Analysis: Public health responses and impact

Part A Comparative definitions and operationalisations of health vulnerability SAPIENZA In the 15 target countries results of T51 and T52 will be drawn upon to identify and operationally define vulnerabilities at the individual community and network living and working conditions and socioeconomic cultural and environmental levels Findings will be interpreted and critiqued drawing on the socioecological model of health inequalities developed by Dahlgren and Whitehead 1993 intersectionality theory and complex systems theoryPart B Social and cultural factors influencing public health responses SAMUR This part of the deliverable will build on the 10 case studies employing sources identified in T51 and qualitative research conducted in T52 on the impact of social factors such as family structures gendered expectations differential age gender and sexbased differences in health risk factors prevailing cultural norms intergroup relations and trust in health systems and professionals on experiences of COVID19 All attempts will be made to give voice to multiple citizen perspectivesPart C Institutional legal and data collection factors influencing public health responses SU This part of the deliverable includes an assessment of institutional procedures and tools for pandemic interventions including data collection tools such as contact tracing apps Italy UK etc and routine surveys Belgium etc The capacity of procedurestools to identify atrisk communities and their vulnerabilities to reduce health inequalities and to elicit community participation in decisionmaking and development processes will be critically assessed and compared across the 15 target countriesPart D Public health communication and epidemiological outcomes URJC This part of the deliverable includes a critical review of communication strategies in selected communities in the 15 target countries Employing indicators developed in WP2 and secondary data collected in T51 a differenceindifferences technique will be used to understand the decisional processes in the public health COVID19 response and how these decisions impacted the vulnerable populations studiedPart E Impacts of COVID19 on health care workers UCSC This part of the deliverable compares how healthcare workers in the 15 target countries interacted with health services and facilities and with the characteristics vulnerabilities and resilience of their beneficiaries The deliverable will draw upon the data collected in WP2 and T51 and primary research data from T52 paying special attention to how healthcare workers dealt with ethical challenges the traumatic stress they experienced during the pandemic and the deescalation phases both short and long term mental health burdens among the health workforce and on gaps in psychosocial care provision by health care institutions