301 results match your criteria Conflict and Health [Journal]


Construct validity and factor structure of sense of coherence (SoC-13) scale as a measure of resilience in Eritrean refugees living in Ethiopia.

Confl Health 2019 6;13. Epub 2019 Feb 6.

1Department of Psychiatry, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Background: There is a scarcity of adapted measures to study resilience and mental health of people in humanitarian settings in Africa. The aim of this study was to identify the factor structure and other psychometric properties of the Sense of Coherence (SoC-13) scale in Eritrean refugees living in Ethiopia.

Methods: In a cross-sectional survey, 562 adults were selected randomly from Eritrean refugees living in Mai Aini camp, Ethiopia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-019-0185-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366046PMC
February 2019
1 Read

Integration of health services, access and utilization by refugees and host populations in West Nile districts, Uganda.

Confl Health 2019 7;13. Epub 2019 Jan 7.

Department of Community Health and Behavioural Sciences, Makerere University School of Public Health, P. O. Box 7072, Kampala, Uganda.

Prolonged civil war and unrest has dominated the short history of South Sudan resulting in the long-term displacement of millions of people since the 1990s. Since December 2013, over one million South Sudanese refugees have fled into Uganda. International and national responses to the refugee influx in the country has been managed through parallel and integrated care and assistance mechanisms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0184-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322311PMC
January 2019
1 Read

Access to care for non-communicable diseases in Mosul, Iraq between 2014 and 2017: a rapid qualitative study.

Confl Health 2018 29;12:48. Epub 2018 Dec 29.

1Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.

During June 2014 to April 2017, the population of Mosul, Iraq lived in a state of increasing isolation from the rest of Iraq due to the city's occupation by the Islamic State group. As part of a study to develop a generalisable method for estimating the excess burden of non-communicable diseases (NCDs) in conflict-affected settings, in April-May 2017 we conducted a brief qualitative study of self-reported care for NCDs among 15 adult patients who had fled Mosul and presented to Médecins Sans Frontières clinics in the Kurdistan region with hypertension and/or diabetes. Participants reported consistent barriers to NCD care during the so-called Islamic State period, including drug shortages, insecurity and inability to afford privately sold medication. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0183-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311030PMC
December 2018
1 Read

Shortcomings in addressing attacks on health care.

Authors:
Dilshad Jaff

Confl Health 2018 11;12:47. Epub 2018 Dec 11.

Research, Innovation and Global Solutions, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC 27599 USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0182-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290503PMC
December 2018
1 Read

Healthcare needs and health service utilization by Syrian refugee women in Toronto.

Confl Health 2018 3;12:46. Epub 2018 Dec 3.

8Daphne Cockwell School of Nursing, Ryerson University, POD 474B, 350 Victoria Street, Toronto, ON M5B 2K3 Canada.

Objective: Access to healthcare is an important part of the (re)settlement process for Syrian refugees in Canada. There is growing concern about the healthcare needs of the 54,560 Syrian refugees who were admitted to Canada by May 2018, 80% of whom are women and children. We explored the healthcare needs of newcomer Syrian women, their experiences in accessing and using health services, and the factors and conditions that shape whether and how they access and utilize health services in the Greater Toronto Area (GTA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0181-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276153PMC
December 2018
1 Read

What influenced provision of non-communicable disease healthcare in the Syrian conflict, from policy to implementation? A qualitative study.

Confl Health 2018 12;12:45. Epub 2018 Nov 12.

London School of Hygiene and Tropical Medicine, London, UK.

Background: There has been increasing focus on tackling the growing burden of non-communicable diseases (NCD) in crisis settings. The complex and protracted crisis in Syria is unfolding against a background of increasing NCD burden. This study investigated factors influencing implementation of NCD healthcare in Syria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0178-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233508PMC
November 2018
11 Reads

Are public hospitals reforming efficiently in West Bank?

Confl Health 2018 5;12:44. Epub 2018 Nov 5.

2School of Economics and Management, University of Minho, Braga, Portugal.

Background: The structure, function, and capacity of the health care system in the Occupied Palestinian Territories (OPT) had been largely shaped by the complex political history of the country. Since the establishment of the Palestinian Authority in 1994, the reform efforts were subsidized much by the international aids to rebuild the country's institutional capacity. No previous studies have provided a realistic evaluation of Palestinian achievements in the conduct of public healthcare, we examine the relative productive efficiency of public hospitals (their managers' success in the usage of resources) during 2010-2015 within West Bank and Jordan. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0180-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217786PMC
November 2018
7 Reads

Bibliometric analysis of peer-reviewed literature on Syrian refugees and displaced people (2011-2017).

