International Journal of Health Planning and Management最新文献

{"title":"Pathways to Hypertension Control: Unfinished Journeys of Low-Income Individuals in Malaysia and the Philippines","authors":"Benjamin Palafox,&nbsp;Dina Balabanova,&nbsp;Arianna Maever Loreche,&nbsp;Nafiza Mat-Nasir,&nbsp;Farnaza Ariffin,&nbsp;Mazapuspavina Md-Yasin,&nbsp;Mohamad-Rodi Isa,&nbsp;Fadhlina Abd-Majid,&nbsp;Lia M. Palileo-Villanueva,&nbsp;Alicia Renedo,&nbsp;Maureen L Seguin,&nbsp;Antonio L Dans,&nbsp;Martin Mckee","doi":"10.1002/hpm.3889","DOIUrl":"10.1002/hpm.3889","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Reducing inequities in hypertension control among those affected in low- and middle-income countries requires person-centred health system responses based on a contextualised understanding of the choices and care pathways taken by those who rely on the services provided, particularly those from poor and marginalised communities. We examine patterns of care seeking and pathways followed by individuals with hypertension from low-income households in the Philippines and Malaysia. This study aims to fill a significant gap in the literature by analysing the stages at which individuals make decisions that may affect the successful control of their blood pressure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study presents cross-sectional survey data collected as part of the Responsive and Equitable Health Systems-Partnership on Non-Communicable Diseases (RESPOND) project, a longitudinal observational study in low-income communities. The study participants were 1191 randomly selected adults aged 35–70 years with a self-reported history of hypertension or identified as hypertensive through blood pressure screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While most low-income individuals with hypertension in both countries were diagnosed and receiving medication, Malaysians demonstrated higher self-reported medication adherence. Urban areas in the Philippines showed better hypertension management outcomes compared to rural areas. The study also provides insights into the care seeking pathways followed by low-income adults diagnosed with hypertension. Nearly half of these individuals in Malaysia and a third in the Philippines were following pathways where they had never changed or stopped treatment without professional advice, and where they were using and adhering to their prescribed medication. Following such pathways was strongly associated with a greater likelihood blood pressure control in the Philippines, but less so in Malayisa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings highlight the need for a contextualised understanding of care seeking choices and the importance of person-centred solutions. They offer a typology of hypertension care seeking pathways and a foundation for similar research in other settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"442-457"},"PeriodicalIF":1.9,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3889","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Expenditure, Governance Quality, and Health Outcomes in West African Countries","authors":"Michael Kouadio,&nbsp;Aloysius Njong Mom","doi":"10.1002/hpm.3887","DOIUrl":"10.1002/hpm.3887","url":null,"abstract":"<div>\u0000 \u0000 <p>The study investigates the role of governance quality on the effect of health expenditure on health outcomes captured by life expectancy at birth, infant mortality, under-five mortality, crude mortality and maternal mortality rates in West African Countries. Although these countries have made significant efforts to increase health expenditure over the years, health outcomes have only responded marginally in West African Countries, raising concerns about the importance of health expenditure in improving health outcomes. This study analyses the relationship between the role of governance and health expenditure and health outcomes using the feasible generalised least squares estimation techniques. The data for the study were sourced from the World Development Indicators and World Governance Indicators for the 15 West African countries from 1996 to 2022. The findings indicate that improving the governance composite index improves selected health outcomes in West African Countries. Furthermore, improving the interaction term between the composite index of governance and health expenditure improves health outcomes in West Africa. Therefore, the study recommends that governments make conscious efforts to allocate more resources to the health sector to improve health outcomes; and fully implement universal healthcare coverage (UHC) as the Côte d’Ivoire government in 2012 to alleviate high poverty levels and health expenses for people. Also, to improve public funds' efficiency and effectiveness and achieve better health outcomes, it is imperative to implement national policies on the institutional environment, and consistently improve governance issues plaguing the health sector. Increasing the salaries of public health workers could help to curb corruption and income inequality and improve their living and working conditions. Doing so will enable the West African countries to achieve health goals and agenda, as outlined in the SDGs.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"427-441"},"PeriodicalIF":1.9,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planning Matters: A Document Analysis of 24 Portuguese Health Programmes","authors":"Soraia Costa,&nbsp;Inês Morais Vilaça,&nbsp;Daniela Lima,&nbsp;Lara Pinheiro-Guedes,&nbsp;Suzana Barbosa,&nbsp;Sílvia Salvador,&nbsp;Rachel Barbabela,&nbsp;Ana Cristina Carvalho,&nbsp;Paula Oliveira,&nbsp;Ana Cecília Chaves,&nbsp;Margarida Teixeira,&nbsp;Diogo Caveiro,&nbsp;Alexandre Vieira,&nbsp;Teresa Leão","doi":"10.1002/hpm.3885","DOIUrl":"10.1002/hpm.3885","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Health planning is essential for effective public health interventions and optimal resource utilisation. The Portuguese Directorate-General of Health has a long history of developing health plans and programmes, for communicable and noncommunicable diseases, and their determinants. This study aimed to review the current 24 programmes and assess the adequacy of their structure and content.