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Porthé V, Fernández A, Barbieri N, Vázquez N, González I, Bastida A, Pasarín MI. Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges. Health Promot Int 2024; 39:daae076. [PMID: 38980688 DOI: 10.1093/heapro/daae076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/10/2024] Open
Abstract
The COVID-19 pandemic exacerbated pre-existing social, economic and political inequalities. The evidence describes the use of community engagement approaches to support appropriate COVID-19 prevention and control measures. We aimed to delve deeper into the community response to COVID-19 in Barcelona neighbourhoods with different pre-existing levels of development of community health action (CHA). A qualitative phenomenological study was conducted in six Barcelona neighbourhoods with different types of CHAs. The sample included 37 in-depth interviews with community agents with good knowledge of the territory. The content analysis focused on three dimensions: symbolic (conceptions motivating action), substantive (the content and resources of the action) and operational (interactions between agents). Regardless of their CHA typology, all neighbourhoods responded to the needs generated by the pandemic. Symbolic: strong-CHA development, characterized by well-established participatory structures, facilitated responses to the crisis. In medium-CHA neighbourhoods, the emergency exacerbated previous tensions. In emerging-CHA neighbourhoods, previous participatory structures, although not health-specific, favoured the coordination of responses. Substantive: technology influenced the way CHA activities were conducted. Operative: in the strong-CHA neighbourhood, new participants were able to join previous participatory structures. In medium-CHA neighbourhoods, power dynamics hindered coordination. In conclusion, strong CHA can play a key role in addressing the adverse consequences of social and health crisis. Empowering citizens and communities should be a primary objective of public policy that integrates the 'health-in-all-policies' approach. This approach entails allocating public resources to strengthen the role of community action and power.
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Affiliation(s)
- Victoria Porthé
- CIBER de Epidemiología y Salud Pública (CIBERESP), Avenida Montforte de Lemos, 3-5 (Pabellón 11, Planta 0), 28029 Madrid, Spain
- Agència de Salut Pública de Barcelona, Servei de Salut i Barris (SESiB), Plaza Lesseps 1, 08023 Barcelona, Spain
| | - Ana Fernández
- CIBER de Epidemiología y Salud Pública (CIBERESP), Avenida Montforte de Lemos, 3-5 (Pabellón 11, Planta 0), 28029 Madrid, Spain
- Agència de Salut Pública de Barcelona, Servei de Salut i Barris (SESiB), Plaza Lesseps 1, 08023 Barcelona, Spain
- Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Carrer de Sant Pau Quintí, 77, 08041 Barcelona, Spain
| | - Nicolás Barbieri
- Universitat Oberta de Catalunya, Estudios de Artes y Humanidades, Rambla del Poblenou, 156, 08018 Barcelona, Spain
| | - Noelia Vázquez
- Agència de Salut Pública de Barcelona, Servei de Salut i Barris (SESiB), Plaza Lesseps 1, 08023 Barcelona, Spain
| | - Inmaculada González
- Agència de Salut Pública de Barcelona, Servei de Salut i Barris (SESiB), Plaza Lesseps 1, 08023 Barcelona, Spain
| | - Andrea Bastida
- Agència de Salut Pública de Barcelona, Servei de Salut i Barris (SESiB), Plaza Lesseps 1, 08023 Barcelona, Spain
| | - M Isabel Pasarín
- CIBER de Epidemiología y Salud Pública (CIBERESP), Avenida Montforte de Lemos, 3-5 (Pabellón 11, Planta 0), 28029 Madrid, Spain
- Agència de Salut Pública de Barcelona, Servei de Salut i Barris (SESiB), Plaza Lesseps 1, 08023 Barcelona, Spain
- Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Carrer de Sant Pau Quintí, 77, 08041 Barcelona, Spain
- Universitat Pompeu Fabra, Department of Experimental and Health Sciences, Doctor Aiguader, 88,08003 Barcelona, Spain
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Wojczewski S, Grohma P, Kutalek R. Risk communication and community engagement with vulnerable groups: Perceptions of social-services CSOs during Covid-19. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2023; 94:103817. [PMID: 37360248 PMCID: PMC10284614 DOI: 10.1016/j.ijdrr.2023.103817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 05/08/2023] [Accepted: 06/20/2023] [Indexed: 06/28/2023]
Abstract
