PARTICIPATING FOR 2020 VIRTUAL WITSA GLOBAL ICT EXCELLENCE

PARTICIPATING FOR 2020 VIRTUAL WITSA GLOBAL ICT EXCELLENCE AWARDS CATEGORY: COVID-19 TECH SOLUTIONS FOR CITIES & LOCALITIES TELE-HEALTH CENTER FOR PROVIDING HEALTH CARE SERVICES TO COVID-19 AND NON-COVID-19 PATIENTS FROM: BANGLADESH INNOVATION & IMPLEMENTATION PARTNERS: Forhad Zahid Shaikh Chief e-Governance Strategist; A 2 i, ICT Division Mobile: +8801711618368 E-mail: forhad. zahid@a 2 i. gov. bd Md. Shohorab Ahmed Chowdhury Managing Director, Synesis IT Ltd. Mobile: +8801912 -499989 E-mail: shohorab@synesisitltd. com

INCEPTION OF THE CENTER 1. Started on: June 14, 2020 2. Partners: MOHFW, DGHS, A 2 i, ICT Division, BASIS & Synesis IT 3. Centers: 3 Nos 4. Target population: Covid 19 Patients as declared by DGHS

SERVICES PROVIDED BY COVID 19 CENTER Medical Assessment of Covid Patients Follow up Calls Based on Disease Severity Status Emergency Food and Medicine Service Emergency Hospitalization Service Burial Support

OPERATION MODALITY OF THE SERVICE Operational Procedure: 1. 2. 3. 4. Two shifts (9 am-9 pm) by medical doctors & Health Information Officer Outbound & Incoming calls management Data management through a software system Corona positive data provided by MIS, DGHS Covid Patient Information Management System: 1. 2. 3. 4. 5. 6. Contains over 3 lac+ patients in Database Contains over 3 lac+ patients medical doctors follow up info Contains patients medical assessment information records Service Information Medical Doctors Database HIO Database

COVID 19 TELE-HEALTH CENTRE - AT A GLANCE Total HR § § Lab- 04 Doctors- 84 HIO- 36 Shift- 02 (9 am-3 pm, 3 pm-9 pm )

SERVICE DELIVERY PROCESS MODEL

SOCIAL IMPACT & STATISTICAL REPORTS

OPERATION MODALITY OF THE SERVICE TOTAL HEALTH SERVICES PROVIDED 18 th June 2020 to 12 th September 2020 3, 37, 901 TOTAL MEDICAL ASSESSMENT CONDUCTED (outgoing) 18 th June 2020 to 12 th September 2020 1, 36, 85 0 TOTAL FOLLOW UP SERVICES PROVIDED (outgoing) 18 th June 2020 to 12 th September 2020 1, 27, 842 TOTAL INCOMING CALLS 18 th June 2020 to 12 th September 2020 73, 209

DAILY CALL ANALYSIS OF COVID-19 PATIENTS SERVICES Period: 18 th June 2020 to 12 th September 2020 3500 3000 2500 2000 1500 1000 500 Total Medical Assessment Total Follow Up Calls 10 -с ен -2 0 0 н 2 3 се -2 0 -а вг 27 -2 0 -а вг 13 20 -2 0 0 -2 ав г 6 - л 20 -и ю 30 -и ю 23 -и ю 16 л 20 20 лию 9 - 2 - ию л- 0 25 -и ю н 2 20 н-и ю 18 20 0

PROPORTION OF COVID-19 PATIENTS ANALYSIS BY DISEASE SEVERITY Period: 15 th July 2020 to 12 th September 2020 3, 40% 19, 99% 72, 53% Mild Moderate n 96, 505 Severe

PROPORTION OF COVID-19 PATIENTS BY CO-MORBIDITY STATUS Period: 15 th July to 12 th September 2020 3, 46% 11, 74% 5, 62% n 96, 505 46, 96% 12, 26% 45, 78% Diabetes High Pressure Asthma Heart Failure Kidney Disease Other Disease

