As the COVID response continues to move apace, we wanted to share an overview of how we are thinking about priority use cases for the CHT’s COVID-19 response.
Medic Mobile, the Community Health Impact Coalition (CHIC), and other Community Health Toolkit contributors are thinking about how digital tools and community healthcare workers can best support the COVID-19 response across the scale of the community, the health facility, and the broader health system, as well as within individual households and with specific patients.
Medic is currently working on multiple projects related to COVID-19 response, including partnerships with Ministries of Health in Nepal and Kenya. We are exploring opportunities to layer on COVID-19 prevention, surveillance, and case management workflows to these platforms in line with the MOH strategic priorities. We are particularly focused on supporting surveillance and home-based care efforts, as well as empowering and protecting frontline health workers at the community level.
Across other CHT deployments in partnership with community health implementers, we are exploring standardization of COVID-19 care guides, protocols, and data standards. We are also coordinating with the broader digital health community - with the goal of strengthening existing systems, contributing content and ideas, and enhancing harmonization between existing tools, systems and standards.
How We Are Working Together
Medic Mobile will use the CHT and work with our implementing partners to enable new use cases, such as screening at ports of entry, and adapt existing use cases to enable CHWs to fight COVID-19. The key use cases mentioned above will be the foundation of our COVID-19 response, which will range from screening to event based surveillance and support to contact tracing to capacity building for CHWs and members of their community through client-initiated messaging, information sharing, and self-screening. This will enable CHWs to screen, report, and track people with COVID-19 symptoms; conduct contact tracing and monitoring; link community members with care via referrals and other recommendations; and to educate themselves and community members on best practices for staying safe and preventing the spread of COVID-19.
The Use Cases
We are exploring the following priority use cases for the CHT, which we have grouped in four overarching categories: Surveillance & Detection, Patient Care, Protecting CHWs, and Adapting PHC. To learn more, please see the full list below.
Surveillance and Detection
- Port of entry screening
- Event-based surveillance
- Community EBS
- Contact tracing
Patient Care for COVID-19
- Community-based symptom screening
- Rapid diagnostic testing
- Referrals to care
- Proactive messaging to support:
- Home-Based Quarantine Support
- CHW Self-Assessments
- Patient Self-Assessments
Protecting Community Healthcare Workers
- PPE projections
- CHW remote training & education
- CHW mental health & wellbeing
Adaptations to PHC
- Adapting existing priority PHC workflows, including: ANC, PNC, iCCM, Malnutrition & Family Planning
In addition, we have mapped these use cases to different phases of the outbreak response and an associated timeline. This is in the visual linked here!
For an evolving table of use cases, CHW actions, and other relevant information, go here: COVID-19 Phases Mapped to CHW Roles & Technology Use Cases
We welcome your comments, questions, and suggestions on our thinking below!