Background: Elderly population accounts for a big percentage of severe Covid-19 cases and deaths worldwide. Despite Uganda reporting 44 cases as of 1st April 2020 with no fatality, MoH is planning for the worst-case scenario, where cases increase in numbers and the senior citizens in the country get infected.Question: How can facilities adequately prepare for the elderly during Covid-19 pandemic in LMICs?Findings:There are several measures that MoH and facilities can deploy to adequately prepare for the elderly during the Covid-19 pandemic;1. Healthcare providers have to be aware of the ABCDs of a pandemic which are;- A â Awareness of how the disease presents differently in the elderly as compared to rest of the population so that they can adequately respond- B â Behaviour adjustments that not only protect the elderly from the virus but also the healthcare workers them selves- C â Containment preparation and readiness so prevent the entry of the virus within the facilities but as well to contain the virus in case there is an infected patient- D â Decisions made for the care of the patient should be communicated regularly and in a clear, honest and concise way. Healthcare workers and administrators have to keep abreast with the most current information so as to make the right decisions.2. MoH has to support facilities to adequately exercise different infection prevention and control measures which are;- Setting up a system and service coordination for care provision- Develop and adhere to infection prevention measures- Adhere to physical distancing measures- Adequately respond to suspected and confirmed cases of Covid-19 among the elderly in facilities and at home3. Plan for palliative care for the elderly as disease prognosis among the elderly even with intensive care support is poor.These measures are complementary in nature and should be used concurrently.Infection prevention and control measures use as the use of personal preventive equipment, isolation, and limiting visitations might have a mental effect on the elderly, and the facilities have to plan accordingly to offer psychological support to the elderly.Conclusion:In preparation for the elderly during Covid-19 pandemic, attention has to be paid to infection prevention measures and adequate equipment of healthcare workers with knowledge and skills to identify symptoms of Covid-19 among the elderly coupled with appropriate response. Plans for palliative care have to be instituted for the elderly as disease prognosis is poor in this age group.
