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The summarizing up the semantic and systemic results should comprise the next phase to provide insights into COVID-19 pandemic and consider it as a modern epidemic and humanitarian crisis on global level. The journal <<Infection and Immunity>> regularly and consistently present the results of ethically viewed legal framework of the pandemic and the administrative regulation of the public health system. Analysis and ethical assessment of the situation covers a wide range of issues, including the provision and operational adaptation of the regulatory framework, the problems of medical care, the processes and conditions for developing diagnostics, treatment and prevention, as well as all aspects related to the organization and implementing vaccination. Three previous ethical comments presented in 2020-2022 during the pandemic were devoted to these issues. Current study within the framework of the <<fourth ethical commentary>> follows directly from the data obtained while evaluating and analysing real-world experience on vaccination in the context of a regional cluster - the CIS member states, presented in the previous article. The perceived need and obvious significance of the study is to highlight objective factors of vulnerability in the vaccination during the COVID-19 pandemic and identify the response spectrum to form trust/or distrust to vaccination in various sectors of society, depending on a set of social and moral factors, including those coupled to a religious denomination. The data obtained are of paramount importance to find the moral ways to support and stabilize a responsible attitude with the aim to protect moral, social and physical health in emergency situations.Copyright © 2023 Saint Petersburg Pasteur Institute. All rights reserved.
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The COVID-19 pandemic underscored the importance of vaccination to support individual health across the life-course, with vaccination playing a central strategy role in mitigating transmission and disease. This required unprecedented mobilization and coordination across all sectors to meet people where they are, enable equitable access, and build vaccination confidence. A literature search was conducted with combinations of the keywords and variations of vaccination and faith-based organizations (FBOs). Search inclusion criteria were: (1) FBO programs that supported public health emergency efforts, including vaccination efforts as the primary outcome; and (2) articles written in English language. A total of 37 articles met inclusion criteria (n = 26 focused on general public health campaigns, n = 11 focused on vaccination efforts). The findings related to public health campaigns fell into four themes: FBO's ability to (1) tailor public health campaigns; (2) mitigate barriers; (3) establish trust; and (4) disseminate and sustain efforts. The findings related to vaccine uptake efforts fell into three themes: (1) pre-pandemic influenza and HPV vaccination efforts, (2) addressing vaccine disparities in minority communities, and (3) enabling COVID-19 vaccination. This review demonstrated that FBOs have a vital role in both public health campaigns and vaccination initiatives to support high vaccine uptake and confidence.
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This paper aimed to examine the role of faith-based organizations (FBOs) in the distribution of social assistance (SA) during the COVID-19 pandemic in Bangladesh. The paper adopts a qualitative case-study approach to explore the best practices in the distribution of SA by five (5) organizations including FBOs, governmental organizations (GOs), Non-governmental organizations (NGOs), political groups, and private voluntary groups. In this study, 14 beneficiaries of SA were selected by stratified proportionate random sampling method, and five (5) key personnel were selected purposively based on their experiences in the management of SA distribution. The study found that "no-move, no touch" approach followed by FBOs is more likely to establish human rights and social justice and reduce the transmission of diseases. In contrast to the modern idea, which undermines the faith-based charity, the study proved that faith-based charity is gaining attraction as an effective approach combating global pandemic. The findings of this paper will be useful for policymakers, voluntary service workers, GO, and NGO workers to ensure the distribution of SA in a more productive and disciplined way during and after an emergency like the COVID-19 pandemic.
