Lessons learned to improve COVID-19 response in communities with greatest socio-economic vulnerabilities.
Lessons learned to improve COVID-19 response in communities with greatest socio-economic vulnerabilities.
复制标题
DOI：
10.1186/s12889-023-15479-0
复制
发表时间：
2023-04-06
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
脆弱社区易受COVID-19疫情影响，且受影响程度不成比例。了解为弱势社区提供应对COVID-19服务的组织所面临的挑战、看法、经验教训和建议，对于改善这些社区的应急响应和准备至关重要。这项研究利用GIS制图来确定巴尔的摩市社区存在的需求和资产，在那里，与健康的社会决定因素和COVID-19大流行的负担相关的脆弱性最大。我们亦于2021年9月1日至2022年5月30日期间进行了一项在线调查，以评估当地组织提供的COVID-19相关服务、面临的挑战、看法、汲取的经验教训，以及为改善服务不足社区的COVID-19应对相关政策、计划和资金提供信息的建议。该调查通过在线Kobo平台传播给巴尔的摩市各组织的领导人和代表。基于GIS地图分析，我们确定了三个社区为最脆弱的社区，以及整个巴尔的摩市参与COVID-19应对的522个组织。发放了247份调查问卷，收到50份调查问卷答复（答复率为20.24%）。在这些组织中，近80%的组织为已确定的脆弱社区提供应对COVID-19的服务。面临的挑战包括资金（29%）、外联/招聘（26%）以及无法从地方官员那里获得最新和准确的信息（32%）。这项研究强调了与弱势群体的经历有关的重要见解，并通过提供政策和方案变化建议，提出了解决应急反应期间面临的挑战的方法。此外，研究结果将有助于弱势社区更好地为公共卫生紧急情况做好准备，并提高社区的复原力。在线版本包含补充材料，可通过10.1186/s12889-023-15479-0获得。
Vulnerable communities are susceptible to and disproportionately affected by the impacts of the COVID-19 pandemic. Understanding the challenges faced, perceptions, lessons learned, and recommendations of the organizations that provide services in response to COVID-19 to vulnerable communities is critical to improving emergency response and preparedness in these communities. This study employed GIS mapping to identify the needs and assets that exist in communities in Baltimore City, where vulnerabilities related to social determinants of health and the burden of the COVID-19 pandemic were greatest. We also conducted an online survey between September 1, 2021, and May 30, 2022, to assess the COVID-19-related services provided by local organizations, challenges faced, perceptions, lessons learned, and recommendations to inform policies, programs, and funding related to improving the COVID-19 response in underserved communities. The survey was disseminated through the online Kobo Toolbox platform to leaders and representatives of organizations in Baltimore City. Based on GIS mapping analysis, we identified three communities as the most vulnerable and 522 organizations involved in the COVID-19 response across Baltimore City. 247 surveys were disseminated, and 50 survey responses were received (20.24% response rate). Out of these organizations, nearly 80% provided services in response to COVID-19 to the identified vulnerable communities. Challenges experienced ranged from funding (29%), and outreach/recruitment (26%), to not having access to updated and accurate information from local officials (32%). This research highlights critical insights gained related to the experiences of vulnerable populations and suggests ways forward to address challenges faced during the emergency response by providing recommendations for policy and program changes. Furthermore, the findings will help better prepare vulnerable communities for public health emergencies and build more community resilience. The online version contains supplementary material available at 10.1186/s12889-023-15479-0.
登录
查看更多内容
DOI：
10.15585/mmwr.mm6942e1
发表时间：
2020-10-23
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Gold JAW;Rossen LM;Ahmad FB;Sutton P;Li Z;Salvatore PP;Coyle JP;DeCuir J;Baack BN;Durant TM;Dominguez KL;Henley SJ;Annor FB;Fuld J;Dee DL;Bhattarai A;Jackson BR
通讯作者：
Jackson BR
影响因子：
4.7
作者：
Ghosh-Jerath S;Kapoor R;Dhasmana A;Singh A;Downs S;Ahmed S
通讯作者：
Ahmed S
影响因子：
7
作者：
Hudson, Bob;Hunter, David;Peckham, Stephen
通讯作者：
Peckham, Stephen
影响因子：
33.9
作者：
Killerby, Marie E.;Link-Gelles, Ruth;Tate, Jacqueline E.
通讯作者：
Tate, Jacqueline E.
影响因子：
5.5
作者：
Favas, Caroline;Ansbro, Eimhin;Eweka, Evette;Agarwal, Gina;Lazo Porras, Maria;Tsiligianni, Ioanna;Vedanthan, Rajesh;Webster, Ruth;Perel, Pablo;Murphy, Adrianna
通讯作者：
Murphy, Adrianna