Description and analysis of primary care-based COVID-19 interventions in Colombia.

Abstract

The COVID-19 pandemic was declared in early 2020, requiring different prevention and intervention measures on a large scale. In the case of Colombia, a series of measures focused on isolation and remote services provision were introduced in a context marked by health inequities. This article reviews the theoretical and normative references on primary care interventions in the Colombian response to the COVID-19 pandemic. A literature review was conducted in PubMed, LILACS, MEDLINE, and official documents and regulations issued in Colombia, the World Health Organization, and the Pan American Health Organization. A narrative synthesis was done of 33 documents based on their contribution to the implementation of primary care in Colombia and their role in the pandemic. The information was organized into two categories: Actions taken in Colombia in response to COVID-19 and Opportunities in primary care in response to COVID-19. Colombias actions were contrasted with world experience. Better pandemic control was found in countries that adopted primary care as a response. Primary care has strengthened the handling of the pandemic through community action, the provision of coordinated services, mental health inclusion, and the adoption of telemedicine processes. In Colombia, primary care is presented as an opportunity to respond to the COVID-19 pandemic and the problems and needs derived from this situation. However, despite the above, there is resistance in the country to adopt this type of approach and complement the hospital-centric model to face the pandemic.