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A document analysis was conducted using a programme assessment matrix developed by the research group. Two independent researchers evaluated each programme, scoring items as ‘absent’, ‘present’, or ‘not applicable’. A quantitative analysis was employed to analyse compliance scores between priority and non-priority programmes and across the year of publication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Priority programs demonstrated higher and more consistent compliance scores compared to non-priority programs. Compliance scores ranged from 19% in the Sexual and Reproductive Health Programme to 100% in the Healthy Eating Programme. The item least commonly present was ‘updated time scope’, in only 21% of the programmes. Most recently published programmes were more likely to have a higher compliance score (<i>Β</i> = 0.76, 95% CI: [0.46, 1.05]). Not all programmes were publicly available in the same digital location.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There was heterogeneity in the 24 health promotion programmes in terms of structure, content, timeliness, and accessibility. A standardised structure could enhance their quality and ease their interpretation and dissemination.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"416-426"},"PeriodicalIF":1.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Income Elasticity of Out-of-Pocket Healthcare Expenditure for Different Provider Types in Bangladesh","authors":"Ashraful Kibria,&nbsp;Shafiun N. Shimul,&nbsp;Irfat Zabeen","doi":"10.1002/hpm.3883","DOIUrl":"10.1002/hpm.3883","url":null,"abstract":"<div>\u0000 \u0000 <p>The impact of income on health expenditure has been studied extensively using national-level data; however, studies estimating the household-level income elasticity of health expenditure, particularly by provider types, remain limited. Analysing nationally representative household survey data, we examine outpatient and inpatient out-of-pocket (OOP) expenses across healthcare providers and by various income levels. We employed the Heckman two-step model and OLS regression to estimate income elasticity separately for outpatient and inpatient services. Our findings indicate that income elasticity varies significantly by service type, provider, and income level. Outpatient care at private facilities is a luxury good for the lower-income households, while outpatient expenses for public and informal outpatient care providers remain inelastic across income levels. Private inpatient care is also income inelastic, whereas public inpatient care shows non-uniform elasticity. Overall, lower-income households showed greater elasticity than wealthier ones. The results imply, during income shocks, poorer households switch to cheaper public and informal care. Inpatient care is prioritised over other expenses, increasing the risk of poverty among low-income households. The study suggests the dire need for financial protection measures, particularly for low-income groups, as OOP health expenditure often becomes catastrophic for those households. In addition, higher income resulting from economic growth will increase the demand for private outpatient services, suggesting quality improvement for public health facilities as well as the importance of adapting healthcare policies to evolving income dynamics.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"391-404"},"PeriodicalIF":1.9,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Pandemic in a Brazilian Afro-Derived Community (Quilombo)","authors":"Joenilton Oliveira Bonfim,&nbsp;Carlos Darwin Gomes da Silveira,&nbsp;Barbara Vidigal Braga,&nbsp;Tacio Nobrega Borges,&nbsp;Fábio Ferreira Amorim,&nbsp;Ana Maria Costa","doi":"10.1002/hpm.3888","DOIUrl":"10.1002/hpm.3888","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The COVID-19 pandemic has highlighted the significance of comprehending social vulnerability as a pivotal element in public health. This study investigated the perceptions and practices of a Brazilian Afro-derived community (<i>quilombo</i>), descendants of enslaved Africans, regarding COVID-19.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted in July 2021 by administering a survey to an adult representative from each household in a Brazilian <i>quilombola</i> community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 188 interviewed individuals, 45.2% reported that they did not feel adequately informed by healthcare professionals. The study found high adherence to preventive measures (wearing masks, using alcohol-based gel sanitiser, leaving home only when necessary and COVID-19 vaccination). Only 6.9% reported a household member contracting COVID-19, with only one case requiring hospitalisation and no deaths. Higher education was associated with an increased diagnosis of COVID-19 in their household (OR: 37.058, 95% CI: 4.053–338.837, <i>p</i> = 0.001), while feeling well or very well informed by television/radio was associated with a reduced diagnosis (OR: 0.223, 95% CI: 0.057–0.878, <i>p</i> = 0.032). Being married was associated with increased adherence to all prevention measures (OR: 4.598, 95% CI: 1.481–14.27, <i>p</i> = 0.008), whereas internet use as a source of information was independently associated with a reduced chance of adherence (OR: 0.240; 95% CI: 0.080–0.722, <i>p</i> = 0.011).