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动员社区参与危机应对:从加拿大安大略省科堡的一家 COVID-19 大规模疫苗接种诊所吸取的经验教训。

Mobilizing community engagement for crisis response: lessons learned from a COVID-19 mass vaccination clinic in Cobourg, Ontario, Canada.

作者信息

Gaudet Crystal, Field Emily, Cristancho Sayra

机构信息

Centre for Education Research & Innovation, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.

Surgery, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.

出版信息

BMC Public Health. 2024 Dec 19;24(1):3544. doi: 10.1186/s12889-024-20955-2.

Abstract

BACKGROUND

Communities have an important role to play in disaster and emergency planning and response. Yet community members are not typically engaged in official planning activities, including plans for mass immunization clinics during infectious disease emergencies, such as the COVID-19 pandemic. This qualitative study explores one case of a community driven effort to implement a COVID-19 mass vaccination clinic in Cobourg, Ontario, Canada. Operational between mid-March 2021 and late February 2022, the Cobourg Community Centre (CCC) clinic involved 600 community volunteers, and at its peak completed approximately 700 vaccinations a day. The development and operation of the clinic was largely grassroots, spearheaded by local non-profits and volunteers. Drawing on insights from the various actors involved, this study seeks to understand the factors that made this collaborative effort a success.

METHODS

Semi-structured interviews and focus groups were conducted between September 2022 and July 2023 with 34 individuals involved in coordinating and operating the CCC mass vaccination clinic including volunteer community members, members of local community organizations and businesses, public health unit and hospital staff and city employees. Data was analyzed utilizing an inductive thematic analysis.

RESULTS

Four major themes were identified that contributed to the clinic's success and enabled the team's ability to navigate challenges including, a collaborative model, leveraging community knowledge and networks, flexibility and autonomy, and volunteers as an asset.

CONCLUSION

The findings of this study indicate the importance of community engagement in strengthening emergency planning and response for future public health emergencies.

摘要

背景

社区在灾害和应急规划及应对中发挥着重要作用。然而,社区成员通常并未参与官方规划活动,包括在传染病紧急情况(如新冠疫情)期间的大规模免疫诊所计划。这项定性研究探讨了加拿大安大略省科堡市一项由社区推动实施新冠大规模疫苗接种诊所的案例。科堡社区中心(CCC)诊所在2021年3月中旬至2022年2月底运营,有600名社区志愿者参与,高峰期每天完成约700次疫苗接种。该诊所的开发和运营在很大程度上是草根性质的,由当地非营利组织和志愿者带头。本研究借鉴了各相关方的见解,旨在了解使这一合作努力取得成功的因素。

方法

2022年9月至2023年7月,对34名参与协调和运营CCC大规模疫苗接种诊所的人员进行了半结构化访谈和焦点小组讨论,这些人员包括社区志愿者成员、当地社区组织和企业成员、公共卫生部门和医院工作人员以及城市雇员。采用归纳主题分析法对数据进行分析。

结果

确定了四个促成诊所成功并使团队有能力应对挑战的主要主题,包括合作模式、利用社区知识和网络、灵活性和自主性以及将志愿者视为资产。

结论

本研究结果表明社区参与在加强未来公共卫生紧急情况的应急规划和应对方面的重要性。

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