About the Home Based Care Application

Download the CommCare Application


The Home Based care application is available to be imported directly into your CommCare project space, along with all free COVID-19 template applications, in this library: https://www.commcarehq.org/covid19 


Application Version History

  • September 28, 2020: First Version Released

Application Overview

Medic Mobile and Dimagi have teamed-up to design a community health application to support Home-Based care for COVID-19. This CommCare application is designed to provide relevant education, training, and asynchronous communication links to CHWs, patients and family/community members to facilitate home-based care. The application digitizes workflows described in the Core group’s Home Based Care Reference Guide for COVID-19

Specific app functionality includes:

  • Screening of individuals for symptoms of COVID-19

  • Verifying whether a patient’s residential setting is suitable for home care, informed by an assessment of the safety of their residential environment

  • Facilitating referrals to labs for testing, and to health facilities for more urgent care 

  • Facilitating regular CHW follow up and recording of patient’s symptom progression

  • Providing educational content to CHWs, patients, and family/community members on best practices for providing at-home care


Application Details

Application Workflow

The application was designed in an effort to digitize the workflows described in the Core group’s Home Based Reference Guide for COVID-19. The application was designed in collaboration with Medic Mobile and developed by Dimagi’s team of software engineers and implementation specialists built the app to support the following processes: 

  • Registration of confirmed or suspected COVID-19 cases

  • Symptom screening

  • Assessment for eligibility of Home Based Care 

  • Enter test details

  • Refer for further testing

  • Facilitate referral for treatment if needed

  • Present educational material to CHW, caregivers, and patients



Personas

These personas provide a common understanding of who the app is serving, particularly when working across diverse contexts. Being explicit about who the app is designed for, and understanding what is important to them helps to prioritize features, make better design decisions, and optimize impact.


This workflow includes the patient, their household care provider (could also be a community member), CHWs, and CHW supervisors. In addition, it is likely that program staff will engage with CHWs and CHW supervisors to ensure proper training and protective equipment is received. In this design, the primary users of the app are the CHW and CHW supervisors with patients and household care providers as recipients of care and educational content.



Description of Forms in CommCare

The table below breaks down the the role of each form in the CommCare application:

Home Based Care Forms


Form Name

Form purpose

Summary of content

Register & Assess for Home Based Care

Add a new patient (covid_19_case) to the application

This form is filled out to both register a confirmed or suspected COVID-19 patient and assess if they are eligible for home based care based on their symptoms, underlying conditions and residential setting. If the patient is not eligible for home based care this form can help issue a referral to a health facility. 

This form also has the capability to enter initial test results, refer for additional testing. 

Patient basic information

Patient contact information

Patient symptom screening

Patient underlying condition assessment

Residential Setting and Caregiver assessment

Referral to health facility

Referral for testing

HBC Follow up

Once a patient has been enrolled in home based care, this form allows the CHW to follow up on the patient’s symptom progression, enter additional test results, and reassess the household. 

When appropriate this form can facilitate an end to home based care either because a patient has completed their care or because they need to be referred to a health facility for treatment. 

Patient symptom progression 

Referral for treatment

Record test results

Referral for testing

End home based care

Referral Follow up

Used at an ad hoc basis to record the details of a referral

Referral status


The table below describes each of the educational forms in the CommCare application: 


Home Based Care Educational Content

Form Name

Description

Introduction to COVID-19

This module provides CHWs with a basic understanding of COVID-19, as well as hygiene, signs and symptoms, and prevention measures. It includes educational content for the broader community. 

Introduction to Home Based Care

An introduction to providing home-based care during the COVID-19 pandemic, including assessing both the residence and family members for suitability of home-based care. Also includes information on referral protocols and best practices, as well as follow-ups. 

HBC for CHWs

Reviewed by the CHW on an as-needed basis, this section will provide educational content for the CHW to engage with at regular intervals in order to understand the shifting content of COVID-19 in their community, as well as share this content with families and patients. 

HBC for Caretakers

Used by the CHW to help educate community members and potential home care providers on proper hygiene, sanitation, safety precautions, treatment protocol and supplies needed to provide Home-Based care. 


App Case Types and Relationships

Like many CommCare applications, this application uses case management to keep track of progress of various points of interest. To learn more about the case types and relationships, please review your application's case summary.

This application is designed to be used as a stand alone application or to easily integrate with existing community level applications. This application makes use of child cases and has information saved to the covid_19_case and referral cases. The referral case is a child case of the covid_19_case. 





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