Abstract
With the escalating number of covid-19 positive cases and amidst the glooming shadows of an anticipated second wave of the covid-19 pandemic, the health care system of a developing country like India is already under pressure. With the encroachment of monsoon season, the ghosts of the past haunt India. Monsoon brings along endemic diseases like dengue, malaria, swine flu, Japanese encephalitis, chikungunya, etc. Every year there is significant morbidity and mortality. These diseases have clinical features of fever, sore throat, and body aches in common, which also happens to be the common manifestations of covid-19. The growing stigma related to COVID-19, the fake news, and fear related to hospitalization and isolation may lead to low reporting cases to the hospitals. Lockdown and non-availability of beds may perplex the situation further. There is an urgent need of the hour to address this grave issue to prevent a major mishappening. A comprehensive evaluation of the health-care systems is desperately needed, especially on the fronts of governance, decision making, scientific and technical advice, and operational capacity.
Highlights
India is only behind the USA in COVID-19 cases globally
India is already struggling to tackle the steep rise in daily COVID-19 cases, exhausting its health care resources
Every year illnesses like Dengue, swine flu, chikungunya, and malaria consume and exhaust India's health care resources during monsoon
Summary
India is only behind the USA in COVID-19 cases globally. As of 04 December 2020, there have been 9,571780 confirmed cases of COVID-19 with 139,227 deaths [1]. India is already struggling to tackle the steep rise in daily COVID-19 cases, exhausting its health care resources. It still has many limitations in health care services. Every year illnesses like Dengue, swine flu, chikungunya, and malaria consume and exhaust India's health care resources during monsoon. It goes to such an extreme that there are bed-sharing in many hospitals due to unavailability of bed. ▪ Minimizing the gap in health care quality in urban & rural belts as there is an urgent need to improve access to and quality of health care across service areas and for all populations Urgent actions that need to be taken; ▪ Compiling and Displaying the list of non-COVID-19 hospitals on various media platforms, including social media. ▪ Safeguard and promote access to non-COVID-19 hospitals with a safe and affordable commute. ▪ Invest in improving the present conditions with quality infrastructure for non-COVID-19 facilities. ▪ Re-activate and scale-up services for the early recognition and management of child wasting, acute febrile illness, and various water bore and vector-borne diseases endemic to India, along with COVID-19 testing centers. ▪ Reinforce and design effective programs and social movements to reduce the stigma and encourage people to seek medical care, curtailing the pandemic. ▪ Reaching out and educating the rural population, the illiterates, and underprivileged communities. ▪ Empowering primary health care services. ▪ Sustain the delivery of nutritious & safe meals for vulnerable communities and children to fight malnutrition and upsurge community protection to preserve access to essential services and nutritious diets. ▪ Minimizing the gap in health care quality in urban & rural belts as there is an urgent need to improve access to and quality of health care across service areas and for all populations
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