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

Lloyd‐Sherlock, Peter; Neto, João Bastos Freire; Duarte, Meirelayne Borges; Frank, Mônica Hupsel; Giacomin, Karla Cristina; Bôas, Paulo José Fortes Villas; Saddi, Fabiana da Cunha; Wachholz, Patrick Alexander

doi:10.5327/z2447-212320212100030

Cited by 13 publications

(17 citation statements)

References 8 publications

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“…Because of this, the National Front for the Strengthening of LTCF united hundreds of professionals and volunteers across Brazil to mitigate the effects of the COVID-19 pandemic on LTCF 29 . Authors from the field of aging and public management also proposed policies (e.g., CIAT: coordination, identification, assessment, and work) to support government actions against the pandemic and manage the impacts of COVID-19 effects in LTCF of developing countries 30 .…”

Section: Discussionmentioning

confidence: 99%

Long-term care facilities for older people and the COVID-19 pandemic: epidemiological data and preventive measures

Lacerda,

Assis,

Silva

et al. 2023

Geriatr Gerontol Aging

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Objectives: The COVID 19 pandemic has challenged society, especially residents of long term care facilities (LTCF). This study investigated rates of infection, hospitalization, and death due to COVID 19 among LTCF residents and staff in Minas Gerais, Brazil and identified strategies to control the spread of the disease. Methods: This cross sectional study collected data from 164 LTCF (6017 older adults). The owners or managers were invited to answer an electronic questionnaire. The questionnaire included 55 items, divided into 3 sections. Results: Of the participating LTCF, 48.7%, 39.6%, and 32.3% reported COVID 19 infections, hospitalizations, and deaths, respectively, among residents, while 68.9%, 7.3%, and 1.2% reported COVID 19 infections, hospitalizations, and deaths, respectively, among staff. Preventive measures were identified and classified as organizational, infrastructural, hygiene items/personal protective equipment, and staff training. Conclusion: The strategies used in the daily routines of LTCF during the pandemic were classified. The challenges experienced in Brazilian facilities were similar to those observed worldwide. The results highlight the importance of continuity and the need to improve protective measures for LTCF residents, especially in low- and middle-income countries

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Section: Discussionmentioning

confidence: 99%

Long-term care facilities for older people and the COVID-19 pandemic: epidemiological data and preventive measures

Lacerda,

Assis,

Silva

et al. 2023

Geriatr Gerontol Aging

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“…Its uniqueness may imply that the conditions that enabled PMC’s development, including the close partnership of health and social assistance were highly unusual. The COVID‐19 pandemic prompted collaborations between local health and social care departments elsewhere in Brazil to protect long‐term care facilities, albeit mainly on a largely ad hoc and informal basis (Lloyd‐Sherlock et al, 2021b). Nevertheless, Brazil’s Federal Ministry of Health has now committed to supporting the establishment of similar programmes in other Brazilian cities.…”

Section: Discussionmentioning

confidence: 99%

“…In practice, however, coordination between the two agencies is weak and regulation minimal. This disconnect became especially evident in the early stages of the COVID-19 pandemic, prompting agencies in some cities to develop emergency coordination plans (Lloyd-Sherlock et al, 2021b). As with hospital service use, there is growing recognition among Brazilian policy-makers that LTCFs should not be the main form of care-provision for older people, given the expense and the desire of most older people to remain in their own homes (WHO, 2015).…”

Section: Health and Long-term Care For Older People In Brazilmentioning

confidence: 99%

Integrated long‐term care partnerships between government social care and health agencies in Brazil: The Belo Horizonte model

Lloyd‐Sherlock

Giacomin

Carvalho

et al. 2022

Int Social Security Review

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The article sets out key elements of the policy agenda for enhanced integration between health and social care for older people in high‐income countries and demonstrates its wider relevance to low‐ and middle‐income countries (LMICs). The article then explores the context for this agenda in Brazil, including growing demand for long‐term care (LTC) and current institutional arrangements. It goes on to discuss a case study project of partnering for LTC between local social assistance and health agencies in the Brazilian city of Belo Horizonte. It identifies challenges and potential benefits of this partnership model, offering policy insights for LTC policy in Brazil and other countries.

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“…Because of this, the National Front for the Strengthening of LTCF united hundreds of professionals and volunteers across Brazil to mitigate the effects of the COVID-19 pandemic on LTCF [42]. Authors from the field of aging and public management also proposed policies (e.g., CIAT: coordination, identification, assessment, and work) to support government actions against the pandemic and manage the impacts of COVID-19 effects in LTCF of developing countries [43].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Care Facilities for Older People in Brazil and the COVID-19 Pandemic: Epidemiological Data and Preventive Measures

Lacerda1¹,

Assis²,

Silva³

et al. 2022

Preprint

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The COVID-19 pandemic has been challenging for society, especially for those residing in long-term care facilities (LTCF). This study aimed to describe rates of infection, hospitalization, and death due to COVID-19 among older people and staff of LTCF in Minas Gerais (Brazil) and identify strategies to prevent and control the disease spread. This cross-sectional study was conducted with 164 LTCF (6,017 older people). Among the studied LTCF, 48.7% confirmed COVID-19 infection in older people, resulting in 39.6% hospitalization and 32.3% death among infected. Moreover, 68.9% of LTCF confirmed COVID-19 infection in the staff, with 7.3% hospitalization and 1.2% death. Preventive measures were identified and classified as organizational, infrastructure, hygiene items and personal protective equipment, and staff training against COVID-19. These measures showed strategies and barriers experienced in the daily routine of LTCF during the pandemic. LTCF in Brazil experienced challenges similar to observed worldwide. Results highlighted the importance of continuity and improvement of protective measures for older people in LTCF, especially in low- and middle-income countries.

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

Cited by 13 publications

References 8 publications

Long-term care facilities for older people and the COVID-19 pandemic: epidemiological data and preventive measures

Long-term care facilities for older people and the COVID-19 pandemic: epidemiological data and preventive measures

Integrated long‐term care partnerships between government social care and health agencies in Brazil: The Belo Horizonte model

Long-Term Care Facilities for Older People in Brazil and the COVID-19 Pandemic: Epidemiological Data and Preventive Measures

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