A health promotion approach to emergency management: effective community engagement strategies from five cases

Corbin, J. Hope; Oyene, Ukam Ebe; Manoncourt, Erma; Onya, Hans; Kwamboka, Metrine; Amuyunzu-Nyamongo, Mary; Sørensen, Kristine; Mweemba, Oliver; Barry, Margaret M.; Munodawafa, Davison; Bayugo, Yolanda Vargas; Huda, Qudsia; Moran, Tomas; Omoleke, Semeeh Akinwale; Spencer-Walters, Dayo; Broucke, Stephan Van den

doi:10.1093/heapro/daab152

Cited by 25 publications

(14 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Community leaders were active participants in the local response through COVID-19 risk communications, identifying those at risk of missed appointments, encouraging health facility patronage and raising funds. This aligns with evidence from the 2014–2015 Ebola epidemic and recent COVID-19 response research—engaging communities as active participants in the PHC system via existing local structures can strengthen the relationship between communities and health facilities 14 29…”

Section: Discussionsupporting

confidence: 61%

What made primary health care resilient against COVID-19? A mixed-methods positive deviance study in Nigeria

Neill,

Peters,

Bello

et al. 2023

BMJ Glob Health

View full text Add to dashboard Cite

IntroductionThe SARS-CoV-2 (COVID-19) pandemic overwhelmed some primary health care (PHC) systems, while others adapted and recovered. In Nigeria, large, within-state variations existed in the ability to maintain PHC service volumes. Identifying characteristics of high-performing local government areas (LGAs) can improve understanding of subnational health systems resilience.MethodsEmploying a sequential explanatory mixed-methods design, we quantitatively identified ‘positive deviant’ LGAs based on their speed of recovery of outpatient and antenatal care services to prepandemic levels using service volume data from Nigeria’s health management information system and matched them to comparators with similar baseline characteristics and slower recoveries. 70 semistructured interviews were conducted with LGA officials, facility officers and community leaders in sampled LGAs to analyse comparisons based on Kruk’s resilience framework.ResultsA total of 57 LGAs were identified as positive deviants out of 490 eligible LGAs that experienced a temporary decrease in PHC-level outpatient and antenatal care service volumes. Positive deviants had an average of 8.6% higher outpatient service volume than expected, and comparators had 27.1% lower outpatient volume than expected after the initial disruption to services. Informants in 12 positive deviants described health systems that were more integrated, aware and self-regulating than comparator LGAs. Positive deviants were more likely to employ demand-side adaptations, whereas comparators primarily focused on supply-side adaptations. Barriers included long-standing financing and PHC workforce gaps.ConclusionSufficient flexible financing, adequate PHC staffing and local leadership enabled health systems to recover service volumes during COVID-19. Resilient PHC requires simultaneous attention to bottom-up and top-down capabilities connected by strong leadership.

show abstract

Section: Discussionsupporting

confidence: 61%

What made primary health care resilient against COVID-19? A mixed-methods positive deviance study in Nigeria

Neill,

Peters,

Bello

et al. 2023

BMJ Glob Health

View full text Add to dashboard Cite

show abstract

“…Community engagement,28 29 partners coordination and intersectoral collaboration1 6 30 are the most important leadership activities in emergency response. These findings are consistent with the current study results in which community engagement implemented by trained VHTs, response activities coordination at each level of health system and intersectoral collaborations played an essential role in emergency response and maintenance of health services.…”

Section: Discussionmentioning

confidence: 99%

Roles of health system leadership under emergency in drought-affected districts in northeast Uganda: a mixed-method study

Njuguna,

Tola,

Maina

et al. 2024

BMJ Open

View full text Add to dashboard Cite

ObjectiveHealth system leadership plays a critical role in sustaining healthcare delivery during emergencies. Thus, we aimed to assess the contribution of health system leadership in sustaining healthcare delivery under emergency conditions based on adaptive leadership theoretical framework.DesignWe employed a concurrent mixed-methods study approach to assess health system leadership roles during emergency. This involved a quantitative survey administered to 150 health facilities managers/service focal persons selected via multistage sampling method from 15 districts, and qualitative interviews with 48 key informants who purposively selected.ParticipantsWe interviewed health facility managers, services focal persons, district health officers and residential district commissioners. We also reviewed weekly emergency situation reports and other relevant documents related to the emergency response. We used structured questionnaire, observation checklist and semistructured questionnaire to collect data. We employed descriptive statistics to analyse quantitative data and thematic analysis for qualitative data.Main outcomeHealth system leadership contributions in sustaining healthcare delivery during emergencies.ResultsHealth system leadership was effective in leading emergency response and ensuring the continuity of health service during emergencies. Community engagement, partners coordination and intersectoral collaboration were effectively used in the emergency response and ensuring continuity of healthcare delivery. Deployment of experienced personnel and essential medical and non-medical supplies played a critical role in the continuity of health service. Availability of incidence management teams across health system significantly contributed to health system leadership. Participation of village health teams in community engagement and information communication helped in the success of health system leadership under emergency.ConclusionAdaptive health system leadership played a crucial role in managing health services delivery under emergency conditions. Effective partnership coordination and collaboration across sectors, frequent information communication, building local actor capacity and implementing scheduled supportive supervisions emerged as key strategies for sustaining health services during emergencies.

show abstract

“…Financial assistance aids in home repairs, insurance claims and accessing benefits. Community engagement and volunteer efforts assist older adults in rebuilding and resource access ( Corbin et al , 2021 ).…”

Section: Review Of Mitigation Strategies and Action Plansmentioning

confidence: 99%

Climate crisis risks to elderly health: strategies for effective promotion and response

Madani Hosseini,

Zargoush,

Ghazalbash

2024

Health Promotion International

View full text Add to dashboard Cite

The climate crisis significantly impacts the health and well-being of older adults, both directly and indirectly. This issue is of growing concern in Canada due to the country’s rapidly accelerating warming trend and expanding elderly population. This article serves a threefold purpose: (i) outlining the impacts of the climate crisis on older adults, (ii) providing a descriptive review of existing policies with a specific focus on the Canadian context, and (iii) promoting actionable recommendations. Our review reveals the application of current strategies, including early warning systems, enhanced infrastructure, sustainable urban planning, healthcare access, social support systems, and community engagement, in enhancing resilience and reducing health consequences among older adults. Within the Canadian context, we then emphasize the importance of establishing robust risk metrics and evaluation methods to prepare for and manage the impacts of the climate crisis efficiently. We underscore the value of vulnerability mapping, utilizing geographic information to identify regions where older adults are most at risk. This allows for targeted interventions and resource allocation. We recommend employing a root cause analysis approach to tailor risk response strategies, along with a focus on promoting awareness, readiness, physician training, and fostering collaboration and benchmarking. These suggestions aim to enhance disaster risk management for the well-being and resilience of older adults in the face of the climate crisis.

show abstract

A health promotion approach to emergency management: effective community engagement strategies from five cases

Cited by 25 publications

References 55 publications

What made primary health care resilient against COVID-19? A mixed-methods positive deviance study in Nigeria

What made primary health care resilient against COVID-19? A mixed-methods positive deviance study in Nigeria

Roles of health system leadership under emergency in drought-affected districts in northeast Uganda: a mixed-method study

Climate crisis risks to elderly health: strategies for effective promotion and response

Contact Info

Product

Resources

About