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite many individuals reporting a lack of information from healthcare professionals about the pandemic, substantial adherence to protective measures was observed. Our findings highlight the critical importance of preventive measures during the pandemic, especially for vulnerable populations with limited access to healthcare services, and underscore the need for effective communication strategies to combat misinformation, particularly on social media platforms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"405-415"},"PeriodicalIF":1.9,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Dramatic Rise in the Number of Women Who Smoke in Iran: A Need for Developing and Implementing Policies and Procedures","authors":"Fawzieh Ghammari","doi":"10.1002/hpm.3886","DOIUrl":"10.1002/hpm.3886","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"522-524"},"PeriodicalIF":1.9,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Urgent Struggle for Health Justice in Gaza: A Crisis of Human Rights and Inequity","authors":"Wesam Mansour,&nbsp;Sally Theobald,&nbsp;Fouad M. Fouad,&nbsp;Kyu Kyu Than,&nbsp;Amuda Baba,&nbsp;Joanna Raven","doi":"10.1002/hpm.3882","DOIUrl":"10.1002/hpm.3882","url":null,"abstract":"&lt;p&gt;In Gaza, health justice is a matter of life and death. The ongoing war has torn apart the already fragile health system, leaving behind not only death, despair, distress, damaged infrastructure, but also severe moral crisis. Sadly, Gaza's health system has faced decades of deliberate neglect, blockade-induced shortages, and repeated damage due to armed-conflict [&lt;span&gt;1&lt;/span&gt;]. Amidst the ongoing war, the international community remains stuck in a cycle of rhetoric, while Gazans struggle to navigate a shattered health system with many healthcare workers, killed or traumatised, injured and often displaced [&lt;span&gt;2&lt;/span&gt;]. Gazans are not only fighting illness but also confronting systemic injustices that disrupt their basic right to health.&lt;/p&gt;&lt;p&gt;This war in Gaza shows a critical link between human rights violations and health inequities, as civilians endure dire conditions marked by displacement and severe shortages of basic needs. Over 1.7 million Gazans have been displaced, with essential infrastructure like water, sanitation, and healthcare systematically destroyed [&lt;span&gt;2, 3&lt;/span&gt;]. The United Nations has warned that this damage creates severe violations of humanitarian law, making Gaza “the world's biggest graveyard” with the scale and intensity of violence [&lt;span&gt;3&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Health justice in Gaza goes beyond access to healthcare, involving breaking up the institutional and political forces that systematically deprive people of their most basic human rights. In this context, health planning and management, if approached with urgency, inclusivity, and political will, can offer more than just an opportunity to rebuild the health system [&lt;span&gt;4&lt;/span&gt;]. Health planning and management can offer a pathway to empower people—communities and health workers - suffering the persistent burden of war and injustice.&lt;/p&gt;&lt;p&gt;Health justice is fundamentally about ensuring that everyone, regardless of their circumstances, has access to the healthcare they need to live a full, healthy life [&lt;span&gt;5&lt;/span&gt;]. However, this right is severely threatened in Gaza, as health itself is under attack.&lt;/p&gt;&lt;p&gt;The blockade imposed on Gaza by Israel since 2007, coupled with periodic escalations of violence, has created a state of constant emergency. Since October 2023, the situation has become catastrophic. Health facilities have been bombed and health workers attacked. Hospitals, overwhelmed with casualties and damaged infrastructure, struggle to function and operations are taking place without anaesthesia (Médecins Sans Frontières) [&lt;span&gt;6&lt;/span&gt;]. More than half of Gaza's hospitals have either been partially or completely destroyed [&lt;span&gt;2&lt;/span&gt;]. Health workers are either fleeing or being killed, resulting in a massive shortage of health staff [&lt;span&gt;2&lt;/span&gt;]. Essential supplies of food, water, electricity, and medicine are blocked, creating a massive humanitarian crisis which will have long lasting impacts. This situation hinders the ability of civilia","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"297-299"},"PeriodicalIF":1.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3882","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Living in the Minds of Others: How Pudor and Social Judgements Affect Women's Cervical Cancer Screening Uptake in Mozambique?","authors":"Gefra Fulane,&nbsp;Maria Major,&nbsp;Cesaltina Lorenzoni","doi":"10.1002/hpm.3881","DOIUrl":"10.1002/hpm.3881","url":null,"abstract":"<div>\u0000 \u0000 <p>Mozambique introduced its cervical cancer screening programme in 2009, but only 3.5% of the target women participate in screening annually. While previous research has focused on provision and access to service, and women's cognitive barriers to screening, this study explores the emotional factors, particularly <i>pudor</i>, that affect women's acceptance of screening. Using an institutional work perspective, we conducted an explanatory case study involving documental analysis and primary data collection through semi-structured interviews, focus group discussions, direct observations, and informal conversations with 121 participants, including women, health professionals, and family members from Xai-Xai in Southern Mozambique. Our findings reveal that <i>pudor</i>, an emotion tied to a deep-seated sense of reserve rooted in patriarchal culture and masculine dominance, plays a significant role in limiting women's motivation to participate in screening. This emotion, shaped by social and cultural norms around privacy, intimacy, and sexuality, leads women to view cervical cancer screening as culturally unacceptable, often responding with attitudes emphasising modesty and avoidance. These findings underscore the importance of addressing emotional factors in health care strategies and considering the sociocultural context that influences health behaviours.