Soundation gta sa1/8/2023 The focus of HHC was to determine the feasibility and outcomes of a similar model in a low- or middle-income setting, for future scale-up and more rigorous outcome measurements. Data collection on patient outcomes was obtained. The HFHS project was deployed to address the surge of COVID-19 cases and hospitalizations in Detroit as a rapid response and community engagement effort. The implementation of HHC was adapted from a successful helpline call center quality improvement project piloted by the Henry Ford Health. To address this need, GTA foundation (GTA) in coordination with Department of Health Service (DoHS) under the Ministry of Health and Population (MoHP) and the Henry Ford Health Global Health Initiative (HFHS GHI) initiated the Himalaya Home Care (HHC) helpline. With a sizeable number of patients in home isolation, the Nepali health system was challenged to reach and counsel these patients in disease treatment and prevention. Additionally, health care facilities had limited resources for the treatment and management of COVID-19 ( 10– 13). Prior to the pandemic, there was a scarcity of physicians, nurses and paramedics in Nepal. Among the total active cases, 85% were in home isolation ( 9). Through March 1, 2022, there were over 977,000 identified cases, among which 90.5% have recovered and 1.3% have died. Delta and Omicron genetic variants contributed to surges in cases in April-June 2021 and January 2022, respectively ( 7, 8). The first COVID-19 case in Nepal was detected on Janu( 6). Individuals with serious symptoms are advised to seek immediate medical attention, while those with mild symptoms are advised to manage their symptoms at home ( 1). The clinical spectrum and severity of COVID-19 ranges from mild to severe life-threatening symptoms ( 4, 5). COVID-19 causes respiratory illness resembling two previous outbreaks - severe acute respiratory syndrome coronavirus and Middle East respiratory syndrome coronavirus ( 3). On March 11, 2020, the World Health Organization (WHO) declared COVID-19 a global pandemic ( 1, 2).
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