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Considerations for planning COVID-19 treatment services in humanitarian responses | Journal Article / Research | MSF Science Portal
Journal Article
|Research

Considerations for planning COVID-19 treatment services in humanitarian responses

Garry S, Abdelmagid N, Baxter LM, Roberts N, de Waroux OL, Ismail S, Ratnayake R, Favas C, Lewis E, Checchi F
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Abstract
The COVID-19 pandemic has the potential to cause high morbidity and mortality in crisis-affected populations. Delivering COVID-19 treatment services in crisis settings will likely entail complex trade-offs between offering services of clinical benefit and minimising risks of nosocomial infection, while allocating resources appropriately and safeguarding other essential services. This paper outlines considerations for humanitarian actors planning COVID-19 treatment services where vaccination is not yet widely available. We suggest key decision-making considerations: allocation of resources to COVID-19 treatment services and the design of clinical services should be based on community preferences, likely opportunity costs, and a clearly articulated package of care across different health system levels. Moreover, appropriate service planning requires information on the expected COVID-19 burden and the resilience of the health system. We explore COVID-19 treatment service options at the patient level (diagnosis, management, location and level of treatment) and measures to reduce nosocomial transmission (cohorting patients, protecting healthcare workers). Lastly, we propose key indicators for monitoring COVID-19 health services.

Subject Area

Covid-19

Languages

English
DOI
10.1186/s13031-020-00325-6
Published Date
25 Nov 2020
PubMed ID
33292370
Journal
Conflict and Health
Volume | Issue | Pages
Volume 14, Pages 80
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