Federation of the Red Cross have published guidance for countries on how to maintain community-based health care in the context of (the) Covid-19.
It includes practical recommendations for countries on sustaining essential services at the community level, leveraging community health workers for the response to Covid-19, while keeping them safe, and advice for how to adapt services for specific diseases and age groups.
For example, it suggests using telemedicine wherever possible, and leaving insecticide-treated nets for malaria at the door of households, instead of asking people to collect them from a central location.
It’s also vital that countries pay careful attention to the most vulnerable members of their societies.
Crises can exacerbate existing inequalities, which is demonstrated in higher rates of hospitalisation and death among certain populations in many countries.
We must address this now and in the long-term by prioritising diagnosis and care for those who are most at risk.
This is not only the right thing to do, it’s the smart thing to do. We cannot end the pandemic until we address the inequalities that are fuelling it.
Today’s guidance complements the United Nations
framework for the socio-economic response to Covid-19, published last week.
The framework lays out a “recovery road map” for countries to protect lives and livelihoods, and get businesses and economies up and running again as soon as possible.
Importantly, the framework takes a “health first” approach, recognising that strong and resilient health systems must be the foundation of recovery in all countries.
As more and more countries consider how to ease (the) so-called lockdown restrictions, I want to reiterate the six criteria that WHO recommends countries consider:
First, that surveillance is strong, cases are declining and transmission is controlled;
Second, that health system capacities are in place to detect, isolate, test and treat every case and trace every contact;
Third, that outbreak risks are minimised in special settings like health facilities and nursing homes;
Fourth, that preventive measures are in place in workplaces, schools and other places where it’s essential for people to go;
Fifth, that importation risks can be managed;
And sixth, that communities are fully educated, engaged and empowered to adjust to the “new norm”.
The risk of returning to (the) lockdown remains very real if countries do not manage the transition extremely carefully, and in a phased approach.
The pandemic has highlighted the importance of strong national and sub-national health systems as the foundation of global health security and universal health coverage.
Strong and resilient health systems are the best defence not only against outbreaks and pandemics, but also against the multiple health threats that people around the world face...
And yet, on current trends, more than five billion people will lack access to essential health services by 2030 — including the ability to see a health worker, access to essential medicines, and running water in hospitals.
Gaps like these don’t just undermine the health of individuals, families and communities; they also put global security and economic development at risk.
The world spends around $7.5 trillion on health each year — almost 10 per cent of (the) global GDP.
But the best investments are in promoting health and preventing disease at the primary health care level, which will save lives and save money. Prevention is not only better than cure, it’s cheaper, and the smartest thing to do.
The Covid-19 pandemic will eventually recede, but there can be no going back to business as usual. We cannot continue to rush to fund panic but let preparedness go by the wayside.
As we work on responding to this pandemic, we must also work harder to prepare for the next one...
Edited excerpts from World Health Organization (WHO) Director General Tedros Adhanom Ghebreyesu’s opening remarks at the media briefing on Covid-19, in New York, May 6