RESUMEN
All disasters are local but implementing a hyperlocal response in the midst of a public health emergency is challenging. The availability of neighborhood-level qualitative data that are both timely and relevant to evolving objectives and operations is a limiting factor. In 2020, the New York City Department of Health and Mental Hygiene (NYC DOHMH) responded to the COVID-19 emergency using a novel, hyperlocal approach. Key to the implementation of this approach was the creation of the Community Assessment to Inform Rapid Response (CAIRR), a process for rapid collection and analysis of neighborhood-specific, objective-focused, qualitative data to inform tailored response operations. This paper describes the process of developing the CAIRR and its contribution to the NYC DOHMH's hyperlocal response in order to guide other jurisdictions seeking to employ a hyperlocal approach in future disaster responses.
Asunto(s)
COVID-19 , Desastres , Humanos , COVID-19/epidemiología , Ciudad de Nueva York/epidemiología , Salud Pública , Recolección de DatosRESUMEN
BACKGROUND: Community collaboratives have been shown to be effective in changing environments and systems to promote health by facilitating and coordinating programs, services, and practices. East Harlem, a New York City neighborhood, recently experienced a growth in bicycling infrastructure and resources. However, community concerns raised about safety, equity, and inclusion highlighted the need for a coordinated effort to reduce barriers to biking. OBJECTIVES: To describe the formation of and activities of El Barrio Bikes, a community biking collaborative by providing examples of community engagement strategies, evaluation methods, and lessons learned. METHODS: A values-driven community engagement framework was used to form a multi-sector community collaborative to reduce barriers to biking in East Harlem. El Barrio Bikes conducted monitoring and evaluation activities to evaluate community engagement strategies used, to ensure that the group's goals were being met, and to make improvements or adjustments when needed. RESULTS: The use of a community engagement framework was critical to the evolution of El Barrio Bikes from a group of individual partners to a model of shared leadership. Collaborative decision-making, extensive outreach efforts, and feedback surveys were time-intensive, but essential in in developing a sustainable and equitable partnership. CONCLUSIONS: Carefully selected community engagement strategies were integral to the success of creating a community biking collaborative to promote biking. Collaboration between community stakeholders can strengthen community ties and power, which are key to implementing an effective strategy to reducing barriers to biking in East Harlem.