Theory and Metrics of Community Resilience: A Systematic Literature Review Based on Public Health Guidelines

Driving factors of urban community epidemic prevention and control capability: QCA analysis based on typical cases of 20 anti-epidemic communities in China

Introduction

In the wake of the COVID-19 outbreak, urban communities have emerged as the frontline defenders in epidemic prevention and control, providing the most effective means of curbing the spread of virus both inward and outward. This study attempts to explain the underlying factors and mechanisms that shape the community epidemic prevention and control capacity (CEPCC).

Methods

We adopted a resilience-based perspective and drew on a sample of 20 exemplary anti-epidemic communities in China. By constructing an analytical framework and employing the fuzzy set qualitative comparative analysis method (fsQCA), we explored how four conditional variables-infrastructure completeness, community self-organizing ability, redundancy of community resources, and stability of regional economic development-and their various configurations impact the CEPCC.

Results

Our findings reveal that the four conditional variables, when considered in isolation, cannot effectively enhance the CEPCC. Instead, four configuration pathways with mixed conditional variables exist. Notably, community self-organizing ability emerges as a vital condition for effectively strengthening the CEPCC.

Discussion

This study identifies four pathways to improve the CEPCC and confirms the validity of the data results through case studies. Conclusions of this research contribute to a more nuanced understanding of the factors influencing the CEPCC, which can help communities to better plan and prepare for future epidemics and ensure better response and adaptation to the impacts of future emergencies.

The emergence of Urban Community Resilience Initiatives During the COVID-19 Pandemic: An International Exploratory Study

All over the world, urban communities take initiative in order to cope with the COVID-19 pandemic. This study conducts a literature review and an international exploratory study in order to identify pathways within which Community Resilience Initiatives (CRIs) emerge within different governance contexts. The CRIs target vulnerable communities, which are hard to reach. Our study results identify four pathways: (1) informal bottom-up community initiatives; (2) formal community initiatives emerging out of existing community-based initiatives; (3) initiatives of external actors, often NGOs, universities or governments and (4) networks of organisations whom together initiate action in response to COVID-19. The pathways lead to different types, scales and complexities of the initiatives. However, all face similar barriers related to funding, weak networks and limited cooperation. CRIs often perceive the government agencies to be unreliable and unsupportive which in turn also hampers CRI's emergence.

Distributing Local Resources for Public Health Preparedness Grants: A Data-Driven Approach

OBJECTIVES

To simulate allocations of Public Health Emergency Preparedness funds to counties using alternative metrics of need, minimum allocation amounts, and the proportion earmarked for discretionary considerations.

DESIGN

We developed a county-level community resilience index of 57 New York State counties using publicly available indicators, which we incorporated into an interactive spreadsheet of 8 hypothetical allocation formulas with different combinations of population size, the index and its 5 domains, and population density. Simulations were compared with the 2013-2014 fiscal year grant allocation.

RESULTS

New York allocated $6.27 million to counties outside New York City, with a median allocation of $78 038, ranging from $50 825 to $556 789. These allocations would vary under different strategies, with the largest changes among sparsely populated counties that currently receive a minimum allocation of $50 825. Allocations were sensitive to changes in minimum allocation, amount earmarked for discretionary allocation, and need indicator.

CONCLUSIONS

Population-based approaches are commonly used but ignore important dimensions of need. It is feasible to include robust local community resilience measures in formulas, and interactive spreadsheet models can help stakeholders evaluate the consequences of alternative funding strategies.

Rocks, Dandelions or Steel Springs: Understanding Resilience from a Public Health Perspective

The multifaceted concept of resilience is widely used to describe individual or societal abilities to withstand and adjust to external pressures. In relation to health, resilience can help us to understand a positive health development despite adverse circumstances. The authors of this article aimed to disentangle this complex concept by elaborating on three metaphors commonly used to describe resilience. Similarities and differences between resilience as a rock, a dandelion, and a steel spring are discussed. The metaphors partly overlap but still provide slightly different perspectives on the development and manifestation of resilience. With reference to longitudinal studies of long-term health development, the article also elaborates on how resilience relates to temporal dimensions commonly used in epidemiological studies: age, cohort, and period. Moreover, the interaction between resilience at individual, organizational, and societal levels is discussed. In conclusion, it is argued that public health sciences have great potential to further a theoretical discussion that improves our understanding of resilience and promotes the integration of individual- and community-level perspectives on resilience.

Interdependence between health and peace: a call for a new paradigm

Health and peace, and their relationships to disease/conflict/violence, are complex and multifaceted interrelated terms. Scholars have proposed a variety of definitions for health and peace. The conceptualizations of health and peace share many fundamental elements, including in their social, psychological (emotional and mental) and spiritual dimensions. We argue that health and peace are inter-dependent in a fundamental causal fashion. Health is always positively or negatively affected by conflict; peace can be directly or indirectly fostered through public health program and policy initiatives. Evidence shows that public health professionals and academics have frequently failed to recognize the inter-dependence of health and peace when conceptualizing, and addressing, issues related to health and peace. In contrast, the present article argues in support of a new paradigm for addressing public health issues related to health and peace; such a paradigm is based on the premise that health and peace are inextricably linked, requiring that they be addressed in an integrated, inter-dependent, fashion. Finally, we emphasize that fostering health and peace requires identifying and promoting positive socio-ecological influences on health, rather than limiting our focus to health deficits and obstacles at the individual or community levels.