Program on Resilient Communities

Founded: 2015
Faculty Lead: Vincenzo Bollettino, PhD
Status: Active Program
Regions of Focus: Philippines, Bangladesh, Nepal
Research Theme: Disaster Resilience

Description

HHI’s Program on Resilient Communities uses evidence-based approaches to understand how communities mitigate the impact of disasters. Communities play a central role in disaster preparedness and response, and an understanding of the factors that contribute to or impede their resilience is essential to improving interactions with local civil society organizations, the private sector, national disaster management agencies, and the international humanitarian community.

The program supports local and national capacity for disaster preparedness and response by enabling grassroots organizations to:

• Adopt evidence-based tools and practices

• Enhance leadership skills and approaches

• Promote intellectual exchange across national and disciplinary boundaries

Current Activities

In 2021, the Program on Resilient Communities is engaged in activities designed to better understand the factors that contribute to community resilience to disasters, climate change, and the COVID-19 pandemic. Our core projects include:

  • Deployment of a Resilience Scorecard in the context of COVID-19 to gauge community preparedness and needs,
  • Research, training, and awareness raising on mental health as a primary component of community resilience. Through our work with coastal communities around the Philippines, mental health emerged as a major concern in the wake of disasters, climate crises, and COVID-19.
  • Strengthening the capacity of local actors and building the network of response to disaster to be more inclusive and evidence-based. Convening these actors to share knowledge and amplify needs at a global scale.
  • Exploratory work in the Philippines, investigating resilience in areas impacted by both conflict and climate change / environmental degradation and how these dynamics are related to displacement.
  • In Nepal, continued engagement and research on exposures to climate change and natural disasters that will lay groundwork for future work in the region.

Methodology

The Program on Resilient Communities employs a mixed-methods approach to understanding the complex dynamics related to communities’ preparation for and experience with disaster. Our program works at multiple levels of resilience:

Individual: representative household surveys collect data on how individuals prepare for and understand disasters and climate change

Community: participatory action research engages communities on their needs and challenges. Leadership trainings provide valuable tools to community members to enhance their resilience

Civil Society: network analysis and key informant interviews illuminate the ways organizations work, or should work together to serve populations in need. 

National Government: Development of a Resilience Scorecard to improve monitoring and streamline data collection at the national level. Advocacy using the collected data to inform government policy.

Publications

Sean M Kivlehan, Amy Allen, Olha Viun, Dmitry A Makarov, Daniel Schnorr, Sonny Patel, Sergii A Ryzhenko, Phuong Pham, and Timothy B Erickson. 6/14/2022. “Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study.” BMJ Open. Read PublicationAbstract

Objective: Evaluate the change in participant emergency care knowledge and skill confidence after implementation of the WHO-International Committee of the Red Cross (ICRC) Basic Emergency Care (BEC) course.

Design: Pretest/post-test quasi-experimental study.

Setting: Mechnikov Hospital in Dnipro, Ukraine.

Participants: Seventy-nine participants engaged in the course, of whom 50 (63.3%) completed all assessment tools. The course was open to healthcare providers of any level who assess and treat emergency conditions as part of their practice. The most common participant profession was resident physician (24%), followed by health educator (18%) and prehospital provider (14%).

Interventions: The 5-day WHO-ICRC BEC course.

Primary and secondary outcome measures: Change in pre-course and post-course knowledge and skill confidence assessments. Open-ended written feedback was collected upon course completion and analysed for common themes.

Results: Participant knowledge assessment scores improved from 19 (IQR 15–20) to 22 (IQR 19–23) on a 25-point scale (p<0.001). Participant skill confidence self-assessment scores improved from 2.5 (IQR 2.1–2.8) to 2.9 (IQR 2.5–3.3) on a 4-point scale (p<0.001). The most common positive feedback themes were high-quality teaching and useful skill sessions. The most common constructive feedback themes were translation challenges and request for additional skill session time.

Conclusions: This first implementation of the WHO-ICRC BEC course for front-line healthcare providers in Ukraine was successful and well received by participants. This is also the first report of a BEC implementation outside of Africa and suggests that the course is also effective in the European context, particularly in humanitarian crisis and conflict settings. Future research should evaluate long-term knowledge retention and the impact on patient outcomes. Further iterations should emphasise local language translation and consider expanding clinical skills sessions.

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Team

Kendra Sterneck

Kendra Sterneck

Graduate Research Assistant, Program on Resilient Communities

Kendra is a current student at T.H. Chan Harvard School of Public Health earning her Masters in Public Health in Social and...

Read more about Kendra Sterneck