Directorate of Clinical Services, Partners In Health, Boston, MA, USA, Kigali, Rwanda.
Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.
Glob Health Action. 2022 Dec 31;15(1):2104319. doi: 10.1080/16549716.2022.2104319.
The COVID-19 pandemic has had disproportionate impacts across race, social class, and geography. Insufficient attention has been paid to addressing the massive inequities worsened by COVID-19. In July 2020, Partners In Health (PIH) and the University of Global Health Equity (UGHE) delivered a four-module short course, 'An Equity Approach to Pandemic Preparedness and Response: Emerging Insights from COVID-19 Global Response Leaders.'
We describe the design and use of a case-based, short-course education model to transfer knowledge and skills in equity approaches to pandemic preparedness and response.
This course used case studies of Massachusetts and Navajo Nation in the US, and Rwanda to highlight examples of equity-centered pandemic response. Course participants completed a post-session assessment survey after each of the four modules. A mixed-method analysis was conducted to elucidate knowledge acquisition on key topics and assess participants' experience and satisfaction with the course.
Forty-four percent of participants identified, 'Immediate need for skills and information to address COVID-19' as their primary reason for attending the course. Participants reported that they are very likely (4.75 out of 5) to use the information, tools, or skills from the course in their work. The average score for content-related questions answered correctly was 82-88% for each session. Participants (~70-90%) said their understanding was Excellent or Very Good for each session. Participants expressed a deepened understanding of the importance of prioritizing vulnerable communities and built global solidarity.
The training contributed to a new level of understanding of the social determinants of health and equity issues surrounding pandemic preparedness and response. This course elucidated the intersection of racism and wealth inequality; the role of the social determinants of health in pandemic preparedness and response; and the impacts of neocolonialism on pandemic response in low- and middle-income countries.
COVID-19 大流行在种族、社会阶层和地理位置方面造成了不成比例的影响。人们对解决因 COVID-19 而加剧的巨大不平等问题重视不够。2020 年 7 月，健康伙伴组织（Partners In Health，PIH）和全球健康公平大学（University of Global Health Equity，UGHE）开设了一个四模块短期课程，题为“大流行防范和应对中的公平方法：COVID-19 全球应对领导者的新见解”。
我们描述了一种基于案例的短期课程教育模式的设计和使用，以传授大流行防范和应对中公平方法方面的知识和技能。
本课程使用了美国马萨诸塞州和纳瓦霍族保留地以及卢旺达的案例研究，突出了以公平为中心的大流行应对的例子。课程参与者在完成每四个模块后都要完成一个课后评估调查。采用混合方法分析来阐明对关键主题的知识获取，并评估参与者对课程的体验和满意度。
44%的参与者表示，“立即需要技能和信息来应对 COVID-19”是他们参加该课程的主要原因。参与者报告说，他们非常有可能（4.75 分中的 5 分）在工作中使用课程中的信息、工具或技能。每次课程的内容相关问题的平均答对率为 82-88%。参与者（约 70-90%）表示，他们对每次课程的理解都非常好或非常好。参与者表示，他们对弱势群体优先和大流行防范的公平问题的重要性有了更深入的了解，并建立了全球团结。
培训有助于提高对大流行防范和应对中社会决定因素和公平问题的理解。本课程阐明了种族主义和财富不平等之间的关系；社会决定因素在大流行防范和应对中的作用；以及新殖民主义对中低收入国家大流行应对的影响。
