Terms of Reference For The State Level Committees 1
Terms of Reference For The State Level Committees 1
Terms of Reference For The State Level Committees 1
WHO hos declored COVID pondemic ond since then the Deportment of
. " Heolth ond Fomily Welfore hos constituted vorious monogement structures ot
the Stote ond District level for monoging specific oreos. These monogement
units hove been functioning from Jon2020 onwords. During the post two yeors
the members of these vorious committees hove goin experience, knowledge
to respond to requirements os per the situotion of the pondemic.
The country ond stote is entering into the third wove due to voriont of concern
OMICRON, it is importont to reinvigorote the Stote level ond district level
siructures, specific terms of reference for the functioning ond the experience
goined of the lost two yeors put to proctice.
All officers in the Stote sholl strictly follow these guidelines concerning COVID-
19 monogement.
. The commiitees sholl supervise oll the octivities done ocross the Stote in
their corresponding domoins.
. Representotives from eoch committee sholl be present in the review
meetings ond oiher meetings wherever suggested by outhoriiies.
o All Committees ond members sholl work in lioison with corresponding
teoms in the districts ond compile the octivities to prepore octivity
reports
o The,-respective Committees moy co-opt the persons necessory to
compile the reports ond support the districts occording to the needs.
. They sholl ensure thot the specific octivities ore conducted, doto
colloied ond presented in o porticulor formot os per the requirements.
. The Committee members sholl visit the districts to ossess ihe situotion
ond provide supportive supervision to sirengthen the interventions.
Page 1 of 18
. They sholl develop quolity control ond quolity ossuronce systems to
provide technicol feedbock to the field os well os of the Stote level so
os to toke oppropriote initiotives.
. Technicol support for the committees sholl be provided by the lT wing
of NHM ond eHeolth PMU.
The designoted teoms ond members ore ottoched os on Annexure.
According to the Terms of reference mentioned below, the following
teoms sholl work independently with the teoms of the district level.
l. Surveillonce
o. Hospitol Surveillonce
b. Field Surveillonce
c. Lob Surveillonce
d. Mortolity Surveillonce
2. lnfrostructure ond Humon Resource Monogement
o. Medicol Colleges
b. lnstitutions under DHS
c. Privote Hospitols
d. Field Hospitols - CFLTC, CSLTC, DCC
3. Moieriol Monogement, Tronsportotion ond Oxygen Monitoring
4. Voccine Monogement
5. Post-Covid Monogement
6. Copocity Building ond knowledge monogement
7. Telemedicine
B. Psychosociol Support
9. Stote Control Room Monogement & Documentotion
.l0.
Doto Monogemeni ond lT support
I l.IEC/BCC ond Medio Surveillonce
12. Coll Center Monogemeni & Public Relotions
Page 2 of 18
Slote Conlrol Room - Mondoles
Page 3 of 18
prepore doily ond monthly reports, reflecting the observotions ond woy
forword for volue odditions to the services provided. They ore olso
expected to include the chollenges foced of the field level with solutions
/recommendotions for oddressing the some.
o A COVID medio bulletin ond Voccinotion bulletin sholl be prepored doily
ond published on officiol websites. ln oddition, the Public Heolth ond NCD
divisions sholl olso publish weekly bulletins on Communicoble diseoses ond
non-communicoble diseoses, respectively.
."o Sholl document the octiviiies done by the Stote ond District Control Rooms
bosed on reports submitted by the individuol committees ond districts
o Sholl oci os o single-window for oll communicotions beiween the Stote
Conirol Room ond District Control Rooms
. Sholl compile octivity reports by individuolcommittees ond prepore octivity
reports for the Stote.
. Sholl prepore timely reports ond presentotions in consultotion with individuol
commiitees for review meeiings.
. Ensure proper communicotion of oll decisions to districts ond public heolth
institutions for the implementotion of the decisions mode in meetings
. Act os o nodol point for coordinoting control room octivities ond lioison with
oiher committees of the Control Room
. Sholl ensure proper communicoiion to vorious committees in the control
room regording informotion reloted to meetings, guidelines, ond SOPs
. Sholl ensure communicotion to concerned committees for website ond
sociol medio updotion.
. Sholl coordinoie with Districi Control Rooms ond oct os o Communicotion
chonnel for the Stoie Control Room.
Surveillonce Teom
Page 4 of 18
Voccinotion stotus of doily hospitol odmitted Rotients I
(first/second dose) I
Page 5 of 18
Lob Surveillonce Support ond superrise t
Stote /District level; plon ond Supervise testing
Strotegies for ihe Stote.
