HEALTH- A NARRATIVE ON DEDICATED COVID INFRASTRUTURE

THREE-TIER ARRANGEMENT OF DEDICATED COVID-19 HEALTH FACILITIES IMPLEMENTED TO REDUCE COVID RISK

4,135 PSA PLANTS BEING ESTABLISHED IN COUNTRY TO ENHANCE OXYGEN GENERATION CAPACITY BY 4,852 MT

GUIDELINES DEVELOPED FOR SETTING UP OXYGEN PLANTS IN ALL HEALTH FACILITIES

GOVERNMENT ENSURES ADEQUATE SUPPLY OF MEDICAL OXYGEN FOR PATIENT CARE IN STATES; MORE THAN 4 LAKH OXYGEN CYLINDERS SUPPLIED TO STATES/UTS/ CENTRAL GOVERNMENT HOSPITALS

Covid-19 virus posed an unprecedented challenge to the country which was tackled with an agile approach, based on feed-back loops, real-time monitoring of actual outcomes, flexible responses, and safety-net buffers, as discussed in previous Economic Surveys.  Over two years since the pandemic was declared, the Government has taken various fiscal and social measures to balance the revival of the economy and deal with increasing caseloads. These included ramping up health infrastructure, both physical and digital, enhanced training of health professionals and, continuing with the mass vaccination drive,  says the Economic Survey 2022-23. The Union Minister for Finance & Corporate Affairs tabled the Economic Survey 2022-23 in Parliament today.

Highlighting the focus of Government on scaling up of health infrastructure under the Aatmanirbhar Bharat Abhiyaan, the Survey observes that the Union Government focussed on scaling up expenditure on health infrastructure by (a) investing in grass root health institutions and ramping up HWCs in rural and urban areas; (b) setting up critical care hospital blocks in all districts; and (c) strengthening the laboratory network and surveillance by integrated public health laboratories in all districts and blocks and public health units to manage pandemics. The State Governments also took various measures to fight the pandemic. This was complemented by digital infrastructure through Co-WIN for mass vaccination and e-Sanjeevani for telemedicine to reach the last mile. The timely intervention at all levels helped India navigate the Covid pandemic successfully despite successive shocks, notes the Economic Survey.

The Survey observes that in the last few months, the caseload has subsided significantly, where the active caseload is below 4000 and daily new cases recorded below 300 ( as of 29 December 2022).

Dedicated Covid Infrastructure:

A three-tier arrangement of dedicated Covid-19 health facilities in the country was implemented to reduce the risk of cross-infection to non-Covid patients and to make provision for non-Covid essential health services, mentions the Economic Survey. This three-tier arrangement of health facilities comprises (i) a Dedicated Covid Care Centre with isolation beds for mild or pre-symptomatic cases; (ii) a Dedicated Covid Health Centre oxygen-supported isolation beds for moderate cases, and (iii) Dedicated Covid Hospital with ICU beds for severe cases. Besides this, tertiary care hospitals under the ESIC, Defence, Railways, Central Armed Police Forces, Steel Ministry, etc., were also leveraged for case management. In addition, in many states, the Defence Research and Development Organisation (DRDO) utilised large-scale field hospitals to rapidly scale up treatment capacities.

Oxygen Infrastructure Strengthening during Covid Pandemic

• Pressure Swing Adsorption (PSA) Oxygen Generation Plants:  Elaborating on the criticality of PSA plants, the Economic Survey states that PSA plants are being established in hospitals, especially in far-flung areas enabling the hospitals to become self-sufficient in the generation of oxygen for their needs and, thereby, reducing the burden on the medical oxygen supply grid across the country. It was emphasised that each district of the country should have at least 1 PSA plant from PM-CARES support at the public health facilities. Accordingly, 4,135 PSA plants are being established in the country, which enhance the oxygen generation capacity by 4,852 MT, as per details below. Ministry of Health and Family Welfare (MoHFW) has developed and shared the guidelines on indicative norms for setting up oxygen plants in all health facilities on 6 July 2021 with the states, the Survey states.

Source	No. of PSA Plants	Commissioned
PM-CARES	1225	1225
Central Government PSUs	283	283
Foreign Aid	53	50
State/CSR Initiatives	2574	2571
Total	4135	4127

   * Data as on 28 December 2022

• Oxygen Cylinders: The Survey mentions that the Government has ensured an adequate supply of medical oxygen for patient care in the states. Until now, 4,02,517 oxygen cylinders have been supplied to States/UTs/ Central Government hospitals; which consists of 1.0 lakh by Central Medical Services Society (CMSS) in 2020; 1.3 lakh by CMSS in 2021; 1.5 lakh by DRDO in 2021 and 23,000 from foreign aid. The oxygen cylinder allocation has been performed in a transparent and participative manner with States/UTs.

• Moreover, MoHFW has approved distribution of additional 14,340 D-Type oxygen cylinders among states from UNICEF-ADB (Asian Development Bank) support, which is under process.

• Oxygen Concentrators: A total of 1,13,186 oxygen concentrators have been procured by the Government for Covid management, i.e., 99,186 under PM-CARES through ONGC for use in rural areas; and 14,000 under Emergency Covid Response Package (ECRP) support. All these domestically procured concentrators have already been allocated to states/UTs. Moreover, states have been advised to promptly issue oxygen concentrators to districts with details of consignee points and promptly enter data pertaining to the receipt of oxygen concentrators at the district level on the OC-MIS portal (OxyCare MIS Portal).

Dedicated Covid infrastructure and decentralised oxygen generation strengthened health facility readiness and supply chain resilience. A three-tier Dedicated Covid Infrastructure segregated care for mild, moderate and severe cases through isolation centres, oxygen-supported centres and hospitals with ICU capacity. To secure oxygen supply, authorities issued norms for decentralised installation of PSA oxygen generation plants at public health facilities and pursued district-level generation capacity, while managing transparent allocation of oxygen cylinders, approving additional distributions from partners, and procuring and allocating oxygen concentrators with district-level reporting on an oxygen concentrator MIS portal.