Health Literacy as a Public Health Priority in Crisis Management: Strategies and Policy Recommendations

Authors

  • Multy Syaddam Nirwan Institut Teknologi Kesehatan dan Bisnis Graha Ananda

DOI:

https://doi.org/10.61194/jhlqr.v3i1.541

Keywords:

Health Literacy, Emergency Preparedness, Crisis Communication, Public Health Education, Misinformation, Digital Health Literacy, Community Resilience

Abstract

Health literacy is a critical determinant of crisis preparedness, influencing how individuals access, comprehend, and utilize health information during emergencies. This study systematically reviews the role of health literacy in emergency preparedness and response, examining its impact on individual decision-making, community resilience, and public health interventions. A comprehensive literature search was conducted across academic databases, including PubMed, Scopus, and Google Scholar, focusing on studies published from 2018 onward. Findings indicate that higher health literacy levels enhance adherence to emergency health guidelines, facilitate risk perception, and contribute to better health outcomes. However, disparities in health literacy—shaped by socioeconomic inequalities, digital accessibility, and misinformation—continue to pose challenges in crisis management. The study highlights the increasing role of digital health communication and social media in disseminating health information, emphasizing the need for regulatory measures to counteract misinformation. Policy recommendations include integrating health literacy into public health strategies, enhancing community-driven education initiatives, and leveraging digital health tools for widespread information dissemination. Future research should explore the effectiveness of tailored interventions in marginalized communities and the long-term impact of digital health literacy initiatives. By prioritizing health literacy in crisis management frameworks, policymakers can improve population-level health resilience and ensure equitable access to critical health information.

References

Bi, C., Liu, D., Zhu, L., Li, S., Wu, X., & Lu, C. (2025). Short-term voltage stability emergency control strategy pre-formulation for massive operating scenarios via adversarial reinforcement learning. Applied Energy, 389. https://doi.org/10.1016/j.apenergy.2025.125751

Black, J. A., Sharman, J. E., Chen, G., Palmer, A. J., de Graaff, B., Nelson, M., Chapman, N., & Campbell, J. A. (2025). Evaluation of health-related quality of life changes in an Australian rapid access chest pain clinic. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-024-12135-0

Després, J.-P. (2025). Promotion of Cardiometabolic Health: A Personal Journey. Current Cardiology Reports, 27(1). https://doi.org/10.1007/s11886-024-02165-9

Dumit, N. Y., & Honein‐AbouHaidar, G. (2019). The Impact of the Syrian Refugee Crisis on Nurses and the Healthcare System in Lebanon: A Qualitative Exploratory Study. Journal of Nursing Scholarship, 51(3), 289–298. https://doi.org/10.1111/jnu.12479

Elbarazi, I., Saddik, B., Grivna, M., Aziz, F., Elsori, D., Stip, É., & Bendak, E. (2022). The Impact of the COVID-19 “Infodemic” on Well-Being: A Cross-Sectional Study. Journal of Multidisciplinary Healthcare, Volume 15, 289–307. https://doi.org/10.2147/jmdh.s346930

Goto, E., Ishikawa, H., Okuhara, T., & Kiuchi, T. (2019). Relationship of Health Literacy With Utilization of Health-Care Services in a General Japanese Population. Preventive Medicine Reports, 14, 100811. https://doi.org/10.1016/j.pmedr.2019.01.015

Kanu, C., Brown, C. M., Rascati, K. L., Moczygemba, L. R., Mackert, M., & Wilfong, L. S. (2021). Are Health Literacy and Patient Activation Related to Health Outcomes in Breast Cancer Patients? HLRP Health Literacy Research and Practice, 5(3). https://doi.org/10.3928/24748307-20210524-02

Kar, B., & Jenamani, M. (2025). Modelling a capacitated location problem for designing multimodal vaccine distribution network using a novel Health Emergency Susceptibility Index. Computers and Operations Research, 180. https://doi.org/10.1016/j.cor.2025.107056

Kululanga, L. I., Kadango, A., Lungu, G., Jere, D. L., Ngwale, M., & Kumbani, L. (2020). Knowledge Deficit on Health Promotion Activities During Pregnancy: The Case for Adolescent Pregnant Women at Chiladzulu District, Malawi. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-03386-w