Authors:
Waleed M Sweileh

Confl Health 2018 29;12:43. Epub 2018 Oct 29.

Department of Physiology, Pharmacology/Toxicology, Division of Biomedical Sciences, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Background: The Syrian conflict has created the worst humanitarian crisis of our time with approximately half of Syria's pre-war population killed or forced to flee their homes. The current study aimed to analyze peer-reviewed literature published on Syrian refugees and displaced people.

Methods: A bibliometric methodology was implemented using Scopus database after retrieving documents relevant to Syrian refugees and displaced people. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0179-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205788PMC
October 2018
3 Reads

SMS-based smartphone application for disease surveillance has doubled completeness and timeliness in a limited-resource setting - evaluation of a 15-week pilot program in Central African Republic (CAR).

Confl Health 2018 24;12:42. Epub 2018 Oct 24.

1Médecins Sans Frontières (MSF), Geneva, Switzerland.

Background: It is a challenge in low-resource settings to ensure the availability of complete, timely disease surveillance information. Smartphone applications (apps) have the potential to enhance surveillance data transmission.

Methods: The Central African Republic (CAR) Ministry of Health and Médecins Sans Frontières (MSF) conducted a 15-week pilot project to test a disease surveillance app, Argus, for 20 conditions in 21 health centers in Mambéré Kadéi district (MK 2016). Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0177-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199707PMC
October 2018
5 Reads

Health status of returning refugees, internally displaced persons, and the host community in a post-conflict district in northern Sri Lanka: a cross-sectional survey.

Confl Health 2018 1;12:41. Epub 2018 Oct 1.

3Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.

Background: Although the adverse impacts of conflict-driven displacement on health are well-documented, less is known about how health status and associated risk factors differ according to displacement experience. This study quantifies health status and quality of life among returning refugees, internally displaced persons, and the host community in a post-conflict district in Northern Sri Lanka, and explores associated risk factors.

Methods: We analysed data collected through a household survey ( = 570) in Vavuniya district, Sri Lanka. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0176-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166297PMC
October 2018
2 Reads

Mental health and psychosocial problems among conflict-affected children in Kachin State, Myanmar: a qualitative study.

Confl Health 2018 19;12:39. Epub 2018 Sep 19.

1Department of International Health, Johns Hopkins School of Public Health, 614 N. Wolfe Street, Baltimore, MD 21205 USA.

Background: In Kachin State, Myanmar, collapse of a ceasefire in 2011 has resulted in widespread exposure to conflict and ongoing internal displacement. Such exposures are known risk factors for mental health and psychosocial (MHPS) problems, yet mental health services for children and youth are typically scarce in such circumstances. Following evaluation of a mental health treatment for adult trauma survivors on the Thailand-Myanmar border, our study team received requests to support the development of a similar intervention for displaced children in Kachin State. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0175-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145186PMC
September 2018
5 Reads

A cross-sectional assessment of diabetes self-management, education and support needs of Syrian refugee patients living with diabetes in Bekaa Valley Lebanon.

Confl Health 2018 12;12:40. Epub 2018 Sep 12.

2Médecins Sans Frontières, Rue de Lausanne 78, Geneva, 1202 Switzerland.

Background: Patients with diabetes require knowledge and skills to self-manage their disease, a challenging aspect of treatment that is difficult to address in humanitarian settings. Due to the lack of literature and experience regarding diabetes self-management, education and support (DSMES) in refugee populations, Medecins Sans Frontieres (MSF) undertook a DSMES survey in a cohort of diabetes patients seen in their primary health care program in Lebanon.

Methods: Structured interviews were conducted with diabetes patients in three primary care clinics between January and February 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0174-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134700PMC
September 2018
4 Reads

"I prefer dying fast than dying slowly", how institutional abuse worsens the mental health of stranded Syrian, Afghan and Congolese migrants on Lesbos island following the implementation of EU-Turkey deal.

Confl Health 2018 5;12:38. Epub 2018 Sep 5.

Médecins Sans Frontières, Operational Centre Brussels, Theofanous 19-21, Ampelokipi, Athens, Greece.

