Abstract
The COVID 19 pandemic questioned the continuous and comprehensive management of chronic illness. The new health guidelines and limited resources challenged primary care centers in their service delivery. A new local guideline become a timely need to overcome the challenges. This article is briefly narrating the local guidelines which was prepared by the University Family Health Center, Kondavil.
Highlights
The chronic illness was defined by the centers for disease control and prevention for disease as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both (1)
In Sri Lanka, the primary care centers deliver the services as Out Patient Department (OPD) system (3)
University Family Health Center, Kondavil (FHC, Kondavil) is a primary care center which is associated with the Department of Community Medicine and Family Medicine, Faculty of Medicine, University of Jaffna located in the premises of Divisional Hospital, Kondavil, Jaffna
Summary
The chronic illness was defined by the centers for disease control and prevention for disease as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both (1). The FHC, Kondavil is sharing the building with Divisional Hospital, Kondavil It has 200 registered patients under Non-Communicable Disease (NCD) clinic for chronic illness management. The FHC, Kondavil is providing palliative care for the geriatric population that who can’t approach the center such as stroke patients. Developing an effective chronic illness management plan at the primary care level according to the new health guidelines with the available limited resources is a timely need to provide the services. The virtual focus group discussions were conducted with the staff and patient welfare society members via Viber and WhatsApp conference calls They were empowered to find out the solutions for the action plan development. The cockscrew cycles of engagement, empowerment and reflection were continued until developing an effective chronic illness management practice at primary care level in COVID 19 era
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