As India’s healthcare system is completely overwhelmed with the rapidly surging scale of covid-19 second wave, rural hospitals especially are in dire need of assistance to set up an operational system to meet the unprecedented influx of caseload.
Shortage in oxygen supply around the country has created an unfathomably grim reality. Evangelical Mission Hospital in the remote location of Tilda, Chhattisgarh requires infrastructure to scale up their covid services to accommodate the critical patients in need of oxygen therapy.
The last few weeks the state of Chhattisgarh has been experiencing a surge of Corona positive cases with an acute shortage of in- patient beds capable of providing oxygen support. The Evangelical Mission Hospital caters to a population of around 3,00,000 from Tilda town and 160 villages around the town in Raipur district, Chhattisgarh.
Initially the hospital had designated 20 out of 40 operational beds for Covid care. Due to high demand the number of beds for Covid care was increased to 35. However, as the cases surge, the hospital may soon function beyond their capacity.
They also started a separate fever clinic to screen and examine more than 120 outpatients and use their Emergency Unit to provide emergency service and prioritising patients, based on their immediate need and who would benefit most from treatment, for admission.
Due to lack of oxygen supply, the hospital has to turn down 10-15 patients’ every day who require oxygen therapy. Out of 35 beds the hospital is able to provide intermittent oxygen supply to 20 beds while the other beds are used for non-critical patients. The Covid services started from 13/4/2021 and since then, they have screened around 1000 patients in the fever clinic.
The hospital had to procure its own testing kits and are now testing at the facility. Due to resource constraints the testing is used exclusively for clinical decision making. Of the 90 patients tested in the last two days 58 tests were found positive.
Shortage:
Currently the hospital is providing oxygen to patients with small individual oxygen cylinders, getting each cylinder filled three times a day from a steel plant, located 1.5 kilometers away.
Looking at the progressive numbers of COVID-19 cases in the district, the hospital is in urgent need of a centralised oxygen supply system to all beds in their covid ward as well as more oxygen cylinders to scale up their covid service. The central oxygen pipeline system will reduce the turn-around time to refill the oxygen cylinders, and enhance the oxygen supply capacity of the hospital, and would be able to serve a 50 bed COVID ward.
Timeline - It would take 10 days to create the central pipeline system
Requirement:
|
Infrastructure |
Numbers |
Unit Cost (INR) |
Total (INR) |
|
Centralized Oxygen Supply Pipeline |
1 |
10,00,000 |
10,00,000 |
|
Oxygen Cylinders |
40 |
20,000 |
8,00,000 |
Update from Evangelical Mission Hospital
From the support raised, Evangelical Mission Hospital has been able to procure more than 11 oxygen cylinders and has started the work of the central oxygen pipeline. This would help them to respond immediately to the rising caseload and provide oxygen support to the acute patients from marginalised communities.
|
Infrastructure |
Numbers |
Unit Cost (INR) |
Total (INR) |
|
Centralized Oxygen Supply Pipeline |
1 |
10,00,000 |
10,00,000 |
|
Oxygen Cylinders |
40 |
20,000 |
8,00,000 |
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