Background: In 2015 and early 2016, close to 1 million migrants transited through Greece, on their way to Western Europe. In early 2016, the closure of the "Balkan-route" and the EU/Turkey-deal led to a drastic reduction in the flow of migrants arriving to the Greek islands. The islands became open detention centers, where people would spend months or years under the constant fear of being returned to Turkey. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0172-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123956PMC
September 2018
1 Read

Population trends related to injury from explosive munitions in Lao PDR (1964-2008): a retrospective analysis.

Confl Health 2018 22;12:36. Epub 2018 Aug 22.

School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.

Background: The presence of landmines and explosive remnants of war (ERW) including unexploded ordnance (UXO) poses a serious public health risk for populations living in conflict-affected and contaminated areas. Current analysis, however, provides only a partial view of the burden. In this study, we examined the multivariable relationship between year of injury, activity at the time of the incident, case fatalities and casualty rates in order to provide decision-makers with a more fine-grained understanding of landmines and ERW injuries in the Lao PDR. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0171-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103997PMC
August 2018
13 Reads

Armed conflict, alcohol misuse, decision-making, and intimate partner violence among women in Northeastern Uganda: a population level study.

Confl Health 2018 6;12:37. Epub 2018 Aug 6.

6School of Public Health, Yale University, 60 College St, New Haven, CT 06510 USA.

Background: Relations among and interactions between exposure to armed conflict, alcohol misuse, low socioeconomic status, gender (in)equitable decision-making, and intimate partner violence (IPV) represent serious global health concerns. Our objective was to determine extent of exposure to these variables and test pathways between these indicators of interest.

Methods: We surveyed 605 women aged 13 to 49 who were randomly selected via multistage sampling across three districts in Northeastern Uganda in 2016. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0173-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6091151PMC
August 2018
14 Reads

Facilitators and barriers in implementing the Minimum Initial Services Package (MISP) for reproductive health in Nepal post-earthquake.

Confl Health 2018 15;12:35. Epub 2018 Aug 15.

1Women's Refugee Commission, 15 W 37 Street, 9th Floor, New York, NY 10018 USA.

Background: Following the Nepal earthquake in April 2015, UNFPA estimated that 1.4 million women of reproductive age were affected, with approximately 93,000 pregnant and 28,000 at risk of sexual violence. A set of priority reproductive health (RH) actions, the Minimum Initial Services Package (MISP), was initiated by government, international and local actors. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0170-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092803PMC
August 2018
10 Reads

Adaptation and testing of an assessment for mental health and alcohol use problems among conflict-affected adults in Ukraine.

Confl Health 2018 15;12:34. Epub 2018 Aug 15.

1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA.

Background: In Ukraine, a large number of internally displaced persons (IDPs) and veterans experience social and psychological problems as a result of the ongoing conflict between Ukraine and Russia. Our purpose was to develop reliable and valid instruments to screen for common mental health and alcohol use problems in these populations.

Methods: We used a three-step process of instrument adaptation and testing. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0169-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092824PMC
August 2018
1 Read

Living in Mosul during the time of ISIS and the military liberation: results from a 40-cluster household survey.

Confl Health 2018 1;12:31. Epub 2018 Aug 1.

3Department of International Health, The Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205 USA.

Background: In June 2014, an estimated 1500 fighters of the Islamic State of Iraq and Syria (ISIS) seized control of Mosul, Iraq's second city. Although many residents fled, others stayed behind, enduring the restrictive civil and social policies of ISIS. In December 2016, the military activity, known as the liberation campaign, began in east Mosul, concluding in west Mosul in June 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0167-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6069716PMC
August 2018
6 Reads

Barriers to cardiovascular disease secondary prevention care in the West Bank, Palestine - a health professional perspective.

Confl Health 2018 16;12:27. Epub 2018 Jul 16.

2Department of Global Health & Social Medicine, Room 2.7a East Wing, School of Global Affairs Faculty of Social Science and Public Policy, King's College London, Strand, London, WC2R 2LS UK.

Background: Non-communicable diseases (NCDs) - including cardiovascular disease (CVD), cancer and diabetes - have become a significant global burden on health. Particularly concerning are CVD rates, causing approximately 18 million deaths worldwide every year. The statistics show that the disease is no longer a predominantly high-income country phenomenon, but affects, increasingly, countries in both developing regions and conflict-affected areas. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0165-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047122PMC
July 2018
5 Reads

Tuberculosis contact-tracing among Syrian refugee populations: lessons from Jordan.

Confl Health 2018 16;12:25. Epub 2018 Jul 16.

