scholarly journals Linking knowledge with action when engagement is out of reach: three contextual features of effective public health communication

Author(s):  
Roger Emmelhainz ◽  
Alan Zarychta ◽  
Tara Grillos ◽  
Krister Andersson

Abstract Scholars and practitioners often promote direct engagement between policymakers, health workers and researchers as a strategy for overcoming barriers to utilizing scientific knowledge in health policy. However, in many settings public health officials rarely have opportunities to interact with researchers, which is a problem further exacerbated by the coronavirus disease 2019 pandemic. One prominent theory argues that policy actors will trust and utilize research findings when they perceive them to be salient, credible and legitimate. We draw on this theory to examine the conditions facilitating greater uptake of new knowledge among health officials when engagement is out of reach and they are instead exposed to new ideas through written mass communication. Using data from a survey experiment with about 260 health workers and administrators in Honduras, we find that messages from a technocratic sender based on statistical evidence improved perceptions of salience, credibility and legitimacy (SCL). Additionally, perceptions of SCL are three contextual features that operate as joint mediators between knowledge and action, and several individual characteristics also influence whether officials trust research findings enough to apply them when formulating and implementing health policies. This research can help inform the design of context-sensitive knowledge translation and exchange strategies to advance the goals of evidence-based public health, particularly in settings where direct engagement is difficult to achieve.

2016 ◽  
Vol 5 (1) ◽  
pp. 51
Author(s):  
Rachael Ngozi Osagie ◽  
Aidevbo Aibuovbo Eyaufe ◽  
Faith Ireye

This study, aimed at the microbial analysis of biomedical waste (BMW) was carried out using 100 samples of 10 different BMW collected in duplicates from 5 busy primary healthcare centers (PHCs).The research findings showed a high prevalence of <em>E.coli</em> (39%) and <em>S.aureus</em> (32%) which were both statistically significant at P≤0.05, while the least isolated organisms were <em>K. pnuemoniae</em> (10%) and <em>B.</em><em> subtilis</em> (4%) and were statistically not significant at P≥0.05. Samples from dressings and beddings were found to contain the highest microbial loadof 25 and 13 respectively while the least number of isolates were from expired cytotoxic drugs (2) and lancets (1).The biochemical tests showed the presence of Gram positive and negative organisms with record of both aerobic and anaerobic isolates from the BMW. The investigation revealed that BMW contains mixed bacterial community with some being pathogenic and pose a public health hazard to both health workers and other community members, therefore adequate treatment measures should be given to all BMW before disposal.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kevin Escandón ◽  
Angela L. Rasmussen ◽  
Isaac I. Bogoch ◽  
Eleanor J. Murray ◽  
Karina Escandón ◽  
...  

AbstractScientists across disciplines, policymakers, and journalists have voiced frustration at the unprecedented polarization and misinformation around coronavirus disease 2019 (COVID-19) pandemic. Several false dichotomies have been used to polarize debates while oversimplifying complex issues. In this comprehensive narrative review, we deconstruct six common COVID-19 false dichotomies, address the evidence on these topics, identify insights relevant to effective pandemic responses, and highlight knowledge gaps and uncertainties. The topics of this review are: 1) Health and lives vs. economy and livelihoods, 2) Indefinite lockdown vs. unlimited reopening, 3) Symptomatic vs. asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, 4) Droplet vs. aerosol transmission of SARS-CoV-2, 5) Masks for all vs. no masking, and 6) SARS-CoV-2 reinfection vs. no reinfection. We discuss the importance of multidisciplinary integration (health, social, and physical sciences), multilayered approaches to reducing risk (“Emmentaler cheese model”), harm reduction, smart masking, relaxation of interventions, and context-sensitive policymaking for COVID-19 response plans. We also address the challenges in understanding the broad clinical presentation of COVID-19, SARS-CoV-2 transmission, and SARS-CoV-2 reinfection. These key issues of science and public health policy have been presented as false dichotomies during the pandemic. However, they are hardly binary, simple, or uniform, and therefore should not be framed as polar extremes. We urge a nuanced understanding of the science and caution against black-or-white messaging, all-or-nothing guidance, and one-size-fits-all approaches. There is a need for meaningful public health communication and science-informed policies that recognize shades of gray, uncertainties, local context, and social determinants of health.


