Community Health Education for Health Crisis Management: The Case of COVID-19 in Cameroon.

The current coronavirus disease 2019 (COVID-19) pandemic has led Cameroon's government to implement public health measures aimed at preventing its spread. This paper investigates how community health education on the virus was being carried out, what gaps exist and what further action could be taken. A survey instrument was used to gather data among a total of 179 Cameroonians recruited via opportunistic and snowball sampling methods. According to our findings, gaps exist. These include the need for adequate community health education on COVID-19, maximising multilingualism and indigenous cultural assets and disbanding misconceptions on the pandemic, as well as stigmatisation. The paper culminates by underlining the significance of an integrated approach to confront the pandemic. This approach captures the need to frame but also firm up community health education architecture on COVID-19 that captures inputs from different stakeholders, including indigenous knowledge holders, for collective wellbeing.

The ramification of Cameroon's Anglophone crisis: conceptual analysis of a looming "Complex Disaster Emergency".

One of Africa's newest struggles for liberation: Cameroon's Anglophone crisis, which emerged from legal and education grievances in 2016, rapidly escalated into a secessionist political conflict that is threatening the unity of the country, with potential to degenerate into a complex emergency. In an exploratory, qualitative, analytical, and descriptive case study research tradition involving document/content analysis, we apply the Robert Strauss Centre's complex emergency framework to investigate the potential of the Anglophone crisis, whose ramifications lead us to consider it an acute complex emergency. Our contention is based on the fact that 72.5% of the variables in all the complex emergencies fall within the relevant to extremely relevant ranking criteria. Furthermore, the establishment of a nexus between the Anglophone crisis and a natural hazard-induced disaster suggest an escalation of the crisis to an unbearable level. Using the high probability of a novel eruption at Mt. Cameroon coupled with the eminent threat of the spread of the COVID-19 virus, we contend that unless otherwise, the crisis has immense potential to cumulatively evolve into a "Complex Disaster Emergency" (CDE) in the Anglophone regions of Cameroon. Amidst the existential challenges in providing humanitarian assistance in the conflict region, and by applying the Robert Strauss Centre's complex emergency framework, this article concludes with an early warning for an impending CDE that could heighten humanitarian challenges unless there is foresight and goodwill by relevant actors to immediately commence a process of adequate contingency planning.

Evaluating simulations as preparation for health crises like CoVID-19: Insights on incorporating simulation exercises for effective response.

Today's health emergencies are increasingly complex due to factors such as globalization, urbanization and increased connectivity where people, goods and potential vectors of disease are constantly on the move. These factors amplify the threats to our health from infectious hazards, natural disasters, armed conflicts and other emergencies wherever they may occur. The current CoVID-19 pandemic has provided a clear demonstration of the fact that our ability to detect and predict the initial emergence of a novel human pathogen (for example, the spill-over of a virus from its animal reservoir to a human host), and our capacity to forecast the spread and transmission of the pathogen in human society remains limited. Improving ways in which we prepare will enable a more rapid and effective response and enable proactive preparations (including exercising) to respond to any novel emerging infectious disease outbreaks. This study aims to explore the current state of pandemic preparedness exercising and provides an assessment of a number of case study exercises for health hazards against the key components of the WHO's Exercises for Pandemic Preparedness Plans (EPPP) framework in order to gauge their usefulness in preparation for pandemics. The paper also examines past crises involving large-scale epidemics and pandemics and whether simulations took place to test health security capacities either in advance of the crisis based on risk assessments, strategy and plans or after the crisis in order to be better prepared should a similar scenario arise in the future. Exercises for animal and human diseases have been included to provide a "one health" perspective [1,2]. This article then goes on to examine approaches to simulation exercises relevant to prepare for a health crisis involving a novel emergent pathogen like CoVID-19. This article demonstrates that while simulations are useful as part of a preparedness strategy, the key is to ensure that lessons from these simulations are learned and the associated changes made as soon as possible following any simulation in order to ensure that simulations are effective in bringing about changes in practice that will improve pandemic preparedness. Furthermore, Artificial Intelligence (AI) technologies could also be applied in preparing communities for outbreak detection, surveillance and containment, and be a useful tool for providing immersive environments for simulation exercises for pandemic preparedness and associated interventions which may be particularly useful at the strategic level. This article contributes to the limited literature in pandemic preparedness simulation exercising to deal with novel health crises, like CoVID-19. The analysis has also identified potential areas for further research or work on pandemic preparedness exercising.

Applying the novel IDEA model for instructional health risk and crisis communication to explore the effectiveness of the COVID-19 crisis communication in Cameroon.

This paper utilized a new novel framework, the Initialization, Distribution, Explanation, and Action (IDEA) model, for Instructional Health Risk and Crisis Communication (IHRCC) to investigate the effectiveness of the COVID-19 crisis communication (CC) in Cameroon. This contemporary research is empirical, qualitative, exploratory, and novel in the field of CC. Based on the findings, the COVID-19 CC in Cameroon could be ranked mediocre-fair. This is informed by an analysis of the IDEA elements in the framework that reveals that "Internalization" (messages on timeliness, compassion, and impact) was poor, "Distribution" (messages, guidance/protocols, and sources/distribution of messages) and "Explanation" (accuracy of messages, updated messages, and CC languages) were fair, and "Action" (instructional messages on infection control) considered as mediocre. This paper contributes to literature in the field, including concept development in health CC. The novel IDEA framework for IHRCC can enable health crisis managers gain context and better apply best practices to health CC. A structured recommendation on how this can be done has been proffered.

Drivers for coping with flood hazards: Beyond the analysis of single cases.

Flood risks continue to pose serious threats to developing countries with dire ramifications for livelihoods. Yet, contemporary research on determinants for coping with flood hazards is driven mostly by individual cases with less effort to systematically identify coping strategies across multiple floods. This research analyses potential determinants of coping strategies to flooding across multiple floods using two case studies in Cameroon. Via empirical research and qualitative or descriptive statistical analysis, the research investigated how human, social, and economic or financial variables influence household coping decisions across the two flood sites. Results suggest a great influence of social and human capital on household decisions to adopt specific coping strategies and that over 80% of flood victims in both study sites applied post-flood informal coping strategies. Analysis also shows significant inconsistencies with human capital variables, which reveal that coping determinants can be quite different even for floods occurring in the same agroecological zone. The findings also reveal that economic and financial capital has little influence on flood victims' coping decisions, contrary to popular contentions in the literature. The results of this study have implications for research and policy implementation on flood-induced coping strategies in developing countries.

General overview of the disaster management framework in Cameroon.

Efficient and effective disaster management will prevent many hazardous events from becoming disasters. This paper constitutes the most comprehensive document on the natural disaster management framework of Cameroon. It reviews critically disaster management in Cameroon, examining the various legislative, institutional, and administrative frameworks that help to facilitate the process. Furthermore, it illuminates the vital role that disaster managers at the national, regional, and local level play to ease the process. Using empirical data, the study analyses the efficiency and effectiveness of the actions of disaster managers. Its findings reveal inadequate disaster management policies, poor coordination between disaster management institutions at the national level, the lack of trained disaster managers, a skewed disaster management system, and a top-down hierarchical structure within Cameroon's disaster management framework. By scrutinising the disaster management framework of the country, policy recommendations based on the research findings are made on the institutional and administrative frameworks.