Challenges to understanding the reproductive health needs of women forcibly displaced by the Syrian conflict

DeJong, Jocelyn

doi:10.1136/jfprhc-2017-101771

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…appropriate research question constitutes a significant challenge [2,3,6,17,[22][23][24]27] 2. Failing to account for bias, study limitations, and lack of statistical data are also seen as major shortcomings [2,12,15,21] 3.…”

Section: Using the Right Methodology Based On Anmentioning

confidence: 99%

“…In the context of dispersed refugees and Internally Displaced Populations (IDPs), research efforts with strong methodologies are especially scarce [2,3]. There is a documented disparity between regions, with a gap noted for the Middle East [2,12] except for specific over-researched communities [13] and, despite key initiatives, a gap also remains on Sexual and Reproductive Health (SRH) [12,[14][15][16][17].…”

Section: Research Gapmentioning

confidence: 99%

“…We first conducted a scoping review of the literature in English, including a recent academic series on evidence in humanitarian settings [2-4, 6, 21], research published by humanitarian actors including methodological papers [5,[22][23][24][25], academic analyses of humanitarian and global health partnerships [12,20,26,27], research on SRH and conflicts including the Middle East [14][15][16][17] as well as literature related to research ethics and in conflict settings [8][9][10][11]13]. Then, we compared issues emerging from the literature with our recent experience and we collectively agreed upon a set of 10 key challenges reflecting the main trade-offs we had to negotiate throughout the partnership.…”

Section: Key Documented Challenges Of Conducting Research In Humanitamentioning

confidence: 99%

“…Refugees are scattered among the poorest Lebanese in informal tent settlements in rural areas or in overcrowded urban areas including Palestinian camps [38,46]. Over 50% of the refugees are estimated to be women and children [17,46,47]. Syrian refugees are granted access to the same channels of healthcare as Lebanese through a network of PHC services embedded in a complex privatized system [43,44].…”

Section: The Three Actorsmentioning

confidence: 99%

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Conducting operational research in humanitarian settings: is there a shared path for humanitarians, national public health authorities and academics?

Leresche¹,

Truppa²,

Martin³

et al. 2020

Confl Health

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In humanitarian contexts, it is a difficult and multi-faceted task to enlist academics, humanitarian actors and health authorities in a collaborative research effort. The lack of research in such settings has been widely described in the past decade, but few have analysed the challenges in building strong and balanced research partnerships. The major issues include considering operational priorities, ethical imperatives and power differentials. This paper analyses in two steps a collaborative empirical endeavour to assess health service utilization by Syrian refugee and Lebanese women undertaken by the International Committee of the Red Cross (ICRC), the Lebanese Ministry of Public Health (MoPH) and the Harvard François-Xavier Bagnoud (FXB) Center. First, based on challenges documented in the literature, we shed light on how we negotiated appropriate research questions, methodologies, bias analyses, resource availability, population specificities, security, logistics, funding, ethical issues and organizational cultures throughout the partnership. Second, we describe how the negotiations required each partner to go outside their comfort zones. For the academics, the drivers to engage included the intellectual value of the collaboration, the readiness of the operational partners to conduct an empirical investigation and the possibility that such work might lead to a better understanding in public health terms of how the response met population needs. For actors responding to the humanitarian crisis (the ICRC and the MOPH), participating in a technical collaboration permitted methodological issues to be worked through in the context of deliberations within the wider epistemic community. We find that when they collaborate, academics, humanitarian actors and health authorities deploy their respective complementarities to build a more comprehensive approach. Barriers such as the lack of uptake of research results or weak links to the existing literature were overcome by giving space to define research questions and develop a longer-term collaboration involving individual and institutional learning. There is the need ahead of time to create

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