Doily reporting from LDMS portol for declorotion
of
positive coses
Doily consolidotion of district summories, onorysis,
ond
reporting
weekly trend onorysis of posiiivity rote ond testing rote
done.
Averoge trend onorysis of positivity rote, iesting rote
ond RT PCR testing rote will be done.
Whole Genome Sequencing (WGS) reports
Monitor ond support the districts for ottoining Testing
Torgets
Anolysis of Lob Surveillonce doto ond preporing
relevont reports.
coordinotion of vorlous Testing octivities oi the stote
Page 6 of 18
All the required doto must be collected prompfly by oll teoms,
doily/weekly/monthly onolysis to be done, ond reports to be submitted
in time.
The teom leoders must ensure thot oll reports sent by their teom ore
complete ond submitted os ond when directed by higher outhorities.
The Stote Epidemiologist ond EIS officer sholl oversee those reports
submitted in time by oll teoms; compile ond onolyse the reports of
vorious teoms for finol submission to Govt.
The Stote PEID cell coordinotor should ensure thot reports from oll
regionol PEID cells ore sent to the Surveillonce teom on time.
The Public Heolth experts from Medicol College will be supporting oll
teoms for doing onolysis ond writing reports. They will olso submit onolysis
reports on eorly worning signols, predictions ond preporing protocols for
scientific studies.
Allthese teoms sholl hove corresponding structures of the district levelto
collect, compile ond onolyse doto.
Page 7 of 18
octivoting odditionol field hospitols or identifying odditionol ICU beds ond
ventilotors. The DPMSU should olso hove coll centres to respond to potient
core ond hospitolisotion queries ond on ombulonce neiwork to ensure hossle-
free tronsport of COVID potients.
The teoms sholl collect the totol ovoiloble infrostructure detoils like
Totol beds, Oxygen beds, ICU beds ond Ventilotor doto on o weekly bosis ond
the occuponcy detoils ocross eoch of the obove cotegories on o doily bosis.
Occuponcy trends sholl olso be monitored of the stote ond district level.
Responsibilities
o The hospiiol Surveillonce teom collects, compiles ond onolyses the doio of
covid positive potients odmitted of Covid Hospitols/CFLTC/CSLTC/DCC
ond Privote Hospitols.
o The list of positive potients to be prepored in such o woy thot LSGI wise
informotion sholl be mode ovoiloble to LSGI, District ond Stote.
o Doily Line list must be mointoined to copture detoils of new odmission,
referrol, deoth, SARI/lLl. Coses, Mucormycosis coses etc.
o The doto from medicol colleges should be collecied ond compiled by the
Stote PEID cell, ond o representotive teom member from Medicol College
should ensure thot doily reports ore seni timely to the Hospitol Surveillonce
teom.
o The surveillonce of potients odmitted of Privote hospitols sholl be done with
the help of SHA. They should ensure ihot the Privote Hospitols ore giving
doto promptly.
o A representotive from the Urbon PHC Monogement teom (NUHM) should
ensure thot doily hospitol Surveillonce doto from their respective oreos ore
sent to the hospitol surveillonce teom.
o The teom should olso coordinote with the infrostructure teom, who ore
collecting infrosiructure doto ond doily bed occuponcy stotus.
o The teoms should olso oversee the hospitol doto from the Covid Jogrotho
portol ond triongulote the doto for onolysis.
Page 8 of 18
Monitoring & Evoluotion
The reporting time for doto is set os 12pm to the Stote teom for oll doto
reloted to infrostructure ond HR. The bed strengih ond occuponcy doto ore
collected from oll peripherol heolth core instituiions ond compiled of the
dlstrict level. This doto is volidoted, errors rectified ond reported to the
lnfrostructure Teom of the stote level, who cross-check the doto before
sending it to the Stote Control room. The Stote Control room compiles the
doto, ond ony discreponcies or mismotches ore rectified before submitting it.
Doto volidolion
ln oddition to this, the doto collected ond compiled of the siote control room
from the four verticols such os institutions from field hospitols, DHS, DME ond
privoie sector ore sent bock to districi progromme monogement ond
supporting unit, district control room, district collectors ond stote wor room for
identificotion ond reporting of disporities from their end too. This system ensures
thot the doto collected ond used for plonning purposes serves the some.
Doto Reporting
The nodol officer of the district teom sholl be o deputy DMO or o Junior
Administroiive Medicol Officer (JAMO).
Page 9 of 18
Aport from this, the Monitoring ond feedbock from district control rooms ore
token in the meeting conducied by the stote control room, which escolotes
ony sensitive issues to the concerned teoms. Any chonge in the stote ond
notionollevel guidelines is communicoted to the districts in these meetings ond
the usuol communicotion chonnels such os emoil ond WhotsApp.
