Civil Society Research Articles

Bibliographical Exploration of Public Relations and Diplomacy: Public, Organisational, and Civil Society Perspectives

Abstract: This paper aims to describe, infer and interpret the corpus of references extracted from the book “Diplomacy, Organisations and Citizens. A European Communication Perspective” (Sebastião & Spínola, 2022), a collective volume published as an output of a three-year research and educational project exploring the intersection of public relations with public, organisational and civil society diplo¬macy, from a European perspective. A mixed methods approach of quantita¬tive and statistical techniques in conjunction with social network analysis (SNA) was applied to a corpus formed out of 785 unique entries corresponding to the book references. Borrowing from bibliometric approaches, the techniques of di¬rect citation networks, co-citation networks, and topic networks were used to map perspectives used in the book. Results point to a clear linguistic preference for English, to a saliency of journal articles overlapping with the increase in re¬search accessibility through digitalisation, to a clear dominance of a few journals coming from the fields of public relations and public diplomacy, and to a clear alignment of the perspectives on public, organisational and civil society diplo¬macy at the intersection of public relations and diplomacy, albeit from a debatable European perspective. The research is relevant to any scholar or practitioner in¬terested in how public relations and the democratised forms of diplomacy intersect and influence each other. It can also serve as a roadmap to how the explo¬ration of the bibliographical universe of a research project can be used as a self-reflection and evaluation tool. Keywords: public relations, public diplomacy, organisational diplomacy, civil society diplomacy, bibliography, social network analysis.

Sustainable education for underserved U.S. communities: Empowering students through environmental literacy and green job pathways

This research paper explores the integration of environmental literacy and sustainability-focused education within underserved U.S. communities, aiming to empower students and promote pathways to green jobs. As these communities often face significant educational disparities and limited economic opportunities, the study highlights the importance of environmental literacy as a critical component of education that fosters essential skills such as critical thinking, problem-solving, and civic engagement. The paper discusses best practices for developing and implementing sustainability-focused curricula, effective teaching strategies, and the significance of local partnerships between educational institutions and industry stakeholders. Furthermore, it emphasizes the potential for green jobs to drive economic growth while aligning with national efforts toward environmental justice and sustainable development. The findings underscore the necessity of a multifaceted approach involving policymakers, educators, and community leaders to create equitable opportunities and foster a sustainable future for underserved communities.

Strategic Imperatives of Muslim Leadership in Post-War Sri Lanka: Citizenship, Rights and Reconciliation

This study examines how a few selected mainstream Sri Lankan Muslim civil organisations have been responding to the Sinhala Buddhist ideological paradigm in post-war Sri Lanka. The ideology perceives that Sinhala Buddhists are true citizens of Sri Lanka while minorities are “others” or “guests”. Hence, the ideology plays a structural role in generating anti-Muslim sentiments in post-war Sri Lanka. Contrary to prevailing wisdom which argues that minorities attempt to deconstruct the majoritarian ideological foundation in their struggle for equality, dominant and mainstream Muslim civil society organisations in Sri Lanka have chosen to reconcile with it while resisting only its practical implications upon the community. Even though this strategy brings self-contradictory elements into play on theoretical grounds, Muslim civil society organisations think that it is a practically reasonable strategy given the developing socio-political context of the state. Based on primary and secondary data and the thematic qualitative analysis, this study builds an argument by analysing discourses of the selected mainstream Muslim organisations that minorities pick strategies for their struggle against majoritarian state and ideology taking their political and other demographical realities into account. Hence, their choices are not static but rather dynamic.

Civic participation and self-reported health: An intersectional comparative study in Europe

