2. Ensuring sufficient physical infrastructure and workforce capacity
ENSURING SUFFICIENT PHYSICAL INFRASTRUCTURE AND WORKFORCE CAPACITY is crucial for dealing with the COVID-19 outbreak, as there may be both a surge in demand and a decreased availability of health workers. The section considers the physical infrastructure available in a country and where there are shortages, it describes any measures being implemented or planned to address them. It also considers the health workforce, including what countries are doing to maintain or enhance capacity, the responsibilities and skill-mix of the workforce, and any initiatives to train or otherwise support health workers.
2.1 Physical infrastructure
In total, 35 hospitals in Baku and country regions have been designated for treatment of COVID-19 cases. Total number of beds is over 8000 (of which 437 are in ICU with oxygen). Total number of available ventilators is 267. Two more hospitals have been transformed into quarantine hospitals. From 17 June Goychay and Ujar Regional Central Hospitals have started to function as a hospitals for the fight against COVID-19. A factory in Sumgait has been given over to the production of medical facemasks to ensure sufficient supply nationally. Currently, only 5 of the 10 modular COVID-19 hospitals are in use. Some hospitals designated for COVID-19 patients are currently closed, due to a decrease in the number of daily cases.
Using the WHO Hospital Readiness Checklist, the REACT-C19 team of doctors (see Section 5.1) made an assessment in selected capacities in the hospitals, made a joint action plan with the hospital management and started activities to address them. More than 400 healthcare workers including doctors, nurses and auxiliary personnel in hospitals (like cleaning staff, porters, cooks, etc.) attended the hands-on training activities delivered by REACT-C19 teams.
The unprecedented scale of the escalation of Nagorno-Karabakh conflict since 27 September adds serious complexity to the COVID-19 response presenting significant burden for the national health system.