Multi-sectoral Risk Communication and Community Engagement Strategic Framework for Ethiopia: A Mixed-Method Policy Analysis

Abstract Background Despite its crucial role in effective emergency management, persistent gaps in coordinated communication, rumor and misinformation management, and meaningful community engagement underscore the urgent need for a structured, institutionalized, and sustainable risk communication and community engagement framework to achieve national health security. Objectives This paper aims to guide the implementation of RCCE interventions through a one-health approach and ensure participatory and inclusive engagement of communities and stakeholders. Methods A mixed-methods policy analysis was employed to develop this RCCE strategic framework. Comprehensive situational and SWOT analyses were performed to assess the RCCE landscape and identify key internal and external factors influencing RCCE implementation. Findings were synthesized using a thematic framework approach to inform strategic priorities. Results The analysis identified key gaps in RCCE, including weak coordination, limited infodemic management, inadequate human resources, and insufficient community engagement. Opportunities such as expanding digital platforms, strong policy commitment, and existing community structures/networks were identified. Thus, a multi-sectoral RCCE strategic framework was developed, comprising three strategic objectives: (1) strengthening RCCE systems, (2) enhancing risk communication for informed decision-making, and (3) building resilient communities for health emergency management. The framework integrates a one-health approach and aligns with health security priorities. Conclusions This paper presents an RCCE strategic framework for Ethiopia, supports a shift from reactive emergency response to proactive community resilience, and provides a scalable model to strengthen RCCE and enhance global health security through community-centered approaches.