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Background: As coronavirus disease (COVID-19) was pervading different parts of the world, little has been published regarding responses undertaken within primary health care facilities in the Arabian Gulf countries. This paper describes such responses from January to mid-April 2020 in primary health care including public health measures in Muscat governorate. Methods: This is a descriptive study showing the trends of the confirmed positive cases of COVID-19 and the undertaken responses to the evolving epidemiological scenario. These responses were described utilising the World Health Organisations’ building blocks for health care system: Leadership and governance, Health workforce, Service delivery, Medical products and technologies, and health information management. Results: In mid-April 2020, cases of COVID-19 increased to 685 (particularly amongst the non-nationals). As the cases were surging up, the primary health care responded by executing all guidelines and policies from the national medical and public health response committees and integrating innovative approaches. These included adapting comprehensive and multi-sectoral strategies, partnering with private establishments, and strengthening the use of technology (in tracking, testing, managing the cases and data management). Conclusions: Facilities in Muscat governorate, with the support from the national teams, seemed to continuously scale-up their preparedness and responses to meet the epidemiological expectations in the management of COVID-19.
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