Punarjani
The Punarjani project was implemented across the state on 15 April 2020 with the active participation of the Department of Ayurveda Medical Education, Department of Indian Systems of Medicine and National AYUSH Mission. The project has been implemented through the Ayur Raksha Clinics (ARC) and Ayur Raksha Task Force (ARTF) across the state with massive support from the LSG bodies (currently, 1206 ARC are presently working across the state covering all the grama panchayats). The present report is a comprehensive evaluation of the ongoing Punarjani project in the state.
Methodology
The ACCS under punarjani mainly comprised of Ayurvedic medicines recommended in the approved Essential Drug List, modifications in the activities of daily living (ADL), dietary adjustments, support for psychological disturbances and Yoga modalities tailor made to address the individual clinical presentations. Medical officers of the ARC were granted the liberty of prescribing medicines from the Essential Drug List according to the recommended indications after considering the Prakriti (constitutional aspects) of the individual under convalescent care and associated clinical conditions. The ACCS was executed by the ARCs operating through the ARTF under the keen supervision of the concerned medical officer of the ARC.
Informed consent regarding the acceptance of ACCS was obtained from the post-covid individuals under Punarjani. The directions regarding the administration of the medicines, activities of daily living and dietary modifications were delivered to the individuals under Punarjani care. The data was collected using the pre-structured case record form (CRF) devised by the SACRC. The guidelines for the implementation of the programme and the CRF were in accordance with the approved general guidelines. Daily monitoring regarding the use of ACCS, health status of the individual and the state of the sequelae were closely monitored and recorded at the ARCs through ARTF. Only those individuals who had tested negative for SARS-CoV-2 infection and had successfully completed the mandatory quarantine period were included in the Punarjani programme for post-covid care. The duration of the post-covid convalescent care under Punarjani had been determined as either the duration for the complete recovery of the reported sequelae or a follow up period of 90 days, whichever the later.