Considerations for home and community-based care for COVID-19

This latest report, from UK think tank the IDS looks at Covid19 in home and community-based care settings. 

This review presents considerations for care and infection prevention and control (IPC) for COVID-19 in home and community-based care settings. Community-based care generally refers to any care that happens outside of hospital settings – such as in private homes, primary care facilities or residential care facilities. In an outbreak, this might also include care provided in small-scale temporary structures or repurposed buildings like hotels. Depending on the health system resources available, it is likely that community-based care will be provided or supported by people in the state or private sectors, and by a range of lay, professional, informal and paid and unpaid health workers with at least some health training. They may be nurses, doctors, paramedics, community health workers, or others. We explain why home care is important and give an overview of existing guidance and models for home and community-based care for COVID-19, with an emphasis on low-and-middle-income countries (LMICs). The guidance reviewed includes government documents, websites and briefs as well publicly available information from NGOs and community-based organisations. We then assess the gaps in this guidance and suggest ways they might be addressed, including by highlighting innovative examples and drawing on knowledge of past outbreaks of disease. Recommendations are aimed at governments, NGOs and community-based organisations who are mobilising to provide guidance and support for home care.

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