When political solutions for acute conflict in Yemen seem distant, demand for reproductive health services is immediate: a programme model for resilient family planning and post-abortion care services

Morris, Catherine; Lopes, Kate; Gallagher, Meghan C.; Ashraf, Sohail; Ibrahim, Shihab

doi:10.1080/26410397.2019.1610279

Cited by 16 publications

(18 citation statements)

References 10 publications

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“…The effectiveness of humanitarian public health action depends on knowledge of the context, understanding of priority needs, and correct and timely identification and implementation of the most appropriate interventions [37]. Recent program evaluations in other areas of Yemen have shown that there is continued demand for family planning, maternal and newborn health care and utilization increases when these services are supported by programs and resources [32]. Increasing attention to RMNCAH, particularly reproductive, maternal and newborn health services, requires strategic advocacy within and outside of Yemen.…”

Section: Discussionmentioning

confidence: 99%

“…Food security and nutrition surveys were conducted in 2014 and 2016, but do not provide information on broader health status or service coverage indicators [27,28]. The few studies published include rigorous analysis of cholera surveillance data, [29,30] a review of health system functionality prior to the escalation of conflict [3], an evaluation of a family planning and post-abortion care program in two governorates, [31,32] and modeling of potential impacts of conflict on health service delivery [33].…”

Section: Introductionmentioning

confidence: 99%

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Reproductive, maternal, newborn and child health service delivery during conflict in Yemen: a case study

Tappis¹,

Elaraby²,

Elnakib³

et al. 2020

Confl Health

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Background: Armed conflict, food insecurity, epidemic cholera, economic decline and deterioration of essential public services present overwhelming challenges to population health and well-being in Yemen. Although the majority of the population is in need of humanitarian assistance and civil servants in many areas have not received salaries since 2016, many healthcare providers continue to work, and families continue to need and seek care.Methods: This case study examines how reproductive, maternal, newborn, child and adolescent health and nutrition (RMNCAH+N) services have been delivered since 2015, and identifies factors influencing implementation of these services in three governorates of Yemen. Content analysis methods were used to analyze publicly available documents and datasets published since 2000 as well as 94 semi-structured individual and group interviews conducted with government officials, humanitarian agency staff and facility-based healthcare providers and six focus group discussions conducted with community health midwives and volunteers in September-October 2018.Results: Humanitarian response efforts focus on maintaining basic services at functioning facilities, and deploying mobile clinics, outreach teams and community health volunteer networks to address urgent needs where access is possible. Attention to specific aspects of RMNCAH+N varies slightly by location, with differences driven by priorities of government authorities, levels of violence, humanitarian access and availability of qualified human resources. Health services for women and children are generally considered to be a priority; however, cholera control and treatment of acute malnutrition are given precedence over other services along the continuum of care. Although health workers display notable resilience working in difficult conditions, challenges resulting from insecurity, limited functionality of health facilities, and challenges in importation and distribution of supplies limit the availability and quality of services.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Reproductive, maternal, newborn and child health service delivery during conflict in Yemen: a case study

Tappis¹,

Elaraby²,

Elnakib³

et al. 2020

Confl Health

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“…4 Some of the most dramatic and direct illustrations of the impact of politics on SRHR and the embodied consequences of those politics can be found in conflict zones and humanitarian settings. Morris et al 5 and Parmar et al 6 explore two very different settings in which the politics of conflict have undermined and violated women's SRHR. Morris et al 5 show how, in Yemen, health facilities have become a primary target for airstrikes and bombing, while the delivery of essential medicines and supplies have been disrupted by blockades.…”

Section: The Embodied Consequences Of Srhr Politicsmentioning

confidence: 99%

“…Morris et al 5 and Parmar et al 6 explore two very different settings in which the politics of conflict have undermined and violated women’s SRHR. Morris et al 5 show how, in Yemen, health facilities have become a primary target for airstrikes and bombing, while the delivery of essential medicines and supplies have been disrupted by blockades. They trace the work of Save the Children to continue with the provision of family planning and post-abortion care programmes within two governorates heavily impacted by the conflict, demonstrating that demand for quality services has continued amidst the crisis.…”

Section: The Embodied Consequences Of Srhr Politicsmentioning

confidence: 99%

“…They trace the work of Save the Children to continue with the provision of family planning and post-abortion care programmes within two governorates heavily impacted by the conflict, demonstrating that demand for quality services has continued amidst the crisis. 5 Further, their article shows that with adaptable and innovative programming (alongside adequate funding), such demand can be met. In their review, Parmar et al 6 draw attention to the issue of maternal death in the Rohingya refugee camps in Ukhia and Teknaf Upazilas, Cox’s Bazar District, Bangladesh.…”

Section: The Embodied Consequences Of Srhr Politicsmentioning

confidence: 99%

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Politics, power, and sexual and reproductive health and rights: impacts and opportunities

Pugh¹

2019

Sexual and Reproductive Health Matters

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Analyzing Yemen’s health system at the governorate level amid the ongoing conflict: a case of Al Hodeida governorate

Al Waziza,

Sheikh,

Ahmed

et al. 2023

Discov Health Systems

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Background Yemen is regarded as one of the Middle East’s poorest countries. Decades of political, economic, and social difficulties have culminated in the current protracted conflict. As a result, the globe experienced its worst humanitarian catastrophe. The ongoing war has affected several public services, notably the health sector, which is operating at less than half its capacity. This study aims to examine Yemen’s health system at the governorate level (Al Hodeida) amidst the current conflict. It analyzes current challenges and produces suggestions for enhancement. Methods The study used qualitative research methods such as Key Informant Interviews (KIIs) and document analysis. The study used WHO’s health systems framework to measure health system performance. Twelve KIIs were conducted via Skype with several health stakeholders. In addition, documents were analyzed to inform the subject guide, generate themes, and aid in the triangulation of results. Results According to the study findings, the governorate health system managed to offer a minimum level of healthcare services while making some advances in outbreak control jointly with other partners. One of the main difficulties confronting the governorate’s health system is a severe lack of financial resources forcing it to rely entirely on external aid. Furthermore, other significant deficiencies include inadequate health system organogram, low reporting capacities, insufficient funding, and scarcity of health professionals. Conclusion Yemen’s frail health system has been weakened by almost eight years of insecurity and conflict. If the current scenario continues, most of Yemen’s health system’s operations and indicators will likely deteriorate. On the other hand, progress in some areas, such as primary healthcare (PHC) services and disease management, is remarkable. However, for better performance, Yemen’s health system leadership and stakeholders should seek a holistic strategy to improve the entire dimensions of the health system.

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When political solutions for acute conflict in Yemen seem distant, demand for reproductive health services is immediate: a programme model for resilient family planning and post-abortion care services

Abstract: Ibrahim (2019) When political solutions for acute conflict in Yemen seem distant, demand for reproductive health services is immediate: a programme model for resilient family planning and post-abortion care services,

Cited by 16 publications

References 10 publications

Reproductive, maternal, newborn and child health service delivery during conflict in Yemen: a case study

Reproductive, maternal, newborn and child health service delivery during conflict in Yemen: a case study

Politics, power, and sexual and reproductive health and rights: impacts and opportunities

Analyzing Yemen’s health system at the governorate level amid the ongoing conflict: a case of Al Hodeida governorate

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