without having to travel long distances resulting in saving of time and money.
Intelehealth & Transform Rural India together have partnered with Govt. of Jharkhand, NHM Jharkhand & CDAC to enable telemedicine services in the underserved communities of the state.
I then went to my mother’s house which was a little away from where my in-laws were staying. My sister Pratibha Singh who is working as Community Health Officer under the eSanjeevani program asked me to visit the health and wellness centre. So I visited the HWC where a remote doctor teleconsulted me and gave an in depth diagnosis. The doctor prescribed a few medications and in a week’s time, I was feeling much better. The fever had gone and I had a good amount of energy
“I am grateful to the eSanjeevani team for launching this project in rural areas where people have poor access to quality healthcare. In Spite of spending thousands of rupees in traveling to hospitals, medications and OPD’s, I didnt get well whereas at eSanjeevani AB-HWC, not only was the consultation free of cost, but I also recovered in a week’s time”
A video consultation with doctor was arranged. The doctor upon checking Rajendra’s medical history advised him to only do the vaccination once his sugar is within a comfortable range. The doctor prescribed a few tests and medications for a month. Rajendra did a thorough test where the results detected the prevalence of Type 2 diabetes. The doctor suggested a diet plan, rigorous exercise, and prescribed medications.
Rajendra visited the HWC after a few days for follow-up and did a test again where his sugar level had come down. He did not complain about the puss that was oozing out from the ulcers or giddiness. He kept coming in for regular follow-ups to the HWC, where he showed gradual improvement and eventually managed to take his vaccination.
Intelehealth & Transform Rural India together have partnered with Govt. of Jharkhand, NHM Jharkhand & CDAC to enable telemedicine services in the underserved communities of the state.
This devastated me and I feared for my future. I was on rigorous physiotherapy for a while. As time passed, I always saw a blurred vision of my dream. This helped me stay strong and not give up. I said to myself, my health condition shouldn’t be an excuse in treating patients. Hence, I customized my car at my own expense and travelled to the hospital to treat patients and teach students. It was not easy as I had to make multiple visits to the college office for partial reimbursements, approached the staff to adjust my working schedule roster so on and so forth. The college has been very supportive as I am the only doctor with a special case.
During my spare time, I love reading books and painting. I have written and published my own book ‘Girl with wings on fire’, which is on my struggle post by accident. I hope that it will motivate many people to pursue their dreams inspite of adversities. Over time my passion for teaching grew and treating kids gave me a sense of joy; just being around them and seeing them smile made me happy.
“I am thankful for this project. It has enhanced my confidence and boosted my morale. Working from home has helped increase my productivity and save travel time as I strive to deliver quality consulting services to the needy who are most vulnerable during this pandemic”
Read how Shamina, a domestic violence survivor fulfill her calling by working as a councellor with the Vikalp helpline
Initially, we worked offline, maintaining case documents, pulling up old files for follow-ups etc., but with Intelehealth’s support, our work is now hassle-free, we save a lot of time in making notes instead we just feed in the information on the app and can access any document with just a touch of a button or screen. I am grateful to the people who have launched this helpline; it is a dream come true. Today, I am a much stronger woman than ever. I urge survivors of domestic violence and sexual harassment, to call on the helpline (1800-309-4120) and seek support. You are not alone, we are here to listen to you and help you in every possible way.
with Aaroogya Foundation & COVID-19 Pandemic Wellbeing Taskforce
with Morbi Health Department & District Panchayat
with Ekal Abhiyan & Arogya Foundation of India
The world needs more ideas to address the immediate impacts of COVID-19 and its long-term consequences.
Image: REUTERS/Phil Noble – RC2A6I9OAYDW
Topic Curator, UpLink, World Economic Forum Geneva
The COVID-19 pandemic has put one third of the global population into lockdown, brought industries and economies to a standstill and placed immense strain on health systems all over the world. At the same time, worldwide demonstrations and protests have called for equality across society, reduced economic disparities, and greater inclusion.
In recent weeks, UpLink – a digital platform for surfacing and scaling innovations that could solve some of the world’s most pressing challenges – has been sourcing solutions that address the immediate impacts of the pandemic and its long-term consequences, which are much needed but yet often remain unidentified and unsupported.
All solutions submitted on UpLink have been carefully reviewed and assessed by a high-level group of experts from the World Economic Forum’s public health, impact investor, international organisation and civil society networks to elect the first UpLink cohort of 15 innovators.
The World Economic Forum and UpLink will work extensively with this group of innovators over the next months to scale their impact, promote their work on our social media platforms, present them at our events and introduce them to experts and potential funders who can accelerate their ideas.
UpLink is on a mission to surface and accelerate innovators from around the world. Here are the first UpLink COVID cohort who have answered the call:
Intelehealth is a telemedicine and case management platform connecting patients and frontline health providers with remote doctors to deliver high quality health services to last mile populations.
Flare provides the ‘next generation 911’ for the billions of people around the world who do not have access to help during an emergency.
Quartolio streams research insights from millions of medical and scientific documents in real-time to allow researchers to respond accurately to current and future health crisis.
PanaBIOS is a pan-African reopening digital platform to boost the continent’s long-term recovery from the effects of the pandemic by restoring cross-border travel through digital health clearance, building an electronic vaccine registry and a continental disease hotspot early-warning radar.
Elemeno Express is a cloud-based solution that delivers bite-sized information directly to frontline teams on any device, desktop or mobile.
PEGASI is making medical information accessible, clear and useful for clinicians and patients in the developing world, while tracking epidemic and endemic diseases and creating actionable insights that strengthen healthcare systems.
NEO by PhysioQ is a free platform that allows users to monitor the vital signs of family members and friends via affordable wearable devices.
Medixus is a secure, specialist peer-to-peer African medical community that uses an app to centralize medical knowledge to improve clinical decision making and capacity building.
Carbon Health is a primary care provider delivering a premium experience through its modern clinics and virtual care, making world-class healthcare accessible for everyone.
HelloBetter strives to deliver on the promise that mental health is a human right, by making evidence-based mental healthcare universally accessible and providing digital therapeutics for mental health disorders.
Covoucher is Turkey’s first digital voucher platform to support small businesses at the local level during the COVID-19 pandemic. It provides them with cash liquidity and financial sustainability, bringing together small business owners and their frequent customers in an online platform.
Mujeres WOW is an AI-based lending and credit scoring platform targeting female entrepreneurs.
JOWOMO helps companies that have been hit by the COVID crisis by providing an online platform that allows the flexible exchange of employees and a socially more efficient distribution of labour.
origintrail provides certified medical equipment needed to prevent and control COVID-19 and future outbreaks. The tool applies accountability to supply chains and prevents the sale of fake goods.
Desolenator helps remote communities build sustainable water resilience in the face of climate change and the COVID-19 pandemic by using solar panels to purify water.
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