Abstract
AbstractThe concept of community resilience has gained considerable attention in the global health discussions since the Ebola outbreak of West Africa in 2014–2015. However, there are no measurement models to quantify community resilience. Without measurement models, it is unclear how to test strategies for building community resilience or to describe their likely intended and unintended results and their impact on health outcomes. We propose a measurement model for community resilience with relevant constructs and indicators to measure these constructs. We conducted a scoping review, systematically searching, screening and selecting relevant articles from two bibliographic databases (PUBMED and Google Scholar) for literature using search terms such as “resilience”, “community resilience” and “health systems resilience”. We screened 500 papers, then completed a full text review of 112 identified as relevant based on their title and abstract. A total of 27 papers and reports were retained for analysis. We then aggregated and synthesised the various definitions of community resilience and the frameworks for understanding these definitions. We identified key constructs from these frameworks and organised these constructs into domains and sub-domains. We proposed indicators to capture aspects of these domains and sub-domains and operationalised these indicators as a measurement model for quantifying community resilience in health systems. We propose a model with 20 indicators to assess community resilience. These indicators tap into various constructs from different theoretical frameworks of community resilience and are useful for assessing the level of knowledge, financial resources, and human, social and physical capital that are needed (or lacking) to respond to any types of shock, including health shock at the community level. This is an initial attempt to describe a multilevel measurement model for quantifying community resilience. This model will help to guide the development and testing of strategies for strengthening community resilience and will require further work to assess its relevance, reliability and validity in different LMIC settings.
Publisher
Springer Science and Business Media LLC
Reference49 articles.
1. Health Systems Global. Vancouver statement for the fourth global symposium on health systems research. 2016. http://healthsystemsresearch.org/hsr2016/wp-content/uploads/Vancouver-Statement-FINAL.pdf. Accessed 11 Aug 2019.
2. Kruk ME, Myers M, Varpilah ST, et al. What is a resilient health system? Lessons from Ebola. Lancet. 2015;385:1910–2.
3. Kieny M-P, Evans DB, Schmets G, et al. Health-system resilience: reflections on the Ebola crisis in western Africa. Bull World Health Organ. 2014;92:850.
4. Kirsch TD, Moseson H, Massaquoi M, et al. Impact of interventions and the incidence of ebola virus disease in Liberia—implications for future epidemics. Health Policy Plan. 2017;32:205–14.
5. Kalra S, Kelkar D, Galwankar SC, et al. The Emergence of Ebola as a Global Health Security Threat: From ‘Lessons Learned’ to Coordinated Multilateral Containment Efforts. J Global Infect Dis. 2014;6:164–77.
Cited by
23 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献