1Paediatric Infectious Diseases, General Pediatrics, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.

Background: In response to the influx of displaced Syrians since 2011, the Jordanian National Tuberculosis Program (NTP) implemented a specific Tuberculosis (TB) reduction strategy, including contact-tracing (CT). Contacts of all refugees diagnosed with pulmonary TB (PTB) were registered by the International Organization for Migration and screened for active & latent TB infection (LTBI) in 6 NTP centres.The objectives of this study were to assess prevalence of active TB and LTBI, risk factors for LTBI as well as program performance. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0164-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047119PMC
July 2018
5 Reads

Prevalence of non-communicable diseases and access to care among non-camp Syrian refugees in northern Jordan.

Confl Health 2018 11;12:33. Epub 2018 Jul 11.

5Médecins Sans Frontières, Operational Centre Amsterdam, Amsterdam, The Netherlands.

Background: Tackling the high non-communicable disease (NCD) burden among Syrian refugees poses a challenge to humanitarian actors and host countries. Current response priorities are the identification and integration of key interventions for NCD care into humanitarian programs as well as sustainable financing. To provide evidence for effective NCD intervention planning, we conducted a cross-sectional survey among non-camp Syrian refugees in northern Jordan to investigate the burden and determinants for high NCDs prevalence and NCD multi-morbidities and assess the access to NCD care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0168-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040066PMC
July 2018
5 Reads

Small and light arms violence reduction as a public health measure: the case of Libya.

Confl Health 2018 9;12:29. Epub 2018 Jul 9.

1Conflict and Health Research Group, King's College London, London, UK.

The conflict environment in Libya is characterized by continued pervasive insecurity amidst the widespread availability of small arms and light weapons (SALW). After the First Civil War, armed brigades took the law into their own hands and the resulting violence terminated a short-lived post-conflict period that has relapsed into a Second Civil War. The Libyan government has struggled to assert authority over armed groups and these brigades, refusing to disarm have contributed directly the initiation of a second conflict; some are motivated by self-defense, status, criminality, vindication or political aims. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0162-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036701PMC
July 2018
8 Reads

Provision and continuation of antiretroviral therapy during acute conflict: the experience of MSF in Central African Republic and Yemen.

Confl Health 2018 2;12:30. Epub 2018 Jul 2.

4Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape town, South Africa.

Background: Unstable settings present challenges for the effective provision of antiretroviral treatment (ART). In this paper, we summarize the experience and results of providing ART and implementing contingency plans during acute instability in the Central African Republic (CAR) and Yemen.

Case Presentation: In CAR, MSF has provided HIV care in three conflict-affected rural regions; these were put on hold throughout the acute phase of violence. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0161-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6027556PMC
July 2018
6 Reads

Performance-based financing in three humanitarian settings: principles and pragmatism.

Confl Health 2018 27;12:28. Epub 2018 Jun 27.

1ReBUILD & Institute for Global Health and Development, Queen Margaret University, Edinburgh, UK.

Background: Performance based financing (PBF) has been increasingly implemented across low and middle-income countries, including in fragile and humanitarian settings, which present specific features likely to require adaptation and to influence implementation of any health financing programme. However, the literature has been surprisingly thin in the discussion of how PBF has been adapted to different contexts, and in turn how different contexts may influence PBF. With case studies from three humanitarian settings (northern Nigeria, Central African Republic and South Kivu in the Democratic Republic of Congo), we examine why and how PBF has emerged and has been adapted to those unsettled and dynamic contexts, what the opportunities and challenges have been, and what lessons can be drawn. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0166-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020366PMC
June 2018
3 Reads

.": A qualitative study to explore stakeholders' perspectives on the health needs of Syrian refugees in Greece following the 2016 European Union-Turkey agreement.

Confl Health 2018 8;12:24. Epub 2018 Jun 8.

6London School of Hygiene and Tropical Medicine, Department of Population Health, Keppel Street, London, UK.

Background: By 2017, more than 500,000 Syrian refugees had passed through Greece seeking safety and asylum. Understanding how their health needs evolved over the refugee crisis in Greece and in relation to changing migration policy, and exploring the challenges involved in delivering their healthcare is timely as non-governmental organizations (NGOs) transition health service provision to the Greek health authorities.

