Bottom-up citizen engagement for health emergency and disaster risk management: directions since COVID-19
The COVID-19 pandemic has shown how syndemics and protracted crises increase the vulnerability of communities facing concurrent, cascading risks and complex secondary events that aggravate health risks and underlying burdens of infectious and non-communicable diseases. Epidemics start and end in communities, where citizens are often the first to observe changes in the environment and in animal health, and the first to be exposed to new or re-emerging pathogens. Local stakeholders have crucial roles in the prevention and control of disease transmission, and frequently develop systems of appropriate health and social care based on local knowledge. However, current approaches to disaster risk management often do not sufficiently recognise and engage community expertise.
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Community Health Impact
The Effectiveness of an Integrated Rural Health Care Intervention During the COVID-19 Pandemic Response in Siaya, Kenya: A Prospective Quasi-Experimental Study
Globally, the COVID-19 pandemic has had broad consequences on health outcomes with significant morbidity and mortality. Rural health systems face more challenges in the availability of a workforce, adequate infrastructure and equipment. This study assesses the health system in Siaya at the beginning stages of the COVID-19 pandemic and designs an integrated intervention to maximize the prevention of COVID-19 cases and optimize case management at community and health facility levels.
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Community Health Impact Coalition
Leveraging latent assets to strengthen the COVID-19 response and vaccine roll-out in Africa
Countries in sub-Saharan Africa have faced challenges in COVID-19 vaccine roll-out, including the lack of infrastructure needed to maintain cold chains, inadequate vaccine supplies, growing vaccine hesitancy and the lack of funding. Based on experiences in Siaya, Kenya, this article comments on the significant contributions of CHWs during the COVID-19 pandemic.
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BMJ Global Health
Vaccine safety in the next decade: why we need new modes of trust-building
Vaccine Confidence Project data indicate that public confidence in vaccine safety is consistently lower than overall confidence in the importance of vaccines. The rise of internet-mediated communication has had a significant impact on how fast public safety concerns can spread, especially when videos and even text sent through social media can provoke heightened emotions. While some of the public concerns and anxieties about vaccine safety are driven by rumours and misinformation, vaccines do have small risks. When trust in government, in local health systems, or in international stakeholders is weak, perceptions of even the smallest risks are amplified. To better anticipate and address rapidly shared vaccine safety concerns, efforts such as the World Health Organization (WHO)'s Vaccine Safety Net (VSN) initiative are working to increase awareness about vaccines and to build confidence in vaccines. This article reviews vaccine safety issues and efforts.
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