Abstract
The novel Covid-19 pandemic has emerged a new sequel of distributing scarce resources according to a critical triage system and has put the healthcare management into a greater difficulty in allocating resources. Different countries have addressed these issues in different manners but highlighted on having a good response framework. The Covid operation cell was established during the first wave of Covid-19 in Base Hospital Horana and it was consisted of all relevant stakeholders. It was expanded during the second wave and the functions were done according to the strategic response framework. Decisions were made through several subcommittees. The framework outlined the objective of addressing issues on resources management in health care services at the Base Hospital Horana and to propose strategic actions to strengthen health care services during the Covid-19 pandemic. The strategic response framework included institutional policies, continuation of patient care, human resource management, logistic management, caring and emotional support for Health Care Workers (HCWs) and environment cleanliness. Most of the developments within the hospital were done to continue healthcare services to the patients while safeguarding the staff. The outcome of the response framework was to give the maximum service for patients without any intra-cross infections among HCWs.
Highlights
The Covid-19 pandemic has put an enormous strain on Health systems all over the world
Horana is a type A Base Hospital with 518 beds before Covid-19 but it was increased by 10 beds after establishment of Covid isolation ward
Environmental cleanliness Environmental continuous cleaning was ensured with Tropical Chloride of Lime (TCL) spraying, mobbing walls, floors, windows according to a time table and appointed a responsible person to monitor it
Summary
To describe the issues on resources management in health care services at the Base Hospital Horana and to propose a strategic response framework to strengthen healthcare services during the Covid-19 pandemic. Methodology A descriptive cross sectional study was conducted with both qualitative and quantitative components based on data collected at the infection control unit, by desk reviews, Focus Group Discussions (FGD) and Key Informant Interviews (KII). The Covid operation cell was established and initiated the strategic response framework including institutional policies, continuation of patient care, human resource management, logistic management, caring and emotional support for Health Care Workers (HCWs) and environment cleanliness
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