Methods: We conducted a qualitative study to explore stakeholders' perspectives on delivering health services to Syrian refugees over the course of the humanitarian response in Greece from 2015 to 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0158-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992764PMC
June 2018
12 Reads

A scoping review of the associations between mental health and factors related to HIV acquisition and disease progression in conflict-affected populations.

Confl Health 2018 1;12:20. Epub 2018 Jun 1.

2Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street Room E5547 Baltimore, Baltimore, MD 21205 USA.

The association between poor mental health and factors related to HIV acquisition and disease progression (also referred to as HIV-related factors) may be stronger among conflict-affected populations given elevated rates of mental health disorders. We conducted a scoping review of the literature to identify evidence-based associations between mental health (depression, anxiety, and post-traumatic stress disorder [PTSD]) and factors related to HIV acquisition and progression in conflict-affected populations. Five electronic databases were searched on October 10, 2014 and updated on March 7, 2017 to identify peer-reviewed publications presenting primary data from January 1, 1994 to March 7, 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0156-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984364PMC
June 2018
38 Reads

Wishful thinking versus operational commitment: is the international guidance on priority sexual and reproductive health interventions in humanitarian settings becoming unrealistic?

Confl Health 2018 29;12:32. Epub 2018 May 29.

3Médecins sans Frontières, Rue de Lausanne 78, 1202 Genève, Switzerland.

Twenty-one years ago, a global consortium of like-minded institutions designed the landmark Minimum Initial Service Package (MISP) for sexual and reproductive health (SRH) to guide national and international humanitarian first responders in preventing morbidity and mortality at the onset of chaos, destruction, and high insecurity caused by disasters or conflicts. Since then, the MISP has undergone limited change and has become an international reference in humanitarian response. This article discusses our perspectives regarding the 2018 changes to the MISP that have created division among humanitarian field practitioners, academics, advocates, and development agencies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0157-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5975676PMC
May 2018
4 Reads

A factor analytic investigation of DSM-5 PTSD symptoms in a culturally diverse sample of refugees resettled in Australia.

Confl Health 2018 23;12:26. Epub 2018 May 23.

School of Psychology, University of New South Wales, Sydney, NSW 2052 Australia.

Background: Refugees and asylum-seekers are often exposed to multiple types of potentially traumatic events (PTEs) and report elevated rates of psychological disorders, including posttraumatic stress disorder (PTSD). Considering this, refugee populations merit continued research in the field of traumatic stress to better understand the psychological impact of these experiences. The symptom structure of PTSD underwent a major revision in the recent formulation in the fifth edition of the (DSM-5), and this reformulation has yet to be comprehensively investigated in the context of PTSD arising from traumatic events experienced by refugees. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0155-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964709PMC
May 2018
3 Reads

Using digital health to enable ethical health research in conflict and other humanitarian settings.

Authors:
Eric D Perakslis

Confl Health 2018 14;12:23. Epub 2018 May 14.

Datavant Inc., San Francisco, CA USA.

Conducting research in a humanitarian setting requires quantifiable quality measures to ensure ethical study conduct. Digital health technologies are proven to improve research study quality and efficacy via automated data collection, improvement of data reliability, fidelity and resilience and by improved data provenance and traceability. Additionally, digital health methodologies can improve patient identity, patient privacy, study transparency, data sharing, competent informed consent, and the confidentiality and security of humanitarian operations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0163-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950196PMC
May 2018
3 Reads

Conflict and tuberculosis in Sudan: a 10-year review of the National Tuberculosis Programme, 2004-2014.

Confl Health 2018 16;12:18. Epub 2018 May 16.

The Epidemiological Laboratory, House 34, Street 53, New Extension, P.O.BOX 13595, Khartoum, Sudan.

Background: Sudan is a fragile developing country, with a low expenditure on health. It has been subjected to ongoing conflicts ever since 1956, with the Darfur crisis peaking in 2004. The conflict, in combination with the weak infrastructure, can lead to poor access to healthcare. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0154-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954449PMC
May 2018
21 Reads

Mechanisms of change for interventions aimed at improving the wellbeing, mental health and resilience of children and adolescents affected by war and armed conflict: a systematic review of reviews.

Confl Health 2018 9;12:15. Epub 2018 May 9.

Danish Red Cross, Mansour, Baghdad, Iraq.

Despite increasing research and clinical interest in delivering psychosocial interventions for children affected by war, little research has been conducted on the underlying mechanisms of change associated with these interventions. This review aimed to identify these processes in order to inform existing interventions and highlight research gaps. A systematic review of reviews was conducted drawing from academic databases (PubMed, PILOTS, Cochrane Library for Systematic Reviews) and field resources (e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0153-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941634PMC
May 2018
2 Reads

Review of attacks on health care facilities in six conflicts of the past three decades.

