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Devastating scenes from across the world have shown how healthcare workers at all levels have grappled with the challenge of an overwhelming number of patients. We know that these unprecedented numbers of patients have placed extreme pressure on resources such as manpower, ventilators, and PPE.

Fortunately, South Africa responded timeously, with decisive measures aimed at 'flattening the curve'. This has given us extra time to prepare for a significant surge, but experts agree that this is a temporary reprieve.

Home is where the heart is

Home-based care "reserves" valuable hospital beds for the critically ill and makes follow up for discharged patients possible. Home-based care also allows for effective palliative care and protects patients from being separated from their families at a time when they will need them most.

As critical infection rates surge, the healthcare systems will be under significant pressure and will almost certainly be unable to provide ICU beds, ventilators and treatment to all who need them. Home-based care is the next best alternative. This will require help from GP's, Community Healthcare workers, and teams of doctors from local hospitals.

Winter is coming

As Winter approaches, lockdown eases, and community spread increases, numbers of those infected will escalate. Compounding this is the gross inequalities of the South African socio-economic terrain, with many communities experiencing limited resources, overcrowded living conditions, and profound vulnerability due to the economic downturn.

Enough is not enough

Mainstream supply chains of protective gear (e.g. for hospitals & community health clinics) do not supply PPE to doctors or other healthcare workers who visit patients at home in their community. In addition, measurement parameters such as oxygen saturation (pulse oximeters) and temperature measurement (thermometers) will be required to effectively manage communities.