Risk communication enables people to be prepared, respond and recover from public health risks which can only be realized with a considerable amount of community engagement. Enabling community involvement is necessary in order to reach and protect vulnerable people during epidemics. In situations of acute emergency, it is difficult to reach everyone, which makes it necessary to work with intermediaries such as social and care facilities and civil society organizations (CSOs) who work to support the most vulnerable in our societies. This paper analyses the perceptions of experts working in social facilities or CSOs of Covid-19 RCCE efforts in Austria. It starts from a broad understanding of vulnerability which combines medical, social and economic determinants. We conducted 21 semi-structured interviews with CSO and social facility managers. The UNICEF core community engagement standards (2020) were used as a framework for qualitative content analysis. The results show that CSO's and social facilities were essential for allowing community involvement of vulnerable people in Austria during the pandemic. For the CSO's and social facilities participation of their vulnerable clients was a real challenge especially because direct contact was difficult and public services were switched to digital only. Nonetheless, they all put a lot of effort into adapting and discussing Covid-19 regulations and measures with their clients and employees which in many cases led to acceptance of public health measures. The study gives recommendations on how community engagement could be enhanced especially from government actors and how CSO's could be addressed more as essential partners.
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Affiliation(s)
- Silvia Wojczewski
- Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Austria
- Department of Primary Care Medicine, Center for Public Health, Medical University of Vienna, Austria
| | - Paul Grohma
- Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Austria
| | - Ruth Kutalek
- Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Austria
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Spassiani NA, Becaj M, Miller C, Hiddleston A, Hume A, Tait S. 'Now that I am connected this isn't social isolation, this is engaging with people': Staying connected during the COVID-19 pandemic. BRITISH JOURNAL OF LEARNING DISABILITIES 2022; 51:BLD12478. [PMID: 35602322 PMCID: PMC9111751 DOI: 10.1111/bld.12478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 02/27/2022] [Accepted: 04/02/2022] [Indexed: 06/15/2023]
Abstract
Background The COVID-19 global pandemic has put adults with intellectual/developmental disabilities at greater risk of being socially excluded due to physical distancing. Technology has been looked at as a tool for adults with intellectual/developmental disabilities to stay connected, however, little is known about this topic. The purpose of this study was to explore how a grassroots disability organisation used technology to help adults with intellectual/developmental disabilities feel socially connected during the pandemic. Methods Data were collected through questionnaires, attendance records, and field notes; and analysed through trend and thematic analysis. Findings Four main themes emerged from the data: active leadership, mental wellbeing, technology/digital inclusion, and safety. Conclusion These findings suggest that when participants overcome technological barriers they found it easy to socially connect online during lockdown.
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Affiliation(s)
| | - Mojca Becaj
- School of Health and Social CareEdinburgh Napier UniversityEdinburghUK
| | - Clare Miller
- School of Health and Social CareEdinburgh Napier UniversityEdinburghUK
| | - Andrew Hiddleston
- School of Health and Social CareEdinburgh Napier UniversityEdinburghUK
| | - Aaron Hume
- School of Health and Social CareEdinburgh Napier UniversityEdinburghUK
| | - Stephan Tait
- School of Health and Social CareEdinburgh Napier UniversityEdinburghUK
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Hernández MN, Bermúdez-Tamayo C, Alguacil J, Cantarero D, Casino G, Santillán A, Calvente MG, Epstein D, Hernán M, García LP, Portiño MC, Cantero MTR, Segura A, Amez JG, Juárez L, Miranda JJ, Tejero MF, March JC, Marcos-Marcos J, Cucunubá ZM, Lumbreras B, Mar J, Peiró R, Álvarez-Dardet C. [Gaceta Sanitaria in 2021. Protecting the planet to protect health]. GACETA SANITARIA 2022; 36:101-105. [PMID: 35331385 PMCID: PMC8936667 DOI: 10.1016/j.gaceta.2022.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Miguel Negrín Hernández
- Comité Editorial de Gaceta Sanitaria; Departamento de Métodos Cuantitativos, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España
| | - Clara Bermúdez-Tamayo
- Comité Editorial de Gaceta Sanitaria; Escuela Andaluza de Salud Pública, Granada, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España.
