Building resilient communities for better health and well being in the Eastern Mediterranean Region
•Transferir como PPTX, PDF•
0 gostou•188 visualizações
Building resilient communities for better health and well being in the Eastern Mediterranean Region
Recomendados
Recomendados
Mais conteúdo relacionado
Mais procurados
Mais procurados (19)
Semelhante a Building resilient communities for better health and well being in the Eastern Mediterranean Region
Semelhante a Building resilient communities for better health and well being in the Eastern Mediterranean Region (20)
Mais de WHO Regional Office for the Eastern Mediterranean
Mais de WHO Regional Office for the Eastern Mediterranean (20)
Último
Último (20)
Building resilient communities for better health and well being in the Eastern Mediterranean Region
- 1. Building resilient communities for better health and well-being in the Eastern Mediterranean Region Agenda item 3(c) Maha El-Adawy Director, Healthier Populations Department Sixty-eighth session of the WHO Regional Committee for the Eastern Mediterranean Cairo, Egypt, 11–14 October 2021
- 2. The COVID-19 response has presented several examples that illustrate: → Initiating discussions with communities to understand sociocultural contexts and power dynamics, and mapping networks and influencers in the community → Identifying what types of engagement interventions are safe, feasible and acceptable Community engagement: A two-way process • People are more likely to take action if they are involved in decision-making • Engage communities early and work to involve, collaborate with and empower them • Leave no community behind
- 3. • Flattening the curve is important in every country as there are limited numbers of hospitals, nurses and doctors • Public health and social measures are important to flatten the curve • Community fatigue and complacency continues to be a challenge • COVID-19 vaccine demand generation was not addressed properly • Late and insufficient involvement of communities • Vaccine hesitancy of up to 50–60% in some countries initially • Vaccine acceptance has increased lately: median of 85% in all countries Source: WHO/UNICEF regional survey Many challenges remain
- 4. • Global conferences, SDGs, Global Action Plan, GPW 13, Vision 2023, Risk communication and community engagement (RCCE) framework for COVID- 19 response. • In Afghanistan: A basic package of health services was developed by the Ministry of Public Health covering essential health services. The Ministry supervised and engaged NGOs to deliver these through a community- based approach. • In Pakistan: The Marginalized Areas Reproductive Health and Family Planning Viable Initiatives (MARVI) project used an integrated community- based approach to improve access to quality family planning and reproductive health services in remote areas. It helped to increase contraceptive use from 9% in 2008 to 27% in 2013. • In Egypt: A social mobilization approach was used in villages to increase the perception of risk from avian influenza A(H5N1) virus and motivate people to address the threat at the household level. Community engagement is not new
- 5. • Landscape analysis of community engagement in the Region conducted December–May 2021. • Many drivers, enablers, challenges and barriers identified were relevant to many different contexts, but some were highly context-dependent. Community engagement in health: new positioning and strategic shift in WHO engagement 1 billion more people benefiting from universal health coverage 1 billion more people better protected from health emergencies 1 billion more people enjoying better health and well-being
- 6. • Better understanding of community needs and concerns • More trust • Better informed decisions on public health issues • Better organizational performance • More community satisfaction and acceptance • Greater sense of community ownership and participation • More uptake of services as they are tailored to community needs Community engagement leads to improved health outcomes and equity Community engagement matters now more than ever
- 7. Community system Health system Primary health care system strengthening
- 8. Inform • the public with balanced and objective information (RCCE activities) • to obtain feedback (Societal dialogue in Tunisia) Involve • to work directly with the public throughout the process (Community health workers in Egypt, Islamic Republic of Iran, Pakistan, Somalia and Sudan) Collaborate • with partners and the public on each aspect of a decision (Supreme Health Councils in some countries of the Region) Empower • by placing final decision-making in their hands and enabling them to play an active role (Weliyate Health Committees in Oman) Consult Spectrum of community engagement
- 9. Roadmap for enhancing community engagement Strategic directions Document and communicate linkages Advance evidence-based and innovative interventions Enhance collaboration and coordination for effective interventions Localize community engagement approaches Build the capacity of communities and civil society Streamline listening and community feedback
- 10. • To be effective and meaningful, community engagement needs “corporate” recognition A culture of community engagement – not the traditional hierarchical, compartmentalized UN approach • The canvas of community is too big – need to focus and contextualize Identify entry points, e.g. target community health workers, youth, nongovernmental and civil society organizations and faith leaders • Community engagement is mainly conceptual – let us make it operational Budgets, dedicated staff, reporting Optimizing community engagement