2021 ◽  
pp. 104973232110570
Author(s):  
Mireia Yter ◽  
David Murillo ◽  
Andreas Georgiou

The relationship between social capital and public health has been extensively analyzed. However, not much has been written about the formation of social capital among citizens and public health workers in times of a pandemic. Our aim is to analyze social capital development through the prism of bounded solidarity and seek its manifestations toward public health workers. A qualitative self-administered survey was used to analyze what actions, practices, attitudes, and reasons inspired citizens to behave as they did with respect to public health workers during the first weeks of lockdown under the COVID-19 pandemic. Respondents, mostly from European countries, reveal that citizens aimed to prevent the collapse of the public health system through reinforcing trust toward institutions, legitimizing health care personnel expertise, practicing reciprocity and altruism, giving recognition to public health workers, and providing them with means. Finally, recommendations for public health communication on risks and crises are discussed.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Being able to identify corruption and call corrupt officials, health workers and citizens to account is critical in ensuring that public health policy and practice is shaped by evidence and reason rather than by powerful political forces. Despite substantial financial investments by bilateral and multilateral agencies to combat corruption, twenty years of initiatives based on good governance, improving law and changing regulatory approaches have been hugely disappointing - failing to effect significant changes in low- and middle-income countries. Public health activism on corruption is stepping up, diverse groups of actors are organizing around the threat that corruption creates to UHC, equity, social justice and the drive for global solidarity. They cannot rely on traditional good governance accountability and transparency approaches that pay insufficient attention to combinations of poor policy, under-funding and powerful interests that shape health systems, create perverse incentives, the need for survival corruption. To be effective, we need evidence of feasible and effective anti-corruption strategies. In this workshop, building on two years of theory development, qualitative and quantitative data collection and analysis in health services in LMICS we will set how feasible and effective anti-corruption strategies can be crafted and implemented. The session will introduce the Anti-Corruption Evidence ('ACE approach') and the idea of “developmental governance”. These have been used in other sectors but this is the first time that they have been applied to health. The approach is innovative in its targeted approach and focus on welfare-enhancing policies, seeking out space where for action that simultaneously tackles corruption and improves health systems but which is also politically and institutionally feasible to introduce. These strategies mark a shift away from blue-prints, interventions applied across countries without attending to context. We will use this workshop to show participants how to attend to the ways in which power and politics, culture and social networks shape health seeking and health care provision and how targeted, politically sensitive strategies offer the best anti-corruption solutions. Key messages New approaches to anti-corruption are critical for public health. Context-sensitive politically feasible, welfare-enhancing interventions offer the best way forward for anti-corruption.


Author(s):  
Elena Semino

As I write this piece, many countries around the world are being described as experiencing a «second wave» of the COVID-19 pandemic. For example, on 19 September 2020, the UK Prime Minister Boris Johnson said: «We are now seeing a second wave coming in. We’ve seen it in France, in Spain, across Europe. It’s been absolutely inevitable, I’m afraid, that we would see it in this country». Metaphors are crucial tools for communication and thinking, and can be particularly useful in public health communication. For example, the «second wave» metaphor suggests that there is renewed danger and threat from the virus, and may therefore encourage compliance with measures aimed at reducing transmission. However, all metaphors have both strengths and limitations, and the potential to be used both to enlighten and to obfuscate. The metaphor of the pandemic as a series of waves suggests that changes in the number of infections are due to the virus itself (cf. the idea that it may be seasonal), rather than the result of actions taken to slow its spread. In this sense, this metaphor is inaccurate. As Dr. Margaret Harris from the World Health Organization put it, «We are in the first wave. There is going to be one big wave». In addition, precisely because waves follow one another uncontrollably, this metaphor can be used strategically to present new increases in infection as inevitable, as in Boris Johnson’s statement, and thus to deflect responsibility from governments and their policies. As with any other complex and long-term problem, different metaphors are needed to capture different aspects of the pandemic, convey different messages, and address different audiences. Based on the analysis of two different datasets (the #ReframeCovid multilingual metaphor collection – an open-source repository of non-war-related language on COVID-19 – and the English Coronavirus Corpus – a multi-million-word database of news articles in English since January 2020 – I suggest that the metaphor of COVID-19 as a fire, and specifically a forest fire, is particularly apt and versatile. Forest fires are dangerous and hard to control. However, they can be controlled, with prompt and appropriate action. They can even be prevented, by looking after the land properly, protecting the environment, and educating citizens to behave responsibly. Indeed, forest fire metaphors for COVID-19 have been used since the start of the pandemic for multiple purposes, including to: convey danger and urgency (e.g., COVID-19 as a «forest fire that may not slow down»); distinguish between different phases of the pandemic (e.g., «a fire raging» vs. «embers» that must be stopped from causing a new fire); explain how contagion happens and the role of individuals within that (e.g., people as trees in a forest catching fire one after the other, or as breathing out «invisible embers»); justify measures for reducing contagion (e.g., social distancing as «fire lines» in a forest); connect the pandemic with health inequalities (e.g., pointing out that, like a fire, COVID-19 spreads more easily when people live in overcrowded conditions); and outline post-pandemic futures (e.g., when an Italian commentator pointed out that everyone has to contribute to the reclamation of the soil – bonifica del terreno – after the end of the pandemic, to prevent future ones). Of course, no metaphor is suitable for all purposes or all audiences. For example, the metaphor of people as trees in a forest fire does not easily account for asymptomatic transmission. And the use of forest fire metaphors may be inappropriate in parts of the world that have been dramatically affected by literal fires, such as some parts of Australia in 2019-2020. However, a well-informed and context-sensitive approach to metaphor selection can be an important and effective part of public health messaging.


