Combating the COVID-19 pandemic in a resource-constrained setting: insights from initial response in India

被引：26

作者：

Bairwa, Mohan ^{[1
]}

Behera, Sabyasachi ^{[2
]}

Chavda, Paragkumar Dhirajlal ^{[3
]}

Kulkarni, Praveen ^{[4
]}

Mohapatra, Archisman ^{[5
]}

Ramraj, Balaji ^{[6
]}

Shivalli, Siddharudha ^{[7
]}

Singh, Arvind Kumar ^{[8
]}

Singh, Manish Kumar ^{[9
]}

Rohilla, Ravi ^{[10
]}

Chawla, Bharti ^{[11
]}

Chawla, Sumit ^{[11
]}

Wani, Rabbanie Tariq ^{[12
]}

Agarwalla, Rashmi ^{[13
]}

Chatterjee, Pranab ^{[14
]}

Jahagirdar, Shubhashri Sudhiendra ^{[15
]}

Majhi, Madan Mohan ^{[16
]}

Salve, Harshal Ramesh ^{[1
]}

Shukla, Pallavi ^{[1
]}

Yadav, Kapil ^{[1
]}

Sathiyamoorthy, Ramadass ^{[1
]}

Sharma, Nitika ^{[1
]}

Sarkar, Kaushik ^{[17
]}

Sahoo, Soumya Swaroop ^{[18
]}

Verma, Madhur ^{[18
]}

Ahmad, Shamshad ^{[19
]}

Kumar, Dewesh ^{[20
]}

Chatterjee, Anirban ^{[21
]}

Pamei, Gaihemlung ^{[22
]}

Solanki, Hariom Kumar ^{[23
]}

Chakraborty, Shashanka Shekhar ^{[24
]}

Naik, Gitismita ^{[25
]}

Kumar, M. Mohan ^{[25
]}

Aravinda, Chinnadurai ^{[8
]}

Karir, Shilpa ^{[26
]}

Panda, Jasmin Nilima ^{[26
]}

Kshatri, Jaya Singh ^{[27
]}

Nayak, Smrutiranjan ^{[28
]}

Patro, Sithun Kumar ^{[29
]}

Datta, Shib Sekhar ^{[30
,31
]}

Ghosh, Nilanjana ^{[32
]}

Roy, Pritam

Dudala, Shankar Reddy ^{[33
]}

Annadani, Rachana R. ^{[34
]}

Undi, Malatesh ^{[34
]}

Prabhu, Sudhir ^{[35
]}

Yatnatti, Santosh K. ^{[36
]}

Pillai, Rakesh N. ^{[37
]}

Stanley, Antony ^{[38
]}

Konda, Satyanarayana G. ^{[39
]}

机构：

[1] All India Inst Med Sci, New Delhi, India

[2] GRID Council, Bhubaneswar, India

[3] Gujarat Med Educ & Res Soc Med Coll, Vadodara, Gujarat, India

[4] JSS Acad Higher Educ & Res, Mysuru, Karnataka, India

[5] Delhi NCR, GRID Council, Delhi, India

[6] SRM Med Coll Hosp & Res Ctr, SRM Inst Sci & Technol, Chennai, Tamil Nadu, India

[7] London Sch Hyg & Trop Med, London, England

[8] All India Inst Med Sci, Bhubaneswar, Odisha, India

[9] Dr Ram Manohar Lohia Inst Med Sci, Lucknow, Uttar Pradesh, India

[10] Govt Med Coll & Hosp, Chandigarh, India

[11] Pt JLN Govt Med Coll & Hosp, Chamba, Himachal Prades, India

[12] Govt Med Coll, Srinagar, Jammu & Kashmir, India

[13] Hamdard Inst Med Sci & Res, New Delhi, India

[14] Independent Publ Hlth Consultant, New Delhi, India

[15] INCLEN Trust Int, New Delhi, India

[16] Maulana Azad Med Coll, New Delhi, India

[17] Aceso Global Hlth Consultants Ltd India, New Delhi, India

[18] All India Inst Med Sci, Bathinda, Punjab, India

[19] All India Inst Med Sci, Patna, Bihar, India

[20] Rajendra Inst Med Sci, Ranchi, Bihar, India

[21] All India Inst Med Sci, Bhopal, Madhya Pradesh, India

[22] Govt Med Coll, Haldwani, Uttarakhand, India

[23] Govt Inst Med Sci, Greater Noida, Uttar Pradesh, India

[24] Gauhati Med Coll, Gauhati, Assam, India

[25] All India Inst Med Sci, Raipur, Madhya Pradesh, India

[26] Veer Surendra Sai Inst Med Sci & Res, Burla, Odisha, India

[27] Indian Council Med Res, Reg Med Res Ctr, Bhubaneswar, Odisha, India

[28] Kalinga Inst Med Sci, Bhubaneswar, Odisha, India

[29] Maharaja Krushna Chandra Gajapati Med Coll & Hosp, Brahmapur, Odisha, India

[30] Tripura Med Coll, Agartala, Tripura, India

[31] Dr BR Ambedkar Mem Teaching Hosp, Agartala, Tripura, India

[32] N Bengal Med Coll & Hosp, Darjeeling, W Bengal, India

[33] Govt Med Coll, Kadapa, Andhra Pradesh, India

[34] Karwar Inst Med Sci, Karwar, Karnataka, India

[35] Father Muller Med Coll, Mangalore, Karnataka, India

[36] Dr Chandramma Dayananda Sagar Inst Med Educ & Res, Bengaluru, Karnataka, India

[37] GRID Council, Thiruvananthapuram, Kerala, India

[38] Achutha Menon Ctr Hlth Sci Studies, Thiruvananthapuram, Kerala, India

[39] Mamata Acad Med Sci, Hyderabad, Telangana, India

[40] Gujarat Med Educ & Res Soc Med Coll, Vadodara, Gujarat, India

[41] Govt Med Coll, Bhavnagar, Gujarat, India

[42] Mahatma Gandhi Inst Med Sci, Sevagram, Maharashtra, India

[43] All India Inst Med Sci, Jodhpur, Rajasthan, India

来源：

BMJ GLOBAL HEALTH | 2020年 / 5卷 / 11期

关键词：

control strategies; health policy; health systems; prevention strategies; public health;

D O I：

10.1136/bmjgh-2020-003416

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The low-and-middle-income country (LMIC) context is volatile, uncertain and resource-constrained. India, an LMIC, has put up a complex response to the COVID-19 pandemic. Using an analytic approach, we have described India's response to combat the pandemic during the initial months (from 17 January to 20 April 2020). India issued travel advisories and implemented graded international border controls between January and March 2020. By early March, cases started to surge. States scaled up movement restrictions. On 25 March, India went into a nationwide lockdown to ramp up preparedness. The lockdown uncovered contextual vulnerabilities and stimulated countermeasures. India leveraged existing legal frameworks, institutional mechanisms and administrative provisions to respond to the pandemic. Nevertheless, the cross-sectoral impact of the initial combat was intense and is potentially long-lasting. The country could have further benefited from evidence-based policy and planning attuned to local needs and vulnerabilities. Experience from India offers insights to nations, especially LMICs, on the need to have contextualised pandemic response plans.

引用

页数：11

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