scholarly journals A Salutogenic Approach to Disaster Recovery: The Case of the Lac-Mégantic Rail Disaster

Author(s):  
Mélissa Généreux ◽  
Mathieu Roy ◽  
Tracey O’Sullivan ◽  
Danielle Maltais

In July 2013, a train carrying crude oil derailed in Lac-Mégantic (Canada). This disaster provoked a major fire, 47 deaths, the destruction of 44 buildings, a massive evacuation, and an unparalleled oil spill. Since 2013, Public Health has undertaken several actions to address this challenging situation, using both quantitative and qualitative methods. Community-based surveys were conducted in Lac-Mégantic in 2014, 2015 and 2018. The first two surveys showed persistent and widespread health needs. Inspired by a salutogenic approach, Public Health has shifted its focus from health protection to health promotion. In 2016, a Day of Reflection was organized during which a map of community assets and an action plan for the community recovery were co-constructed with local stakeholders. The creation of an Outreach Team is an important outcome of this collective reflection. This team aims to enhance resilience and adaptive capacity. Several promising initiatives arose from the action plan—all of which greatly contributed to mobilize the community. Interestingly, the 2018 survey suggests that the situation is now evolving positively. This case study stresses the importance of recognizing community members as assets, rather than victims, and seeking a better balance between health protection and health promotion approaches.

2015 ◽  
Vol 5 (4) ◽  
pp. 18
Author(s):  
Miftachul Munir ◽  
Nursalam . ◽  
R.S. Triyoga

Introduction: The vision of development in East Java is to realize a prosperous society and morals. In order to improve public health, as one of the measures to achieve this vision will require proximity access and improving the quality of health services in the community. Health cottage village (Ponkesdes) is a basic health services located in the village or villages that are part of the development of village midwife (Polindes). The aim of this study was to develop into a Community Nursing Center Ponkesdes based Health Promotion Model Theory, Nursing Center, and Performance Behavior nurse.Methods: The study design was an observational analytic consisting of two phases, namely the implementation of the exploratory and descriptive exploration causa effect. The population used in this study were nurses ponkesdes Tuban district that fit inclusion criteria as much as 20, with a sample of 20 respondents were determined using simple techniques saturated. The independent variable in this study is Nursing Center, Health Promotion and Behavior Model Performance dependent variable is the commitment and the action plan ponkesdes duty nurse. Instruments used in the collection of data in the form of questionnaires and data results focused discussion. Analysis of studies using the Partial Least Square.Results: This study showed a significant effect on Nursing Center nurse commitment Ponkesdes (t = 3.197). Health Promotion Model a significant effect on the commitment of nurses Ponkesdes (t = 2.185). Commitment nurses significantly influence nurses task Ponkesdes (t = 29.546).Discussion and Conclusions: Model development of community nursing center Ponkesdes be very relevant to be applied to programs that can improve the health and can be a solution for institutions of public health services.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Khozhamkul ◽  
L Kosherbaeva ◽  
T Izmukhambetov ◽  
S Tolegenova ◽  
A Jurgutis ◽  
...  

Abstract Considering Astana declaration on Primary healthcare (PHC) and universal healthcare coverage UN member countries agreed on committing for PHC development. Kazakhstan prepared legal basis for that during ongoing healthcare system reform. Meanwhile, there is no clear mechanism for integration of sectors to address person and community centeredness for health, which has emerged into a need of rethinking engagement between outpatient clinics and their communities. Local NGO “Community health committee” has led the bottom-up initiative in collaboration with Kazakh National Medical University, Outpatient clinic of Almaty State hospital #5, Medeo district mayor’s office and WHO European Center for PHC for creation of an integrated plan to strengthen diseases prevention and health promotion at the district. Project aims to strengthen people centeredness of PHC at Medeo district, through equal integration of all stakeholders into every step of decision-making using community based participatory research framework. Project includes development of teamwork in PHC teams’ through multi-professional training, development of nurses’ competencies for more autonomous work in community, community capacity building and empowerment. After gaining support from all stakeholders, we organized two interactive seminars with community members and PHC teams in order to assess district health needs and build an action plan. Ownership of community members in decision on priority health problem provided community buy-in, high level of engagement and enthusiasm in designing and implementation of the project activities. Voice from empowered community on priority health needs were accounted by local policymakers and led for creation of action plan on identified needs to be implemented in 2019 -2020. One of the main limits of the community engagement is gaining trust and sustainability of the group, we are mitigating it through involvement of academia as an “umbrella”. Key messages Project will create a model for equal partnership in disease prevention and health promotion in Kazakhstan. Engaging all key stakeholders based on equal partnership creates sustainable outcomes for health and solidarity.


2017 ◽  
Vol 28 (5) ◽  
pp. 619-625 ◽  
Author(s):  
Tarik Benmarhnia ◽  
Stephanie Alexander ◽  
Karine Price ◽  
Audrey Smargiassi ◽  
Nicholas King ◽  
...  

2014 ◽  
Vol 3 (3) ◽  
pp. 1-19 ◽  
Author(s):  
Pamela Wridt ◽  
John E. Seley ◽  
Scott Fisher ◽  
Bryce DuBois

This article demonstrates the potential of participatory mapping approaches to coordinate spontaneous volunteers and assist government agencies and humanitarian organizations in emergency contexts. The research focuses on one case study of a volunteer mapping project in the Rockaways in New York City to help communicate the needs reported by community members to outsiders after Hurricane Sandy. The map proved to be helpful in the coordination of relief efforts by volunteers and in understanding the variety of groups involved in emergency response. However, the map could not be sustained for long-term community recovery. The research offers new evidence of the potential contributions of spontaneous volunteers that can be leveraged, replicated and improved upon for future disaster planning and response. It also highlights the importance of volunteered geographic information in ensuring that emergency response is guided by the needs reported by citizens themselves, even if they do not have access to technology.