2016 ◽  
Vol 5 (1) ◽  
pp. 51
Author(s):  
Rachael Ngozi Osagie ◽  
Aidevbo Aibuovbo Eyaufe ◽  
Faith Ireye

This study, aimed at the microbial analysis of biomedical waste (BMW) was carried out using 100 samples of 10 different BMW collected in duplicates from 5 busy primary healthcare centers (PHCs).The research findings showed a high prevalence of <em>E.coli</em> (39%) and <em>S.aureus</em> (32%) which were both statistically significant at P≤0.05, while the least isolated organisms were <em>K. pnuemoniae</em> (10%) and <em>B.</em><em> subtilis</em> (4%) and were statistically not significant at P≥0.05. Samples from dressings and beddings were found to contain the highest microbial loadof 25 and 13 respectively while the least number of isolates were from expired cytotoxic drugs (2) and lancets (1).The biochemical tests showed the presence of Gram positive and negative organisms with record of both aerobic and anaerobic isolates from the BMW. The investigation revealed that BMW contains mixed bacterial community with some being pathogenic and pose a public health hazard to both health workers and other community members, therefore adequate treatment measures should be given to all BMW before disposal.


Author(s):  
Shaun Bowler

This chapter analyzes to what extent variation in political institutions affects political support. The chapter observes that the existing research is not always clear on which institutions should produce what kind of effect, although a general expectation is that institutional arrangements improve political support when they give citizens an increased sense of connection to the political process. In general then, we should expect institutions that strengthen the quality of representation to strengthen political support. This general expectation is specified in six hypotheses that are tested using data from the ESS 2012. The chapter demonstrates that electoral systems that provide voters with more choice about candidates, multiparty governments, and “responsive” legislatures, correlate positively with political support. However, compared to other macro-level factors and individual characteristics, the effects of political institutions on political support are modest. The chapter concludes that the prospects for institutional reform to strengthen political support are limited.


Author(s):  
Harald Schoen ◽  
Sigrid Roßteutscher ◽  
Rüdiger Schmitt-Beck ◽  
Bernhard Weßels ◽  
Christof Wolf

This concluding chapter summarizes the main findings of the preceding chapters in light of the model of contextual effects on voter behavior. Accordingly, the processes of communication and politicization are of key importance for contextual effects. By implication, we cannot take for granted that contextual features exert sizable effects on voters’ opinion formation and behavior in each and every case. Findings about contextual effects are also context-sensitive and thus do not lend themselves to generalization by default. These observations suggest that context plays a nuanced and conditional role in voting behavior. Exploring it further should be a focal topic of future research on political behavior and democratic politics.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  

ABSTRACT Background Public health workers at the Chinese Centre for Disease Control and Prevention (China CDC) and primary health care institutes (PHIs) were among the main workers who implemented prevention, control, and containment measures. However, their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of front line public health workers in China during the COVID-19 epidemic. Methods Between 18 February and 1 March 2020, we conducted an online cross-sectional survey of 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We surveyed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardised measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results The prevalence of depression, anxiety, and poor self-rated health was 21.3, 19.0, and 9.8%, respectively, among public health workers (27.1, 20.6, and 15.0% among CDC workers and 17.5, 17.9, and 6.8% among PHI workers). The majority (71.6%) made immense efforts in both field and non-field work. Nearly 20.0% have worked all night for more than 3 days, and 45.3% had worked throughout the Chinese New Year holiday. Three risk factors and two protective factors were found to be independently associated with all three health outcomes in our final multivariate models: working all night for >3 days (multivariate odds ratio [ORm]=1.67~1.75, p<0.001), concerns about infection at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), initiating COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and ability to persist for > 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions Chinese public health workers made immense efforts and personal sacrifices to control the COVID-19 epidemic and faced the risk of mental health problems. Efforts are needed to improve the working conditions and health status of public health workers and thus maintain their morale and effectiveness during the fight against COVID-19.


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