Multicultural Health Service, Hunter New England Health, Wallsend, New South Wales, Australia.
The University of Newcastle, Callaghan, New South Wales, Australia.
Western Pac Surveill Response J. 2022 May 2;13(2):1-3. doi: 10.5365/wpsar.2022.13.2.915. eCollection 2022 Apr-Jun.
This paper presents a rapid assessment of coronavirus disease 2019 (COVID-19) pandemic plans and explores the representation of culturally and linguistically diverse (CALD) communities in such plans. Four levels of pandemic plans were reviewed: regional, state, national and international.
Discussions with representatives from four CALD communities informed the development of search and selection criteria for the COVID-19 plans, which were gathered and assessed using a CALD lens. Six COVID-19 pandemic plans that met the inclusion criteria were critically assessed.
The reviewed plans did not report any CALD community voices, views or consultations with community groups in the development phase, nor did they acknowledge the diversity of CALD populations. A few plans noted the vulnerability of CALD communities, but none discussed the challenges CALD communities face in accessing health information or health services during the pandemic, or other structural barriers (social determinants of health).
Our analysis revealed major gaps in all pandemic plans in terms of engaging with immigrant or CALD communities. Policies and plans that address and consider the complex needs and challenges of CALD communities are essential. Collaboration between public health services, multicultural services and policy-makers is vital for the inclusion of this higher-risk population.
本文对 2019 年冠状病毒病（COVID-19）大流行计划进行快速评估，并探讨这些计划中对文化和语言多样化（CALD）社区的代表性。对四个级别的大流行计划进行了审查：区域、州、国家和国际。
与来自四个 CALD 社区的代表进行讨论，为 COVID-19 计划的搜索和选择标准提供了信息，这些标准是使用 CALD 视角收集和评估的。使用纳入标准对 6 项符合要求的 COVID-19 大流行计划进行了批判性评估。
所审查的计划在开发阶段均未报告任何有关 CALD 社区的声音、意见或与社区团体的磋商，也没有承认 CALD 人群的多样性。有一些计划提到了 CALD 社区的脆弱性，但没有一个计划讨论了在大流行期间 CALD 社区在获取健康信息或卫生服务方面所面临的挑战，或其他结构性障碍（健康的社会决定因素）。
我们的分析表明，在与移民或 CALD 社区接触方面，所有大流行计划都存在重大差距。解决和考虑 CALD 社区复杂需求和挑战的政策和计划至关重要。公共卫生服务、多元文化服务和政策制定者之间的合作对于纳入这一高风险人群至关重要。
