Health care strategies in long-term care facilities in Bahia State, Brazil

Duarte, Meirelayne Borges; Freitas, João Victor Nunes; Correia, Rafaela Andrade; Frank, Mônica Hupsel; Novaes, Helena Patáro de Oliveira; Soub, Janine Cardoso; Noronha, Diana Oliveira; Lloyd‐Sherlock, Peter

doi:10.53886/gga.e0210054

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…The findings of the each of the three case studies represent a rich, complex, and diverse set of experiences. To date, these have been analysed individually, and sister studies conducted in Mexico City and Bahia state have been published elsewhere (Duarte et al, 2021;Lloyd-Sherlock et al, 2023). This paper focusses on the Western Cape experience, albeit with some international comparative discussion.…”

Section: Study Design and Methodsmentioning

confidence: 99%

An Emergency Strategy for Intersectoral Local Government Responses to COVID-19 in Long-term Care Facilities in Western Cape Province, South Africa

Lloyd-Sherlock,

Kelly,

Geffen

2024

Journal of Long Term Care

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There are growing numbers of long-term care facilities (LTCFs) in low-and middle-income countries (LMICs). In 2020, a network of academics and stakeholders developed the CIAT (Coordinate, Identify, Assess and Targeted support) Framework, an emergency COVID-19 policy guidance that sought to address specific needs of LMIC government agencies responsible for LTCFs.Objective: This paper reviews the South African COVID-19 response experience, with particular reference to Western Cape Province, and assesses the degree to which policy responses conformed with the CIAT Framework. Methods:The paper draws on an opportunistic, improvised research design, based on the establishment of a pragmatic partnership between the authors and local government stakeholders. This entailed proactive engagement and informal discussions with policymakers as the pandemic unfolded, as well as privileged access to official documents. Findings and implications:Responses to the pandemic, especially in the early months, did not follow the CIAT Framework. They were hindered by government departments' poor coordination, weak information systems, and dysfunctional engagement with LTCFs. These problems dated back to before the pandemic and require structural reform to long-term care policy. Limitations:The lack of data on LTCFs in South Africa (though itself an important finding) prevents analysis of policy effects at the level of individual facilities.

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Section: Study Design and Methodsmentioning

confidence: 99%

An Emergency Strategy for Intersectoral Local Government Responses to COVID-19 in Long-term Care Facilities in Western Cape Province, South Africa

Lloyd-Sherlock,

Kelly,

Geffen

2024

Journal of Long Term Care

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Reflections on the development of an integrated continuum of long-term care for older adults in Brazil

Wachholz

Boas

Domingues

et al. 2022

Geriatr Gerontol Aging

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To catalyze the discussion and implementation of state policies for an integrated continuum of long-term care (LTC), it is imperative to assemble strategic actions involving the public and private sectors, civil society, international agencies, professionals, academia, and the media, considering clear objectives for improving the lives of older adults, their families, and the communities where they live. Care may be provided at home, in the community, or at LTC facilities (LTCFs) for older adults. In this essay, we focused on institutional care. Tensions between advocates of different models of care for older people should include space for dialogue, convergence, and intersectoral actions, regardless of where LTC is provided. Conditions for LTCFs not to be perceived as the “last and undesirable alternative” should exist or be created so that these institutions are seen instead as welcoming, productive, and inclusive environments that are integrated to the community and its social, recreational, and health systems. The aim of this essay was to reflect on the urgency of developing an integrated continuum of LTC for older adults in Brazil that considers care as a right along with its modalities of delivery, flow, services, and activities, as well as sustainable financing alternatives and legal and governance directives. This work was divided into four sections: (1) aging as a social achievement and care as a right; (2) models of LTC and panorama of the sector in Brazil; (3) change in paradigms for conceiving LTCFs and LTC; and (4) framework for achieving an integrated continuum of LTC.

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Health care strategies in long-term care facilities in Bahia State, Brazil

Cited by 2 publications

References 26 publications

An Emergency Strategy for Intersectoral Local Government Responses to COVID-19 in Long-term Care Facilities in Western Cape Province, South Africa

An Emergency Strategy for Intersectoral Local Government Responses to COVID-19 in Long-term Care Facilities in Western Cape Province, South Africa

Reflections on the development of an integrated continuum of long-term care for older adults in Brazil

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