Methodology for assessment of public health preparedness and response synergies between institutional authorities and the community

2020 ◽  
Author(s):  
Daniel H. de Vries ◽  
John Kinsman ◽  
Judit Takacs ◽  
Svetla Tsolova ◽  
Massimo Ciotti

Abstract Background: This paper describes a participatory methodology that supports investigation of the collaboration between communities affected by infectious disease outbreak events and relevant official institutions. The core principle underlying the methodology is the recognition that synergistic relationships, characterised by mutual trust and respect, between affected communities and official institutions provide the most effective means of addressing outbreak situations. Methods: The methodological approach and lessons learned were derived from four qualitative case studies including (i) two tick-borne disease events: Crimean-Congo haemorrhagic fever in Spain, and tick-borne encephalitis in the Netherlands (2016); and (ii) two outbreaks of acute gastroenteritis (norovirus in Iceland, 2017, and verocytotoxin-producingEscherichia coli [VTEC] in Ireland, 2018). These studies were conducted in collaboration with the respective national public health authorities in the affected countries by the European Centre for Disease Prevention and Control (ECDC). Results: An after-event qualitative case study approach was taken using mixed methods. Lessons highlight the critical importance of collaborating with national focal points during preparation and planning, and interviewer reflexivity during fieldwork. Field work for each case study was conducted over one working week, which although limiting the number of individuals and institutions involved, still allowed for rich data collection due to the close collaboration with local authorities. The analysis focused on the specific actions undertaken by the participating countries’ public health and other authorities in relation to community engagement, as well as the view from the perspective of the community. Conclusions: The overall objective of the assessment to identify synergies between institutional decision-making bodies and community actors and networks before, during and after an outbreak response to a given public health emergency. The methodology is generic and could be applied to a range of public health emergencies, zoonotic or otherwise. The methodology emphasises reflexivity among fieldworkers, a relatively short time needed for data collection, potential generalisability of findings, insider-outsider perspectives, politically sensitive findings, and how to deal with ethical and language issues.

2020 ◽  
Vol 9 (2) ◽  
pp. 1807-1813
Author(s):  
Budhi Rahardjo ◽  
Suryo Ediyono ◽  
Nur Ani ◽  
Munika Saraswati

This type of research is descriptive qualitative with a case study approach method. The subjects of this study were the Head of the Human Resources Division of the Sukoharjo Health Service, the Head of the public health center, and the public health center staff. Data collection techniques include direct observation, in-depth interviews, and documentation study. This study's data analysis stage in this study was data collection, data analysis, data reduction, data presentation, and conclusion drawing. The results of this study showed that the public health center headed by SKM graduates showed more role in managerial ability than the Head of Non-SKM public health center. Public health centers do not have to be led by a doctor, but SKM graduates can also show the public health center.


2021 ◽  
Author(s):  
Valery Ridde ◽  
Lara Gautier ◽  
Christian Dagenais ◽  
Fanny Chabrol ◽  
Renyou Hou ◽  
...  

Abstract Background: All prevention efforts currently being implemented for COVID-19 are aimed at reducing the burden on strained health systems and human resources. There has been little research conducted to understand how SARS-CoV-2 has affected healthcare systems and professionals in terms of their work. Finding effective ways to share the knowledge and insight between countries, including lessons learned, is paramount to the international containment and management of the COVID-19 pandemic. The aim of this project is to compare the pandemic response to COVID-19 in Brazil, Canada, China, France, Japan, and Mali. This comparison will be used to identify strengths and weaknesses in the response, including challenges for health professionals and health systems.Methods: We will use a multiple case study approach with multiple levels of nested analysis. We chose these countries as they represent different continents and different stages of the pandemic. We will focus on several major hospitals and two public health interventions (contact tracing and testing). It is a multidisciplinary research approach that will use qualitative data through observations, document analysis, and interviews, as well as quantitative data based on disease surveillance data and other publicly available data. Given that the methodological approaches of the project are largely qualitative, the ethical risks are minimal. For the quantitative component, the data being used are publicly available.Discussion: We will deliver lessons learned based on a rigorous process and on strong evidence to enable operational-level insight for national and international stakeholders.


