As the second wave of the Covid-19 pandemic batters rural India, a voluntary group of doctors and professionals from the diaspora in the US and from India has launched a unique initiative that will provide virtual time-sensitive information to healthcare workers in rural areas on treating Covid-19 patients, real-time details on hospital bed availability and counter vaccine misinformation.
‘Project Madad’ has been created with a mission that “proper education and training” of local healthcare workers and Registered Medical Practitioners (RMPs) will be “fundamental” in controlling coronavirus spread in rural India.
The Madad team is initially working with RMPs in rural Telangana and Andhra Pradesh and hopes that its model will be scaled in other areas and assist healthcare workers to recognise Covid-19 symptoms, treat mild cases at homes and provide advice on vaccination, dangers of over medication and other best practices.
At a time when medical infrastructure and capacities in urban and rural areas are already on the brink and doctors overwhelmed with increasing caseloads, Project Madad is focused on educating and training RMPs, sharing information in local languages and procuring access to vaccines, basic medical supplies such as masks, oximeters and oxygen concentrators for communities.
“When the Covid-19 crisis initially started, we noticed that rural India was not getting attention at all,” said project lead Raja Karthikeya. Karthikeya, who is based in New York, cited the example of Karimnagar in Telangana, where 70-80 per cent of infection cases are from rural areas, a trend increasingly seen in other places.
To begin with, the team is focused on capacity building for rural healthcare workers, especially RMPs, channelled medical supplies and created social media campaigns and flyers in vernaculars to spread awareness.
Minneapolis-based Dr Subbarao Inampudi, an eminent diagnostic radiology specialist, said “Our goal is to address the majority of the population living in rural areas. We emphasised to RMPs that 80 per cent of people who contract Covid-19 will do well. What you really want to do is decrease panic, take away people’s fear and convert fear into carefulness,” he said.
Inampudi said a major focus for the team is to educate and counsel the RMPs on how they can prevent mild Covid cases from becoming moderate to severe and what to do when that happens. “That is the key. Simple techniques, not drugs.”
With experience in Covid-19 treatment in the US garnered over the past year, Inampudi said, “We learned a lot, we made mistakes. We're not making those mistakes again. Hopefully, we can share our experiences of what we did, what worked and what didn’t. The RMPs are enthusiastic that somebody is talking to them.”
The team connects with RMPs through the Zoom platform on two designated days and time slots a week, dubbed the ‘Madad time’, keeping in mind differences in time zones.
The team has connected with RMP associations at the mandal or tehsil level in Telangana and Andhra Pradesh and so far has interacted with over 150 RMPs through sessions, where any number of healthcare workers can join.
All doctors associated with Madad participate in the interactions together as a team. Since the doctors come from different disciplines such as immunology, gynaecology, pediatrics, they are able to provide advice on a range of medical issues.
Balaram Reddy, who has a chartered accountancy firm in UAE and is the India lead mobilising rural workers for the project, said he is seeing an impact of the project’s efforts on the ground with the RMPs getting more confident in helping patients.
The 27-member Madad team has received requests from Uttarakhand, and even Nepal. Karthikeya said the project aims to expand to include governing authorities like village sarpanches and district Collectors. A hotline will be in place for RMPs to connect to the project’s doctors in the US for advice at any time.
Hyderabad-based educationist Devishobha Chandramouli is leading the awareness component, while Bengaluru-based consultant Kaivalya Gundu is managing vernacular outreach. The doctors’ team includes immunologist Dr Rani Vatti, internal medicine specialist Dr Sailakshmi Tatikunta and palliative care specialist Dr Haritha Rachamallu from California.
The team has also developed an app MadadMaps, which will be launched next week, that gives real-time information on hospital bed availability and even identifies routes to get there quickly. Online features will also include live chat through which RMPs will be able to reach out to doctors for questions about treatments and symptoms and get access to necessary guidelines.
Washington-based Dr Rajesh Anumolu, the architect of MadadMaps, said, “Our goal is to provide a one-stop-shop that can get you from identifying to clarifying your misinformation, to hopefully not needing to use this service of finding a hospital. But if that's the last resort, we want to provide you a safe way to get there.”
Karthikeya said the team encourages others to use its model to provide similar assistance in other rural areas. “This is an earnest effort to think about rural healthcare workers who may not be wearing a uniform but who are still out there saving patients,” he said.