Think global, act local: using a translocal approach to understand community-based organisations’ responses to planetary health crises during COVID-19
Think global, act local: using a translocal approach to understand community-based organisations’ responses to planetary health crises during COVID-19
复制标题
全球思考，本地行动：使用跨本地方法来了解社区组织对 COVID-19 期间全球健康危机的反应
DOI：
10.1016/s2542-5196(23)00193-6
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Meriläinen, Eija
中科院分区：
文献类型：
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作者：
Shannon, Geordan;Basu, Parabita;Peters, Laura E;Clark-Ginsberg, Aaron;Herrera Delgado, Tania Minka;Gope, Rajkumar;Guanilo, Maga;Kelman, Ilan;Noelli, Lilian;Meriläinen, Eija
对于以社区为基础的应对全球健康危机（如COVID-19大流行病）的措施如何整合对生计、公平、健康、福祉和环境的关注，人们知之甚少。我们采用跨地区学习的方法，与来自芬兰、印度、肯尼亚、秘鲁和美国五个组织的领导人共同开发关于以社区为基础应对复杂的健康、环境和经济危机的见解。跨地方学习支持以重视地方观点但超越国界的方式在不同地方进行集体知识生产。从跨地区学习过程中有三个主要发现。首先，由于社区组织（CBO）靠近他们所服务的社区，他们可以快速识别COVID-19可能恶化现有社会和卫生不平等的方式。第二，地方CBO行动是支持面临系统性全球健康危机的独特挑战的社区的关键。第三，社区组织可以制定基于权利、注重生态的行动，以应对当地的优先事项并调动可用资源。我们的研究结果表明，地球健康的解决方案可能来自小规模的社区倡议，这些倡议在环境内部和环境之间有着良好的联系。应通过更多的认可、资助和建立联系的机会，利用以地方为重点、具有全球意识的行动。在全球范围内，应通过适用辅助原则和异地原则支持全球健康倡议。
Little is known on how community-based responses to planetary health crises, such as the COVID-19 pandemic, can integrate concerns about livelihoods, equity, health, wellbeing, and the environment. We used a translocal learning approach to co-develop insights on community-based responses to complex health and environmental and economic crises with leaders from five organisations working with communities at the front line of intersecting planetary health challenges in Finland, India, Kenya, Peru, and the USA. Translocal learning supports collective knowledge production across different localities in ways that value local perspectives but transcend national boundaries. There were three main findings from the translocal learning process. First, thanks to their proximity to the communities they served, community-based organisations (CBOs) can quickly identify the ways in which COVID-19 might worsen existing social and health inequities. Second, localised CBO actions are key to supporting communities with unique challenges in the face of systemic planetary health crises. Third, CBOs can develop rights-based, ecologically-minded actions responding to local priorities and mobilising available resources. Our findings show how solutions to planetary health might come from small-scale community initiatives that are well connected within and across contexts. Locally-focused globally-aware actions should be harnessed through greater recognition, funding, and networking opportunities. Globally, planetary health initiatives should be supported by applying the principles of subsidiarity and translocalism.