Health system strengthening in fragile and conflict-affected states: a call to action

Landry, Michel D.; Giebel, Clarissa; Cryer, Tillie L.

doi:10.1186/s12913-021-06753-1

Cited by 9 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Transforming healthcare and Finding technologies that can bring healthcare from the hospital to the living room is crucial and is a key enabler of change in the e-healthcare industry (Bell et al, 2020). However, despite technological revolution and transformation throughout the globe, there is still a substantial digital divide and health disparities between HICs, LMICs, and Fragile Conflict populations, which needs to be strengthened (Landry et al, 2021). The World Federation for Mental Health theme in 2021 was "Mental Health in an Unequal World," emphasising that access to mental health services continues to remain unequal (WFMH World Mental Health Day, 2021).…”

Section: Metaverse For Mental Healthcarementioning

confidence: 99%

Metaverse!

Mohamed

Naqishbandi

Veronese

2023

International Journal of E-Adoption

View full text Add to dashboard Cite

This study aimed to synthesize the literature on Metaverse to highlight its current research, opportunities, and applications in e-healthcare and education to reduce inequalities and for delivering fair and equal opportunities and solutions. The authors employed preferred reporting items for systematic reviews and meta-analyses (PRISMA) to rapidly map the field of a metaverse in health and education. Two major application domains emerged in the literature from the 88 research publications, which include (1) Metaverse in healthcare and (2) Metaverse in education. This study will act as a road map to help academics who desire to continue their research work in the Metaverse for various healthcare and educational services. However, its implementation is required in the future to improve mental healthcare and the effectiveness of mental health services, particularly in low and medium-income (LMIC) and conflict-affected areas.

show abstract

Section: Metaverse For Mental Healthcarementioning

confidence: 99%

Metaverse!

Mohamed

Naqishbandi

Veronese

2023

International Journal of E-Adoption

View full text Add to dashboard Cite

show abstract

“…The research and practitioner communities have both highlighted the necessity of expanding research on HSR in these settings [ 18 ]. Low- and middle-income countries (LMICs) are disproportionately affected by conflict and violence, which represent the main sources of both acute shocks and chronic stressors on health care systems in such contexts [ 19 , 20 ]. Among the 82 countries classified as LMICs by the World Bank in 2022 [ 21 ], more than one third (29/82, 35.4%) were considered FCAS [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Health systems resilience in fragile and conflict-affected settings: a systematic scoping review

Truppa,

Yaacoub,

Valente

et al. 2024

Confl Health

View full text Add to dashboard Cite

Background Health systems resilience (HSR) research is a rapidly expanding field, in which key concepts are discussed and theoretical frameworks are emerging with vibrant debate. Fragile and conflict-affected settings (FCAS) are contexts exposed to compounding stressors, for which resilience is an important characteristic. However, only limited evidence has been generated in such settings. We conducted a scoping review to: (a) identify the conceptual frameworks of HSR used in the analysis of shocks and stressors in FCAS; (b) describe the representation of different actors involved in health care governance and service provision in these settings; and (c) identify health systems operations as they relate to absorption, adaptation, and transformation in FCAS. Methods We used standard, extensive search methods. The search captured studies published between 2006 and January 2022. We included all peer reviewed and grey literature that adopted a HSR lens in the analysis of health responses to crises. Thematic analysis using both inductive and deductive approaches was conducted, adopting frameworks related to resilience characteristics identified by Kruk et al., and the resilience capacities described by Blanchet et al. Results Thirty-seven studies met our inclusion criteria. The governance-centred, capacity-oriented framework for HSR emerged as the most frequently used lens of analysis to describe the health responses to conflict and chronic violence specifically. Most studies focused on public health systems’ resilience analysis, while the private health sector is only examined in complementarity with the former. Communities are minimally represented, despite their widely acknowledged role in supporting HSR. The documentation of operations enacting HSR in FCAS is focused on absorption and adaptation, while transformation is seldom described. Absorptive, adaptive, and transformative interventions are described across seven different domains: safety and security, society, health system governance, stocks and supplies, built environment, health care workforce, and health care services. Conclusions Our review findings suggest that the governance-centred framework can be useful to better understand HSR in FCAS. Future HSR research should document adaptive and transformative strategies that advance HSR, particularly in relation to actions intended to promote the safety and security of health systems, the built environment for health, and the adoption of a social justice lens.

show abstract

“…Furthermore, South Sudan and the EMR differ significantly in terms of their healthcare systems, infrastructure, and population needs. The EMR is composed of mostly middle-income countries with established healthcare systems and better infrastructure, while South Sudan is a low-income country that faces significant challenges in providing basic healthcare services due to limited resources and a fragile healthcare system [ 8 , 9 ]. These differences in healthcare systems, infrastructure, and population needs should be taken into consideration when deploying the NCDK to ensure that the kit items are suitable for the local context.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the WHO non-communicable diseases kit for humanitarian emergencies in South Sudan: a retrospective, prospective, observational study

Alani,

Miller,

Darji

et al. 2023

Confl Health

View full text Add to dashboard Cite

Background The WHO Non-Communicable Diseases Kit (NCDK) was developed to support care for non-communicable diseases (NCDs) in humanitarian settings. Targeting primary healthcare, each kit contains medicines and supplies that are forecasted to meet the needs of 10,000 people for 3 months. This study aimed to evaluate the NCDK deployment process, contents, usage and limitations, and to explore its acceptability and effectiveness among healthcare workers (HCWs) in South Sudan. Methods This mixed-method observational study captured data from pre-and-post NCDK deployment. Six data collection tools included: (i) contextual analysis, (ii) semi-structured interviews, in addition to surveys measuring/assessing (iii) healthcare workers’ knowledge about NCDs, and healthcare workers’ perceptions of: (iv) health facility infrastructure, (v) pharmaceutical supply chain, and (vi) NCDK content. The pre- and post-deployment evaluations were conducted in four facilities (October-2019) and three facilities (April-2021), respectively. Descriptive statistics were used for quantitative data and content analysis for open-ended questions. A thematic analysis was applied on interviews findings and further categorized into four predetermined themes. Results Compared to baseline, two of the re-assessed facilities had improved service availability for NCDs. Respondents described NCDs as a growing problem that is not addressed at a national level. After deployment, the same struggles were intensified with the COVID-19 pandemic. The delivery process was slow and faced delays associated with several barriers. After deployment, poor communications and the “push system” of inventories were commonly perceived by stakeholders, leading to expiry/disposal of some contents. Despite being out-of-stock at baseline, at least 55% of medicines were found to be unused post-deployment and the knowledge surveys demonstrated a need for improving HCWs knowledge of NCDs. Conclusions This assessment further confirmed the NCDK role in maintaining continuity of care on a short-term period. However, its effectiveness was dependent on the health system supply chain in place and the capacity of facilities to manage and treat NCDs. Availability of medicines from alternative sources made some of the NCDK medicines redundant or unnecessary for some health facilities. Several learnings were identified in this assessment, highlighting barriers that contributed to the kit underutilization.

show abstract

Health system strengthening in fragile and conflict-affected states: a call to action

Cited by 9 publications

References 6 publications

Metaverse!

Metaverse!

Health systems resilience in fragile and conflict-affected settings: a systematic scoping review

Assessment of the WHO non-communicable diseases kit for humanitarian emergencies in South Sudan: a retrospective, prospective, observational study

Contact Info

Product

Resources

About