Confined community health: Reflections and experiences from the local public health
Por:
Bastida, A, Calzada, N, Daban, F, Diez, E, Fernandez, A, Ferrer, N, Gallardo, R, Subirats, IG, Gonzalez, I, Gonzalez, K, Juarez, O, Lopez, N, Martin, S, Moreno, D, Oriol, M, Paez, G, Pasarin, M, Peracho, E, Porthe, V, Puig-Barrachina, V, Ramos, P, Rey, C, Robles, Y, Sagarra, N, Sala, I, Salvador-Piedrafita, M, Sanchez, F, Sanchez, N, Vazquez, N
Publicada:
30 oct 2020
Resumen:
This paper aims to share the reflections related to the community actions in which the Agencia de Salut Publica de Barcelona has been involved during the emergency of COVID-19. The tasks carried out can he arranged in three stages, frequently overlapping: detection of needs and problems; contact with key stakeholders to assess what to do and how to do it; adaptation of the interventions to the "new normal" and generation of new responses. The emerging problems included: not being able to do the confinement (due to homelessness, material conditions, living in a situation of violence); digital gap (lack of knowledge, devices, access to Wifi); greater exposure to COVID-19 in the essential but precarious, feminized and racialized jobs (care, cleaning, food shops) that are the most frequent in the neighborhoods in where we stork; language and cultural barriers that preclude to follow recommendations; to lose employment; insufficient income to cover basic needs; social isolation; and the deterioration of emotional health caused by the situation. During the process, some interventions were adapted to be delivered on-line. Solidarity networks and local resources were key to meet basic needs, but also other needs related to lack of digital knowledge or device. Community action in health, from a critical, intersectional and local perspective, and with intersectoral work and community participation. can contribute to: facilitate a contextualized response in the event of a health crisis; mitigate the effects derived from its economic and social crisis.
Filiaciones:
Bastida, A:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Calzada, N:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Daban, F:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Diez, E:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Fernandez, A:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Ferrer, N:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Gallardo, R:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Subirats, IG:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Gonzalez, I:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Gonzalez, K:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Juarez, O:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Lopez, N:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Martin, S:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Moreno, D:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Oriol, M:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Paez, G:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Pasarin, M:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Peracho, E:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Porthe, V:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Puig-Barrachina, V:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Ramos, P:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Rey, C:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Robles, Y:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Sagarra, N:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Sala, I:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Salvador-Piedrafita, M:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Sanchez, F:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Sanchez, N:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Vazquez, N:
Agencia Salud Publ Barcelona, Barcelona, Spain.
CIBER Epidemiol & Salud Publ, Barcelona, Spain.
Open Access
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