The Stote teom should conduct meetings regulorly wiih the district teoms to
ensure volidotion ond give essentiol feedbock to the districts.
The Stote lnfrostructure ond HR Monogement Teom, Stoie Control Room, Joint
Secretory (heolth), Joini DME, Director of Heolth Services ond Stote Mission
Director (NHM) sholl olso meet online regulorly to onolyse the scenorio. The
^ necessory directions for solving the identified issues ore given ond ore
ultimotely communicoted to the districts'
Surge plons
Bosed on the projection of coses, oll districts should prepore surge plons for the
entire district ond seporote plons for oll the mojor hospitols in the district.
District ond Stote control rooms olso closely monitor the occuponcy trends of
oll heolthcore focilities ocross the Stote. lf the occuponcy crosses ihe
threshold, oddiiionol beds ore identified per the surge plon to occommodote
ony surge in coses.
Moteriol monogement should be done of the institution level using oll possible
resources under the control of the Hospitol Superintendents/Medicol officers
in chorge. However, there might be o higher degree of needs orising in
certoin situotions. The Stote hos o mechonism of supporting these institutions
occording to the orising needs. The districts' requirements ond octivities
should be compiled ond coordinoted with the siote ieom/KMSCL. The stote
teom is expected to compile the doily octivities ond chollenges in control cell
meetings, including the following detoils.
The primory responsibilities of the Moteriol monogement, Tronsportotion ond
Oxygen Monitoring teom ore:
prepore the list of items required of the hospitol for providing heolth
core
Monitor inventory position institutions wise
Ensure supply choin monogement of heolthcore ond other items
requirement
Page 10 of 18
I
Control room coll centres should be set up in the Stote ond districts. The coll
centre shdll hove loptops, mobiles/ londline telephone focility. Eoch Coll
Center Operotor is ossigned both o telephone ond o computer. One outgoing
mobile focility sholl olso be ovoiloble for onswering pending colls. Two
WhotsApp numbers should olso be mode ovoiloble. Depending on the
configurotion of the coll centre, eoch workstotion sholl hove the following
items:
Page 11 of 18
Reference moteriols (issued upon octivotion of coll centre operotions).
Item to be used to request ossistonce from the supervisor (Poper ond
pen/pencil, regisier etc.)
All phone/computer bonks ore set up close to power, ielephone, ond
doto sockets/ports.
Coll Center Supervisors ore to utilise o sign-in/sign-out sheet to keep
trock of Coll Center Operotors.
DISHA continues to be the primory service provider but should constontly lioison
with DPMSU ond individuol teoms. The coll centre monogement teom should
function os o help desk ond oddress the queries received of the stote control
room by obioining responses from the individuol teoms ond the feedbock
regording these queries to be sent bock to the district to oddress vorious issues.
.An.onolysis of the common queries from the public hos to be mode, ond
recommendotions sholl be given io the concerned teoms bosed on the type
of queries received.
. Mointenonce of discipline
o Time monogement
. Coll centres should be operotionol24*7
. Documentotion of oll the octivities hoppening in the coll centre
. Doily consolidotion report of 4.30 pm.
. Esioblishing o coll centre with sufficient connectivity
o Linkoge with DISHA system
. To respond to queries regording logistics, voccinotion, treotment,
comploints, or odministrotive issues reloted to the heolth deportment.
o Doily mointenonce of second ond third level coll referrol.
Public Relotions
Page 12 of 18
Psvc hosociol Su pport Teom
The doily report of psychosociol support hos ihe following doto sets
Page 13 of 18
The doto is collected from districts os google sheets. District wise doily doto is
verified ond consolidoted in the concerned DMHPs under the psychiotrist ond
project officer's supervision. Agoin, this doto is verified by the District Nodol
Officer, Mentol Heolth Progromme ond updoted in the google sheet provided
by I ].30 om every doy. The doto from the districts ore verified ond
consolidoted by the Stote Nodol Officer, MHP ond sent to the Stote Control
Room by 1 pm every doy. Thus, there is o three-tier verificotion process for the
Psychosociol Support doto.
Doto onolysis is olso done similorly of the district ond stote level, bosed on
which meetings ore held regulorly in districts ond of the stote level with Nodol
Officers of oll districts ond oppropriote corrective meosures ond newer
interventions.
Page 14 of 18
Do Competency mopping of required skills in oll cotegories of HCW in
privote ond public institutions ond orronge corrective sessions ond skill
development sessions occordingly.
