ABSTRACT Health professionals respond to biohazards according to international guidelines. However, concerns over the applicability of guidelines do exist since local conditions, as well as cultural traits of communities, tend to differ. Community-Based Health Organisations (CBHOs) are gatekeepers of communities whose roles and responsibilities have been assessed in this study to learn how they can assist health systems in times of biohazards. We conducted a content analysis among directors of CBHOs and disaster authorities. The participants read a hypothetical scenario, followed by a semi-structured interview. The results showed that more investments should be made to improve the functional roles of CBHOs during biological hazards by filling capacity gaps and take advantage of existing capabilities. Therefore, communities need to direct their efforts in the context of social capitals and leading strategies. As long as the state’ policies and strategies limit the power of communities, the CBHOs will experience social exclusion and equality.

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社区卫生组织如何在生物危害中发挥作用？专题分析

摘要 卫生专业人员根据国际准则应对生物危害。然而，由于当地条件以及社区的文化特征往往不同，因此确实存在对指南适用性的担忧。基于社区的卫生组织 (CBHO) 是社区的守门人，其角色和责任已在本研究中进行评估，以了解它们如何在生物危害时期为卫生系统提供帮助。我们在 CBHO 和灾害管理部门的主管之间进行了内容分析。参与者阅读假设情景，然后进行半结构化访谈。结果表明，应该进行更多投资，通过填补能力差距和利用现有能力来改善 CBHO 在生物危害期间的功能作用。所以，社区需要在社会资本和领先战略的背景下指导他们的努力。只要国家的政策和战略限制了社区的权力，CBHO 就会遭受社会排斥和平等。