Abstract Background Civic participation has been associated with better self-reported health (SRH). However, how does the association between civic participation and SRH vary by sex and migration status? This study aims to examine the association between social and political determinants of health and SRH in an intersectional perspective. Methods We use data from 26 countries in the 2022 EU Statistics on Income and Living Conditions (EU-SILC) (n = 425,178, 18-80 y.o.), following an intercategorical approach. Eight intersectional groups are created based on sex, migration status and being socially/politically active (participation in activities related to active citizenship or in formal/informal voluntary activities). Multilevel (ML) logistic regression models are employed to assess the association between these groups and SRH, controlling for age and educational level. Results 24.6% of the sample indicate to be socially or politically active, with significant differences between sexes and migration status. A higher proportion of non-migrant active men report good SRH compared to the other intersectional groups (95.2%). Preliminary results from the ML logistic models show that being active increases the likelihood of good SRH (OR = 1.77, 95% CI 1.72-1.83). Migrant active women report better SRH than their non-active counterparts (OR = 1.27, 95% CI 1.12-1.44). Conclusions Findings suggest that being socially/politically active has a positive impact on SRH, especially among foreign women living in European countries. The study highlights the importance of considering civic (both political and social) participation as health determinant and the need of investing in social capital as a way of health promotion, tackling health inequalities and the marginalisation of at-risk groups. Key messages • Civic participation might strengthen individuals’ health, including among migrant women. • Public health policies should consider civic participation as significant determinant of individuals’ health, as well as a way of tackling health inequalities.

Innovations in abortion care in France, Germany and the UK following the COVID-19 pandemic

Abstract Background Through an international comparison of health systems and policies, we aim at assessing the contextual and circumstantial characteristics of abortion care innovation in three European countries following the upheaval of the COVID-19 pandemic. The three contrasting care models pre-pandemic constitute an interesting baseline for observing different systems’ reaction to health crises. Methods We conducted a review of the recent (2020 onward) peer-reviewed and grey literature, including national policy documents and guidelines. We then carried a comparative analysis of innovations implemented during the pandemic and their sustainability post-crisis. Results In France and the UK, where abortion care was more accessible before the pandemic than in Germany, a series of innovations were officially introduced to facilitate access during the pandemic. They included teleconsultations and the mailing of abortion medication. Most changes have been sustained since then, contributing to addressing historic and systemic health inequities in terms of access (e.g. due to geography and the existence of “medical deserts”). In Germany, innovations during the pandemic have been crafted by the civil society through NGOs offering for the first time teleabortion services (e.g. Balance Berlin and Doctors for Choice). The legitimation of those practices by professional bodies is still in the making, highlighting the limitations of the catalyst role of crises in the face of cultural barriers and resistance of health systems to innovation. Conclusions The COVID-19 pandemic provoked or accelerated innovation in terms of abortion care in France, Germany and the UK. Yet, its sustainability, as well as its scaling up, remains fragile, especially in Germany, where the disruptive approach of civil society organisations has not yet found its way into mainstream health care services. Key messages • International comparison of health systems’ reaction to the COVID-19 pandemic in terms of abortion care shows different paths to innovation. • The sustainability of innovation beyond the first pandemic years pertains to the wider debate on equity in access to abortion care.

UROLATAM Project: A multidisciplinary comprehensive care project for prostate cancer

Abstract Introduction Prostate Cancer (PCa) represents a health problem in the world and its management is heterogeneous in care, depending on the resources each country has, modifying its effectiveness in prevention, diagnosis, treatment and follow-up. Methods The UROLATAM program was implemented based on the Design Thinking quadruple helix innovation model, consisting of the immersion, design, idea and prototype phases, characterized by being multidisciplinary and comprehensive. Teachers and students from different careers at the Universidad Veracruzana participated. Linkages were made with: Local government, government health institutions, colleges of specialist doctors, private institutions and civil society. This program was broadcast on radio, television and social networks inviting the population to participate in education and prevention activities, in addition to participating in diagnosis, treatment and follow-up actions for men over 40 years of age. The duration of the program was 4 days, including educational sessions for doctors, patients, family members and caregivers, as well as determination of prostate-specific antigen, urological consultation and prostate ultrasound, as well as rehabilitation exercises, diagnostic confirmation and treatment. who needed it. Results During the sessions, 944 patients aged 60.7 (±15.0) years were treated, 443 (47%) had never received a urological consultation, identifying a prevalence of 11.7% of Cap. The human team present with the patient was 25 specialist doctors, 16 medical residents, 38 undergraduate students, 3 rehabilitators and 6 administrative staff. None of the participants received a salary for participating in this project. Conclusions The multidisciplinary UROLATAM linkage project constitutes a useful educational, training and assistance tool for the population, as well as an educational element for the students who are part of the work team. Key messages • The UROLATAM project is replicable in countries that require additional support in the prostate cancer approach. • The structure of the UROLATAM project can be replicated to address other public health problems.

