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A comprehensive and healthcare equity promoting response by a civil society–public partnership to COVID-19 in Chiapas, Mexico

Following the first COVID-19 case in Chiapas, Mexico in March 2020, the non-governmental organisation Compañeros En Salud (CES) and the state’s Ministry of Health (MOH) decided to join forces to respond to the global pandemic. The collaboration was built over 8 years of partnership to bring healthca...

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Autores principales: Rodríguez, Ana Laura, Aranda, Zeus, Brun, Elvire, DiChiara, Samuel, Esquinca, Alondra, González, Erick, González, Sebastián, Jiménez, Ariwame, Molina-Orozco, César Uberto, Martínez, Laura, Mullen, Jaren, Vargas, Bruno, Vázquez, Sandra, Chacón-Hernández, Selene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030274/
https://www.ncbi.nlm.nih.gov/pubmed/36941004
http://dx.doi.org/10.1136/bmjgh-2022-011244
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author Rodríguez, Ana Laura
Aranda, Zeus
Brun, Elvire
DiChiara, Samuel
Esquinca, Alondra
González, Erick
González, Sebastián
Jiménez, Ariwame
Molina-Orozco, César Uberto
Martínez, Laura
Mullen, Jaren
Vargas, Bruno
Vázquez, Sandra
Chacón-Hernández, Selene
author_facet Rodríguez, Ana Laura
Aranda, Zeus
Brun, Elvire
DiChiara, Samuel
Esquinca, Alondra
González, Erick
González, Sebastián
Jiménez, Ariwame
Molina-Orozco, César Uberto
Martínez, Laura
Mullen, Jaren
Vargas, Bruno
Vázquez, Sandra
Chacón-Hernández, Selene
author_sort Rodríguez, Ana Laura
collection PubMed
description Following the first COVID-19 case in Chiapas, Mexico in March 2020, the non-governmental organisation Compañeros En Salud (CES) and the state’s Ministry of Health (MOH) decided to join forces to respond to the global pandemic. The collaboration was built over 8 years of partnership to bring healthcare to underserved populations in the Sierra Madre region. The response consisted of a comprehensive SARS-CoV-2 infection prevention and control programme, which included prevention through communication campaigns to combat misinformation and stigma related to COVID-19, contact tracing of suspected and confirmed COVID-19 cases and their contacts, outpatient and inpatient care for patients with respiratory symptoms, and CES–MOH collaboration on anti-COVID-19 immunisation campaigns. In this article, we describe these interventions and their principal outcomes, as well as reflect on notable pitfalls identified during the collaboration, and we suggest a series of recommendations to prevent and mitigate their occurrence. As with many cities and towns across the globe, the poor preparedness of the local health system for a pandemic and pandemic response led to the collapse of the medical supply chain, the saturation of public medical facilities and the exhaustion of healthcare personnel, which had to be overcome through adaptation, collaboration and innovation. For our programme in particular, the lack of a formal definition of roles and clear lines of communication between CES and the MOH; thoughtful planning, monitoring and evaluation and active engagement of the communities served in the design and implementation of health interventions affected the outcomes of our efforts.
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spelling pubmed-100302742023-03-22 A comprehensive and healthcare equity promoting response by a civil society–public partnership to COVID-19 in Chiapas, Mexico Rodríguez, Ana Laura Aranda, Zeus Brun, Elvire DiChiara, Samuel Esquinca, Alondra González, Erick González, Sebastián Jiménez, Ariwame Molina-Orozco, César Uberto Martínez, Laura Mullen, Jaren Vargas, Bruno Vázquez, Sandra Chacón-Hernández, Selene BMJ Glob Health Practice Following the first COVID-19 case in Chiapas, Mexico in March 2020, the non-governmental organisation Compañeros En Salud (CES) and the state’s Ministry of Health (MOH) decided to join forces to respond to the global pandemic. The collaboration was built over 8 years of partnership to bring healthcare to underserved populations in the Sierra Madre region. The response consisted of a comprehensive SARS-CoV-2 infection prevention and control programme, which included prevention through communication campaigns to combat misinformation and stigma related to COVID-19, contact tracing of suspected and confirmed COVID-19 cases and their contacts, outpatient and inpatient care for patients with respiratory symptoms, and CES–MOH collaboration on anti-COVID-19 immunisation campaigns. In this article, we describe these interventions and their principal outcomes, as well as reflect on notable pitfalls identified during the collaboration, and we suggest a series of recommendations to prevent and mitigate their occurrence. As with many cities and towns across the globe, the poor preparedness of the local health system for a pandemic and pandemic response led to the collapse of the medical supply chain, the saturation of public medical facilities and the exhaustion of healthcare personnel, which had to be overcome through adaptation, collaboration and innovation. For our programme in particular, the lack of a formal definition of roles and clear lines of communication between CES and the MOH; thoughtful planning, monitoring and evaluation and active engagement of the communities served in the design and implementation of health interventions affected the outcomes of our efforts. BMJ Publishing Group 2023-03-20 /pmc/articles/PMC10030274/ /pubmed/36941004 http://dx.doi.org/10.1136/bmjgh-2022-011244 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Practice
Rodríguez, Ana Laura
Aranda, Zeus
Brun, Elvire
DiChiara, Samuel
Esquinca, Alondra
González, Erick
González, Sebastián
Jiménez, Ariwame
Molina-Orozco, César Uberto
Martínez, Laura
Mullen, Jaren
Vargas, Bruno
Vázquez, Sandra
Chacón-Hernández, Selene
A comprehensive and healthcare equity promoting response by a civil society–public partnership to COVID-19 in Chiapas, Mexico
title A comprehensive and healthcare equity promoting response by a civil society–public partnership to COVID-19 in Chiapas, Mexico
title_full A comprehensive and healthcare equity promoting response by a civil society–public partnership to COVID-19 in Chiapas, Mexico
title_fullStr A comprehensive and healthcare equity promoting response by a civil society–public partnership to COVID-19 in Chiapas, Mexico
title_full_unstemmed A comprehensive and healthcare equity promoting response by a civil society–public partnership to COVID-19 in Chiapas, Mexico
title_short A comprehensive and healthcare equity promoting response by a civil society–public partnership to COVID-19 in Chiapas, Mexico
title_sort comprehensive and healthcare equity promoting response by a civil society–public partnership to covid-19 in chiapas, mexico
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030274/
https://www.ncbi.nlm.nih.gov/pubmed/36941004
http://dx.doi.org/10.1136/bmjgh-2022-011244
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