Asian Survey ◽  
2021 ◽  
pp. 1-32
Author(s):  
Celeste L. Arrington

Long considered a smoker’s paradise, Japan passed its strictest regulations yet on indoor smoking in 2018 with revisions to the Health Promotion Law and a new ordinance in Tokyo. Timed for the Tokyo Olympics, both reforms made smoking regulations stronger and more legalistic despite reflecting distinctive policy paradigms in their particulars. The national regulations curtailed smoking in many public spaces but accommodated smoking in small restaurants and bars. Tokyo’s stronger restrictions emphasized public health protection by exempting only eateries with no employees. I argue that fully understanding these contemporaneous reforms requires analyzing insider activists: state actors who participated in the tobacco control movement or had sustained interaction with it during earlier reform waves. Case studies drawing on interviews and movement and government documents illustrate the mechanisms insider activists can access because they straddle multiple fields. This article contributes to scholarship about ideas, policy entrepreneurship, and the blurry line between insiders and outsiders in policymaking.


Author(s):  
G. T. Laurie ◽  
S. H. E. Harmon ◽  
E. S. Dove

This chapter orients medical law in the broader context of public and community health, emphasising the human rights components of health promotion, health protection and the management of threats to the community through a variety of legal frames, as well as the role of physicians for good and ill.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Porcherie ◽  
A Laurent ◽  
C Ferron ◽  
P Berry ◽  
B Soudier ◽  
...  

Abstract Issue French public health authorities increasingly rationalize access to public funding, favoring evidence-based programs. Health Promotion (HP) interventions are especially urged to prove their efficiency in this context. To tackle this issue, HP practitioners hold experiential knowledge (EK) that proves useful to assess both the complexity and efficiency of HP interventions. United by this conviction in a multidisciplinary coalition, HP experts from various backgrounds came together five years ago to promote Experiential Knowledge in HP (EKHP) in France. A national committee to promote EKHP 670 HP practitioners were surveyed in 2016. Results reported vast amounts of under-documented and often untapped field expertise in HP and numerous obstacles regarding access to scientific literature or systematic reviews. Consequently, the coalition launched a National Committee for EKHP, meeting 5 times a year since 2016. Members of 6 national HP organizations, of 4 regional HP institutes, national and local public health administrators, researchers, consultants and field workers participate. Steered by the French Society for Public Health and the National Federation for Health Education and Promotion, the committee devised a threefold action plan: 1/ advocate EKHP in all relevant institutional spaces, 2/ develop tools for EKHP, 3/ mobilize for EKHP at the local level. Results The committee designed a method for capitalizing, collecting and circulating EK and published in 2020 a guidebook and a toolkit. French Public Health authorities agreed to share EK nationwide on their online portal. Dissemination within the French HP community has started, through the committee members' networks, and will be amplified with a training program launched in 2021 at the National School of Public Health. Lessons Attention must be brought to HP practitioners’ experiential knowledge, both to recognize HP practitioners' expertise and to help improve the understanding of how HP interventions work. Key messages Experiential knowledge in HP remains undervalued and untapped in France. Dedicated practitioners, policymakers and researchers formed a multidisciplinary committee to promote and disseminate EKHP. A multilevel strategy combining advocacy and tool building can be effective at promoting experiential knowledge. A multidisciplinary coalition provided the necessary context-specific levers in France.


2015 ◽  
Vol 20 (1) ◽  
pp. 199-208 ◽  
Author(s):  
Renata Machado dos Santos Gomes ◽  
Valdir de Castro Oliveira

The present article investigates the role of Haitian community radios in strengthening social mobilization, with the aim of supporting the actions undertaken in the field of public health in Haiti, based on the development of the Workshop for community radios, as part of the Tripartite Cooperation Brazil-Cuba-Haiti. The qualitative methodology is justified because of the study content, an analysis of documents and direct observation, through a case study presented at the Workshop held in the department of Hinches, in Haiti. This meeting was held in the context of the Working Group on Tripartite Communication, under the responsibility of the Health Channel/Fiocruz, in partnership with the Department for Health Promotion and Environmental Prevention of the Ministry of Health and Population of Haiti (DPSPE/MSPP/Haiti), with a proposal to better structure a network of multipliers in health promotion.


2019 ◽  
Vol 57 (7) ◽  
pp. 1443-1456
Author(s):  
Grant Beebe ◽  
Milorad Novicevic ◽  
Ifeoluwa Tobi Popoola ◽  
Joseph (Jody) Holland

Purpose The purpose of this paper is to develop a 5As framework for entrepreneurial nudge public leadership for health and wellness promotion based on two exemplary cases in Mississippi. Design/methodology/approach The authors use a “case within a case” study design to develop the 5As public influence framework for entrepreneurial public leadership. Findings Based on the investigated cases of healthcare and wellness promotion in Hernando and Charleston, Mississippi, the authors developed the 5As framework for wellness promotion dimensions of awareness, assistance, alignment, association, and assessment. This framework is applicable to the lived experiences of community members, leaders, healthcare providers, and government. Research limitations/implications The study results provide a compelling insight into early-stage formation of entrepreneurial public leadership. However, the study results lack generalizability due to the case study approach used. Practical implications This study can assist entrepreneurial public leaders and policy-makers align their strategic wellness goals, initiatives, and policies that motivate community members to seek and receive supporting services. Originality/value Developing an original framework for wellness promotion useful to both healthcare practitioners and public leaders, this study contributes to the extant literature on public health leadership and proposes mechanisms for addressing community wellness needs. The framework is designed to address public health concerns by integrating public leadership strategies aimed at linking with existing community wellness and healthcare services.


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