| | - Juan Alguacil
- Comité Editorial de Gaceta Sanitaria; Departamento de Sociología, Trabajo Social y Salud Pública, Universidad de Huelva, Huelva, España
| | - David Cantarero
- Comité Editorial de Gaceta Sanitaria; Departamento de Economía, Universidad de Cantabria, Santander, España
| | - Gonzalo Casino
- Comité Editorial de Gaceta Sanitaria; Departamento de Comunicación, Universidad Pompeu Fabra, Barcelona, España; Centro Cochrane Iberoamericano, IIB Sant Pau, Barcelona, España
| | - Azucena Santillán
- Comité Editorial de Gaceta Sanitaria; Hospital Universitario de Burgos, Burgos, España
| | - Mar García Calvente
- Comité Editorial de Gaceta Sanitaria; Escuela Andaluza de Salud Pública, Granada, España
| | - David Epstein
- Comité Editorial de Gaceta Sanitaria; Departamento de Economía, Universidad de Granada, Granada, España
| | - Mariano Hernán
- Comité Editorial de Gaceta Sanitaria; Escuela Andaluza de Salud Pública, Granada, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
| | - Leila Posenato García
- Comité Editorial de Gaceta Sanitaria; Instituto de Pesquisa Econômica Aplicada, Brasil
| | - Mercedes Carrasco Portiño
- Comité Editorial de Gaceta Sanitaria; Departamento de Obstetricia y Puericultura, Universidad de Concepción, Chile; Grupo de Investigación en Salud Pública, Universidad de Alicante, Alicante, España
| | - María Teresa Ruiz Cantero
- Comité Editorial de Gaceta Sanitaria; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Grupo de Investigación en Salud Pública, Universidad de Alicante, Alicante, España
| | - Andreu Segura
- Comité Editorial de Gaceta Sanitaria; Departamento de Ciencias Experimentales y de la Salud, Universidad Pompeu Fabra, Barcelona, España
| | - Javier García Amez
- Comité Editorial de Gaceta Sanitaria; Departamento de Ciencias Jurídicas Básicas, Universidad de Oviedo, Oviedo, España
| | - Lucero Juárez
- Comité Editorial de Gaceta Sanitaria; Universidad del Valle de México, Ciudad de México DF, México
| | - Juan Jaime Miranda
- Comité Editorial de Gaceta Sanitaria; Departamento de Medicina, Universidad Peruana Cayetano Heredia, Perú
| | - Manuel Franco Tejero
- Comité Editorial de Gaceta Sanitaria; Departamento de Cirugía, Ciencias Médicas y Sociales, Universidad de Alcalá, Alcalá de Henares (Madrid), España
| | - Joan Carles March
- Comité Editorial de Gaceta Sanitaria; Escuela Andaluza de Salud Pública, Granada, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
| | - Jorge Marcos-Marcos
- Comité Editorial de Gaceta Sanitaria; Departamento de Psicología de la Salud, Universidad de Alicante, Alicante, España
| | - Zulma M Cucunubá
- Comité Editorial de Gaceta Sanitaria; Departamento de Epidemiología Clínica y Bioestadística, Universidad Javeriana, Bogotá, Colombia; Department of Infectious Disease Epidemiology, Imperial College, London, United Kingdom
| | - Blanca Lumbreras
- CIBER de Epidemiología y Salud Pública (CIBERESP), España; Departamento de Salud Pública, Universidad Miguel Hernández, Alicante, España
| | - Javier Mar
- Vocalía SESPAS de Gaceta Sanitaria; Hospital Alto Deba, Arrasate (Gipuzkoa), España
| | - Rosana Peiró
- CIBER de Epidemiología y Salud Pública (CIBERESP), España; Consejo Asesor de Gaceta Sanitaria; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana FISABIO-Salud Pública, Valencia, España
| | - Carlos Álvarez-Dardet
- Comité Editorial de Gaceta Sanitaria; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Grupo de Investigación en Salud Pública, Universidad de Alicante, Alicante, España
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