Understanding Community Resilience in the Context of National Health Security

A Literature Review

by Anita Chandra, Joie Acosta, Lisa S. Meredith, Katherine Sanches, Stefanie Stern, Lori Uscher-Pines, Malcolm Williams, Douglas Yeung

Download eBook for Free

FormatFile SizeNotes
PDF file 0.2 MB

Use Adobe Acrobat Reader version 7.0 or higher for the best experience.

Abstract

Building community resilience, or the capability to rebound from a disaster is a cornerstone of public health emergency preparedness. Recent regional meetings with stakeholders to develop the National Health Security Strategy (NHSS) revealed that questions remain unanswered as to how to develop and measure a community’s resilience in the face of manmade and natural threats. To date, we have many theoretical models articulating factors that contribute to community resilience such as community cohesion and the ability to marshal resources quickly, but we have less empirical evidence about what constitutes the integral components of resiliency. Despite a limited evidence base, enhanced resilience is considered critical to mitigating vulnerabilities, reducing negative health consequences, and rapidly restoring community functioning. According to the Homeland Security Presidential Directive-21 (HSPD-21), resilience is essential to limiting the need for prolonged assistance post disaster. In order to improve resilience, Bruneau (2003) argues that communities must build capabilities that are characterized by robustness (the ability to withstand stress), redundancy (resource diversity), and rapidity (the ability to mobilize resources quickly). These efforts ensure that communities (and especially those with resource poor neighborhoods) will have the ability during an event to respond quickly, even when critical parts of the community are severely impacted, and to return to normal functioning with little delay. Despite an understanding that community resilience is critical, the stakeholders responsible for ensuring national health security (both government and non-governmental organizations) do not have a working definition or a clear understanding of how to measure resilience for health security. Further, we have limited information about key strategies to enhance resilience. This literature review synthesizes the existing evidence base on resilience to identify drivers for health-related emergency planning. The review lays a foundation for upcoming analyses that will provide a working definition of community resilience, identify activities for building resilience, and offer associated metrics. These activities and metrics will be integrated into the NHSS implementation plan.

Research conducted by

The research in this report was prepared for the Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services and conducted by RAND Health.

This report is part of the RAND Corporation working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.