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Bhubaneswar: The Odisha government on Wednesday issued an order detailing the action plan for conducting the proposed three-month door-to-door Covid-19 survey in the State by the ASHA and Anganwadi workers-from May 24 to August 31.
“During the door-to-door survey, the ASHA and Anganwadi workers will conduct surveillance on Covid-19 symptoms and co-morbid conditions of the people in all the rural areas and urban slums,” read the advisory issued by Additional Chief Secretary PK Mohapatra.
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Here is the detailed action plan for the door-to door survey:
1.House to house survey for monitoring of Covid-19:
• Fever surveillance: Conduct regular fever surveillance at household level.
• Facilitation for Covid-19 testing: Counsel symptomatic cases to undergo early testing for Covid-19 at nearest facilities.
• Follow up of Covid-19 positive cases: Facilitate for arranging medicines through RRTs and facilitate referral for treatment at appropriate facilities if required.
• Promotion of Covid-19 appropriate behavior: Improve awareness on Covid-19 appropriate behavior through writing messages on Swastya Kantha and distribution of leaflets during home visits and demonstration on proper use of mask and right procedure of hand washing.
• Improve Covid-19 vaccination coverage: Mobilise eligible persons for Covid-19 vaccination, particularly for and those within the due window period.
• Record maintenance: Record details (date of one of symptoms, date of swab collection, date of report, date of initiation of medication, whether in home isolation/ referred to facilities/ outcome etc.) of individual positive cases in the ASHA diary.
2. House to house survey for taking up of other Covid-19 management initiatives and non-Covid-19 essential healthcare services:
• Identification and management of existing patients with co-morbid conditions: Identify patients with co-morbid conditions such as diabetes, hypertension, malnutrition etc. at household level and counsel them for continuing prescribed medicines and guide them to attend nearest health centers for availing medicines, if any.
• NCD screening: Screening of household members using revised CBAC format and refer persons with risk factor for further screening at sub- centre if required.
• Prevention and management of diarrhea at household level: Prepositioning of one packet of ORS at all households and additional one packet of ORS for each under five child of household distribution of two packets of ORS and 14 tablets of Zinc to each under five child having diarrhea referral of severe dehydration cases to facility after administration of ORS.
• Screening of presumptive TB cases: Screen the presumptive cases for basic signs and symptoms of TB like cough for two weeks or more fever for two weeks or more significant weight loss, haemoptysis If all/ any of the symptoms found then ASHA will give a sputum cup and laboratory form for referral of the sputum to nearest DMC counseling of TB cases for continuance of medicine if any.
• Diagnosis and management of malaria: Diagnosis for malaria through RDT for Covid-19 negative fever cases treatment of malaria positive cases and follow up for ensuring complete radical treatment, if required.
• Mobilization of critical patients for continuance of medication: Mobilize registered patients of non communicable diseases for continuance of chemotherapy and dialysis at facilities for appropriate treatment and sensitize them on precautions to be taken for Covid-19.
• Promotion of Covid-19 appropriate behavior among vulnerable groups: Sensitize patients with co-morbid conditions and elderly persons to strictly follow high risk group precautions for Covid-19 like wearing mask, maintain social distance, proper hand wash at regular interval, remain at home etc.
3. Other activities:
• Facilitation for safe delivery and referral of sick infants: Accompany pregnant women for delivery, refer sick children for treatment as per HBYC protocol and ensure other essential services as per mandate.
• Promotion of hand washing practices: Demonstration of hand washing with soap and water at VHND and FID sites.
• Vector control measures: Educate people on identification and elimination of vector (Aedes mosquito) breeding sites in and around the houses & use of LLINs/TN/ bed net through educational sessions at VHND & FID sites and display in writing at Swasthya Kantha.
4. Guidance note for ASHAs during home visits:
• All field level activities will be taken up by ASHAs under the guidance of HW (F)/ HW(M) / Supervisor.
• ASHA has to cover at least 20 households in a day and at least touch each household minimum twice in a month. But wherever required (especially houses with positive cases), she shall visit on daily basis.
• During home visit, ASHA has to take all precautions like wearing mask and gloves, use sanitiser and maintaining social distance. District administration must provide adequate personal protective kits and logistic to ANMs, ASHAs and AWWs for self protection during house to house survey.
• ASHA/AWW may use the booklet on home isolation and self-care during Covid-19.
