What Is COVID-19 Teaching Us About Community Health Systems? A Reflection From a Rapid Community-Led Mutual Aid Response in Cape Town, South Africa.
What Is COVID-19 Teaching Us About Community Health Systems? A Reflection From a Rapid Community-Led Mutual Aid Response in Cape Town, South Africa.
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DOI：
10.34172/ijhpm.2020.167
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发表时间：
2022-01-01
影响因子：
3.5
通讯作者：
Brady, Leanne
中科院分区：
文献类型：
--
作者：
van Ryneveld, Manya;Whyle, Eleanor;Brady, Leanne
2019冠状病毒病（COVID-19）大流行暴露了南非正式社会安全网的巨大差距，该国的高度不平等，失业率和公共基础设施落后，对该国绝大多数生活在封锁中的人产生了毁灭性的后果。在开普敦，一个自我组织的社区行动网络（CAN）运动为社区应对COVID-19及其带来的流行病学和社会挑战做出了重大贡献。本文描述并解释了告知这种社区反应的组织原则，以期反思这种运动的可能性和局限性，因为它们与国家及其自上而下的工作方式相结合，往往产生矛盾和复杂性。这为认识和理解非正式网络和社区卫生系统集体行动在前所未有的危机时期的力量提供了一个机会，并使人们关注找到与国家及其正式卫生系统反应接触的方法的重要性，这些方法不会危及这种潜力。
The coronavirus disease 2019 (COVID-19) pandemic has exposed the wide gaps in South Africa’s formal social safety net, with the country’s high levels of inequality, unemployment and poor public infrastructure combining to produce devastating consequences for a vast majority in the country living through lockdown. In Cape Town, a movement of self-organising, neighbourhood-level community action networks (CANs) has contributed significantly to the community-based response to COVID-19 and the ensuing epidemiological and social challenges it has wrought. This article describes and explains the organising principles that inform this community response, with the view to reflect on the possibilities and limits of such movements as they interface with the state and its top-down ways of working, often producing contradictions and complexities. This presents an opportunity for recognising and understanding the power of informal networks and collective action in community health systems in times of unprecedented crisis, and brings into focus the importance of finding ways to engage with the state and its formal health system response that do not jeopardise this potential.
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