ARISTO ◽  
2018 ◽  
Vol 7 (1) ◽  
pp. 34
Author(s):  
Muh. Firyal Akbar ◽  
Sri Handyani Suprapto ◽  
Widya Kurniati Mohi

This research is generally aimed at strengthening Muhammadiyah union institution in one of Muhammadiyah's business charity in Gorontalo Province, whereas specifically the purpose of this research is to know objective description about reality that happened at campus of Muhammadiyah University of Gorontalo from organizational culture that developed on campus This, taking into account the organizational culture found in Muhammadiyah in accordance with the PHIWM. This research uses qualitative method with case study approach. Data collection techniques used are observation, interview and documentation. Research time started from January to June 2017 From the results show that the employees have not implemented properly. Indicators of hard work still have not shown good results because most employees still do not understand the main duties and functions in work. Discipline indicators are also not well implemented where there are still many employees who enter the campus through the provisions of the time set as well while attending events on campus and when entering the time of prayer still not heed these things. The last indicator is the optimization in the work also has not shown the maximum results because only a few who are able to work effectively in accordance with the work agenda that they set previously.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049734
Author(s):  
Katya Galactionova ◽  
Maitreyi Sahu ◽  
Samuel Paul Gideon ◽  
Saravanakumar Puthupalayam Kaliappan ◽  
Chloe Morozoff ◽  
...  

ObjectiveTo present a costing study integrated within the DeWorm3 multi-country field trial of community-wide mass drug administration (cMDA) for elimination of soil-transmitted helminths.DesignTailored data collection instruments covering resource use, expenditure and operational details were developed for each site. These were populated alongside field activities by on-site staff. Data quality control and validation processes were established. Programmed routines were used to clean, standardise and analyse data to derive costs of cMDA and supportive activities.SettingField site and collaborating research institutions.Primary and secondary outcome measuresA strategy for costing interventions in parallel with field activities was discussed. Interim estimates of cMDA costs obtained with the strategy were presented for one of the trial sites.ResultsThe study demonstrated that it was both feasible and advantageous to collect data alongside field activities. Practical decisions on implementing the strategy and the trade-offs involved varied by site; trialists and local partners were key to tailoring data collection to the technical and operational realities in the field. The strategy capitalised on the established processes for routine financial reporting at sites, benefitted from high recall and gathered operational insight that facilitated interpretation of the estimates derived. The methodology produced granular costs that aligned with the literature and allowed exploration of relevant scenarios. In the first year of the trial, net of drugs, the incremental financial cost of extending deworming of school-aged children to the whole community in India site averaged US$1.14 (USD, 2018) per person per round. A hypothesised at-scale routine implementation scenario yielded a much lower estimate of US$0.11 per person treated per round.ConclusionsWe showed that costing interventions alongside field activities offers unique opportunities for collecting rich data to inform policy toward optimising health interventions and for facilitating transfer of economic evidence from the field to the programme.Trial registration numberNCT03014167; Pre-results.


Author(s):  
Priscila Carrara Fracassi ◽  
José Augusto Lollo

Urban sprawl in small cities has led to the occupation of unsuitable areas, resulting in peripheralization and in the occupation of fragile environments. In these occupations, the physical characteristics of the environment are often disrespected. In this context, the present article reports on a case study in the municipality of São Pedro, state of São Paulo, Brazil, which presents and discuss a set of natural factors (geological and geomorphological) conditioning the occurrence of erosion and gravitational mass movements, which are limiting factors for urban sprawl. The methodology employed in this study was based on field work, bibliographic research, and data collection, analysis and GIS-based systematization, which allowed for a spatial reading of the urban sprawl to indicate, from different perspectives, how the phenomenon is manifested. Thus, it was possible to draw up a chart highlighting the areas with the greatest potential for occupation and those with restrictions due to their greater susceptibility to erosion and mass movements. The main identified natural factors of restriction were steepness and soil conditions and law enforced restrictions (environmental protection areas).


Author(s):  
Cynthia C. M. Deaton ◽  
Jacquelynn A. Malloy

Design-based case studies allow researchers to examine instructional innovations that are bounded by perspective, context, and time. Design-based case study is an approach that blends case study research with design-based research in order to more systematically examine the process and products of an intervention. This approach provides a framework for engaging in iterative cycles of data collection and analysis to determine if, how, and why goals of instructional innovations have been met. This chapter provides an overview of the design-based case study approach and responds to common concerns surrounding case study and design-based research and how design-based case studies address these concerns by building on the strengths of both approaches.