- 11. • Create a clear governance structure for community engagement – a multisectoral approach • Develop an effective community engagement strategy or plan based on the proposed regional roadmap • Identify the role of communities and civil society in national strategies and plans • Promote community-based participatory action • Enhance social mobilization and social dialogue Priority actions by Member States
- 12. Priority actions by WHO • Provide technical support to Member States to develop national strategies/plans to establish and enhance community engagement • Deliver on WHO’s commitments under the Framework of Engagement with Non-State Actors and ensure WHO’s accountability • Support community-based participatory research approaches • Establish a regional platform accessible to community representatives for knowledge and practice-sharing • Support documentation of best practices in community engagement at regional and country levels
- 13. Thank You Community engagement is the cornerstone for a resilient, prepared and healthy population
Notas do Editor
- Community engagement pillar of the RCCE was weak during COVID-19 that highlighted to work more on improving community engagement for building resilient communities for any kind of emergency including outbreaks and epidemics
- Community engagement entails working with individuals, families, community leaders, faith leaders and civil society organizations UNICEF has appreciable experience in CSO engagement WHO can learn from UNICEF Can we scale up UNICEF & WHO collaboration with CSO experience in immunization to other areas of health and PHC?
- Because we need to succeed Because we have better understanding Triple billion healthier populations
- Service delivery starts at community level
- Approaches and models for community engagement Establishing a governance system by providing a public space for communities and civil society (Supreme Councils for Health , societal dialogue) Community engagement in planning and delivery of people centered services (engagement of NGOs in delivery of BPHS through a community-based approach with supervision of MoH) Community-based surveillance and risk communication (community-based surveillance and engaging religious leaders to combat misinformation on COVID-19) Financing community-centred programmes (buying masks and disinfectants and distributed by volunteers increase compliance with public health measures) Improving access to medicines and technologies (CB Dialysis initiative to support the poor non-Saudi residents with renal failure who were on haemodialysis and those affected by the COVID-19 pandemic) Involvement of community networks, local volunteers and communities in emergency response (spontaneous involvement and mobilization of community volunteers (especially young people) following the 4 August 2020 blast in Beirut, Building momentum
- Creating public space for community and civic engagement within governance structures: including multisectoral coordination structures, established networks and platforms (community councils at the national and subnational levels), through social inclusion partnerships, with clear mandates and lines of reporting, to facilitate active engagement in the decision-making process, including the designing, planning and implementation of health programmes and interventions Creating public space for community and civic engagement within governance structures: including multisectoral coordination structures, networks and platforms (community councils at the national and subnational levels), to facilitate active engagement in the decision-making process Developing an effective community and civic engagement strategy or plan based on the proposed regional roadmap Ensuring that the role of communities and civil society is identified and integrated in national strategies and plans for development and emergency prevention, preparedness and response Implement community-based initiatives that can create multisectoral platforms and engage communities, such as healthy cities/villages Empowering communities through enhancing health literacy, mobilizing assets and strengths, and developing capacities Promoting community-based participatory action, such as by building the capacity of formal and informal frontline workers, including community health and social workers (midwives, nursing assistants, health volunteers and health promoters) Enhancing social mobilization and social dialogue to ensure input into governance, health policies and strategies at all levels Applying anthropology and other applied social sciences to listen to and understand communities Supporting community-based participatory research approaches for creating evidence on community and civic engagement Establishing a monitoring and evaluation mechanism for the health outcomes of community-based interventions to ensure accountability
- Providing technical support to Member States to develop national strategies or plans to establish and enhance community and civil society engagement Providing guidance to facilitate the creation of a space for communities and civil society within governance structures at the national and subnational levels Delivering on WHO’s commitments under the Framework of Engagement with Non-State Actors and ensure that WHO is accountable, and recognize the diverse role and value of civil society engagement in the planning and policy process Supporting community-based participatory research approaches 3.5 Establish a regional platform accessible to community and civic representatives for knowledge- and practice-sharing; and 3.6 Support the documentation of best practices in community and civil society engagement at regional and country levels to inform future health programmes for development and emergency prevention, preparedness and response.