Knowledge monogement bockup for coll centres, regulor troining ond
hond holding
Knowledge monogement bockup, troining ond hondholding of
Ielemedicine teqm
Monogement ond developmeni of leorning monogement system
modules (COVlDiNon-COVtD)
Designing ond creotion of instont/plonned curriculum for troining needs
(COVID ond reloted non-COVtD)
Development of leorning modules ond designing of leorning
experiences for COVID reloted troining
Development of COVID specific ond reloted leorning moteriols suitoble
for ropid leorning
Helping/Conduct COVID-,l9 reloted copocity building sessions for other
deportments.
Leorning medio development (Audiovisuol oids, booklets, online
modules, etc.)
Troining needs ossessmeni ond troining effectiveness onolysls os ond
when required
Public educotion Moteriols - Moteriols, modules, curriculum, etc. in
heolih core behoviour ond bosic techniques
Lioison with districts/SlH FW/SHSRC/Medicol Colleges ond hond holding
ihem
Monitoring ihe disirict level iroining/StHFW/Medicol colleges, including
both Govt ond privote sector
Doto consolidotion of covid reloted troining & non covid troining
Regulor doto onolysis ond providing inputs io stotes, districts, ond
institutions.
Telemedicine Teom
Disosters ond pondemics provide unique chollenges to heolthcore
delivery. Though telemedicine connot oddress oll of them, it is ideolly suited
for circumstonces where medicol proctitioners con evoluote ond monoge
potients. A telemedicine visit moy be performed during such outbreoks
without exposing personnel to viruses/infections. Telemedicine con help
reduce the spreod of infectious illnesses, lowering the dongers to both heolth
core personnel ond potients. Using telemedicine, unnecessory ond ovoidoble
exposure of persons involved in heolthcore delivery moy be minimised, ond
Page 15 of 18
potients moy be screened remotely. lt con give instont occess to medicol
proctitioners who moy not be present in person. Furthermore, it provides
odditionol working honds to give physicol treotmeni of the relevont heolth
insiitutes.
The stote teom is in chorge of telemedicine services in the Stote ond sholl droft
necessory oction plon to ensure ond sustoin the service delivery
ldentify ihe Heolth core needs of people timely; those con be met vio
the involvement of digitol plotforms ond design omicoble solutions vio
the ovoiloble plotforms clubbing the service providers.
Reol-time troubleshooting in coordinotion with the technicol teom to
ensure seomless service delivery
^
Sonjeevoni telemedicine plotform, lioison with district ond institutionol
teoms, ond ensure quolity service delivery.
Communicotlon with oll stokeholders ond service providers for timely
troubleshooting ond ensuring service delivery to the generol public.
Give regulor input to oll stokeholders regording the trend of needs os
reflected in ihe plotform / DISHA feedbock
Anolyse the quolity of service delivery ond odopt meosures to improve
the quolity.
Ensure demond-bosed service delivery with moximum efficiency.
Augment the IEC regording the plotform ond ensure service
sustoinobility through the plotform.
Provide doto for the higher-level review meetings
Ensure the ovoilobility of doctors in ony of the plotforms ond support
these service deliveries by hondholding both public ond privote sectors,
including oll service providers
Doto monogemeni
Technicol expertise from the eHeolth teom moy be sought for doto collection
ond monogement by oll committees. The eHeolth teom sholl be involved in
Page 15 of 18
these octivities ond give oppropriote technicol help for hossle-free doto
monogement.
Porlol Monogemenl
. The portol monogement teom sholl work with the Doto monogement teom
to collect, compile ond onolyse doto from the different committees ond
shore the some with the nodol officers of the corresponding doshboords.
o The mojor portols to be monitored by the teom sholl include the COVID
Jogrotho portol, GoK Doshboord, covlD-,l9 lndio portol, lcMR portol, LDMS
portol, 53 portol.
Page 17 of 18
L
. The teom should regulorly coordinote with oll districts on the requirement of
voccine, its utilisotion, supply choin ond other logistics
. The teom should regulorly coordinote with voccine monufocturers to
ensure timely supply of voccines to KMSCL ond privote hospitols
o The teom should olso coordinote with privote hospitols ond ensure thot the
doses controcted ond supplied ore informed to the concerned officers in
Stote/Centro I govern ments.
. The teom sholl ensure those privote hospitols who hove received voccines
publish the some ond stort sessions os per guidelines without deloy.
. The teom should plon'to scole up voccinotion coveroge through ovoiloble
stocks ond onticipoted supplies.
o The teom should hove regulor meetings with RCHOs ond Privote hospitols
to oddress ony outstonding issues in voccinotion.
. Submit regulor reports on the progress of voccinotion to the principol
secretory (Heolth), SMD - NHM ond DHS
. Any other motter informed to the teom by the DHS ond SMD-NHM.
*;ffi*crerory
Page 18 of 18
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