An Approach to the Unified Conceptualization, Definition, and Characterization of Social Resilience

Engaging communities as partners in health crisis response: a realist-informed scoping review for research and policy

BACKGROUND

Health is increasingly affected by multiple types of crises. Community engagement is recognised as being a critical element in successful crisis response, and a number of conceptual frameworks and global guideline documents have been produced. However, little is known about the usefulness of such documents and whether they contain sufficient information to guide effective community engagement in crisis response. We undertake a scoping review to examine the usefulness of conceptual literature and official guidelines on community engagement in crisis response using a realist-informed analysis [exploring contexts, mechanisms, and outcomes(CMOs)]. Specifically, we assess the extent to which sufficient detail is provided on specific health crisis contexts, the range of mechanisms (actions) that are developed and employed to engage communities in crisis response and the outcomes achieved. We also consider the extent of analysis of interactions between the mechanisms and contexts which can explain whether successful outcomes are achieved or not.

SCOPE AND FINDINGS

We retained 30 documents from a total of 10,780 initially identified. Our analysis found that available evidence on context, mechanism and outcomes on community engagement in crisis response, or some of their elements, was promising, but few documents provided details on all three and even fewer were able to show evidence of the interactions between these categories, thus leaving gaps in understanding how to successfully engage communities in crisis response to secure impactful outcomes. There is evidence that involving community members in all the steps of response increases community resilience and helps to build trust. Consistent communication with the communities in time of crisis is the key for effective responses and helps to improve health indicators by avoiding preventable deaths.

CONCLUSIONS

Our analysis confirms the complexity of successful community engagement and the need for strategies that help to deal with this complexity to achieve good health outcomes. Further primary research is needed to answer questions of how and why specific mechanisms, in particular contexts, can lead to positive outcomes, including what works and what does not work and how to measure these processes.

Spatio-Temporal Analysis and Influencing Factors of Rural Resilience from the Perspective of Sustainable Rural Development

Rural resilience is not only a comprehensive reflection of "thriving businesses, pleasant living environments, social etiquette and civility, effective governance, and prosperity". It is also the unity of resilience in industry, ecology, culture, organization and livelihood. This paper uses the entropy weight-TOPSIS method to measure the rural resilience level in 31 regions in China and analyzes the configuration of influencing factors with the Fuzzy-set qualitative comparative analysis (fsQCA). The results of the study are as follows: (1) The level of rural resilience in China showed a stable increase from 2010 to 2019, but the overall level was low, with large regional disparities, showing a significant positive spatial correlation. (2) In the high-level rural resilience explanatory path, labor-driven, cultural-driven and market-labor-technology linkage-driven play a core role, while administrative force is not playing a significant role. In the explanation path of non-high level rural resilience, the market-labor absent, administrative-market absent and cultural absent hinder the improvement of rural resilience. In summary, we put forward the following suggestions. Policy renovation and support should be strengthened. Adaption to local conditions should be considered in order to achieve sustainable and differentiated development. Development should be coordinated and balanced in different regions so as to achieve an overall resilience level in rural areas.

What Makes Urban Communities More Resilient to COVID-19? A Systematic Review of Current Evidence

It has been more than two years since the outbreak of the COVID-19 epidemic at the end of 2019. Many scholars have introduced the "resilience" concept into COVID-19 prevention and control to make up for the deficiencies in traditional community governance. This study analyzed the progress in research on social resilience, which is an important component of community resilience, focusing on the current literature on the impact of social resilience on COVID-19, and proposed a generalized dimension to integrated previous relevant literature. Then, VOSviewer was used to visualize and analyze the current progress of research on social resilience. The PRISMA method was used to collate studies on social resilience to the pandemic. The result showed that many current policies are effective in controlling COVID-19, but some key factors, such as vulnerable groups, social assistance, and socioeconomics, affect proper social functioning. Some scholars have proposed effective solutions to improve social resilience, such as establishing an assessment framework, identifying priority inoculation groups, and improving access to technology and cultural communication. Social resilience to COVID-19 can be enhanced by both external interventions and internal regulation. Social resilience requires these two aspects to be coordinated to strengthen community and urban pandemic resilience.