Developing community resilience in the face of COVID-19: case study from the Estrie region, Canada.


Journal

Health promotion international
ISSN: 1460-2245
Titre abrégé: Health Promot Int
Pays: England
ID NLM: 9008939

Informations de publication

Date de publication:
01 Aug 2024
Historique:
medline: 24 8 2024
pubmed: 24 8 2024
entrez: 24 8 2024
Statut: ppublish

Résumé

The COVID-19 pandemic undeniably impacted population health and several aspects of community organization, including service delivery and social cohesion. Intersectoral collaboration and equity, two key dimensions of community resilience, proved central to an effective and equitable response to the pandemic. Yet the factors that enabled or constrained communities' capacity to enact intersectoral collaboration and equity-focused action in such times of urgency and uncertainty remain poorly understood. This descriptive qualitative study aimed to (1) describe the processes through which intersectoral collaboration and equity-focused action were deployed during the first wave of COVID-19 and (2) identify factors enabling and constraining these processes. We conducted semi-directed interviews with 35 representatives of the governmental, institutional, and public and third sectors from four municipal regional counties of the Estrie region (Québec, Canada). We coded detailed interview notes following a codebook thematic analysis approach. We identified three processes through which intersectoral collaboration and equity-focused action were deployed: (1) networking; (2) adaptation, creation and innovation; and (3) human-centred action. Examples of levers which supported the deployment of these processes included capitalizing on pre-existing networks, adapting practices and services, and investing in solidarity and mutual aid. The influencing factors we describe represent concrete targets for resilience-building action. Although focused on the COVID-19 pandemic, our findings are relevant to other types of health, social, environmental or economic crises, and may guide health promotion and community development practitioners towards more effective community resilience-building responses.

Identifiants

pubmed: 39180349
pii: 7740537
doi: 10.1093/heapro/daae094
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Partnership Engage
ID : 1008-2020-1137
Organisme : Fondation Lucie et André Chagnon
Organisme : Table des MRC de l'Estrie
Organisme : Centraide Estrie
Organisme : Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS
Organisme : Tier 2 Canada Research Chair on Urban Health Equity and Young People

Informations de copyright

© The Author(s) 2024. Published by Oxford University Press.

Auteurs

Martine Shareck (M)

Département des sciences de la santé communautaire, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, 3001 12 Ave N, Sherbrooke, Quebec, J1H 5H3, Canada.
Centre de Recherche du Centre Hospitalier de l'Université de Sherbrooke, 12e Ave N, Sherbrooke, Quebec, J1H 5N4, Canada.
Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS, 1036 Rue Belvédère S, Sherbrooke, Quebec, J1H 4C4, Canada.

Marie Suzanne Badji (MS)

Observatoire Estrien du Développement des Communautés, 1820 Rue Galt O, Sherbrooke, Quebec, J1K 1H8, Canada.

Karine Picard (K)

Observatoire Estrien du Développement des Communautés, 1820 Rue Galt O, Sherbrooke, Quebec, J1K 1H8, Canada.

Jean-François Allaire (JF)

Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS, 1036 Rue Belvédère S, Sherbrooke, Quebec, J1H 4C4, Canada.

Philippe Roy (P)

Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS, 1036 Rue Belvédère S, Sherbrooke, Quebec, J1H 4C4, Canada.
Ecole de travail social, Université de Sherbrooke, 2500 Bd de l'Université, Sherbrooke, Quebec, J1K 2R1, Canada.

Mélissa Généreux (M)

Département des sciences de la santé communautaire, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, 3001 12 Ave N, Sherbrooke, Quebec, J1H 5H3, Canada.
Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS, 1036 Rue Belvédère S, Sherbrooke, Quebec, J1H 4C4, Canada.
Direction de santé publique, CIUSSS de l'Estrie-CHUS, 300 Rue King E, Sherbrooke, Quebec, J1G 1B1, Canada.

Julie Lévesque (J)

Institut national de santé publique du Québec, 945 Av. Wolfe, Quebec City, Quebec, G1V 5B3, Canada.

Émanuèle Lapierre-Fortin (É)

Observatoire Estrien du Développement des Communautés, 1820 Rue Galt O, Sherbrooke, Quebec, J1K 1H8, Canada.

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