An emergency strategy framework for managing COVID-19 in long-term care facilities in Brazil

Author:

Lloyd-Sherlock Peter1ORCID,Freire João Bastos2ORCID,Duarte Meirelayne3ORCID,Frank Monica4ORCID,Giacomin Karla5ORCID,Boas Paulo José Fortes Villas6ORCID,Saddi Fabiana da Cunha7ORCID,Wachholz Patrick Alexander6ORCID

Affiliation:

1. University of East Anglia, United Kingdom

2. Municipal Health Secretariat of Fortaleza, Brazil

3. Universidade Salvador, Brazil.

4. State Referral Center for Geriatric Care, Brazil

5. Oswaldo Cruz Foundation, Brazil

6. Universidade Estadual Paulista “Júlio de Mesquita Filho”, Brazil.

7. Universidade Federal de Goiás, Brazil.

Abstract

This paper presents a novel policy framework to support government responses to COVID-19 in long-term care facilities (LTCFs) in low and middle-income countries. It focuses on issues that are of specific relevance to Brazilian policy-settings, including examples of its local implementation. The CIAT Framework combines and summarizes broad elements for an emergency strategy to address the potential effects of COVID-19. The 4 steps of the Framework entail policies to coordinate, identify, assess, and target support. Those policies can be applied immediately to mitigate the impact of the COVID-19 pandemic in LTCFs. It is, however, essential to situate these responses within a more comprehensive and permanent strategy. Intersectoral collaboration must evolve into a fully institutionalized system.

Publisher

Sociedade Brasileira de Geriatria e Gerontologia

Reference14 articles.

1. Lloyd-Sherlock P, Giacomin K, Duarte M, Frank M, Redondo N, Sempe L, et al. An emergency strategy for managing COVID-19 in long-term care facilities in low and middle-income countries: the CIAT Framework (Version 2). Available from: https://corona-older.com/2020/11/24/an-emergency-strategy-for-managing-covid-19-in-long-term-care-facilities-in-low-and-middle-income-countries-the-ciat-framework-version-2/. Accessed on Mar 12, 2021.

2. World Health Organization. Infection prevention and control guidance for long-term care facilities in the context of COVID-19. World Health Organization; 2021. Available from: https://apps.who.int/iris/bitstream/handle/10665/338481/WHO-2019-nCoV-IPC_long_term_care-2021.1-eng.pdf?sequence=1&isAllowed=y. Accessed on Mar 12, 2021.

3. Watanabe HAW, Domingues MARC, Duarte YAO. COVID-19 and homes for the aged: care or an announced death? Geriatr Gerontol Aging. 2020;14(2):143-5. https://doi.org/10.5327/Z2447-2123202020142LTTR

4. Jacinto AF, Achterberg W, Wachholz PA, Dening T, Harrison Dening K, Devi R, et al. Using international collaborations to shape research and innovation into care homes in Brazil: a white paper. J Nursing Home Res. 2020;6:109-13. http://dx.doi.org/10.14283/jnhrs.2020.28

5. Wachholz PA, Jacinto AF, Melo RC, Dinamarca-Montecinos JL, Boas PJFV. COVID-19: challenges in long-term care facilities for older adults in Hispanic American countries. Geriatr Gerontol Aging. 2020;14(4):259-66. https://doi.org/10.5327/Z2447-212320202000085

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