https://doi.org/10.1177/17579759211001005
Global Health Promotion 1757-9759; Vol 28(1): 3–4; 1001005 Copyright © The Author(s) 2021, Reprints and permissions:
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On 11 March 2020, the World Health Organization
declared COVID-19 a global pandemic. This pandemic
has challenged prevailing myths about privileging
economic growth and further exposed the fault lines in
our economic and social systems. The importance of
tackling the inequitable distribution of power, wealth
and resources along with strategies to redress persisting
racial, gender and health inequities have surfaced as
key preoccupations, as countries continue to respond
to the social, economic and health repercussions of
COVID-19.
In response to this pandemic, Global Health
Promotion partnered with Health Promotion
International to launch a special call for papers to
encourage the contextualization, development and
exchange of health promotion perspectives on
COVID-19. We were delighted by the overwhelming
response reflecting research, policy, and practice
perspectives across different geographic regions.
In this first of two special issues, we feature articles
that address ‘health promotion perspectives on the
COVID-19 pandemic’. A recurring theme across this
collection of papers is the importance of shining a
light on the disproportionate effects of COVID-19
affecting people living and working in conditions of
vulnerability, and the need for context-specific policy
and program interventions. These can include
precarious workers, slum dwellers, migrants, people
experiencing homelessness or food insecurity, and
other marginalized peoples and communities who
are already systemically oppressed and stigmatized
because of their race, dis/ability, gender, sexual
orientation or other socially determined circumstance.
As suggested by Bitanihirwe and Ssewanyana,
response measures to the pandemic in sub-Saharan
Africa need to be context-specific and informed by
lessons learned from the management of past
outbreaks in the region. Molina-Betancur and
colleagues remind us that people living in slums in
the Global South such as in Medellín (Colombia)
are at much greater risk of contracting the virus
because of their socioeconomic status and deplorable
living conditions. They are also unable to easily
comply with public health directives such as physical
distancing, handwashing and lockdown measures.
In such vulnerable contexts, organized responses led
by and for people living in slums can be critical in
mitigating the harmful effects of the pandemic and
related containment measures.
Amstutz and Villa reflect on the need to take a
multisectoral approach to health and to engage local
communities directly, based on experiences in Canton
de Vaud (Switzerland). Richard and colleagues
critically reflect on the challenges faced in
implementing intersectoral actions in rural Québec in
response to an evolving pandemic response by
governmental and civil society actors. Lapierre and
colleagues report on a telehealth intervention
program delivered in partnership with community
housing tenants, nurses and students with the aim to
promote health literacy. Their assessment thoughtfully
documents the challenges, threats and levers related
to the implementation of telehealth with a prevention
orientation during the pandemic.
The pandemic is increasingly being referred to as an
‘infodemic’ due to the plurality of available
information sources. Not all of these sources are
trustworthy or based on the best available evidence. In
the face of uncertainty, misinformation can counter
risk communication measures about the pandemic.
O’Donovan and colleagues outline the challenges,
including the spread of misinformation, from the
perspectives of community health workers working in
Ghana, Liberia, Mexico, and Uganda, as well as
propose mitigating strategies for overcoming
these challenges. Using risk communication theory,
100100PED 0 0 10.1177/17579759211001005E. Di Ruggiero and P. Ardiles
research-article 2021
Health promotion perspectives on COVID-19
Erica Di Ruggiero
1
and Paola Ardiles
2
Editorial
1. University of Toronto, Toronto, Ontario, Canada.
2. Faculty Teaching Fellow & Lecturer, Social Innovation and Community Partnerships, Health Sciences, Simon Fraser
University, Burnaby, British Columbia, Canada.
Correspondence to: Erica Di Ruggiero, Dalla Lana School of Public Health, University of Toronto, Health Sciences
Building, 155 College Street, Toronto, Ontario, M5T 3M7, Canada. Email: e.diruggiero@utoronto.ca