Single Mothers Association of Kenya (SMAK) and the Fight to Stay Put on the Ziwani Estate in Nairobi

This Reflection discusses the fight to stay put on the Ziwani Estate in Nairobi, in the face of the redevelopment (gentrification) of one of the first East African public housing projects developed in Kenya under colonial rule. The Single Mothers Association of Kenya (SMAK), a community-based organization founded on the Ziwani Estate, is leading the fight for/with Ziwani residents. SMAK is focused on land and housing rights, capacity building for the community on these rights, advocating against illegal eviction, and fighting against gentrification, densification, and homelessness. Under immediate threat SMAK found local and global allies in academia, civil society, and in UN bodies. They have had some important wins on the preservation and conservation of Ziwani historic places and people based on unexpected academic collaborations and on their own activism which they believe requires civic education, domestic and international lobbying, and possibly legal struggle.

7.A. Skills building seminar: Is Behavioural Science Relevant for Public Health? A Quintuple Helix Lens

Abstract Background On 29 May 2023, the World Health Assembly adopted the first-ever global Behavioural Sciences for Better Health resolution (WHA76.7). This resolution requests the World Health Organization (WHO) to mainstream and support behavioural sciences in public health across the WHO and within Member States; including enhancing awareness, knowledge, and evidence and providing technical assistance, normative guidance, and capacity-building. But is behavioural science really relevant for public health? Why and how it can help us to improve people’s health? Rationale This workshop seeks to delve into the application of behavioural science in public health within the context of the quintuple helix framework - academia, industry, government, civil society, and the broader environment. Through collaborating across sectors, stakeholders can leverage behavioural science to design more effective strategies for promoting positive health behaviour change, preventing diseases, and addressing public health challenges. This workshop will feature discussions and case studies in various public health domains. Aim The main aim of this skills-building seminar is to explore the synergies between behavioural science and the quintuple helix, examining how these collaborations can drive innovation, enhance policy implementation, and foster sustainable health outcomes. By critically examining these intersections, we seek to stimulate dialogue, foster collaborations, and inspire innovative approaches for addressing complex health challenges in our society. Workshop structure This workshop will consist of three parts: - It will start with a short scene-setting presentation by Iveta Nagyova, EUPHA president, highlighting the innovation potential of behavioural science to improve people’s health (10 mins). - In the second part (30 mins), the panellists will discuss concrete examples of interconnections of behavioural science and public health within the quintuple helix framework. 1. Susan Michie will share her experience of interconnections between academia and government as a member of the UK SAGE - Scientific Advisory Group for Emergencies. 2. Simon Bacon will discuss the behavioural lens applied to the commercial determinant of health. 3. Tiina Likki will share WHO/Europe’s experience with developing and implementing the European regional action framework for behavioural and cultural insights for health, 2022-2027, 4. Kim Lavoie will speak about community involvement and social innovation within the context of more efficient healthcare systems. 5. Stefano Capalongo will show us examples of salutogenic design and architecture, applying neurobiobehavioural mechanisms. - The third part (20 mins) will be dedicated to a facilitated discussion with the audience to explore attendees’ opinions regarding the challenges and opportunities of applying behavioural sciences to improve people’s health and well-being, using the quintuple helix framework. Key messages • Integrating behavioural science within the quintuple helix framework cultivates partnerships advancing effective, inclusive and lasting public health initiatives. • Fostering cross-sector collaboration establishes an ecosystem driving innovative, equitable and sustainable solutions in public health. Speakers/Panelists Susan Michie University College London, London, UK Simon Bacon Concordia University, Montréal, Canada Kim Lavoie UQAM, Department of Psychology, Montreal, Canada Tiina Likki WHO/Europe, Hellerup, Denmark Stefano Capolongo Politecnico di Milano, Milan, Italy

Prioritizing health, well-being, active ageing needs in Lithuania: insights from stakeholders

