Community engagement for COVID-19 prevention and control: a rapid evidence synthesis.

Community engagement for COVID-19 prevention and control: a rapid evidence synthesis.
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DOI:
10.1136/bmjgh-2020-003188
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发表时间:
2020-10
期刊:
影响因子:
8.1
通讯作者:
Bhattacharyya S
Bhattacharyya S
中科院分区:
医学2区
文献类型:
--
作者:
Gilmore B;Ndejjo R;Tchetchia A;de Claro V;Mago E;Diallo AA;Lopes C;Bhattacharyya S

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社区参与被认为是过去埃博拉等疫情爆发的基本组成部分。然而,令人关注的是,到目前为止,在COVID-19应对措施中缺乏社区的参与和“自下而上”的方法。确定在过去的疫情中如何使用社区参与方法可能有助于在COVID-19应对中更有力地实施。进行了快速证据审查,以确定如何在流行病期间将社区参与用于传染病预防和控制。除了广泛滚雪球寻找灰色文献外,还搜索了三个数据库。此前的疫情仅限于埃博拉病毒、寨卡病毒、SARS、中东呼吸综合征和2000年以来的H1N1。研究设计或语言无限制。从识别的1112篇参考文献中,32篇文章符合我们的纳入标准,其中详细介绍了37项举措。确定了六个主要的社区参与行为体:地方领导人、社区和信仰组织、社区团体、卫生设施委员会、个人和关键利益攸关方。这些小组的工作涉及不同的职能:设计和规划、社区进入和建立信任、社会和行为变化交流、风险交流、监督和追踪以及后勤和行政管理。COVID-19的全球存在和社会传播途径需要社会和社区做出反应。这对于接触边缘化人口和支持公平知情的应对措施可能特别重要。将以往的社区参与经验与当前基于社区的COVID-19战略建议相结合,突出了社区如何在预防和控制中发挥重要和积极的作用。鼓励世界各国评估现有的社区参与结构,并使用社区参与方法来支持针对具体情况、可接受和适当的COVID-19防控措施。
Community engagement has been considered a fundamental component of past outbreaks, such as Ebola. However, there is concern over the lack of involvement of communities and ‘bottom-up’ approaches used within COVID-19 responses thus far. Identifying how community engagement approaches have been used in past epidemics may support more robust implementation within the COVID-19 response. A rapid evidence review was conducted to identify how community engagement is used for infectious disease prevention and control during epidemics. Three databases were searched in addition to extensive snowballing for grey literature. Previous epidemics were limited to Ebola, Zika, SARS, Middle East respiratory syndromeand H1N1 since 2000. No restrictions were applied to study design or language. From 1112 references identified, 32 articles met our inclusion criteria, which detail 37 initiatives. Six main community engagement actors were identified: local leaders, community and faith-based organisations, community groups, health facility committees, individuals and key stakeholders. These worked on different functions: designing and planning, community entry and trust building, social and behaviour change communication, risk communication, surveillance and tracing, and logistics and administration. COVID-19’s global presence and social transmission pathways require social and community responses. This may be particularly important to reach marginalised populations and to support equity-informed responses. Aligning previous community engagement experience with current COVID-19 community-based strategy recommendations highlights how communities can play important and active roles in prevention and control. Countries worldwide are encouraged to assess existing community engagement structures and use community engagement approaches to support contextually specific, acceptable and appropriate COVID-19 prevention and control measures.
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