The recent health policy initiated by Meghalaya, postulates the assumption of all individuals as asymptomatic carriers of COVID-19 as a preventative measure to mitigate community transmission. This action is primarily due to the influx of returning migrants from various zones. The state has undertaken this model as a prospective tool for behavioural change in response to COVID-19.
Behavioural Change Model as an Adaptation Strategy
The ongoing pandemic has induced two primary forms of fear: the concern for life and livelihood. The State’s priority is to establish a system that allows citizens to safeguard their health while persevering with their daily activities. The approach to this lifestyle change revolves around the principle of ‘locus of control’, which emphasizes the role of individuals in controlling events that influence their lives.
The behavioural shift is generated through the potential belief of being a COVID-19 positive carrier. This notion promotes a sense of caution and responsibility in the individuals, thereby mitigating the risk of community spread.
Framework for Implementation
The state has proposed a four-tiered plan to enforce this strategy- universal testing for entrants, isolation, behavioural modification, and subsequent training. Every resident is classified as a Category A patient unless they undergo continuous testing. This status implies that every person will be presumed an asymptomatic transmitter of the virus, thus transmitting the disease unknowingly.
Three major non-negotiable practices are expected of Category A patients, including compulsory mask-wearing, maintenance of hand hygiene, and social distancing.
Training Modules and Population Categories
To reinforce these practices, the state’s health department has developed training modules for three distinct demographic groups- elderly individuals over 65, individuals with co-morbidities, and the mobile workforce comprising of students and other professionals in constant transit.
Certified master trainers will conduct the training sessions, with participants receiving a certificate upon completion. These training modules incorporate two primary components- a checklist with pertinent topics such as hand hygiene and social distancing, and self-help diaries for older people and those with comorbidities.
Role of Accredited Social Health Activists and Anganwadi Teams
Accredited Social Health Activist (ASHA) and Anganwadi teams will conduct house visits to train elderly citizens and those with comorbid conditions. The implementation of checklists and self-help diaries serve as performance measures and self-monitoring tools, further promoting adherence to precautionary practices.
Behavioural Change and Its Role in Healthcare
Behavioural changes are not induced through intimidating measures but rather through repetitive reinforcement of positive habits. The consistent use of the provided tools such as self-help diaries or checklists, coupled with progress acknowledgement, can potentially foster change.
In the healthcare sector, behavioural economics can be instrumental in optimizing well-being. The transformations in individual responsibility can cultivate a supportive environment, eliminating fear and promoting compassionate care towards fellow citizens.
Last Modified: February 7, 2024