Abstract Background The rate of aging in Lithuania is faster than the EU average. The number of long-term health problems in older (65+yrs) people increases, posing changes in societal needs. The aim of our study was to identify the most important needs of older people in Lithuania. Methods Generic qualitative inquiry employed purposeful sampling of stakeholders in Lithuania: policymakers, administration, academia, civil society, health care, social service, public health, organizations of elderly. 43 experts, engaged in online focus groups, generated a list of needs for health, wellbeing, active ageing in elderly; they deliberated to prioritize top 5; scientific team condensed a list of 10 for voting to determine final 5 national needs. Research was done within project “Roadmap to improve the health and well-being of the ageing population in the Baltic Sea Region (AgeFLAG)”, 2020. Results Top needs identified were: shaping healthy lifestyle habits and motivation for change (72%) / age friendly environment and virtual assistive technologies (72%); person centred care (domiciliary care, residential care and nursing, social activities and etc. depending on the needs and wishes of the older person) (58%); increasing and maintaining physical capacity (56%); intersectoral collaboration and integration of social and health services (53%); establishment of positive public attitudes towards elderly people (50%). All stakeholders indicated that “Establishment of positive public attitudes towards elderly people” is the corner stone of all priorities for action to healthy ageing in Lithuania. Conclusions The main issue hindering active and healthy ageing in Lithuania - negative image of ageing in the society. Recommendations on the public health actions included promoting intergenerational conversation, reducing stigmas around ageing, strengthening social inclusion, generating age-friendly environments, and creating a safe space for self-realization and development. Key messages • The main issue hindering active and healthy ageing in Lithuania – negative image of ageing in the society. • The change in the population requires the transformation of health care and social care systems building age friendly environments in Lithuania.

Overcoming barriers in implementing healthy school nutrition policies: insights from Ukraine

Abstract The general mortality rate from NCDs in Ukraine exceeds that in European Union countries, (Yurochko et al., 2023) exacerbated by the ongoing war. Healthy nutrition plays a pivotal role in enhancing the overall quality of life and curbing the prevalence of non-communicable diseases (NCDs). Despite its significance, ensuring healthy eating habits, particularly during the early stages of life at the period of setting lifelong habits (Jackson et al., 2020; Riley et al., 2018), remains a challenge. Besides, school-based settings represent an ideal environment for effective intervention because they offer a shared common physical, academic, and social space (Tapia-Fonllem et al., 2020). Through a series of semi-structured interviews with key stakeholders, this study identifies barriers and facilitators to policy implementation, with a focus on educational institutions. Qualitative analysis reveals barriers such as inadequate human resources, funding constraints, resistance from the food industry, and ineffective communication strategies at the family level. Moreover, there exists a disjointed understanding of nutrition standards. However, collaborative efforts with civil society, empowerment of nursing roles, strategic utilization of grants and fundraising, engagement with the food industry, and the adoption of a family-oriented approach emerge as crucial enablers for successful policy implementation. These findings offer theoretical foundations for fostering healthier nutrition environments within schools. This research serves as a roadmap for policymakers and educators striving to create sustainable and effective strategies for promoting healthy eating among early school-age children in Ukraine and beyond. Study finds human resource shortages, funding constraints, and food industry resistance as major barriers to school nutrition policy. Recommendations include collaborative approaches, nurse involvement, and aligned standards for effective school nutrition policy. Key messages • Healthy nutrition plays a pivotal role in enhancing the overall quality of life and curbing the prevalence of non-communicable diseases. • Through a series of semi-structured interviews with key stakeholders, this study identifies barriers and facilitators to policy implementation, with a focus on educational institutions.

VULNERABILIDADE DOS MIGRANTES E REFUGIADOS VENEZUELANOS NO ESTADO DE RONDÔNIA: CONDIÇÕES ANÁLOGAS À ESCRAVIDÃO ESTADO

The present study aims to analyze the causes of vulnerability among migrants and refugees in the state of Rondônia in relation to conditions of work analogous to slavery. The investigation is based on the premise that migrants face a series of factors that place them in situations of labor exploitation, including a lack of documentation, ignorance of their rights, and a scarcity of dignified employment opportunities. In Rondônia, the presence of migrants, especially those coming from countries like Venezuela, has increased in recent years, intensifying the need for an approach that ensures the protection of these individuals' human rights.The research also addresses the socioeconomic characteristics of these migrants, the working conditions they are subjected to, and the implications of current legislation, such as the Migration Law, in protecting against exploitation and eradicating work analogous to slavery. Through a qualitative, bibliographic, and descriptive methodology, the study presents the labor conditions and applicable legislation, identifying existing gaps in the protection of migrants and proposing pathways for the realization of their rights, while promoting awareness of civil responsibility in situations of slave labor.In summary, the research aims to contribute to the construction of a more just and equitable environment for migrants and refugees in Rondônia, highlighting the urgent need for effective actions by the state and civil society.