Author(s):  
Wayne Pease ◽  
Lauretta Wright ◽  
Malcolm Cooper

In regional Australia there is a growing interest and investment in community capacity building and this is beginning to be formalised in a desire to integrate information communications technology opportunities with other forms of community development. This paper explores the opportunity for greater social integration based on the formation of community-based information communication technology (ICT) driven organizations, using a case study approach.  It is suggested that whether disseminating information, collaborating with other communities, assisting the development of new industries, or simply by sharing the lessons learned along the way, community-based IT can assist and support a community’s economic and social development.  Further, the paper supports the view that, where understanding and developing new forms of information technology through community informatics is accepted as an integral part of such development, communities will not just ‘improve the old’ but will more radically restructure themselves towards a knowledge-based future. The case study that underpins these observations is that of the development of Bay Connect, a community-based Internet development and training project, begun in Hervey Bay with Networking the Nation support, and which is now expanding into the adjacent Maryborough and surrounding Shires. It is also supported by the University of Southern Queensland’s Wide Bay and has an emergent role in supporting new and existing IT businesses, Bay Connect and the Hervey Bay City Council, in the creation and nurturing of an IT skills base within the region.


2019 ◽  
Vol 20 (3) ◽  
pp. 333-337 ◽  
Author(s):  
Alisha H. Redelfs ◽  
Juan Aguilera ◽  
Sarah L. Ruiz

Many public health professionals (researchers and practitioners) do not regularly spend time writing. We often receive no formal training in the practices that lead one to become a productive writer. In addition, many internal (mental/emotional) and external (schedules/distractions) barriers make writing consistently even less appealing and may lead to a cycle of avoidance followed by binge writing. This commentary demonstrates how one writing group became an effective means of providing career and professional development. Each week for 9 months we held a 1-hour writing group meeting designed around a commitment to ground rules, accountability, training opportunities, and feedback. Our experiences suggest that engaging in a writing group can help us develop as writers by allowing us to learn new practices and skills. Adopting new practices like writing regularly for short blocks of time, in turn, led to benefits like reduced anxiety and increased productivity. In the process, we became better writers, reviewers, and mentors. We provide recommendations and resources for groups and individuals who are interested in improving their writing as an essential component of their continuing education and professional development. Whatever your professional role, using a writing group to become a more powerful and productive writer will make you more effective.


2020 ◽  
Vol 135 (4) ◽  
pp. 428-434
Author(s):  
Jessica Arrazola ◽  
Malorie Polster ◽  
Paul Etkind ◽  
John S. Moran ◽  
Richard L. Vogt

Although writing is a valued public health competency, authors face a multitude of barriers (eg, lack of time, lack of mentorship, lack of appropriate instruction) to publication. Few writing courses for applied public health professionals have been documented. In 2017 and 2018, the Council of State and Territorial Epidemiologists and the Centers for Disease Control and Prevention partnered to implement a Morbidity and Mortality Weekly Report Intensive Writing Training course to improve the quality of submissions from applied epidemiologists working at health departments. The course included 3 webinars, expert mentorship from experienced authors, and a 2-day in-person session. As of April 2020, 39 epidemiologists had participated in the course. Twenty-four (62%) of the 39 epidemiologists had submitted manuscripts, 17 (71%) of which were published. The program’s evaluation demonstrates the value of mentorship and peer feedback during the publishing process, the importance of case study exercises, and the need to address structural challenges (eg, competing work responsibilities or supervisor support) in the work environment.


Author(s):  
Moria Levy ◽  
Rinat Salem

Lesson learning is a well-known and crucial organizational tool that serves many organizations wishing to improve their performance. This chapter describes a knowledge management (KM)-based model, improving the level of learning and of the lessons learned with the goal of reducing repeated mistakes as well as recreating their successes. The key features of the model were the base of a research conducted using a case study approach implemented at the Welfare Division of the Jerusalem Municipality's Community Services Administration. The implemented model, based on KM ideas, added two significant stages to the process of debriefing—refining the lessons learned and transforming them into lessons that are managed in an independent database—as well as an additional stage, which was comprised of active processes of integrating the lessons into the organizational work.


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