200-bedded acute care facility at CIHSR

200-bedded acute care facility at CIHSR
S Pangnyu Phom along with department officials during the press conference in Kohima, Friday. (NP)
Correspondent KOHIMA, JUN 4 (NPN) | Publish Date: 6/4/2021 12:50:59 PM IST

 200-bed ACF to be set up in 3 months


Govt to increase vax in rural areas

Health & family welfare (H&FW) minister S Pangnyu Phom announced that the State government was setting up a 200-bedded acute care facility (ACF)  at Christian Institute of Health Sciences & Research (CIHSR) campus on a war footing.

The state government had earlier announced setting up of a 176-bedded hospital at CIHSR. However,  anticipating that the third wave of Covid-19 could affect children, it was decided to add 24-bedded paediatric ICU ward.

He said the facility would be a pre-engineered modern structure that would continue to be used as a medical facility even after Covid-19 pandemic and thus would be an additional asset for Dimapur in particular and Nagaland in general.

Addressing a press conference at the H&FW directorate here on Friday evening, the minister said the government was also seriously concerned over Covid-19 cases being reported from some villages.

In this regard, he claimed that detailed standard operating procedures (SOP) for containing and managing the cases in rural areas had been issued and that State War Room, district task forces (DTFs), village task forces (VTFs) were fully engaged in managing them.

He claimed that all available resources had been put into place to fight the pandemic, while healthcare workers and frontline workers were performing their duties by working long hours under stress and remaining away from their families for long time even at personal risk.

Pangnyu said private hospitals have come forward to take the responsibility and were fighting shoulder-to-shoulder with government hospitals in managing Covid-19 cases, adding that support from the churches and civil society organisations was also encouraging.

He appealed for continued support to ensure that the spread to rural areas was minimised. Acknowledging the death of so many people due to Covid-19, the minister extended his deepest condolences to the bereaved family members. 

Oxygen status: Claiming that the government had taken a number of steps to fight the pandemic, Pangnyu said the State procured cylinders knowing fully well that oxygen would be a critical requirement of Covid management, adding that the State currently had nearly five times more oxygen cylinders’ capacity than before the second wave had hit Nagaland. 

Besides the three PSA oxygen plants currently operational at Kohima, Mokokchung and Dimapur, he said oxygen plants at other district headquarters and CIHSR were also being set up. 

He said the State had also arranged more than 1,500 oxygen concentrators up to the level of PHC.

Pangnyu mentioned that the government had overhauled the supply chain by setting up a State depot and a zonal depot for unhindered and sufficient availability of oxygen.

He thanked CIHSR for joining hands with the government when there was an acute shortage of oxygen-beds at Dimapur. While private hospitals were supportive, he assured that the government would extend full support to them by ensuring oxygen supply, oxygen cylinders, oxygen concentrators and ventilators.

Vaccination to be increased: Vaccination being the most effective tool against Covid-19, Pangnyu said vaccination would be increased among the rural population by using Covishield vaccine. 

He said DTFs have been directed to mobilise through outreach activities and setting up vaccination sites at villages so that entire villages could be covered without much wastage of vaccine.

He appealed to the people to listen to scientists and medical professionals, instead of believing in false videos and rumours spread by ill-informed people over vaccination.

200-bed facility in 3 months: H&FW principal secretary AS Bhatia, who too was present, said the 200-bedded acute care facility at CIHSR would be set in about three-month time. He said the initial proposal was for 176 beds, but was later expanded to 200 beds by including a 24-bedded paediatric ICU ward.

Pointing out that this was done in view of the anticipated third wave of Covid-19 that could affect children, he claimed that the proposed 200-bedded facility would be able to meet the immediate needs of Covid- 19 patients and also function as a full-fledged acute care facility to deliver high quality tertiary care post pandemic. 

Bhatia explained that in view of the emergent requirement for ICU and oxygen-beds for Covid patients, it was envisaged to create a facility in the shortest possible time as a regular hospital would normally take a minimum of two-three years. 

He pointed out that the concept of a makeshift hospital was not considered as it would have been a temporary facility and could not be put to future use. 

Hence, the proposal for a pre-engineered acute care facility with most modern facilities was considered subsequently, he added.

Bhatia said the facility would be completed after obtaining necessary approvals, adding that in view of the emergency, approval was fast-tracked by invoking provisions of Disaster Management Act, 2005.

According to Bhatia, the decision to set up the facility at CIHSR was taken because of availability of land and human resources at the hospital. He said the structure would be made of steel and tempered glass.

Dismissing reports that the structure would be a “tentage”, he said the guaranteed life of the pre-engineered building would be 20 years and could last even longer with proper care and maintenance.

He also informed that proposed facility would have 108 ICU beds (including 24 paediatric ICU beds), 88 HDU beds, four dialysis beds, four emergency beds and an OPD physical digital dispensary for telemedicine.

No designated DH in Noklak: Despite Noklak being declared as the State’s 12th district, there was still no designated district hospital (DH) till date.

Asked by reporters, H&FW principal director Dr Neikhrielie Khimiao admitted that there was no DH in Noklak and hence no chief medical officer (CMO) and medical officer (MO) either.

He said the existing community health centre (CHC) was functioning as Covid hospital and a senior medical officer had been assigned to carry out the duties.

However, he informed the media that the government had proposed to upgrade the 30-bedded CHC to a 50-bedded hospital with funds from National Health Mission (NHM).

He said Covid cases, if any, from Noklak district was included in Tuensang district’s tally.

Khimiao claimed that despite manpower shortage, the department was trying its best to fill the gaps and remarked that it was impossible to arrange manpower overnight during such a crisis.

Bhatia pointed out that about 550 MOs and 88 junior MOs engaged by NHM and doctors from private hospital were engaged, hence no more doctors were available.

The health officials said DTFs had been directed to identify person with disabilities, prisoners and beggars and submit report to the H&FW directorate for setting up vaccination sites.

Rural areas in Mon record highest Covid positive cases

The health officials also confirmed that Mon district has highest number of cases in rural areas.

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