Frugal Innovations that Helped Mission Hospitals Manage During the Pandemic and Further Suggestions

  • Gnanaraj Jesudian Surgical Services Initiative Association of Rural Surgeons of India (SEESHA) https://orcid.org/0000-0002-7444-5892
  • Kevin Gnanaraj
  • Biju Islary Crofts Memorial Christian Hospital, Assam
  • Botoho Sumi Medzhiphema Community Health Center, Nagaland
  • George Mathew Shanthi Bhavan Medical Center, Jharkhand https://orcid.org/0000-0002-4054-6732
Keywords: Covid 19, GILLS, Laptop Cystoscope, personal protective equipment

Abstract

The COVID-19 pandemic with the suddenly announced lockdown in India caused great stress to already resource-constrained rural mission hospitals. Frugal innovations helped some of the mission hospitals cope with the lockdown and resume regular work. Personal Protective Equipment was made locally and staff were trained to take care of the infected patients. Cell phones and the zoom app helped them with communications. The Gas Insufflation Less Laparoscopic surgical technique helped them perform safe surgeries and allow quicker turnover of patients. The innovative Laptop Cystoscope helped in follow up treatment of patients treated earlier by specialists and for emergency treatment. Empowering local mission hospital doctors and modern communication methods helped these hospitals maintain services during the pandemic.

Author Biographies

Gnanaraj Jesudian, Surgical Services Initiative Association of Rural Surgeons of India (SEESHA)

MS (Gen), MCh (Urology), FICS, FIAGES, FARSI, International Federation of Rural Surgeons, Adjunct Professor (biomedical engineering), Karunya University, and Director Medical Services, SEESHA, Coimbatore, Tamil Nadu

Kevin Gnanaraj

B.Tech (Mechanical)

Biju Islary, Crofts Memorial Christian Hospital, Assam

MS (Gen), Crofts Memorial Christian Hospital, Assam

Botoho Sumi, Medzhiphema Community Health Center, Nagaland

MBBS, DNB (Rural Surgery), Medzhiphema Community Health Center, Nagaland

George Mathew, Shanthi Bhavan Medical Center, Jharkhand

MS, MD, Shanthi Bhavan Medical Center, Jharkhand

References

Christian Coalition for Health. CCHI | health care movement in India [Internet]. CCIH. 2018. Available from: http://shalinimembership.wixsite.com/cchi/health-care-movement-in-india

Cash R, Patel V. Has COVID-19 subverted global health? Lancet. 2020;395:1687-8. https://doi.org/10.1016/S0140-6736(20)31089-8

Anderson DA. The future of Christian mission hospitals in India. J Christ Med Assoc India. 1958;33(5):246-9.

Shinde DP. COVID-19: Guidelines for surgeons for use after lockdown is withdrawn [Internet]. [cited 2020 Jun 29]. Available from: www.awrsurgeons.com

Coccolini F, Tartaglia D, Puglisi A, Giordano C, Pistello M, Lodato M, et al. SARS-CoV-2 is present in peritoneal fluid in COVID-19 patients. Ann Surg. 2020 Sep; 272(3): e240–e242. https://doi.org/10.1097/SLA.0000000000004030

World Health Organization. WHO compendium of innovative health technologies for low resource setting [Internet]. 2017. Available from: https://www.who.int/medical_devices/innovation/compendium/en/

Gnanaraj J, Rhodes M. Laparoscopic surgeries in middle and low income countries. Gasless lift laparoscopic surgeries. Surg. Endosc. 2016 May;30(5):2151-4

http://dx.doi.org/ 10.1007/s00464-015-4433-1

Gnanaraj J, Aruparayil N, Reemst P. Revisiting gasless laparoscopic surgeries for possible benefits during and after the COVID-19 pandemic. Trop Doct. First published 2020 Aug 6. http://dx.doi.org/10.1177/0049475520945444

Gnanaraj J, Ellapan B. Ureterorenoscopic removal of renal stones: cost-effective patient friendly method in rural areas. Trop Doct. 2011 Apr;41(2):102. http://dx.doi.org/10.1258/td.2010.090318

Chadha S. Rash, sweat, bruises: wearing PPE for hours causing skin infection [Internet]. FIT. 2020 May 7. Available from: https://fit.thequint.com/coronavirus/ppe-causes-rashes-sweat-and-discomfort-doctors-share-experiences-during-coronavirus-care

Gnanaraj J, Rajasekaran, Rekh S, Jyothi J, Mary A. Non-invasive haemoglobin measurement: a great blessing to the rural community [Internet]. MD Current. n.d. Available from: http://mdcurrent.in/primary-care/non-invasive-hemoglobin-measurement-a-great-blessing-to-the-rural-community/

Grundmann GH. Mission and healing in historical perspective. Int B of Mission Research. 2008;32(4):185-8. http://dx.doi.org/10.1177/239693930803200404

Gnanaraj J. Working holidays for overseas doctors: host perspective in mission hospitals in rural India. Christ J Global Health. 2015 May;2(1):35-42. http://dx.doi.org/ 10.15566/cjgh.v2i1.53

Published
2020-11-09
How to Cite
Jesudian, G., Gnanaraj, K., Islary, B., Sumi, B., & Mathew, G. (2020). Frugal Innovations that Helped Mission Hospitals Manage During the Pandemic and Further Suggestions. Christian Journal for Global Health, 7(4), 33-38. https://doi.org/10.15566/cjgh.v7i4.419