Innovative strategies to promote global health: Lessons from the Covid-19 pandemic

A. Macnab
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Abstract

The current view is that the hold of the Covid-19 virus is now being altered from pandemic to endemic status with global cooperation. While vaccination remains a central component of the public health interventions required to achieve this, a range of innovative health promotion strategies are also needed in parallel if we are to ensure that the pandemic continues to wane further. Research and personal experience tell us that Covid-19 vaccines offer high protection against severe illness, aid the delivery of health care and save lives. However, WHO communiqués reiterate that vaccine hesitancy is a major threat to global health and that many countries still need to improve vaccination rates. It is also stated that in order to do this innovative strategies are needed to establish greater trust, improve communication and reduce misinformation. Consequently health care providers are being urged to build on lessons learned during the pandemic, find ways to build trust, counter residual vaccine hesitancy and promote other health related behaviors that are inclusive, allay fears and avoid scapegoating.  Importantly, the strategies needed to increase willingness to be vaccinated and promote the health-related knowledge and behaviors necessary for the pandemic to continue to wane are now known to be highly country-specific, and regional differences in what approaches are required are also evident within counties. Consequently, as health care providers we need to develop innovative strategies and employ task shifting to the meet the specific needs of the individual populations we serve. This review summarizes ways to approach this challenge based the core principles advocated by WHO for promoting health literacy and changing behaviors; community empowerment, people-centered strategies, innovative education, novel and improved tools, training to respond to local needs, and the use of non-traditional avenues and outlets.
促进全球卫生的创新战略:2019冠状病毒病大流行的教训
目前的观点是,在全球合作下,Covid-19病毒正在从大流行状态转变为地方病状态。虽然疫苗接种仍然是实现这一目标所需的公共卫生干预措施的核心组成部分,但如果我们要确保大流行继续进一步减弱,还需要同时采取一系列创新的健康促进战略。研究和个人经验告诉我们,Covid-19疫苗对严重疾病提供高度保护,有助于提供卫生保健并挽救生命。然而,世卫组织公报重申,疫苗犹豫是对全球健康的主要威胁,许多国家仍然需要提高疫苗接种率。它还指出,为了做到这一点,需要创新的战略来建立更大的信任,改善沟通和减少错误信息。因此,敦促卫生保健提供者以大流行期间的经验教训为基础,找到建立信任的方法,消除疫苗残留犹豫,并促进其他与健康相关的包容性行为,减轻恐惧,避免成为替罪羊。重要的是,现在人们知道,提高接种疫苗意愿和促进与该流行病继续减弱所必需的健康相关知识和行为所需的战略是高度针对国家的,而且在所需要的方法方面的区域差异在国家内部也很明显。因此,作为保健提供者,我们需要制定创新战略并采用任务转移,以满足我们所服务的个别人群的具体需求。本综述总结了根据世卫组织倡导的促进卫生知识普及和改变行为的核心原则应对这一挑战的方法;社区赋权、以人民为中心的战略、创新教育、新颖和改进的工具、针对当地需求的培训,以及利用非传统途径和渠道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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