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"381-390"},"PeriodicalIF":1.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Learning Health System Principles to Embed Patient Experience Data in Primary Care: A Qualitative Investigation","authors":"Louise A. Ellis,&nbsp;Georgia Fisher,&nbsp;Kate Churruca,&nbsp;Maree Saba,&nbsp;Tanja Schroeder,&nbsp;Janani Mahadeva,&nbsp;Sanjyot Vagholkar,&nbsp;Mark Yang Lee,&nbsp;Reema Harrison,&nbsp;Simon Willcock,&nbsp;Jeffrey Braithwaite","doi":"10.1002/hpm.3880","DOIUrl":"10.1002/hpm.3880","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Though an important component of high-quality healthcare, the routine collection of patient experience data is limited in primary care, as is the evidence for how this data is being used for quality improvement. This study used a learning health system (LHS) framework to describe how a university-affiliated community general practice is integrating patient experience data into service and quality improvement efforts, and to identify barriers and facilitators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A co-designed qualitative case study was conducted with academic researchers and staff from a university-affiliated general practice in Australia. Semi-structured interviews were conducted in April 2024 with practice staff, and transcripts were deductively coded according to a five-domain learning health systems framework, and with additional codes capturing barriers and facilitators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighteen (53%) practice staff were interviewed, including general practitioners (<i>n</i> = 11), a practice nurse (<i>n</i> = 1), and administrative staff (<i>n</i> = 6). Participants identified multiple methods through which the practice captured the patient experience that spanned all domains of the LHS framework. However, there was less evidence of a coherent quality improvement strategy being employed, with associated barriers identified around staff workloads, training, and existing government funding policies. Key facilitators to the use of patient experience data included: membership of a larger health organisation and university; key dedicated administrative and clinical roles; and effective leadership, governance structures and policies to support continuous learning and drive service improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study presents a case example of how patient experience data is being integrated into general practice and identifies key barriers and facilitators to initiating and translating this data for continuous healthcare improvement. By mapping the use of patient experience data to a LHS framework, this study shows how LHS principles can be applied to primary care to facilitate the capture and use of patient experience data on an ongoing basis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"368-380"},"PeriodicalIF":1.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building a More Resilient, Inclusive Public Health Infrastructure: Insights From Chicago's Community-Based COVID-19 Corps","authors":"Jeni Hebert-Beirne,&nbsp;Sage Kim,&nbsp;Linda Forst,&nbsp;Guddi Kapadia,&nbsp;Alexis Grant,&nbsp;Alisa Velonis,&nbsp;Mark Dworkin,&nbsp;Maggie Acosta,&nbsp;Kim Jay,&nbsp;Diana Ghebenei,&nbsp;Caesar Thompson,&nbsp;Emily Stiehl","doi":"10.1002/hpm.3877","DOIUrl":"10.1002/hpm.3877","url":null,"abstract":"<p>Emergency events such as natural disasters, pandemics, and other health disasters have a predictably disproportionate impact on vulnerable populations and the COVID-19 pandemic was not an exception. To respond to potentially catastrophic consequences of COVID-19 and to build an infrastructure for a more inclusive recovery, in June 2020, the Chicago Department of Public Health partnered with a state university school of public health, a community college that prepares students for healthcare occupations, a research institute at a private university, a public health institute affiliated with a hospital system, and a workforce development organisation. The team formed the Chicago COVID-19 Contact Tracing Corps (ChiTracing). Centring the expertise of grassroots community-based organisations (CBOs), ChiTracing partnered with 31 CBOs operating in the highest hardship community areas. These CBOs hired and trained over 500 community members, who had a history of unemployment, as neighbourhood-level public health ambassadors and contact tracers, known as the ChiTracing Corps members. Informed by a shared theory of change, we brought three strategies to this work<b>: investing in a new public health infrastructure</b> by centring trusted CBOs and people with lived experience of systems of oppression as part of the public health system, <b>increasing awareness and knowledge</b> of public health and available resources for the most vulnerable, <b>and fostering relationships and power building</b> among diverse collaborators. In this paper, we highlight lessons learnt and share insights on how future efforts can bring collaborative, inclusive approaches to public health workforce development.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"499-506"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3877","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}