In the name of COVID-19: legitimizing the exclusion of community participation in Ecuador's health policy.
Health Promot Int
; 36(5): 1324-1333, 2021 Oct 13.
Article
Dans Anglais
| MEDLINE | ID: covidwho-2284361
ABSTRACT
Global shifts toward a disease-oriented, vertical approach to health has involved limiting the right for communities to participate in decision-making. Ecuador's authoritarian legacy has forced civil society and social organizations to adopt 'coping strategies', while large protests recently derived into violent struggles. The country has been severely hit by the COVID-19 pandemic amid corruption scandals involving hospital and food purchases by government during the response. This study critically examines how Ecuador's government took into consideration 'community participation' as a value and tenet of health promotion. Our systematic textual analysis focuses on 53 consecutive resolutions by the National Emergency Operations Committee (EOC) leading the decision-making processes, which, explicitly requires community participation. Results show that the 'lifecycle' of the central government's evolving policy framing centered on law enforcement and the private sector, followed by the social sector. Further, there is no evidence of stakeholders from civil society or organizations taking part in decision-making. Having legitimized the exclusion of community participation in Ecuador's response to the COVID-19 pandemic, it is possible that the government will fail to consider the wider social implications of its impact. In particular, the limits to local governments becoming informed and making decisions without mediation by the National EOC will further impede community participation in health decision-making in the future. This implies that local knowledge and experiences will also not inform health policy.
Mots clés
Texte intégral:
Disponible
Collection:
Bases de données internationales
Base de données:
MEDLINE
Sujet Principal:
COVID-19
Type d'étude:
Recherche qualitative
/
Examen systématique/Méta-analyse
Limites du sujet:
Humains
Pays comme sujet:
Amérique du Sud
/
Equateur
langue:
Anglais
Revue:
Health Promot Int
Thème du journal:
Santé publique
Année:
2021
Type de document:
Article
Pays d'affiliation:
Heapro
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