Confl Health 2018 2;12:19. Epub 2018 May 2.

4Larner College of Medicine, University of Vermont, and Vermont Oxford Network, Burlington, USA.

Background: In the ongoing conflicts of Syria and Yemen, there have been widespread reports of attacks on health care facilities and personnel. Tabulated evidence does suggest hospital bombings in Syria and Yemen are far higher than reported in other conflicts but it is unclear if this is a reporting artefact.

Objective: This article examines attacks on health care facilities in conflicts in six middle- to high- income countries that have occurred over the past three decades to try and determine if attacks have become more common, and to assess the different methods used to collect data on attacks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0152-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930682PMC
May 2018
4 Reads

Water, sanitation, and hygiene access in southern Syria: analysis of survey data and recommendations for response.

Confl Health 2018 23;12:17. Epub 2018 Apr 23.

Whole of Syria Water, Sanitation, and Hygiene Sector, UNICEF MENARO (Middle East and North Africa Regional Office), Amman, Jordan.

Background: Water, sanitation, and hygiene (WASH) are immediate priorities for human survival and dignity in emergencies. In 2010, > 90% of Syrians had access to improved drinking water. In 2011, armed conflict began and currently 12 million people need WASH services. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0151-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911958PMC
April 2018
6 Reads

Epidemiological findings of major chemical attacks in the Syrian war are consistent with civilian targeting: a short report.

Confl Health 2018 16;12:16. Epub 2018 Apr 16.

3Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA USA.

Evidence of use of toxic gas chemical weapons in the Syrian war has been reported by governmental and non-governmental international organizations since the war started in March 2011. To date, the profiles of victims of the largest chemical attacks in Syria remain unknown. In this study, we used descriptive epidemiological analysis to describe demographic characteristics of victims of the largest chemical weapons attacks in the Syrian war. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0150-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901879PMC
April 2018
6 Reads

Notes from the field: a case of hepatic failure and reflections on current status of healthcare of Syrian refugees in Lebanon.

Confl Health 2018 9;12:14. Epub 2018 Apr 9.

4School of Medicine, Jordan University Of Science and Technology, Irbid, Jordan.

Recent trends and research suggest health conditions of the Syrian refugees in Lebanon are deteriorating. The following case study highlights some of the problems that refugees encounter seeking health care services in Lebanon. A coordinated response from Non-governmental organization (NGO) with intense focus on non-communicable disease (NCD) is needed to avert further worsening of health conditions on the ground. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0149-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890344PMC
April 2018
5 Reads

Risk factors for vitamin A and D deficiencies among children under-five in the state of Palestine.

Confl Health 2018 2;12:13. Epub 2018 Apr 2.

Ministry of Health, Ramallah, State of Palestine.

Background: Vitamin A and D are essential for the proper growth and development of a child. Due to the complex political circumstances in the state of Palestine, research on micronutrient deficiency is scarce.

Methods: The Palestinian Ministry of Health (MOH) and UNICEF conducted a national cross-sectional survey in 2013 after the implementation of various micronutrient supplementation and fortification programs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0148-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880068PMC
April 2018
6 Reads

The new WHO decision-making framework on vaccine use in acute humanitarian emergencies: MSF experience in Minkaman, South Sudan.

Confl Health 2018 26;12:11. Epub 2018 Mar 26.

1Medecins Sans Frontieres Switzerland, Geneva, Switzerland.

Introduction: The main causes of death during population movements can be prevented by addressing the population's basic needs. In 2013, the World Health Organization (WHO) issued a framework for decision making to help prioritize vaccinations in acute humanitarian emergencies. This article describes MSF's experience of applying this framework in addition to addressing key population needs in a displacement setting in Minkaman, South Sudan. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0147-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868060PMC
March 2018
20 Reads

Reflections from the Lebanese field: "First, heal thyself".

Confl Health 2018 26;12. Epub 2018 Feb 26.

1The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, 151 Merrimac Street, 4th Floor, Boston, MA 02114 USA.

