Enhancing Tools for Sustainable Health Communication within Covid-19

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The paper provides short commentary on key features of public health communication during the current pandemic. The paper contains empirical analysis of field data from international, regional, and local national sources related to the industry, institutions, research in the field of study. The thematic content analysis through the computer-based coding served as the background investigation method. The study provides preliminary data on the key topics within official communication on health care issues during COVID-19, explores challenges to communication on health issues during COVID-19, identifies possible tools for sustainable health communication in the current COVID-19 pandemic, and outlines tentative recommendations to foster sustainable communication on health issues during the pandemic.

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INTRODUCTION The third Millennium witnesses unprecedented flow of healthcare emergencies, including flues, AIDS, Zika, MERS, and COVID-19. Therefore, communication on healthcare issues has become one of critical instruments for the contemporary society to cope with such global challenges and keep safe. The present paper aims to provide brief commentary on those topics which shape the health communication during COVID-19. The hypothesis states that along with official communication on COVID-19 at international, regional, and national levels the current pandemic has brought to light challenges and solutions which stem from the world globalization and digitalization. The paper explores the following research questions: - What are key topics within official communication on health care issues during COVID-19? - What are challenges to communication on health issues during COVID 19? - What are possible tools for sustainable health communication in the current COVID-19 pandemic? 1. Research Design The research design incorporated diverse field data for empirical analysis. The sample included publications of the international, regional and national authorities and agencies, and the academic papers, as well. Totally over 478 sources were subject to study. The Google search engine with the keyword COVID-19 health communication/information was used for selection of institutional data. The Google Scholar database was also used for selection of academic papers for brief review of relevant literature on the topic under study. The custom rage was limited to the year of 2020. The study used thematic content analysis through the computer -based coding by QDA Minor Lite application. 2. Preliminary Results and Discussion 2.1. Key topics within official communication on health care issues during COVID-19 Major international stakeholders, including the United Nations (UNO) and the World Health Organization (WHO) consider effective and coordinated communications as a critical instrument to foster the global community health, this vision becomes even stronger during COVID-19 (Communicating for health, n/d, Coronavirus global health emergency, 2020). Regional institutions, for instance, the European Union policies (ECDC activities on health communication, 2020), Pan American Healthcare Organization actions (COVID-19: Communication Materials, 2020) promote the same approach. The mentioned stakeholders share background information about the virus and preventive measures for the population, data for professionals and the public regarding preventive measures, vaccination development and campaign. At national level, countries also try to enhance consistent health communication, tailor information for general population and professionals, update treatment protocols for disease different phases, specify health service provision for particular audiences (Coronavirus COVID-19, 2020). Specific emphasis is laid on support for doctor’s wellbeing, see for instance, recommendations of British Medical Association (COVID-19: your wellbeing, 2020), and the recommendations provided by the Czech republic authorities (COVID-19 - Key issues and measures in the Czech Republic, 2020). In line with the global community vision, Academia considers communication on health issues during COVID-19 within crisis and emergency risk communication framework (Abrams & Greenhawt ,2020). Scholars underline the critical value of information transparency and trust during the COVID-19 pandemic (Spalluto et al., 2020), specify the need to carefully consider genres of leadership and authorities’ messages (Koh et al., 2020), highlight the need for doctors to master specific communicative skills (Rubinelli et al. 2020), explore ethical aspect of health communication during pandemics (Iserson, 2020), consider and evaluate the potential of healthcare professionals’ empathy in the course of their communication with patients (Rossi et al., 2021), psychological support for doctors (Walton et al. 2020). Scholars also explore the role of the mass media in raising public awareness of risk and shaping relevant knowledge (Karasneh, et al. 2020). 