Garg Suneela, Bhatnagar Nidhi, Singh M Meghachandra, Borle Amod, Raina Sunil K, Kumar Raman, Galwankar Sagar
Director Professor, Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Assistant Professor, Department of Community Medicine, Maulana Azad Medical College, Delhi University, Kangra, Tanda, Himachal Pradesh, India.
J Family Med Prim Care. 2020 Dec 31;9(12):5853-5857. doi: 10.4103/jfmpc.jfmpc_1187_20. eCollection 2020 Dec.
COVID-19 pandemic has involved nations and incapacitated the health systems globally. The pandemic preparedness has been tested with immense losses. Universal health coverage is needed more than ever to recuperate from the effects of the current pandemic. Post pandemic, many lessons need to be learnt especially for developing economies like India where public healthcare system is grossly inadequate to take care of health needs of citizens. World Health Organization's framework of six health system building blocks was utilized to study the lessons learnt and actionable points in the post pandemic period. Participation in Global Health Security Alliance has to be stepped up with involvement in Joint external evaluation and development of epidemiological core capacities. National Health Security Action Plan needs to drafted and available for health emergences. Ayushman Bharat scheme should incorporate elements to address surge capacity at the time of health emergencies and measures to deliver care at the time of pandemic. Technology through telemedicine, m-health, and digital platforms or apps should contribute to trainings, supervision, and facilitation of healthcare delivery at remote locations. Open data sharing policies should be developed for the practice of evidence-based public health. Public healthcare system and health manpower trained in epidemiology should be given a boost to have system readiness to respond in case of future pandemics.
新冠疫情已波及各国，使全球卫生系统陷入瘫痪。疫情防范工作受到了考验，造成了巨大损失。如今，比以往任何时候都更需要全民健康覆盖，以便从当前疫情的影响中恢复过来。疫情过后，需要吸取许多教训，尤其是对于像印度这样的发展中经济体而言，其公共医疗体系严重不足以满足公民的健康需求。世界卫生组织的六大卫生系统构建模块框架被用于研究疫情后吸取的教训和可采取的行动要点。必须加强参与全球卫生安全联盟，参与联合外部评估并发展流行病学核心能力。需要起草国家卫生安全行动计划，以应对卫生突发事件。阿育吠陀·巴拉特计划应纳入在卫生紧急情况时应对激增能力的要素，以及在疫情期间提供护理的措施。通过远程医疗、移动医疗以及数字平台或应用程序的技术，应有助于在偏远地区进行培训、监督和提供医疗服务。应制定开放数据共享政策，以开展循证公共卫生工作。应加强公共医疗体系以及接受过流行病学培训的卫生人力，以使系统做好应对未来疫情的准备。