Humanitarian aid workers caring for Syrian refugees face major stressors as they attend to refugees' needs on the field. Without adequate psychosocial support, evidence has shown that fieldworkers experience high burnout and turnover as well as long-term poor mental health. Unfortunately, scarce training in this regard leaves them ill-equipped to care for themselves and practice resilience while handling trauma in the field. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0144-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863819PMC
February 2018
26 Reads

Monitoring and evaluation of mental health and psychosocial support programs in humanitarian settings: a scoping review of terminology and focus.

Confl Health 2018 19;12. Epub 2018 Mar 19.

1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, Maryland 21205 USA.

Background: Monitoring and evaluation of mental health and psychosocial support (MHPSS) programs is critical to facilitating learning and providing accountability to stakeholders. As part of an inter-agency effort to develop recommendations on MHPSS monitoring and evaluation, this scoping review aimed to identify the terminology and focus of monitoring and evaluation frameworks in this field.

Methods: We collected program documents (logical frameworks (logframes) and theories of change) from members of the Inter-Agency Standing Committee Reference Group on MHPSS, and systematically searched the peer-reviewed literature across five databases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0146-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858133PMC
March 2018
6 Reads

A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda.

Confl Health 2018 12;12. Epub 2018 Mar 12.

9Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 USA.

Background: Refugees living with HIV in sub-Saharan Africa suffer unique hardships that may increase their vulnerability to interruptions in antiretroviral therapy (ART).

Methods: To investigate refugees' experiences adhering to ART, we conducted inperson interviews with refugees on ART ( = 73) and HIV clinic staff ( = 4) in Nakivale Refugee Settlement in southwest Uganda from March to July 2011. Three analysts used a conventional content analysis approach to evaluate these data. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0145-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846232PMC
March 2018
8 Reads

Risk factors for unsafe behaviors toward grenades among rural populations affected by explosive devices in Colombia.

Confl Health 2018 5;12. Epub 2018 Mar 5.

2Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA USA.

Background: Following decades of armed conflict, Colombia remains highly affected by explosive device (ED) contamination, especially in rural areas. Many victims are injured by EDs despite knowing their dangers. Determining risk factors for unsafe behaviors toward EDs, including grenades, is critical for preventing injuries. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0141-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836358PMC
March 2018
8 Reads

Responding to chemical weapons violations in Syria: legal, health, and humanitarian recommendations.

Confl Health 2018 19;12:12. Epub 2018 Feb 19.

Harvard Humanitarian Initiative, Cambridge, MA USA.

Background: The repeated use of prohibited chemical weapons in the Syrian conflict poses serious health, humanitarian, and security threats to civilians, healthcare personnel, and first responders. Moreover, the use of chemical weapons constitutes a clear and egregious violation of international law-likely amounting to a war crime-for which continued impunity is setting a dangerous precedent in relation to current and future conflicts. This debate article calls upon concerned states, organizations, and individuals to respond urgently and unequivocally to this serious breach of international legal and humanitarian norms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0143-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5817898PMC
February 2018
7 Reads
1 Citation

The impact of Cognitive Processing Therapy on stigma among survivors of sexual violence in eastern Democratic Republic of Congo: results from a cluster randomized controlled trial.

Confl Health 2018 12;12. Epub 2018 Feb 12.

1Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, 624 N Broadway Street, Baltimore, MD 21205 USA.

Background: Sexual violence is associated with a multitude of poor physical, emotional, and social outcomes. Despite reports of stigma by sexual violence survivors, limited evidence exists on effective strategies to reduce stigma, particularly in conflict-affected settings. We sought to assess the effect of group Cognitive Processing Therapy (CPT) on stigma and the extent to which stigma might moderate the effectiveness of CPT in treating mental health problems among survivors of sexual violence in the Democratic Republic of Congo. Read More

View Article

Download full-text PDF

Source
https://conflictandhealth.biomedcentral.com/articles/10.1186
Publisher Site
http://dx.doi.org/10.1186/s13031-018-0142-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5808396PMC
February 2018
4 Reads

Local constructions of gender-based violence amongst IDPs in northern Uganda: analysis of archival data collected using a gender- and age-segmented participatory ranking methodology.

Confl Health 2018 7;12:10. Epub 2018 Feb 7.

1Mailman School of Public Health, Columbia University, New York, USA.

Background: Gender-based violence (GBV) is a significant problem in conflict-affected settings. Understanding local constructions of such violence is crucial to developing preventive and responsive interventions to address this issue.

