Syria MedGlobal COVID-19 Home Health Report – Syrian Arab Republic

The growing stress on the local healthcare system in northwestern Syria necessitated an intervention that would support those affected by mild COVID-19 outside of the standard hospital setting and isolation centres. The MedGlobal team and the local public health authorities agreed on the design of a home-based health intervention for the city of Ariha and its neighboring countryside where vulnerable communities with difficulties in accessing health care lived. This intervention consisted of home health visits to COVID-19 patients residing in Ariha, Syria. Each health visit had a doctor, a nurse and a community volunteer as a response team. The patients’ condition was assessed and the response team made follow-up visits either through home visits or phone calls. This intervention was provided to 304 mild cases of COVID-19 that were reported in the region by the Ministry of Health (MOH). Tracking was done and monitored through mobile data collection in the KOBO tool. Documentation was made possible by the verbal consent of the patient who then agreed to have their clinical status collected during implementation and used for programmatic purposes. Analysis of the information collected was cleaned and analyzed at the end of the intervention to reveal several important findings that would guide MedGlobal and other partners for further scaling up and adoption of home health in d other collective contexts, in particular during the pandemic. The home health intervention was effective in helping patients, as almost all (99%) showed a reduction in severity as the intervention progressed. Among these patients, the most reported comorbidities were high blood pressure 14% and obesity (14%) regardless of age and gender, while by age, patients over 60 years of age (24 %) were the most affected by COVID-19 disease. Common symptoms reported by these patients were headache, cough, difficulty breathing, loss of taste and smell, and fever, which is consistent with common symptoms of COVID-19. All of these patients who were affected did not have a confirmed laboratory diagnosis (PCR or antibody), others were placed in home health care based on symptomatic manifestation or contact history assessed by the physician for reach more people at home to help decongest health facilities and isolation centers

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