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Purpose of Study: Clinical trial participation remains low among US minority groups, who account for <1/10 of trial participants.1,2 Diverse, equitable and inclusive participation is needed to lessen disparities in health status and clinical outcomes.3 Community-based participatory research (CBPR) strategies identify salient community issues, and may be useful for understanding and addressing participation barriers among minority groups.4,5 The Louisiana Community Engagement Alliance Against COVID-19 Disparities (LA-CEAL) - a partnership of universities, community pharmacies, faith-based organizations (FBOs), and federally qualified health centers (FQHCs) - aims to strengthen and leverage community relationships to address barriers to uptake of preventive/therapeutic strategies in underserved populations. This study examines the utility of LA-CEAL's CBPR approach in facilitating inclusive participation in clinical trials. Methods Used: Listening forums were held with a diverse group of LA community stakeholders, including healthcare providers, community pharmacists, FBO leaders and other trusted community members, to gather views on the need for and challenges to inclusive trial participation. Ongoing discussions between community representatives and leaders, academics and program staff facilitated outreach and guided development of informational strategies targeting minority groups. Summary of Results: Listening forums (N = 4;20 participants) revealed limited awareness, mistrust and fear stemming from historical and present injustices, and difficulty accessing opportunities as key themes underlying barriers to participation. To address identified barriers, 8 video testimonials featuring participants, investigators, and health advocates (62.5% Black;12.5% Hispanic;50% female) were developed to educate on expectations and experiences, motivations to participate, human subject protections, and the importance of diversity. Two animated videos featuring trusted community leaders and cultural ambassadors (e. g., New Orleans cultural icon, Irma Thomas) were created to explain trial processes, discuss participation benefits, and address the history of racism in medicine. Finally, connections between the Tulane Clinical Translational Unit and rural FQHCs enabled clinical trial study buses to visit and recruit in diverse LA communities. Conclusion(s): Via LA community stakeholder discussions, targeted strategies to address barriers to minority participation in clinical trials were developed and applied. Use of CBPR strategies was critical to developing intentional action reflective of LA community needs. Copyright © 2023 Southern Society for Clinical Investigation.
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Purpose of Study: Community health fairs have been developed to address the unmet needs for disease prevention and health education among underserved communities. Hispanic communities experience significant non-financial barriers (e.g., cultural and linguistic) that also contribute to lower rates of access and utilization of health care services, including important preventive screening services. Around 3% of Mobile County's population is Hispanic. The aim of this event was: (1) To perform basic health screening, provide health education, and administer COVID-19 and Influenza vaccines to children under the age of 18 years. (2) To act as a bridge between the Hispanic families in the community and the available resources to help them overcome barriers to accessing quality care. Methods Used: We started by identifying and finalizing the location and the date for the health fair with help from the Guadalupe Center (a faith-based organization). We planned to divide the health fair into three specialized zones: Health Screening, Health Education, and Vaccination. The Health Screening zone would include anthropometry, developmental screening, and vision screening. The Health Education zone would educate the families on asthma care, breastfeeding, drowning prevention, road safety, safe sleep practices, oral hygiene, adverse childhood experiences, and healthy lifestyle. The Vaccination Zone would administer COVID-19 and Influenza vaccines. We designed and printed brochures for all health education topics in English and in Spanish. Age and gender appropriate 'Health Passports' with growth charts and other key parameters to record the child's health status were also created. Resident and medical student volunteers were trained regarding documentation, health screening, health education, and referrals to early intervention or specialist services that accepted uninsured or Medicaid patients. Summary of Results: A total of 49 children underwent health screening and health education. Each child's health status was documented in age and gender appropriate 'Health Passport'. In addition to this, these children and their parents were educated at the various health education stations and provided with brochures. Around 40% of the children that were screened had an abnormal vision screen, the parents of these children were given a list of available resources for further follow-up. Six children with developmental delay were identified and early intervention forms were filled out for two and more information regarding the Individualized Education Program (IEP) was given to the other four families. Eight children were vaccinated for COVID-19 and five were vaccinated for Influenza. Conclusion(s): The Hispanic community has persistently faced barriers to access healthcare due to literacy and socioeconomic status. Academic institutions and community- based organizations must work to develop and sustain culturally relevant health education and outreach events to reduce these disparities. Copyright © 2023 Southern Society for Clinical Investigation.
