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Systems resilience: improving public health through collaboration and community based participatory research

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Systems resilience: improving public health through collaboration and community based participatory research. / Porroche-Escudero, Ana; Popay, Jennifer Mary; Barr, Ben et al.
In: BMJ Open, Vol. 7, No. Suppl. 2, 008 BP, 06.03.2017, p. A6.

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@article{181bcf23821b409fa08a790c3d80fb8d,
title = "Systems resilience: improving public health through collaboration and community based participatory research",
abstract = "Throughout the UK severe funding cuts are straining the capacity of local governments, National Health Service and voluntary organisations to improve public health and reduce health inequalities. At times like this, the word {\textquoteleft}resilience{\textquoteright} is invoked as a neoliberal mantra similar to “individual or community responsibility”. Decreased public funding for services increases pressure on individuals and communities to cope with socioeconomic adversity without external support. We argue that resilience must be understood in relation to systems. Promoting individual or community resilience alone is not enough to reduce health inequalities locally. Resilience needs to be understood as a characteristic of people who live and work in areas and the organisations that employ them. Enhanced resilience at a systems levels, underpinning engagement between paid workers and communities, is essential to release collective capabilities to influence and respond to structural pressures. We argue that enhanced system resilience has the potential to improve the social drivers of health inequalities and leads to improvements in collective and individual health. In this presentation we describe the experience of the public health team within the NIHR Collaboration for Leadership in Applied Health Research and Care for the North West Coast (CLAHRC NWC). We introduce a system resilience framework and describe how we are testing this in 9 relatively disadvantaged neighbourhoods in the North West of England. We discuss a number of innovative features of this work. It seeks to nurture egalitarian collaboration between residents, Local Authorities, community and organisations to understand, and influence, action that can promote system resilience. Residents conduct local enquires to help plan for action to enhance system resilience and help evaluate the impact of changes put in place.",
keywords = "Public health, Participatory Research, capacity building, systems resilience, upstream public health, social determinants of health, Health inequalities, England, CLAHRC, CLAHRC NWC",
author = "Ana Porroche-Escudero and Popay, {Jennifer Mary} and Ben Barr and Mosedale, {Sarah Louise} and Adele Ring and Gill Sadler and Glenn Simpson and Paula Wheeler",
year = "2017",
month = mar,
day = "6",
doi = "10.1136/bmjopen-2017-016492.18",
language = "English",
volume = "7",
pages = "A6",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group Ltd",
number = "Suppl. 2",
note = "UCL QUALITATIVE HEALTH RESEARCH SYMPOSIUM 2017 ; Conference date: 07-03-2017 Through 07-03-2017",
url = "http://bmjopen.bmj.com/content/7/Suppl_2/bmjopen-2017-016492.18",

}

RIS

TY - JOUR

T1 - Systems resilience

T2 - UCL QUALITATIVE HEALTH RESEARCH SYMPOSIUM 2017

AU - Porroche-Escudero, Ana

AU - Popay, Jennifer Mary

AU - Barr, Ben

AU - Mosedale, Sarah Louise

AU - Ring, Adele

AU - Sadler, Gill

AU - Simpson, Glenn

AU - Wheeler, Paula

PY - 2017/3/6

Y1 - 2017/3/6

N2 - Throughout the UK severe funding cuts are straining the capacity of local governments, National Health Service and voluntary organisations to improve public health and reduce health inequalities. At times like this, the word ‘resilience’ is invoked as a neoliberal mantra similar to “individual or community responsibility”. Decreased public funding for services increases pressure on individuals and communities to cope with socioeconomic adversity without external support. We argue that resilience must be understood in relation to systems. Promoting individual or community resilience alone is not enough to reduce health inequalities locally. Resilience needs to be understood as a characteristic of people who live and work in areas and the organisations that employ them. Enhanced resilience at a systems levels, underpinning engagement between paid workers and communities, is essential to release collective capabilities to influence and respond to structural pressures. We argue that enhanced system resilience has the potential to improve the social drivers of health inequalities and leads to improvements in collective and individual health. In this presentation we describe the experience of the public health team within the NIHR Collaboration for Leadership in Applied Health Research and Care for the North West Coast (CLAHRC NWC). We introduce a system resilience framework and describe how we are testing this in 9 relatively disadvantaged neighbourhoods in the North West of England. We discuss a number of innovative features of this work. It seeks to nurture egalitarian collaboration between residents, Local Authorities, community and organisations to understand, and influence, action that can promote system resilience. Residents conduct local enquires to help plan for action to enhance system resilience and help evaluate the impact of changes put in place.

AB - Throughout the UK severe funding cuts are straining the capacity of local governments, National Health Service and voluntary organisations to improve public health and reduce health inequalities. At times like this, the word ‘resilience’ is invoked as a neoliberal mantra similar to “individual or community responsibility”. Decreased public funding for services increases pressure on individuals and communities to cope with socioeconomic adversity without external support. We argue that resilience must be understood in relation to systems. Promoting individual or community resilience alone is not enough to reduce health inequalities locally. Resilience needs to be understood as a characteristic of people who live and work in areas and the organisations that employ them. Enhanced resilience at a systems levels, underpinning engagement between paid workers and communities, is essential to release collective capabilities to influence and respond to structural pressures. We argue that enhanced system resilience has the potential to improve the social drivers of health inequalities and leads to improvements in collective and individual health. In this presentation we describe the experience of the public health team within the NIHR Collaboration for Leadership in Applied Health Research and Care for the North West Coast (CLAHRC NWC). We introduce a system resilience framework and describe how we are testing this in 9 relatively disadvantaged neighbourhoods in the North West of England. We discuss a number of innovative features of this work. It seeks to nurture egalitarian collaboration between residents, Local Authorities, community and organisations to understand, and influence, action that can promote system resilience. Residents conduct local enquires to help plan for action to enhance system resilience and help evaluate the impact of changes put in place.

KW - Public health

KW - Participatory Research

KW - capacity building

KW - systems resilience

KW - upstream public health

KW - social determinants of health

KW - Health inequalities

KW - England

KW - CLAHRC

KW - CLAHRC NWC

U2 - 10.1136/bmjopen-2017-016492.18

DO - 10.1136/bmjopen-2017-016492.18

M3 - Meeting abstract

VL - 7

SP - A6

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - Suppl. 2

M1 - 008 BP

Y2 - 7 March 2017 through 7 March 2017

ER -