Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges

The COVID-19 pandemic exacerbated pre-existing social, economic and political inequalities. The evidence describes the use of community engagement approaches to support appropriate COVID-19 prevention and control measures. We aimed to delve deeper into the community response to COVID-19 in Barcelona...

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Autores: Parthé, Victoria, Fernandez, Ana, Barbieri, Nicolás, Vazquez, Noelia, González, Inmaculada, Bastida, Andrea, Pasarín, M Isabel
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2024
País:España
Institución:Universitat Oberta de Catalunya (UOC)
Repositorio:O2, repositorio institucional de la UOC
OAI Identifier:oai:openaccess.uoc.edu:10609/151986
Acceso en línea:https://hdl.handle.net/10609/151986
https://doi.org/10.1093/heapro/daae076
Access Level:acceso abierto
Palabra clave:community health action
participation
neighbourhoods
pandemic
crisis
COVID-19
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spelling Community health action and COVID-19 in Barcelona neighbourhoods: responses and challengesParthé, VictoriaFernandez, AnaBarbieri, NicolásVazquez, NoeliaGonzález, InmaculadaBastida, AndreaPasarín, M Isabelcommunity health actionparticipationneighbourhoodspandemiccrisisCOVID-19The COVID-19 pandemic exacerbated pre-existing social, economic and political inequalities. The evidence describes the use of community engagement approaches to support appropriate COVID-19 prevention and control measures. We aimed to delve deeper into the community response to COVID-19 in Barcelona neighbourhoods with different pre-existing levels of development of community health action (CHA). A qualitative phenomenological study was conducted in six Barcelona neighbourhoods with different types of CHAs. The sample included 37 in-depth interviews with community agents with good knowledge of the territory. The content analysis focused on three dimensions: symbolic (conceptions motivating action), substantive (the content and resources of the action) and operational (interactions between agents). Regardless of their CHA typology, all neighbourhoods responded to the needs generated by the pandemic. Symbolic: strong-CHA development, characterized by well-established participatory structures, facilitated responses to the crisis. In medium-CHA neighbourhoods, the emergency exacerbated previous tensions. In emerging-CHA neighbourhoods, previous participatory structures, although not health-specific, favoured the coordination of responses. Substantive: technology influenced the way CHA activities were conducted. Operative: in the strong-CHA neighbourhood, new participants were able to join previous participatory structures. In medium-CHA neighbourhoods, power dynamics hindered coordination. In conclusion, strong CHA can play a key role in addressing the adverse consequences of social and health crisis. Empowering citizens and communities should be a primary objective of public policy that integrates the ‘health-in-all-policies’ approach. This approach entails allocating public resources to strengthen the role of community action and power.Oxford University Press202520252024info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/10609/151986https://doi.org/10.1093/heapro/daae076reponame:O2, repositorio institucional de la UOCinstname:Universitat Oberta de Catalunya (UOC)InglésHealth Promotion International, 2024, 39(4)© Oxford University Presshttps://doi.org/10.1093/heapro/daae076info:eu-repo/semantics/openAccessoai:openaccess.uoc.edu:10609/1519862026-05-28T12:42:01Z
dc.title.none.fl_str_mv Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges
title Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges
spellingShingle Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges
Parthé, Victoria
community health action
participation
neighbourhoods
pandemic
crisis
COVID-19
title_short Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges
title_full Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges
title_fullStr Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges
title_full_unstemmed Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges
title_sort Community health action and COVID-19 in Barcelona neighbourhoods: responses and challenges
dc.creator.none.fl_str_mv Parthé, Victoria
Fernandez, Ana
Barbieri, Nicolás
Vazquez, Noelia
González, Inmaculada
Bastida, Andrea
Pasarín, M Isabel
author Parthé, Victoria
author_facet Parthé, Victoria
Fernandez, Ana
Barbieri, Nicolás
Vazquez, Noelia
González, Inmaculada
Bastida, Andrea
Pasarín, M Isabel
author_role author
author2 Fernandez, Ana
Barbieri, Nicolás
Vazquez, Noelia
González, Inmaculada
Bastida, Andrea
Pasarín, M Isabel
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv community health action
participation
neighbourhoods
pandemic
crisis
COVID-19
topic community health action
participation
neighbourhoods
pandemic
crisis
COVID-19
description The COVID-19 pandemic exacerbated pre-existing social, economic and political inequalities. The evidence describes the use of community engagement approaches to support appropriate COVID-19 prevention and control measures. We aimed to delve deeper into the community response to COVID-19 in Barcelona neighbourhoods with different pre-existing levels of development of community health action (CHA). A qualitative phenomenological study was conducted in six Barcelona neighbourhoods with different types of CHAs. The sample included 37 in-depth interviews with community agents with good knowledge of the territory. The content analysis focused on three dimensions: symbolic (conceptions motivating action), substantive (the content and resources of the action) and operational (interactions between agents). Regardless of their CHA typology, all neighbourhoods responded to the needs generated by the pandemic. Symbolic: strong-CHA development, characterized by well-established participatory structures, facilitated responses to the crisis. In medium-CHA neighbourhoods, the emergency exacerbated previous tensions. In emerging-CHA neighbourhoods, previous participatory structures, although not health-specific, favoured the coordination of responses. Substantive: technology influenced the way CHA activities were conducted. Operative: in the strong-CHA neighbourhood, new participants were able to join previous participatory structures. In medium-CHA neighbourhoods, power dynamics hindered coordination. In conclusion, strong CHA can play a key role in addressing the adverse consequences of social and health crisis. Empowering citizens and communities should be a primary objective of public policy that integrates the ‘health-in-all-policies’ approach. This approach entails allocating public resources to strengthen the role of community action and power.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/10609/151986
https://doi.org/10.1093/heapro/daae076
url https://hdl.handle.net/10609/151986
https://doi.org/10.1093/heapro/daae076
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Health Promotion International, 2024, 39(4)
dc.rights.none.fl_str_mv © Oxford University Press
https://doi.org/10.1093/heapro/daae076
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © Oxford University Press
https://doi.org/10.1093/heapro/daae076
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:O2, repositorio institucional de la UOC
instname:Universitat Oberta de Catalunya (UOC)
instname_str Universitat Oberta de Catalunya (UOC)
reponame_str O2, repositorio institucional de la UOC
collection O2, repositorio institucional de la UOC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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