The World Health Organization (WHO) has published guidelines to help countries maintain essential health services during the COVID-19 pandemic.

Statement issued by the WHO reads that the rapidly increasing demand on health facilities and health care workers threatens to leave some health systems overstretched and unable to operate effectively.

Previous outbreaks have demonstrated that when health systems are overwhelmed, mortality from vaccine-preventable and other treatable conditions can also increase dramatically. During the 2014-2015 Ebola outbreak, the increased number of deaths caused by measles, malaria, HIV/AIDS, and tuberculosis attributable to health system failures exceeded deaths from Ebola”, the WHO warned.

WHO Director-General Tedros Adhanom Ghebreyesus underlined that the best defense against any outbreak was a strong health system. “COVID-19 is revealing how fragile many of the world’s health systems and services are, forcing countries to make difficult choices on how to best meet the needs of their people”, he noted.

WHO Director General Ghebreyesus coronavirus

To help countries navigate through these challenges, the World Health Organization has updated operational planning guidelines in balancing the demands of responding directly to COVID-19 while maintaining essential health service delivery, and mitigating the risk of system collapse. This includes a set of targeted immediate actions that countries should consider at national, regional, and local level to reorganize and maintain access to high-quality essential health services for all.

Countries should identify essential services that will be prioritized in their efforts to maintain continuity of service delivery and make strategic shifts to ensure that increasingly limited resources provide maximum benefit for the population. They also need to comply with the highest standard in precautions, especially in hygiene practices, and the provision of adequate supplies including personal protective equipment. This requires robust planning and coordinated actions between governments and health facilities and their managers”, the WHO stated.

According to the World Health Organization, some examples of essential services include: routine vaccination; reproductive health services including care during pregnancy and childbirth; care of young infants and older adults; management of mental health conditions as well as non-communicable diseases and infectious diseases like HIV, malaria and tuberculosis; critical inpatient therapies; management of emergency health conditions; auxiliary services like basic diagnostic imaging, laboratory services, and blood bank services, among others.

Well-organized and prepared health systems can continue to provide equitable access to essential service delivery throughout an emergency, limiting direct mortality and avoiding increased indirect mortality”, the WHO stated.  

The guidelines stress the importance of keeping up-to-date information. This, according to WHO, requires frequent transparent communications with the public, and strong community engagements so the public can maintain trust in the system to safely meet their essential needs and to control infection risk in health facilities. “This will help ensure that people continue to seek care when appropriate, and adhere to public health advice”, the World Health Organization concluded.

Meanwhile, the WHO Office in Bosnia and Herzegovina reminded that the coronavirus spread primarily through droplets generated when an infected person coughs, sneezes or speaks, or through droplets of saliva or discharge from the nose.

These droplets are too heavy to stay in the air, so they drop down to the floor or other surfaces almost immediately.  

The WHO Office in Bosnia and Herzegovina added that people could get infected if they inhale the virus, if they stand less than one meter away from an infected person, or if they touch contaminated surface and then touch their nose, eyes or mouth with unwashed hands.

In order to protect yourselves, maintain distance of at least one meter from others and disinfect surfaces which are frequently touched. Wash hands regularly and thoroughly and do not touch your eyes, nose or mouth”, stated the WHO Office in BiH.

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