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Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal
BACKGROUND: The emergence of coronavirus disease 2019 (COVID-19) has resulted in a pandemic that has significantly impacted healthcare systems at a global level. Health care facilities in Nepal, as in other low- and middle-income countries, have limited resources for the treatment and management of...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9152279/ https://www.ncbi.nlm.nih.gov/pubmed/35655453 http://dx.doi.org/10.3389/fpubh.2022.891611 |
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author | Amatya, Rakchya Mishra, Kritika Karki, Kshitij Puri, Isha Gautam, Archita Thapa, Sweta Katwal, Urmila Veer, Siddhesh Zervos, John Kaljee, Linda Prentiss, Tyler Zenlea, Kate Maki, Gina Rayamajhi, Pawan Jung Khanal, Narendra K. Thapa, Pomawati Upadhyaya, Madan Kumar Bajracharya, Deepak |
author_facet | Amatya, Rakchya Mishra, Kritika Karki, Kshitij Puri, Isha Gautam, Archita Thapa, Sweta Katwal, Urmila Veer, Siddhesh Zervos, John Kaljee, Linda Prentiss, Tyler Zenlea, Kate Maki, Gina Rayamajhi, Pawan Jung Khanal, Narendra K. Thapa, Pomawati Upadhyaya, Madan Kumar Bajracharya, Deepak |
author_sort | Amatya, Rakchya |
collection | PubMed |
description | BACKGROUND: The emergence of coronavirus disease 2019 (COVID-19) has resulted in a pandemic that has significantly impacted healthcare systems at a global level. Health care facilities in Nepal, as in other low- and middle-income countries, have limited resources for the treatment and management of COVID-19 patients. Only critical cases are admitted to the hospital resulting in most patients in home isolation. METHODS: Himalaya Home Care (HHC) was initiated to monitor and provide counseling to home isolated COVID-19 patients for disease prevention, control, and treatment. Counselors included one physician and four nurses. Lists of patients were obtained from district and municipal health facilities. HHC counselors called patients to provide basic counseling services. A follow-up check-in phone call was conducted 10 days later. During this second call, patients were asked about their perceptions of the HHC program. Project objects were: (1) To support treatment of home isolated persons with mild to moderate COVID-19, decrease burden of hospitalizations, and decrease risks for disease transmission; and, (2) To improve the health status of marginalized, remote, and vulnerable populations in Nepal during the COVID-19 pandemic. RESULTS: Data from 5823 and 3988 patients from May 2021-February 2022 were entered in initial and follow-up forms on a REDCap database. The majority of patients who received counseling were satisfied. At follow-up, 98.4% of respondents reported that HHC prevented hospitalization, 76.5% reported they could manage their symptoms at home, and 69.5% reported that counseling helped to limit the spread of COVID-19 in their household. CONCLUSIONS: Telehealth can be an essential strategy for providing services while keeping patients and health providers safe during the COVID-19 pandemic. |
format | Online Article Text |
id | pubmed-9152279 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-91522792022-06-01 Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal Amatya, Rakchya Mishra, Kritika Karki, Kshitij Puri, Isha Gautam, Archita Thapa, Sweta Katwal, Urmila Veer, Siddhesh Zervos, John Kaljee, Linda Prentiss, Tyler Zenlea, Kate Maki, Gina Rayamajhi, Pawan Jung Khanal, Narendra K. Thapa, Pomawati Upadhyaya, Madan Kumar Bajracharya, Deepak Front Public Health Public Health BACKGROUND: The emergence of coronavirus disease 2019 (COVID-19) has resulted in a pandemic that has significantly impacted healthcare systems at a global level. Health care facilities in Nepal, as in other low- and middle-income countries, have limited resources for the treatment and management of COVID-19 patients. Only critical cases are admitted to the hospital resulting in most patients in home isolation. METHODS: Himalaya Home Care (HHC) was initiated to monitor and provide counseling to home isolated COVID-19 patients for disease prevention, control, and treatment. Counselors included one physician and four nurses. Lists of patients were obtained from district and municipal health facilities. HHC counselors called patients to provide basic counseling services. A follow-up check-in phone call was conducted 10 days later. During this second call, patients were asked about their perceptions of the HHC program. Project objects were: (1) To support treatment of home isolated persons with mild to moderate COVID-19, decrease burden of hospitalizations, and decrease risks for disease transmission; and, (2) To improve the health status of marginalized, remote, and vulnerable populations in Nepal during the COVID-19 pandemic. RESULTS: Data from 5823 and 3988 patients from May 2021-February 2022 were entered in initial and follow-up forms on a REDCap database. The majority of patients who received counseling were satisfied. At follow-up, 98.4% of respondents reported that HHC prevented hospitalization, 76.5% reported they could manage their symptoms at home, and 69.5% reported that counseling helped to limit the spread of COVID-19 in their household. CONCLUSIONS: Telehealth can be an essential strategy for providing services while keeping patients and health providers safe during the COVID-19 pandemic. Frontiers Media S.A. 2022-05-17 /pmc/articles/PMC9152279/ /pubmed/35655453 http://dx.doi.org/10.3389/fpubh.2022.891611 Text en Copyright © 2022 Amatya, Mishra, Karki, Puri, Gautam, Thapa, Katwal, Veer, Zervos, Kaljee, Prentiss, Zenlea, Maki, Rayamajhi, Khanal, Thapa, Upadhyaya and Bajracharya. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Amatya, Rakchya Mishra, Kritika Karki, Kshitij Puri, Isha Gautam, Archita Thapa, Sweta Katwal, Urmila Veer, Siddhesh Zervos, John Kaljee, Linda Prentiss, Tyler Zenlea, Kate Maki, Gina Rayamajhi, Pawan Jung Khanal, Narendra K. Thapa, Pomawati Upadhyaya, Madan Kumar Bajracharya, Deepak Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal |
title | Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal |
title_full | Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal |
title_fullStr | Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal |
title_full_unstemmed | Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal |
title_short | Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal |
title_sort | post-implementation review of the himalaya home care project for home isolated covid-19 patients in nepal |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9152279/ https://www.ncbi.nlm.nih.gov/pubmed/35655453 http://dx.doi.org/10.3389/fpubh.2022.891611 |
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