Instead of waiting for the covid-19 patients to reach the health services, the Costa Rican Social Security Fund (CCSS) has carried out a communal intervention at all levels in the Huetar Norte area, in family, community and work spaces.
The objective is to identify patients with signs and symptoms of respiratory disease with suspected covid-19 in order to reduce the risk of infection, detect the groups of infection and accelerate timely care if symptoms begin to develop before becoming complicated. gravity.
The goal is to avoid as much as possible the spread in the community in the setting where the transmission of the disease occurs without knowing the source of the infection.
Aware that this is a changing and challenging environment like the border, health teams know that it is possible that the patient could have been exposed to an infected traveler who is coming and going or who is passing through and, in these conditions, that Intervention being extended and permanent makes a difference.
The primary care health groups were committed and the strategy has been successfully implemented. Hence, early detection of cases has been carried out, most of them asymptomatic, which has activated the timely follow-up of the contacts and, in turn, of the contacts of the contacted, thus avoiding the massive spread of the virus quietly.
The first level of attention to combing borders and towns in order to guarantee the country that the communal sweep is so thorough that practically the area is under permanent surveillance.
The effort has been based on an interdisciplinary approach and with the indispensable support of primary care technicians, who know the area and have the trust of the community.
For the nurse María José Centeno Córdoba, this intervention is the largest of the institution in terms of the deployment of health teams in the area and she estimates that it should be one of the few in the world with a level of intervention by house-to-house traces. , company by company and along the border corridor.
In her opinion, this success and the particularity stem from the fact that primary care technicians know their areas in their entirety and that the ATAP figure is scarce in the health services of other countries.
She recently participated in a talk where she shared that intervention with the nursing groups from the other areas and, to sum it up in one sentence, she said: “we could wait to see what was happening or we could do an intervention faster than the virus spreads and, apparently, we have been able to do it until now ”.
The communal approach he speaks of is aggressive. In high risk areas, between 100 and 150 tests are carried out daily and, for health groups, this form of work allowed early detection of cases, thus guaranteeing that cases in the area are being contained to avoid spreading over the rest of the territory, affirms doctor María José Centeno with satisfaction.
And when she says it, she speaks with gratitude of the other entities that collaborate in the intervention, neighborhood organizations, Public Security officers and businessmen committed to control, among others.