1.Y.1. Navigating choppy water for global health competencies, education and innovation in Europe

Abstract Global health is rapidly evolving against a backdrop of increasingly complicated, intersecting challenges and crises across health, socio-economic and ecological systems. Interconnected social justice movements call for greater acknowledgement, accountability and qualified responses to address inequities and their structural drivers. The field of global health is going through a period of reckoning and debate about how colonial legacies and structural inequities pervade the sector and how activities of global health professionals across research, policy and practice are complicit in and perpetuating them. Simultaneously, global health education (GHE) is growing, with new speciality degrees and core or elective courses integrated into degrees in medicine, health and other disciplines. Thus, GHE holds great potential as a space to train future professionals with competencies and aptitudes to confront inequalities through innovative, evidence-informed and sensitive approaches. Yet it is also a space in which inequalities may be reproduced through material and epistemic injustices. To address these paradoxical tensions, transformation in GHE is needed in terms of what is taught, how it is taught and who is involved in teaching. This Pecha Kucha workshop will contribute to this discourse by exploring perspectives on issues including: i) What key competencies and content should be included in GHE across different disciplines and Bachelor, Master or Doctoral level?; ii) How can we better practice and develop in educators and students critical perspectives and capacities to be equipped for and responsive to inequities and social injustice?; and iii) How can we ensure meaningful engagement and partnership in education with countries across varied contexts and communities with direct lived experience of marginalisation and deprivation? Four panellists with diverse backgrounds and perspectives will provide insights on their initiatives to tackles such issues within their own institutions and European alliances, followed by a short discussion with the audience. The presentations will emphasise the need to progressively build affective, practical and cognitive competencies to critically engage with historical, geopolitical and structural inequities and injustices, including how they manifest in local contexts. Panellists will highlight examples of innovative methods and approaches to build these capacities, including through co-design in education that fosters self-reflexivity in students and builds alliances and partnerships with non-academic stakeholders, such as civil society and people with lived experience. The Pecha Kucha workshop aims to inspire exchange across institutions and countries, and with the audience, about how we can collaboratively set our compasses and our sails to navigate the choppy waters of tackling pervasive colonial legacies and sailing towards an equitable, inclusive and effective future for education and action in global health. Key messages • Transformation is urgently needed to ensure that global health education builds curricula and competencies that are sensitive and responsive to historical injustice and structural inequities. • Equitable partnerships across institutions and with diverse stakeholders, and innovative educational approaches such as gamification and co-design, can address tensions in global health education. Speakers/Panelists Henrique Barros ASPHER, Porto, Portugal Victoria Saint Bielefeld University, Bielefeld, Germany Francisco Mboufana Department of Community Health, School of Medicine, Eduardo Mondlane University, Executive Secretary, Maputo, Mozambique Mariam Sbaiti Faculty of Medicine, School of Public Health, Imperial College London, London, UK

NCD prevention and control in Kenya: feasibility study of health kiosks in markets “HEKIMA Study”

Abstract Introduction Non-communicable diseases (NCDs) account for 50% of hospital admissions and 55% of hospital mortality in Kenya. Cardiovascular diseases (CVDs) lead NCD mortality at 14% due to high prevalence of multiple risk factors. Community markets are social institutions with untapped potential for public health. HEKIMA is a multi-phased theoretically driven intervention exploring whether health kiosks in community markets, manned by community health workers (CHWs) and supervised by health centre (HC) nurses, can improve the reach of preventive care to vulnerable communities. Methods A mixed methods study in Vihiga County targeting 320 participants aged 15 years and above. Nurses and CHWs were trained to deliver evidence-based CVD health promotion, risk screening, and early intervention. Multi-sector stakeholder consultations, readiness assessments of markets and HCs, and semi-structured interviews informed intervention development. Evaluation use the Re-AIM framework. Results At 6 months of intervention there 2224 kiosk users which exceeded target of 300; 61% primary school education; 77% females; median age - males 48y, females 52y. Proportion with high blood pressure, overweight, obesity, and diabetes 48%, 32%, 25% and 12% respectively. 30% were referred to HC, and 34% followed up at least once at the kiosk. High acceptability of HEKIMA among CHWs, nurses and market users led to HEKIMA kiosks being integrated in the primary healthcare pathway. Key enablers were multi-sectoral alliance of government, civic organisations, community market champions, local businesses and health sector; culture centred coproduction and capacity building Challenges included understaffing, commodity supplies and seasonality. Conclusions HEKIMA successfully promoted NCD prevention and control, particularly among vulnerable populations. Scaling up across Kenya is planned to explore translational impacts in different contexts. Key messages • Multisectoral alliance critical for prevention of NCDs. • Theoretically underpinned complex systems interventions addresse inequities.