PROPORTION OF CURED PATIENT STATUS BY AGE & GENDER Period: 15 th July 2020 to 12 th September 2020 35, 00% 30, 00% 25, 00% 20, 00% 15, 00% 10, 00% 5, 00% 0 -10 11 -20 21 -30 31 -40 Male 41 -50 Female 51 -60 61 -70 70+

PROPORTION OF CORONA PATIENT RECEIVED TREATMENT BY LOCATION Period: 15 th July 2020 to 12 th September 2020 120, 00% 100, 00% 95, 63% 80, 00% 60, 00% 40, 00% 20, 00% 4, 37% 0, 00% Home Hospital

PROPORTION OF CURED AND DEATH PATIENTS STATUS Period: 15 th July 2020 to 12 th September 2020 1. 42% § Over 98% COVID-19 patients are recovered and fully cured, majority of them are below age 50 § Death rate is lower 1. 4% due to timely integrated medical treatment, care & support § Bangladesh is one of the best performing country in the world based on mortality status 98. 58% Cured Death § Center has significant impact in reaching patients with 3 -4 times follow up with medications

PROPORTION OF COVID-19 PATIENTS DEATH DISTRIBUTION BY AGE Period: 15 th July 2020 to 12 th September 2020 45% 41% 40% 35% 30% Majority of deaths have occurred among 50+ age pop and associated with Co. Morbidity 26% 25% 20% 18% 15% 10% 5% 7% 1% 2% 1% 4% 0% 0 -10 11 -20 0 -10 21 -30 11 -20 21 -30 31 -40 41 -50 51 -60 61 -70 70+

Proportion of COVID-19 Patients Children and Adults (Percentage) (0 -18) Period: 15 th July 2020 to 12 th September 2020 5, 09% 94, 91% Children (0 -18 Years) Adults q Total Adults= 91, 593 q Total Children (0 -18 Years)= 4912 § In Bangladesh the number of Children (0 -18 Years) are very less 5. 09% subject to COVID infection compared to Adults. § Adults are more subject to COVID 19 due to less effective immune system and increase chances of Co. Morbidity in Bangladesh.

PROPORTION OF COVID-19 PATIENTS CO-MORBIDITY STATUS BY SEX Period: 15 th July 2020 to 12 th September 2020 60% 50% 40% 30% 20% 10% 0% Male Female Diabetes 50% 47% High Pressure 29% 26% Asthma 8% 11% Male Heart Failure 3% 2% Kidney Disease Other Disease 1% 9% 2% 13% Female § In Bangladesh most of the people of both the gender are subject to high risk of Diabetes & High Pressure. § Men are more subject to Co-Morbid Diseases than Women.

PROPORTION OF COVID-19 PATIENTS BY SOCIO ECONOMIC STATUS Period: 15 th July 2020 to 12 th September 2020 Poor 16% Middle Class 57% Rich 28% § Among the Covid Patients most of the patients are in the middle income class group. § Number of Rich population is also significantly high due since most of the patients are from cities like Dhaka and Chittagong.

PROPORTION OF COVID-19 DEATH PATIENT BY SEX RATIO Period: 15 th July 2020 to 12 th September 2020

SOCIAL IMPACTS 1. Reduced mortality and morbidity due to COVID-19 2. Improved COVID 19 patients recovery rate 3. Reduced infection transmission 4. Reduced hospital admission & improved home isolation 5. Increased access for treatment & citizens satisfaction

NEWS & MEDIA TALKS

And many more. . . !

CONCLUSIONS 1. Stewardship Role of Mo. HFW, DGHS and DGFP for Telehealth Service 2. Future Plan to sustain the project 3. Reduced pressure at facility

CONTACT PROFESSIONALS Md. Shohorab Ahmed Chowdhury Managing Director, Synesis IT Ltd. Mobile: +8801912 -499989 E-mail: shohorab@synesisitltd. com Forhad Zahid Shaikh Chief e-Governance Strategist; A 2 i, ICT Division Mobile: +8801711618368 E-mail: forhad. zahid@a 2 i. gov. bd