2.2. Challenges to communication on health issues during COVID-19 During the COVID 19 the world has faced unprecedent spread of misinformation through digital formats. Efforts to fight it have been undertaken at international, regional and national levels. The UN addressed a relevant guidance to its agencies, member states, media, civil society and tech companies (United Nations Guidance Note… 2020). The European Commission shaped the Action Plan to fight illegal or false contents, to enhance digital tools potential for authoritative information, to foster fact checking and research, to support the media and civil society as essential actors of reliable, fact-checked information delivery (Tackling COVID-19 disinformation, 2020). National agencies implemented legal measures, as well. Operative activities against social media which spread misinformation were conducted in the UK (Miller, 2020). Countries across the world were ready to criminalize the misinformation activities (Budryk 2020). The current pandemic revealed the need for multilingual solutions for communication on health issues during the pandemic within modern communities which integrate nationals migrating from different countries, on the one hand, and indigenous people, on the other. The matter has been subject to activities of international and regional organizations, see the UNO, WHO, EU sites mentioned in previous sections. At national level, countries also tried to develop multilingual platforms on COVID-19 prevention and treatment, see for instance, multilingual resources of the USA Centers for Disease Control and Prevention (Communication Resources, 2020). However, these actions were not coordinated as policy actions. Biased and sensational language in the media increased tensions in community, as well. Analysts point out that media language tended to used criminalizing or dehumanizing terminology with ethnicity affiliation. For instance, some mass media affiliated with different countries and institutions across countries used sensational headlines with reference to China (Coronavirus - Made in China, 2020). Analysts draw attention to careful use of language with regard to explicit mentions or implicit references to vulnerable audiences Human Language, Rights, and Security. 2021. Vol. 1. № 1. P. 19-25 (Obosi, 2020). Such an approach was strongly criticized by the key international stakeholders (McCartney et al., 2021). The countries of the Visegrad group (Urbanovics et al., 2021) have also paid a specific attention to the socio-political impacts of the COVID-19 pandemic t with respect to the V4 countries, including information provision issues. 2.3. Possible tools for health communication development in the current COVID-19 pandemic The current pandemic has revealed the Artificial Intelligence potential within health emergencies. The WHO has launched WhatsApp chatbot to inform the public about the new coronavirus infection. The initiative was also supported by Singapore, Israel, South Africa, Indonesia (Bucher, 2020). Moreover, WHO regional office for Europe launched a similar regional AI-based service. It provides countermeasures to misinformation and myths, delivers accurate information about COVID-19 in several languages (HealthBuddy, 2020). Regarding the Czech Republic, recent comparative studies reveal how the Czech and Austrian COVID-19 mobile phone apps in the battle against the virus (Stehlíková, 2021). Bearing in mind the data of previous sections, it seems logical and reasonable that both industry stakeholders (Tagliacozzo et al., 2021), institutional agencies (Lau et al., 2021), and Academia (Xiao et al., 2021) set forth the need for coordinated language policies and communication planning for health emergencies. Respective activities imply guidelines for language use, multilingual information provision, the mentioned documents being coordinated at international, regional, and national levels ( Dreisbach & Mendoza-Dreisbach, 2021). Moreover, both Industry and Academia argue for the urgent importance to create interagency and international interactive tools and platforms to provide real-time alerts of rumors about coronavirus, the instruments would enable health officials and relevant stakeholders to respond rapidly with a proactive and engaging narrative to mitigate misinformation (Depoux et al., 2020).Such actions can foster ecosocial approaches to solving social problems (Jusko, 2020). 3. Concluding Remarks The data reveals that the world globalization and digitalization produce an impact on the phenomenon of public health communication during the COVID-19. Along with official communication on health care issues some challenges emerge due to cross-cultural bias, national identity matters, specific language use in the mass communication, increasing gadget applications spread. The international and national actors who engaged in public health communication should go beyond the healthcare topics themselves, take into account emerging challenges and think of communication policies which would respond to the global public good and meet the national specifics, contribute to community resilience, and work for society sustainable development.

About the authors

Jiří Maštálka

Konstantinovy Lazne healthcare center

Author for correspondence.
Email: mastalka_jiri@gmail.com
ORCID iD: 0000-0002-3191-7343
Western Bohemia, Czech Republic

MUDr. Czech member of Czech Parliament (1996-2019), politician and doctor, member of ČLK; Society of Cardiology J.E.P. Currently holds a senior position in the Konstantinovy Lazne healthcare center


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