Discrimination against migrants: does social capital moderate harmful effects on mental health?

Abstract The harmful mental health effects of perceived discrimination are well established. Yet, the role of regional-level social capital in mitigating these effects remains underexplored. Using data from the German Socioeconomic Panel (SOEP; 2010-2021) we apply random effects models to assess the effect of perceived discrimination on mental health (mcs subscale of the SF-12) adjusting for individual socio-demographic factors and regional-level socioeconomic deprivation. We assess interaction with general social capital (civic organisations, electoral turnout, generalised trust) and migrant-specific resources (proportion of non-nationals and share of far-right votes). We juxtapose non-refugee migrants (n = 13478) with refugees subject to mobility restrictions (n = 5558) to assess for bias introduced by selective mobility into regions. In the non-refugee sample, we confirm negative effects of frequent discrimination experiences on mcs (ß: -3.74; 95%CI: -4.39, -3.08). Moderation analyses show insignificant results for general social capital, but a negative interaction effect of proportion of non-nationals (ß: -0.71; 95%CI: -1.34, -0.08). Analyses among refugees confirm the negative effect of discrimination on mcs (ß: -6.29; 95%CI: -7.49, -5.08) and the moderating effect of the proportion of non-nationals (ß: -1.63; 95%CI: -2.78, -0.48), as well as showing a positive moderation effect for generalised trust (ß: 0.84; 95%CI: 0.11-1.57). Results demonstrate the negative implications of living in areas with a high proportion of non-nationals for migrants experiencing discrimination, which may be explained by the higher marginalisation of migrants in these areas and increased service access barriers. The absence of a moderation effect of general social capital appears to be the result of selection bias, with positive effects of generalised trust seen for refugee migrants. Key messages • Ethnic discrimination affects mental health of refugee and non-refugee migrants. • The effect of discrimination on mental health are stronger in areas with higher proportion of non-nationals.

Social Participation in Community Corrections: A Qualitative Analysis of Justice Practices in China

In China, the widespread implementation of community corrections is a key strategy designed to reduce the burden on the criminal justice system. This strategy prominently features social participation as a critical element. This study delves into the effects of social participation on correctional practices by conducting in-depth interviews with a diverse group of stakeholders, including community corrections officials, judicial police, community workers, and counselors. Our findings reveal a predominant government-led approach to social participation, where government-funded social organizations play a major role. The research also highlights significant role conflicts and jurisdictional ambiguities within the system, which may arise from unclear criminal policies. These conflicts and ambiguities underline the challenges in the current implementation of community corrections. By examining these dynamics, the study suggests that refining the government-led model of social participation could provide more effective strategies for enhancing civic engagement and improving the efficacy of community correction.

Capacity mapping of comprehensive sexuality education in Gabon: A qualitative analysis

