Extracts below from The New Humanitarian. By Dr Muhammad Musa, Physician, public health expert, and Executive Director of BRAC International.
'Even in developed countries, local opposition to top-down decrees is undermining the impact of public health initiatives. Resistance to these mandates will only grow if they are not tempered with solutions and leadership from the hardest-hit communities.
The key to turning this resistance around, and dealing with a pandemic long term, lies in the Global South. What’s needed is a renewed commitment to community engagement, rather than top-down mandates. The Global South has great experience on which to draw. Here are three examples that have proven effective.
First, local leaders – elected, civic, or religious, in various combinations depending on the community – must be consulted when creating public health strategies. Their concerns must be heard and addressed. In the Rohingya refugee camps in Bangladesh, for instance, many Rohingya religious leaders are working with BRAC to use their platforms to share life-saving information and dispel myths about COVID-19...
Second, existing community networks must be engaged. Community health workers are a great example: These are trusted, trained workers who live in the communities they serve. They can be especially persuasive in informing residents and convincing them to adopt needed measures such as mask-wearing, social distancing, and hand-washing...
Third, hard-won experience with health crises is a powerful asset. In West African countries with a history of Ebola, for instance, adopting social distancing and other public health measures has been far easier. People who went through that emergency – both decision-makers and the public – understood more quickly what was at stake and what was needed. People knew where to turn for trusted information and how to respond...
Economic activity and public health measures must co-exist.
We need to involve local leaders in crucial public health decisions to develop interventions that work. Solutions that rise up are better than those that drop down.
Best wishes, Neil
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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages in collaboration with WHO. Twitter: @hifa_org FB: facebook.com/HIFAdotORG email@example.com