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Background: In congenital heart disease, racial and ethnic disparities impact mortality, especially among Blacks and Hispanics in Texas and surrounding regions, however meaningful engagement in ACHD, especially interventional patient-centered outcomes research (PCOR) and comparative effectiveness research (CER) has been limited by socioeconomic, cultural, and geographic factors. We employed a patient-driven peer-to-peer approach to recruit and engage racial minority ACHD patients and family members with the capacity to act as equal research partners to identify, participate in, develop, lead, and disseminate transcatheter intervention PCOR and CER. Method(s): In addition to the study team, four expert PCORI funded-consultants provided strategies and training on stakeholder recruitment and engagement for targeting minorities and underserved communities. The following strategies were employed: 1) engaging through faithbased organizations like churches, synagogues, and mosques 2) working with Houston Methodist Primary Care Providers (PCP) group to identify ACHD patients 3) recruiting through the project's Online Portal and participants' Video Blogs to appeal to stakeholders 4) using social media for mainstream outreach. Result(s): Eighteen total ACHD collaborative members were successfully recruited. Six ACHD patient advocates were recruited as Steering Committee Members (SCM) of the stakeholder collaborative (STK), however, two SCMs resigned from their positions due to family reasons and time commitments. One member was replaced by previously interviewed candidates and another was promoted from our lay STKs. Other applicants remain involved in a non-decision maker capacity as in-waiting STK members. Social media outreach and our online portal proved to be the most efficient recruitment and engagement strategies. On average, we received three new candidate applications after every social media post. Eleven stakeholders were recruited through social media. One stakeholder was recruited through the PCP network. Two churches promoted our flier in their newsletter but we did not receive any applications. Onsite recruiting from faith-based organizations was not feasible due to the ongoing global health crisis from COVID- 19. Discussion(s): Addressing racial disparities in congenital heart and interventional cardiology is challenging and requires a patient-centered approach to research. Despite the COVID-19 pandemic, we successfully built an 18-member ACHD patient collaborative of underrepresented minorities, employing a peer-to-peer strategy through a multi-faceted approach. Social media was the most successful approach especially in the absence of in-person gatherings, however, despite financial compensation for involvement, attrition due to personal reasons occurred. Current efforts are directed toward training the ACHD patient collaborative in basic research methods to serve as equal partners in patient-centered outcomes and comparative effectiveness research.
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Isolation contributes to deteriorating health outcomes during the first 1000 days of a child's life (the period from conception to two years). Mothers and their growing babies are at risk of pregnancy-related complications and malnutrition during this sensitive period due to inadequate information. This study describes how a faith-based organization (FBO) in Cape Town leverages available resources in both physical and virtual spaces to support mothers through antenatal classes. We observed seven small groups in their physical spaces, interviewed seven mothers and analyzed fifteen WhatsApp chat groups to understand the group structure, dynamics, and interactions. When the model was introduced to the mothers in the physical and virtual spaces simultaneously, cohesion was achieved and sustained. However, during the COVID-19 pandemic, where strong indications of stress and isolation were evident, a strange paradox was noted: all groups showed weak ties (with minimal communication among members). It was hard to explain the non-commitment despite efforts from the moderators to encourage sharing among mothers. We identified two underlying causes: a minimal sense of belonging to the group and bandwidth constraints. Further analysis showed that bandwidth constraints digitally excluded some mothers from active participation. These findings indicated the need for HCI and technology designers to design less bandwidth-intensive interactive platforms for inclusivity. © 2022 ACM.
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This study aimed to examine the strengths of Indonesia's two largest Islamic Faith-Based Organizations (FBOs) and the challenges experienced while performing activities on countermeasures against COVID-19 in Indonesia. In-depth interviews, focused group discussions, and document analysis were used to collect data. The participants (informants) were administrators of a special Islamic FBOs unit that handles COVID-19 programs at central and regional levels and the beneficiaries of Islamic FBOs COVID-19 programs, selected using expert sampling. As part of data collection, an interview guideline was set to explore the participants' strengths and challenges in performing various programs for overcoming the pandemic. The data was analyzed using the thematic content analysis. The results showed that Islamic FBOs had special units that performed various countermeasures against COVID-19, including primary prevention like delivering health education and psychological consultation, and secondary prevention, mainly treating the pandemic, managing its prevailing conditions, and minimizing its economic impact, and supporting its vaccine. Moreover, the large members and participants, organizational structures involving grassroots levels, and financial support from the organizations' reputable philanthropic agencies were their strengths in performing those activities. However, coordination in the organization from central board to branch level was considerably challenging, especially where the coordination path was long. The insufficient information technology facilities also made the process difficult online. Therefore, profound religious FBOs served indispensable contributions and potencies in directing the community and minimizing the impact of the pandemic and other disasters in terms of health and social-economic welfare.