Abstract Background Access to comprehensive sexuality education (CSE) is crucial for adolescent health and well-being. Following UNESCO’s recommendations, Gabon revised its sex education policy in 2017 to better address adolescents’ sexual health needs. This study aims to map the capacities of the public health and education sector to implement Gabon’s CSE policy. Methods Semi-structured interviews were held with 15 professionals from ministries, NGOs, and development partners. Thematic analysis guided by Aluttis et al’s public health capacity model allowed to assess the existing capacities and gaps in leadership, organizational structures, partnerships, resources, and knowledge development for CSE. Results The implementation of CSE in Gabon is hindered by sociocultural and political factors, including the taboo on adolescent sexuality influencing perceptions of CSE content, natalist policies, and socio-economic disparities. Governmental involvement in CSE is limited to key ministries. Organizational structures for CSE lack cohesion due to changes in governance regimes and a lack of support for civil society organizations. Human resources are unevenly distributed, and financial constraints impede government initiatives, causing a strong reliance on external funding. An important role in supporting CSE is played by development partners and partnerships between stakeholders. While knowledge development for CSE is underway, monitoring and evaluation procedures are insufficient, and evidence mobilization by key professionals is insufficient. Conclusions Enhancing stakeholder collaboration, addressing structural constraints, and mobilizing human and financial resources are critical for effective CSE implementation in Gabon. Addressing these barriers requires coordinated efforts among stakeholders and addressing systemic challenges. This study provides insights for policymakers and practitioners to strengthen CSE programs and promote adolescent sexual health in Gabon. Key messages • CSE implementation is hindered by taboos on adolescent sexuality, natalist policies, and socio-economic gaps. • Evaluation and evidence mobilization deficits limit effectiveness.

9.C. Round table: The Global Oral Health Action Plan – Integrating Oral Health into the global health agenda

Abstract Oral diseases (OD) are a global public health problem affecting 3.5 billion people, with a global prevalence of 45%, higher than the prevalence of any other non-communicable disease (NCD). Recognizing the global public health importance, the 76th World Health Assembly (WHA) (May 2023) adopted the WHO’s Global Oral Health Action Plan (GOHAP) 2023-2030; a crucial step to bring momentum and mobilise all actors to address the burden of OD and common risk factors for all NCDs, while integrating oral health (OH) as part of general health and promoting cross-sectoral cooperation on good OH worldwide to reach UHC. Drawing insights from other successful global health action plans, this roundtable (RT) will explore key lessons learned in implementing effective strategies to improve OH outcomes at European and global levels, ensuring access to quality care for all. The objectives of the RT are: 1.To present the GOHAP 2023-2030, incl. challenges and opportunities; 2. To draw insights from other global health action plans; 3. To present good examples of civil society organization (CSO) actions supporting the GOHAP’s implementation - The Manifesto of the Platform for Better Oral Health, calling for policy actions by EU policymakers; 4. To present findings from the EU DELIVER (DELiberative ImproVEment of oRal care quality) and PRUDENT projects, funded by the European Commission, aiming to provide and implement a blueprint model for ensuring access to quality OH care for all; 5. To inform follow-up actions and collaboration across EUPHA sections, its strategy, as well as that of European Member States (MS), CSOs and other institutional partners, and to raise awareness across the European public and global health communities. The structure of the RT will include brief interactive presentations with real-time polling to maximize participant engagement and to consolidate key messages to present at the end of the session, incl. to inform follow-up actions across EUPHA. The first brief presentation on GOHAP will highlight the aims and evidence-informed actions, followed by: 1. Insights from other global health action plans, exploring lessons learned in implementing effective strategies, examining the approaches, opportunities, challenges and outcomes; 2. Good examples of actions taken by CSOs; 3. Preliminary findings from the EU DELIVER and EU PRUDENT will be presented, incl. key co-creation tools of deliberative dialogues and the development of a set of quality indicators for applicability on the practice, community and policy levels. Guided discussion will focus on opportunities and challenges in GOHAP implementation, with the targeted questions to panellists on: What can countries learn from other global health action plans? What should be the priorities of EU MS? What is the role the public health community can play? What are key steps needed to eliminate common NCD risk factors to drastically reduce the prevalence and burden of ODs? Key messages • There is an urgent need in the global and public health communities to better understand the processes involved in implementing the GOHAP, incl. challenges and opportunities. • Interdisciplinary and cross-sectoral collaboration is key to address the common risk factors of NCDs, to inform concerted action and evidence-informed policymaking to improve oral health care. Speakers/Panelists Pauline Vassallo European Association of Dental Public Health, Valletta, Malta Benoit Varenne Dental Officer, Prevention of Non Communicable Disease Department, WHO, Geneva, Switzerland Dympna Kavanagh Chief Dental Officer, Platform for Better Oral Health in Europe, Dublin, Ireland Neville Calleja Department of Health Information and Research, G’Mangia, Malta

