Narrative Preparedness: Policy-Makers Must Engage With People’s Values and Experiences to Ensure Effective Implementation of Interventions in Health Emergencies; Comment on “Health Preparedness and Narrative Rationality: A Call for Narrative Preparedness”

Articles in Press

Document Type : Commentary

Author

Institute of Development Studies, University of Sussex, Brighton, UK

Abstract

Engebretsen and Baker’s conceptual paper “Health Preparedness and Narrative Rationality: A Call for Narrative Preparedness” advocates for the adoption of narrative preparedness in addition to health preparedness, emphasising the importance of engaging with people’s stories and values during health emergencies. This ensures that policymakers and health authorities gain the trust of communities as there is evidence this leads to improved outcomes. Their key argument is that science cannot be used effectively in policy unless it makes sense to people and is presented in a way that resonates with their values. This commentary draws on the wider literature and some key examples showing the wisdom of this approach. However, it also suggests that to be successful in integrating narrative preparedness in policy we need to look beyond working with health authorities and use a more transdisciplinary approach as well as addressing both the process and normative challenges in its adoption. 

Keywords

References

  1. Fisher WR. Human Communication as Narration: Toward a Philosophy of Reason, Value, and Action. University of South Carolina Press; 1989. doi:2307/j.ctv1nwbqtk
  2. Grant C. The Role of Social and Behavioural Sciences in Emergencies and Crises. K4DD; 2024. https://k4d.ids.ac.uk/resource/the-role-of-social-and-behavioural-sciences-in-emergencies-and-crises/.
  3. Engebretsen E, Baker M. Health preparedness and narrative rationality: a call for narrative preparedness. Int J Health Policy Manag. 2023;12:7532. doi:34172/ijhpm.2023.7532
  4. Fairhead J. Understanding social resistance to the Ebola response in the forest region of the Republic of Guinea: an anthropological perspective. Afr Stud Rev. 2016;59(3):7-31. doi:1017/asr.2016.87
  5. Fairhead J. The Significance of Death, Funerals and the After-Life in Ebola-Hit Sierra Leone, Guinea and Liberia: Anthropological Insights into Infection and Social Resistance. Ebola Response Anthropology Platform; 2014.
  6. Richards P, Mokuwa GA, Vandi A, Mayhew SH. Re-analysing Ebola spread in Sierra Leone: the importance of local social dynamics. PLoS One. 2020;15(11):e0234823. doi:1371/journal.pone.0234823
  7. Richards P. Ebola: How a People’s Science Helped End an Epidemic. Zed Books Ltd; 2016.
  8. Bardosh KL, de Vries DH, Abramowitz S, et al. Integrating the social sciences in epidemic preparedness and response: a strategic framework to strengthen capacities and improve global health security. Global Health. 2020;16(1):120. doi:1186/s12992-020-00652-6
  9. Grant C. The centrality of (mis)trust in pandemic preparedness in sub-Saharan Africa: a conceptual framework. J Br Acad. 2023;11(s6):137-161. doi:5871/jba/011s6.137
  10. Leach M, MacGregor H, Akello G, et al. Vaccine anxieties, vaccine preparedness: perspectives from Africa in a COVID-19 era. Soc Sci Med. 2022;298:114826. doi:1016/j.socscimed.2022.114826
  11. Grant C. Operationalising transdisciplinary remote methods in epidemic and pandemic preparedness and response in sub-Saharan Africa. Front Trop Dis. 2024;5:1356329. doi:3389/fitd.2024.1356329
  12. Abramowitz S. Epidemics (Especially Ebola). Annu Rev Anthropol. 2017;46(1):421-445. doi:1146/annurev-anthro-102116-041616
  13. Social Science in Humanitarian Action Platform. Ebola-Local Beliefs and Behaviour Change. December 12, 2023. Retrieved from: https://www.socialscienceinaction.org/resources/ebola-local-beliefs-and-behaviour-change/.
  14. Masumbuko Claude K, Underschultz J, Hawkes MT. Social resistance drives persistent transmission of Ebola virus disease in Eastern Democratic Republic of Congo: a mixed-methods study. PLoS One. 2019;14(9):e0223104. doi:1371/journal.pone.0223104
International Journal of Health Policy and Management

Articles in Press, Corrected Proof
Available Online from 04 August 2024

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History

  • Receive Date: 05 June 2024
  • Revise Date: 29 July 2024
  • Accept Date: 02 August 2024
  • First Publish Date: 04 August 2024

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