COVID-19 Testing and Tracking : Lessons Learned and a Look Ahead

The COVID-19 pandemic has ravaged the global economy, either reversing or slowing ongoing efforts to eliminate extreme poverty in many countries. Despite recent progress, including increased recoveries and lower death rates, India is ranked third g...

Full description

Bibliographic Details
Main Authors: Gandham, Ramana N.V., Mutasa, Ronald, Mohammed, Suresh Kunhi, Jammy, Guru Rajesh, Bhatnagar, Aarushi
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2021
Subjects:
Online Access:http://documents.worldbank.org/curated/en/988881615174727335/COVID-19-Testing-and-Tracking-Lessons-Learned-and-a-Look-Ahead
http://hdl.handle.net/10986/35270
id okr-10986-35270
recordtype oai_dc
spelling okr-10986-352702021-04-23T14:02:19Z COVID-19 Testing and Tracking : Lessons Learned and a Look Ahead Gandham, Ramana N.V. Mutasa, Ronald Mohammed, Suresh Kunhi Jammy, Guru Rajesh Bhatnagar, Aarushi COVID-19 TESTING CONTRACT TRACING CORONAVIRUS The COVID-19 pandemic has ravaged the global economy, either reversing or slowing ongoing efforts to eliminate extreme poverty in many countries. Despite recent progress, including increased recoveries and lower death rates, India is ranked third globally in absolute numbers of COVID-19 reported cases. India’s chronic underinvestment in health, coupled with a hard-hit economic sector, has further entrenched segments of India’s population in vulnerability and poverty. The exodus of millions of migrants from the cities has contributed to the spread of infection from urban to rural areas, where health systems are weaker. As economic activities are revived following a period of lockdowns, policy makers must make smart choices that prevent and rein in the spread of COVID-19. In the absence of effective treatment and a vaccine, preventive measures combined with testing and tracing, followed by quarantine and isolation and supportive treatment, are critical to minimize the spread of COVID-19 and rejuvenate livelihoods to restore India’s economy. In this paper, authors bring together promising testing and tracing lessons and approaches from India and globally, based on a desk review of various initiatives and analyses of secondary data. Key lessons and findings are that: (i) testing and tracing is central to an effective COVID-19 response; (ii) a robust response to an unprecedented pandemic requires creative approaches, such as active case finding, pooled testing, testing environmental samples, triangulation of microdata, effective contact tracing, and partnering with the private sector; (iii) optimizing COVID-19 testing capacity should not negatively impact ongoing disease control programs; (iv) containment of COVID-19 should go hand-in-hand with preparation for future pandemics. We also summarize innovations and bottlenecks to rapidly scale up testing capacities at the state level, including strategies for optimizing the role of the private sector and introducing new technologies to enhance access to testing in rural populations. This paper offers options especially relevant to Indian policy makers, with a focus on sustained health systems strengthening. 2021-03-15T19:52:06Z 2021-03-15T19:52:06Z 2020-08-30 Working Paper http://documents.worldbank.org/curated/en/988881615174727335/COVID-19-Testing-and-Tracking-Lessons-Learned-and-a-Look-Ahead http://hdl.handle.net/10986/35270 English Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper South Asia India
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic COVID-19
TESTING
CONTRACT TRACING
CORONAVIRUS
spellingShingle COVID-19
TESTING
CONTRACT TRACING
CORONAVIRUS
Gandham, Ramana N.V.
Mutasa, Ronald
Mohammed, Suresh Kunhi
Jammy, Guru Rajesh
Bhatnagar, Aarushi
COVID-19 Testing and Tracking : Lessons Learned and a Look Ahead
geographic_facet South Asia
India
relation Health, Nutrition and Population Discussion Paper;
description The COVID-19 pandemic has ravaged the global economy, either reversing or slowing ongoing efforts to eliminate extreme poverty in many countries. Despite recent progress, including increased recoveries and lower death rates, India is ranked third globally in absolute numbers of COVID-19 reported cases. India’s chronic underinvestment in health, coupled with a hard-hit economic sector, has further entrenched segments of India’s population in vulnerability and poverty. The exodus of millions of migrants from the cities has contributed to the spread of infection from urban to rural areas, where health systems are weaker. As economic activities are revived following a period of lockdowns, policy makers must make smart choices that prevent and rein in the spread of COVID-19. In the absence of effective treatment and a vaccine, preventive measures combined with testing and tracing, followed by quarantine and isolation and supportive treatment, are critical to minimize the spread of COVID-19 and rejuvenate livelihoods to restore India’s economy. In this paper, authors bring together promising testing and tracing lessons and approaches from India and globally, based on a desk review of various initiatives and analyses of secondary data. Key lessons and findings are that: (i) testing and tracing is central to an effective COVID-19 response; (ii) a robust response to an unprecedented pandemic requires creative approaches, such as active case finding, pooled testing, testing environmental samples, triangulation of microdata, effective contact tracing, and partnering with the private sector; (iii) optimizing COVID-19 testing capacity should not negatively impact ongoing disease control programs; (iv) containment of COVID-19 should go hand-in-hand with preparation for future pandemics. We also summarize innovations and bottlenecks to rapidly scale up testing capacities at the state level, including strategies for optimizing the role of the private sector and introducing new technologies to enhance access to testing in rural populations. This paper offers options especially relevant to Indian policy makers, with a focus on sustained health systems strengthening.
format Working Paper
author Gandham, Ramana N.V.
Mutasa, Ronald
Mohammed, Suresh Kunhi
Jammy, Guru Rajesh
Bhatnagar, Aarushi
author_facet Gandham, Ramana N.V.
Mutasa, Ronald
Mohammed, Suresh Kunhi
Jammy, Guru Rajesh
Bhatnagar, Aarushi
author_sort Gandham, Ramana N.V.
title COVID-19 Testing and Tracking : Lessons Learned and a Look Ahead
title_short COVID-19 Testing and Tracking : Lessons Learned and a Look Ahead
title_full COVID-19 Testing and Tracking : Lessons Learned and a Look Ahead
title_fullStr COVID-19 Testing and Tracking : Lessons Learned and a Look Ahead
title_full_unstemmed COVID-19 Testing and Tracking : Lessons Learned and a Look Ahead
title_sort covid-19 testing and tracking : lessons learned and a look ahead
publisher World Bank, Washington, DC
publishDate 2021
url http://documents.worldbank.org/curated/en/988881615174727335/COVID-19-Testing-and-Tracking-Lessons-Learned-and-a-Look-Ahead
http://hdl.handle.net/10986/35270
_version_ 1764482683289731072