Methods: This study reports on a secondary analysis of archived data collected as part of formative qualitative work - using a group participatory ranking methodology (PRM) - informing research on the prevalence of GBV amongst IDPs in northern Uganda in 2006. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0140-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803931PMC
February 2018
5 Reads

Evaluating the communities care program: best practice for rigorous research to evaluate gender based violence prevention and response programs in humanitarian settings.

Confl Health 2018 31;12. Epub 2018 Jan 31.

5UNICEF, New York, NY USA.

Background: Gender-based violence (GBV) is a significant issue for women and girls in humanitarian settings. Innovative primary prevention programs are being developed and implemented with existing response programs to change harmful social norms that sustain GBV in humanitarian settings. Social norms are expectations of how women, men, girls and boys should behave, who should have power and control over behavior, and how families and communities value women and girls and support their rights and opportunities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0138-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791214PMC
January 2018
3 Reads

Differences between the antibiotic prescribing pattern of newly arrived refugees in Germany and the German population.

Confl Health 2018 29;12. Epub 2018 Jan 29.

2Allgemeinmedizinisches Institut, Friedrich-Alexander Universität Erlangen-Nürnberg, Universitätsstraße 29, 91054 Erlangen, Germany.

The number of refugees arriving in Europe increased dramatically in 2015, challenging the German health system. Amongst others, the treatment of infectious diseases is an important topic in refugee healthcare. A high prevalence of multi-drug-resistant organisms has been identified among the refugee population. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0139-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787911PMC
January 2018
4 Reads

The impact of the Boko Haram insurgency in Northeast Nigeria on childhood wasting: a double-difference study.

Authors:
Gillian Dunn

Confl Health 2018 24;12. Epub 2018 Jan 24.

1City University of New York (CUNY) School of Public Health, 55 West 125th Street, New York, NY 10027 USA.

Background: This research examines the relationship between violent conflict and childhood wasting in Northeast Nigeria, where residents have been subjected to fighting between the Nigerian government and Boko Haram - an extremist Islamist movement - since 2009.

Methods: Using two Demographic and Health Surveys from before and after the Boko Haram insurgency started, a double-difference (difference-in-difference) approach is used to assess the impact of the conflict on mean weight-for-height z-scores and the likelihood of wasting.

Results: Results suggest that if children exposed to the conflict had not been exposed, their mean weight-for-height z-score would be 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0136-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5782364PMC
January 2018
9 Reads

Provision of emergency obstetric care at secondary level in a conflict setting in a rural area of Afghanistan - is the hospital fulfilling its role?

Confl Health 2018 22;12. Epub 2018 Jan 22.

2Medical department (Operational Research), Operational Centre Brussels, Médecins Sans Frontières, Luxembourg City, Luxembourg.

Background: Provision of Emergency Obstetric and Neonatal Care (EmONC) reduces maternal mortality and should include three components: Basic Emergency Obstetric and Neonatal Care (BEmONC) offered at primary care level, Comprehensive EmONC (CEmONC) at secondary level and a good referral system in-between. In a conflict-affected province of Afghanistan (Khost), we assessed the performance of an Médecins Sans Frontières (MSF) run CEmONC hospital without a primary care and referral system. Performance was assessed in terms of hospital utilisation for obstetric emergencies and quality of obstetric care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-018-0137-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5776770PMC
January 2018
11 Reads

The role of public health information in assistance to populations living in opposition and contested areas of Syria, 2012-2014.

Confl Health 2017 22;11:33. Epub 2017 Dec 22.

Global Health and Security, Department of War Studies, King's College London, London, UK.

Background: The Syrian armed conflict is the worst humanitarian tragedy this century. With approximately 470,000 deaths and more than 13 million people displaced, the conflict continues to have a devastating impact on the health system and health outcomes within the country. Hundreds of international and national non-governmental organisations, as well as United Nations agencies have responded to the humanitarian crisis in Syria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-017-0134-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5740952PMC
December 2017
12 Reads

Health needs of older populations affected by humanitarian crises in low- and middle-income countries: a systematic review.

Confl Health 2017 11;11:29. Epub 2017 Dec 11.

London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH UK.

Background: The combination of global demographic changes and a growing number of humanitarian crises in middle-income countries that have a higher life expectancy has led to an increase in the number of older populations affected by humanitarian crises. The aim of this review was to systematically examine evidence on the health needs of older populations in humanitarian crises, including both armed conflicts and natural disasters, in low- and middle-income countries (LMICs).

Methods: A systematic review methodology was used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13031-017-0133-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724338PMC
December 2017
11 Reads