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Review
. 2020 Oct;5(10):e003188.
doi: 10.1136/bmjgh-2020-003188.

Community engagement for COVID-19 prevention and control: a rapid evidence synthesis

Affiliations
Review

Community engagement for COVID-19 prevention and control: a rapid evidence synthesis

Brynne Gilmore et al. BMJ Glob Health. 2020 Oct.

Abstract

Introduction: Community engagement has been considered a fundamental component of past outbreaks, such as Ebola. However, there is concern over the lack of involvement of communities and 'bottom-up' approaches used within COVID-19 responses thus far. Identifying how community engagement approaches have been used in past epidemics may support more robust implementation within the COVID-19 response.

Methodology: A rapid evidence review was conducted to identify how community engagement is used for infectious disease prevention and control during epidemics. Three databases were searched in addition to extensive snowballing for grey literature. Previous epidemics were limited to Ebola, Zika, SARS, Middle East respiratory syndromeand H1N1 since 2000. No restrictions were applied to study design or language.

Results: From 1112 references identified, 32 articles met our inclusion criteria, which detail 37 initiatives. Six main community engagement actors were identified: local leaders, community and faith-based organisations, community groups, health facility committees, individuals and key stakeholders. These worked on different functions: designing and planning, community entry and trust building, social and behaviour change communication, risk communication, surveillance and tracing, and logistics and administration.

Conclusion: COVID-19's global presence and social transmission pathways require social and community responses. This may be particularly important to reach marginalised populations and to support equity-informed responses. Aligning previous community engagement experience with current COVID-19 community-based strategy recommendations highlights how communities can play important and active roles in prevention and control. Countries worldwide are encouraged to assess existing community engagement structures and use community engagement approaches to support contextually specific, acceptable and appropriate COVID-19 prevention and control measures.

Keywords: diseases; disorders; infections; injuries; prevention strategies; public health; review.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Preferred Reporting Items for Systematic Reviews and Meta-Analyses diagram.
Figure 2
Figure 2
Number of articles per country and topic.
Figure 3
Figure 3
Components and implementation considerations of community engagement for infectious disease prevention and control. The main CE actors (who) most common for that specific process are in bold. The length of the bars varies based on the most common way (what) of community engagement as per the reviewed literature. ‘How’ represents key activities that were undertaken within each broader intervention classification. HMCs include community health committees. CFBO, community and faith-based organisation; HMC, health management committees; IEC, information, education and communication; IPC, interpersonal communication.

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