Liu, C., Song, C., Chen, Y., Li, X., Qiao, Y., Zhang, X., Yang, D., & Huang, H. (2025). Impact of healthcare-associated infection on healthcare services and survival of patients with cancer: a propensity score-matched retrospective study. BMC Cancer, 25(1). https://doi.org/10.1186/s12885-025-13975-7

Matek Sarić, M., Sorić, T., Sarić, A., Smoje, P., Rozić, A., Matković, M., Zoranić, S., & Ljubičić, M. (2025). Healthcare and non-healthcare professionals’ knowledge about nutrition in older adults: a cross-sectional study. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-21557-2

Mengi Çelik, Ö., Ekici, E. M., Yılmaz, S., & Metin, Z. E. (2025). Evaluation of the relationship between nutrition literacy, Mediterranean diet compliance, ecological footprint and sustainable environmental attitudes in adolescents. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-024-20910-1

Navis, I., Shaikh, A., McCarthy, D. J., Perez, E., Chanice, M., Newton, C., & Burke, R. V. (2023). Addressing Health-Care Disparities in Pediatric Disaster Planning: A Qualitative Study. Disaster Medicine and Public Health Preparedness, 17. https://doi.org/10.1017/dmp.2023.30

Nugroho, D. C. A., Sulistiawan, D., Arifa, R. F., Gayatri, M., Puspitasari, M. D., & Prabowo, F. W. (2021). eHealth Literacy and Self-Care Behavior During the Coronavirus Disease-19 Pandemic Among Youths: A Path Analysis. Open Access Macedonian Journal of Medical Sciences, 9(E), 722–728. https://doi.org/10.3889/oamjms.2021.6664

Pan, L., Xie, C., Liu, M., & Zhu, L. (2025). Mediating effect of dietary self-efficacy in the relationship between health literacy and nutrition label use among coronary heart disease patients. Scientific Reports, 15(1). https://doi.org/10.1038/s41598-025-92386-x

Rook, O., & Zwart, H. (2025). Awareness of human microbiome may promote healthier lifestyle and more positive environmental attitudes. Communications Medicine, 5(1). https://doi.org/10.1038/s43856-025-00747-4

Rosano, A., Lorini, C., Unim, B., Griebler, R., Cadeddu, C., Regazzi, L., Galeone, D., & Palmieri, L. (2022). Coronavirus-Related Health Literacy: A Cross-Sectional Study During the COVID-19 Pandemic in Italy. International Journal of Environmental Research and Public Health, 19(7), 3807. https://doi.org/10.3390/ijerph19073807

SEZER, H. K., YORULMAZ, D. S., & Küçükoğlu, S. (2022). Evaluation of the Effectiveness of a Health Literacy Education Program During the Pandemic. Marmara Medical Journal, 35(2), 230–236. https://doi.org/10.5472/marumj.1121841

Stout, J. E., & Cullom, A. (2025). Preventing Healthcare-Acquired Legionnaires’ Disease: What’s Old is New Again. Current Infectious Disease Reports, 27(1). https://doi.org/10.1007/s11908-025-00857-z

Yin, Y., Shoshan, M. B., Shaker, M., Greenhawt, M., & Johnson, K. M. (2025). Cost-effectiveness of watchful waiting versus immediate emergency department transfer after epinephrine autoinjector use in Canada. Allergy, Asthma and Clinical Immunology, 21(1). https://doi.org/10.1186/s13223-025-00951-w

Zhang, Y., Xiang, D., & Alejok, N. (2020). Coping With COVID-19 in United Nations Peacekeeping Field Hospitals: Increased Workload and Mental Stress for Military Healthcare Providers. BMJ Military Health, 167(4), 229–233. https://doi.org/10.1136/bmjmilitary-2020-001642

Zoellick, J. C., Lech, S., O’Sullivan, J. L., Jansen, E., Supplieth, J., Kuhnert, R., Grittner, U., & Schuster, J. (2025). Fall sensors, home emergency system, and social service for ≥ 75-year-olds living at home - a matched control intervention study. BMC Geriatrics, 25(1). https://doi.org/10.1186/s12877-025-05856-2

Downloads

Published

2023-03-31

Issue

Section

Articles