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Study Purpose: Immigrants and foreign-born individuals, many with low English proficiency and low socio-economic status, make up a high proportion of the population in New York City (NYC). Immigrant populations have distinct demographic, immigration, social and biological histories, and environmental exposures that differentially impact their cancer risk profiles. However, while data on cancer incidence and mortality are widely available in this group, data on cancer-related social and behavioral priorities and resources among immigrant, low-income, low-English proficient communities is sparse. Methods: Our research focus is to engage community stakeholders to identify multilevel determinants surrounding cancer prevention and disparities and assess resources available to adults within NYU Langone's Perlmutter Cancer Center (PCC) catchment area with a focus on racial/ethnic minority and immigrant populations through a health resources and needs assessment survey. With this research focus, we harmonized measures across questionnaires from other NCI-designated Community and Engagement Core (COE) Centers. Further, health priorities and questions in the survey were informed by listening sessions with diverse community partners and feedback from NYU PCC clinicians and basic scientists. We are translating the survey questionnaire into 8 languages commonly used in the geographical area of focus to prioritize data collection among immigrants in NYC: namely, Arabic, Bangla, Chinese, Haitian Creole, Korean, Spanish, Russian, Urdu. Data collection will be conducted through Open REDCap and paper surveys (n=1200). We are simultaneously developing a multilingual REDCap survey tool to be administered in the identified languages. Results: Participant recruitment strategies are tailored to survey hard-to-reach, low-English proficient communities through in-person recruitment, social media outreach, and engaging existing community-and faith-based organization partners. To facilitate wider reach, community health workers (CHWs) with strong community connections, language fluency, deep cultural knowledge, and training in working with immigrant communities have been recruited for data collection. Survey modules will explore common measures asked by NCI-designated Centers on sociodemographic information and knowledge, attitude, and behaviors and also include assessment on contemporary topics related to the impact of COVID-19 on cancer screening and care, including telehealth services. Recruitment and data collection phases are ongoing. Conclusions: This survey will determine community-driven cancer-related priorities and available resources among under-resourced immigrant communities and will contribute to strategic planning and resource allocation for the PCC to meet the needs of this population.
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Religious activities tend to be conducted in enclosed, crowded, and close-contact settings, which have a high potential of transmitting the coronavirus disease, 2019 (COVID-19); therefore, religious communities are expected to take appropriate infection prevention measures. Meanwhile, during past disasters, religious communities have provided various types of support to affected people; hence, their role in disaster risk reduction has received much attention. In this study, we aimed to identify the infection prevention measures and support provision implemented by mosques-Islamic institutions managed and operated mainly by foreign Muslims living in Japan-during the one year from January 2020. We collected information from newspaper articles (18 articles on 19 mosques) and interviews with representatives of three mosques. We found that various infection control measures were implemented in mosques-refraining from mass prayers and closing buildings from an early stage (around February 2020); canceling large-scale events during the month of Ramadan; moving some activities online; and ensuring indoor ventilation and safe physical distance even when continuing face-to-face prayer activities. We also found that various types of support were provided by mosques-donating masks to the local government; listening to problems of people affected by COVID-19 regardless of their nationality; providing financial support to them; translating and disseminating information to foreign Muslims; and providing religious meals for them. This study provides actual examples of infection prevention measures taken by mosques in a Muslim-minority society and suggests that mosques appropriately responded to the needs of religious minorities during disasters, including COVID-19.