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Table 2 Criteria and package of care for management of COVID-19 cases in Africa

From: COVID-19 case management strategies: what are the options for Africa?

Strategy Criteria Package Requirements
Health facility Severe and critical cases
Mild and moderate cases with risk factors for poor outcomes (co-morbidities, age > 60 years)
All confirmed cases if resources allow
All suspected cases if resources allow
Medical care as appropriate
 Supportive treatment
 Treat co-infections and co-morbidities
 Oxygen therapy
 Mechanical ventilation for critical cases
Psychosocial support for patients and health workers
Food, water and other necessities
Dedicated trained COVID-19 health workers/teams
Adequate Personal Protective Equipment for health workers
Oxygen generation plant/cylinders
Ventilators and other intensive care supplies/consumables
Critical care doctors and nurses
Essential medicines
Re-purposed facility Mild and moderate cases with no risk factors
Asymptomatic cases (if resources allow)
All suspected cases (if resources allow)
Basic medical care as appropriate
 Supportive treatment
 Treat co-infections
 Monitor for clinical deterioration to institute referral
Psychosocial support for patients and health workers
Food, water and other necessities
Social engagement activities
Dedicated trained COVID-19 health workers/teams (community health workers can be trained)
Basic essential medicines that can be administered by community health workers
Adequate Personal Protective Equipment for health workers
Access to ambulance services for referral to a health facility in case of clinical deterioration
Recreational facilities
Home-based care If there is no capacity for isolation in designated facilities, home isolate:
 Suspected cases
 Asymptomatic cases
 Mild and moderate cases with no risk factors
Home based care kit with essential IPC supplies (e.g. soap, disinfectant, medical masks) and medications for supportive treatment such as antipyretics, as adapted for the country context
Regular communication with community health workers to monitor for any clinical deterioration (this can be done by phone or physical visits at scheduled intervals)
Scheduled visits by community health workers to monitor adherence to IPC measures
Psychosocial support for patients and caregivers
Assessment of the home by a health care worker to assess its suitability for home-based care
Training of caregivers on infection prevention and control measures
Community engagement to address stigma
Legal enforcement to ensure adherence to isolation measures
Compensation for loss of income e.g. by provision of food or non-food items or cash
Access to ambulance services for referral to a health facility in case of clinical deterioration
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