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Table 3 Elements of community resilience

From: Measuring the resilience of health systems in low- and middle-income countries: a focus on community resilience

Elements

Description

Local knowledge

Knowledge that the community possesses about its existing vulnerabilities, which, if addressed prior to a disaster, can improve community resilience This includes:

• Factual knowledge base, which relates to knowledge and information acquired in relation to a disaster

• Training and education, which is about practices in community education to teach how to respond effectively to an emergency

• Collective efficacy and empowerment, which relate to the community’s shared belief in its ability to overcome potential hardships caused by a disaster

Community networks and relationships

The connectedness and cohesiveness of community members during a crisis. Connectedness, also called ‘social network’ can be examined through linkages within a community. Cohesiveness can be based on these linkages and are described as weak or strong ties. Factors like trust and shared values can improve ties and consequently community resilience

Communication

Communication includes:

• Effective communication: this means that the community has opportunities for open dialogue and has established infrastructure that could be coordinated in a pre- or post-disaster setting

• Risk communication: this deals with the provision of accurate and culturally acceptable information about possible threats

• Crisis communication: this includes the provision of up-to-date information about the ongoing impact and relief efforts in real-time using traditional and social media

Health

Health encompasses the pre-existing health of a community and the delivery of health services after a disaster. Health services include short-term and long-term delivery of quality physical and mental health services, which can be improved through training and capacity-building at the hospital and facility level to handle mass casualties

Governance

Governance focus on how communities coordinate and handle emergencies. This includes:

• Infrastructure and services: this relates to whether the community has effective, efficient and capable infrastructure and services to handle crises; for example, infrastructure should be able to handle incoming information about an emergency and send instructions and implement a response during and after a disaster

• Public involvement and support: a community’s involvement in strategic planning, response and recovery as they relate to the uniqueness and aspirations of the community

Resources

Resources include tangible supplies (food, water, first aid kits), technical resources (shelter, automobiles, machinery) and even financial as well as social resources