Conflict and Health: seven years of advancing science in humanitarian crises

Ratnayake, Ruwan; Degomme, Olivier; Roberts, Bayard; Spiegel, Paul

doi:10.1186/1752-1505-8-7

Cited by 52 publications

(17 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 Evidence of the impact of conflicts on RMNCH is often biased as much of the data come from more stable, protected settings such as long-term refugee camps. [5][6][7][8] Local survey and surveillance data have shown the negative impact of conflicts on child health as measured by mortality, [9][10][11][12] morbidity [13][14][15] and malnutrition [16][17][18] in multiple settings. The measurement of indirect and longer term effects on RMNCH has received limited attention but is considered to be much larger than the direct effects.…”

Section: Bmj Global Healthmentioning

confidence: 99%

Armed Conflicts and National Trends in Reproductive, Maternal, Newborn and Child Health in Sub-Saharan Africa: What Can National Health Surveys Tell Us?

et al. 2018

Self Cite

View full text Add to dashboard Cite

Section: Bmj Global Healthmentioning

confidence: 99%

Armed Conflicts and National Trends in Reproductive, Maternal, Newborn and Child Health in Sub-Saharan Africa: What Can National Health Surveys Tell Us?

et al. 2018

Self Cite

View full text Add to dashboard Cite

“…Other studies have similarly documented challenges in supply chain management and provider biases that limit access to and uptake of family planning services in humanitarian settings [1,[4][5][6]. Studies examining the sexual and reproductive health (SRH) outcomes of refugees and internally displaced persons within camp settings compared to the host community present varying results, with both superior and inferior health outcomes between the two populations [7][8][9][10].…”

Section: Introductionmentioning

confidence: 96%

Family planning in refugee settings: findings and actions from a multi-country study

et al. 2017

View full text Add to dashboard Cite

Background: To address family planning for crisis-affected communities, in 2011 and 2012, the United Nations High Commissioner for Refugees and the Women's Refugee Commission undertook a multi-country assessment to document knowledge of family planning, beliefs and practices of refugees, and the state of service provision in the select refugee settings of Cox's Bazar, Bangladesh; Ali Addeh, Djibouti; Amman, Jordan; Eastleigh, Kenya; Kuala Lumpur, Malaysia; and Nakivale, Uganda. Methods: The studies employed mixed methods: a household survey, facility assessments, in-depth interviews, and focus group discussions. Results: Findings on awareness and demand for family planning, availability, accessibility, and quality of services showed that adult women aged 20-29 years were significantly more likely to be aware, to have ever used, or are currently using a modern method as compared to adolescent girls aged 15-19 years. Facility assessments showed limited availability of certain methods, especially long-acting and permanent methods. Despite availability, in all sites, focus group discussion participants-especially adolescents-reported many accessibility-related barriers to using existing services, including distant service delivery points, cost of transport, lack of knowledge about different types of methods, misinformation and misconceptions, religious opposition, cultural factors, language barriers with providers, and provider biases. Conclusion: Based on gaps, partners to the study developed short and long-term recommendations around improving service availability, accessibility, and quality. There remains a need to scale up support for refugees, particularly around adolescent access to family planning services.

show abstract

“…The limited evidence on GHIs’ influence on conflict-affected countries probably reflects contextual challenges of insecurity, limited management and stewardship capacity, limited operational service delivery capacity, greater challenges with monitoring and evaluation facing GHIs in these settings. In addition, conducting monitoring, evaluation and research in conflict-affected settings is logistically and politically difficult, with little research funding devoted to such settings [ 76 , 77 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring the influence of the Global Fund and the GAVI Alliance on health systems in conflict-affected countries

2015

Self Cite

View full text Add to dashboard Cite

BackgroundGlobal Health Initiatives (GHIs) respond to high-impact communicable diseases in resource-poor countries, including health systems support, and are major actors in global health. GHIs could play an important role in countries affected by armed conflict given these countries commonly have weak health systems and a high burden of communicable disease. The aim of this study is to explore the influence of two leading GHIs, the Global Fund and the GAVI Alliance, on the health systems of conflict-affected countries.MethodsThis study used an analytical review approach to identify evidence on the role of the Global Fund and the GAVI Alliance with regards to health systems support to 19 conflict-affected countries. Primary and secondary published and grey literature were used, including country evaluations from the Global Fund and the GAVI Alliance. The WHO heath systems building blocks framework was used for the analysis.ResultsThere is a limited evidence-base on the influence of GHIs on health systems of conflict-affected countries. The findings suggest that GHIs are increasingly investing in conflict-affected countries which has helped to rapidly scale up health services, strengthen human resources, improve procurement, and develop guidelines and protocols. Negative influences include distorting priorities within the health system, inequitable financing of disease-specific services over other health services, diverting staff away from more essential health care services, inadequate attention to capacity building, burdensome reporting requirements, and limited flexibility and responsiveness to the contextual challenges of conflict-affected countries.ConclusionsThere is some evidence of increasing engagement of the Global Fund and the GAVI Alliance with health systems in conflict-affected countries, but this engagement should be supported by more context-specific policies and approaches.

show abstract

Conflict and Health: seven years of advancing science in humanitarian crises

Cited by 52 publications

References 59 publications

Armed Conflicts and National Trends in Reproductive, Maternal, Newborn and Child Health in Sub-Saharan Africa: What Can National Health Surveys Tell Us?

Armed Conflicts and National Trends in Reproductive, Maternal, Newborn and Child Health in Sub-Saharan Africa: What Can National Health Surveys Tell Us?

Family planning in refugee settings: findings and actions from a multi-country study

Exploring the influence of the Global Fund and the GAVI Alliance on health systems in conflict-affected countries

Contact Info

Product

Resources

About