Listening across the Américas: Base Ecclesial Communities and Relational Organizing as Listening Practices for a Synodal Church

Catholicism can draw on existing practices of listening to build a more participative church. This paper analyzes listening practices in Catholic and Catholic-engaged interfaith settings, drawing on the author’s long-term ethnographic research: i) four years of weekly participation in meetings of comunidades eclesiales de base in Mexico and Central America; ii) two decades of participant-observation in multiracial faith-based community organizing work in low-income communities of the United States; iii) participant observation at the US expression of the World Meetings of Popular Movements initiative; and iv) participant-observation at the “Prophetic Communities” gathering of organizers, scholars, and church leaders, focused on synodality and community organizing (San Francisco, CA, in 2023). The essay frames its discussion of listening practices around contemporary ideas regarding acompañamiento, solidarity, encounter, and the role of civil society and “public religion” as cultural and institutional underpinnings of democracy. A restructured, more synodal church can enable “ethical democracy” in the future, in part through its practices of liturgy and encounter.

Risk communication with asylum-seekers: Insights from the COVID-19 Pandemic experience in Munich

Abstract Background The COVID-19 pandemic has created a ‘double crisis’ for asylum-seekers, whose lives were already in crisis. Many reports indicated the syndemic consequences on asylum seekers’ health, underscoring the need for their inclusion in risk communication (RC) and community engagement (CE) and infodemic management (IM) actions. This study aims to describe RCCE experience with asylum seekers in Munich during the COVID-19 pandemic from an expert perspective and thus gain a thorough understanding of the requirements for inclusive RCCE. Methods Our qualitative study involved people who conducted COVID-19-related RCCE for asylum-seekers. Volunteers/workers of civil society organizations and health professionals were interviewed using purposeful sampling. After reviewing international guidelines, an interview form was created. The content analysis resulted in themes and categories. Results Four of the interviewees were health managers, while 8 were working in civil society organizations. The first category of the results describes the context in which RCCE occurs; syndemic factors (uncertainty; social exclusion and stigma; precarious housing; limited access to healthcare and unmet mental health needs) and pandemic management. The second category includes determinants of RCCE from both the asylum-seeker (trust; risk perception; health literacy; language; culture and gender) and RCCE member (competences; overburden; continuity) standpoint. The third category focuses on various RCCE-IM measures, including their effectiveness and consequences. Conclusions Syndemic factors hampered the effective implementation of RCCE for asylum seekers in Munich. RCCE determinants show that pre-crisis actions are necessary for an effective response and individual interactions should accompany community-level activities, particularly for female and marginalised migrants. This study’s scope will be expanded by incorporating the IM component.

Risk communication with migrants: Lessons learned from the COVID-19 Pandemic experience in Malmö

Abstract Background During the COVID-19 pandemic, many migrants faced challenges in accessing, comprehending and implementing information, leading to mis- and disinformation and distrust. The pandemic underscored the importance of effective risk communication (RC) and community engagement (CE) that reaches all segments of society, both for managing health effects and preventing the reinforcement of discrimination and stigmatization. This study aims to describe the experience of RCCE targeting migrants in Malmö, Sweden, from an expert perspective. Further, to gain an in-depth understanding of the requirements for inclusive RCCE actions and to identify alternative or complementary strategies based on good local practices. Methods Individual interviews were conducted with experts representing civil society and public authorities who were purposely sampled based on their engagement with RCCE targeting migrants. The interview guide was based on a review of international guidelines addressing aspects of RCCE, and analysed with content analysis. Results Three key organisations working towards undocumented migrants; unaccompanied minors; and newly arrived refugees, respectively, were included. Findings are synthesized into three key insights: a) RC through trusted sources in safe spaces; b) Understanding migrant living conditions c) Promoting intersectoral collaboration and feedback loops. Experts underscored the importance of cultivating sustainable and relationships with migrant communities to effectively communicate, aiding in compliance and counter distrust. The significance of intersectoral collaboration and communication pathways was highlighted for assessing migrant specific needs and designing appropriate interventions. Conclusions Long-term trusting relationship facilitate RC. Embedding sustainability within intersectoral collaboration structures is imperative to facilitate swift mobilization during health crises, foster resilience, and counter health inequities.