41.1 TWO-GENERATIONAL APPROACH TO WORKING IN ADVERSE HUMANITARIAN SETTINGS

2020 ◽  
Vol 59 (10) ◽  
pp. S62-S63
Author(s):  
Suzan Song
Keyword(s):  
Humanitarian Settings

scholarly journals Research Priorities for Mental Health and Psychosocial Support in Humanitarian Settings

PLoS Medicine ◽  
2011 ◽  
Vol 8 (9) ◽  
pp. e1001096 ◽  
Author(s):  
Wietse A. Tol ◽  
Vikram Patel ◽  
Mark Tomlinson ◽  
Florence Baingana ◽  
Ananda Galappatti ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychosocial Support ◽  
Research Priorities ◽  
Humanitarian Settings

scholarly journals The availability of global guidance for the promotion of women’s, newborns’, children’s and adolescents’ health and nutrition in conflicts

2020 ◽  
Vol 5 (Suppl 1) ◽  
pp. e002060
Author(s):  
Samira Aboubaker ◽  
Egmond Samir Evers ◽  
Loulou Kobeissi ◽  
Lauren Francis ◽  
Robinah Najjemba ◽  
...  
Keyword(s):  
Adolescent Health ◽  
English Language ◽  
Guideline Development ◽  
Newborn Care ◽  
Evidence Base ◽  
Communicable Diseases ◽  
Key Informants ◽  
Humanitarian Settings ◽  
Health And Nutrition ◽  
Guidance Documents

BackgroundSignificant global gains in sexual, reproductive, maternal, newborn, child and adolescent health and nutrition (SRMNCAH&N) will be difficult unless conflict settings are adequately addressed. We aimed to determine the amount, scope and quality of publically available guidance documents, to characterise the process by which agencies develop their guidance and to identify gaps in guidance on SRMNCAH&N promotion in conflicts.MethodsWe identified guidance documents published between 2008 and 2018 through English-language Internet sites of humanitarian response organisations, reviewed them for their scope and assessed their quality with the AGREE II (Appraisal of Guidelines for REsearch and Evaluation II) tool. Additionally, we interviewed 22 key informants on guidance development, dissemination processes, perceived guidance gaps and applicability.FindingsWe identified 105 conflict-relevant guidance documents from 75 organisations. Of these, nine were specific to conflicts, others were applicable also to other humanitarian settings. Fifteen documents were technical normative guidelines, others were operational guides (67), descriptive documents (21) or advice on legal, human rights or ethics questions (2). Nutrition was the most addressed health topic, followed by communicable diseases and violence. The documents rated high quality in their ‘scope and purpose’ and ‘clarity of presentation’ and low for ‘rigour of development’ and ‘editorial independence’. Key informants reported end user need as the primary driver for guideline development and WHO technical guidelines as their main evidence base. Insufficient local contextualisation, lack of inter-agency coordination and lack of systematic implementation were considered problems in guideline development. Several guidance gaps were noted, including abortion care, newborn care, early child development, mental health, adolescent health beyond sexual and reproductive health and non-communicable diseases.InterpretationOrganisations are motivated and actively producing guidance for SRMNCAH&N promotion in humanitarian settings, but few documents address conflicts specifically and there are important guidance gaps. Improved inter-organisation collaboration for guidance on SRMNCAH&N promotion in conflicts and other humanitarian settings is needed.

scholarly journals Quality in crisis: a systematic review of the quality of health systems in humanitarian settings

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Keely Jordan ◽  
Todd P. Lewis ◽  
Bayard Roberts
Keyword(s):  
Systematic Review ◽  
Health System ◽  
Health Systems ◽  
Point Of Care ◽  
System Level ◽  
System Quality ◽  
High Quality ◽  
Humanitarian Settings ◽  
Quality Health

Abstract Background There is a growing concern that the quality of health systems in humanitarian crises and the care they provide has received little attention. To help better understand current practice and research on health system quality, this paper aimed to examine the evidence on the quality of health systems in humanitarian settings. Methods This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The context of interest was populations affected by humanitarian crisis in low- and middle- income countries (LMICs). We included studies where the intervention of interest, health services for populations affected by crisis, was provided by the formal health system. Our outcome of interest was the quality of the health system. We included primary research studies, from a combination of information sources, published in English between January 2000 and January 2019 using quantitative and qualitative methods. We used the High Quality Health Systems Framework to analyze the included studies by quality domain and sub-domain. Results We identified 2285 articles through our search, of which 163 were eligible for full-text review, and 55 articles were eligible for inclusion in our systematic review. Poor diagnosis, inadequate patient referrals, and inappropriate treatment of illness were commonly cited barriers to quality care. There was a strong focus placed on the foundations of a health system with emphasis on the workforce and tools, but a limited focus on the health impacts of health systems. The review also suggests some barriers to high quality health systems that are specific to humanitarian settings such as language barriers for refugees in their host country, discontinued care for migrant populations with chronic conditions, and fears around provider safety. Conclusion The review highlights a large gap in the measurement of quality both at the point of care and at the health system level. There is a need for further work particularly on health system measurement strategies, accountability mechanisms, and patient-centered approaches in humanitarian settings.

Delivering paediatric critical care in humanitarian settings

2018 ◽  
Vol 2 (12) ◽  
pp. 846-848
Author(s):  
Lisa Umphrey ◽  
Alexandra Brown ◽  
Laurent Hiffler ◽  
Nadia Lafferty ◽  
Daniel Martinez Garcia ◽  
...  
Keyword(s):  
Critical Care ◽  
Humanitarian Settings ◽  
Paediatric Critical Care

scholarly journals Prioritizing programming to address the needs and risks of very young adolescents: a summary of findings across three humanitarian settings

2017 ◽  
Vol 11 (S1) ◽  
Author(s):  
Jennifer Schlecht ◽  
Catherine Lee ◽  
Brad Kerner ◽  
Meghan Greeley ◽  
Courtland Robinson
Keyword(s):  
Young Adolescents ◽  
Humanitarian Settings

scholarly journals Use of COVID-19 evidence in humanitarian settings: the need for dynamic guidance adapted to changing humanitarian crisis contexts

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Alex Odlum ◽  
Rosemary James ◽  
Audrey Mahieu ◽  
Karl Blanchet ◽  
Chiara Altare ◽  
...  
Keyword(s):  
Primary Data ◽  
Evidence Based ◽  
Structured Interviews ◽  
Humanitarian Crisis ◽  
Evidence Use ◽  
Humanitarian Settings ◽  
Humanitarian Response ◽  
Global Guidance ◽  
Guidance Documents ◽  
Context Specific

Abstract Background For humanitarian organisations to respond effectively to complex crises, they require access to up-to-date evidence-based guidance. The COVID-19 crisis has highlighted the importance of updating global guidance to context-specific and evolving needs in humanitarian settings. Our study aimed to understand the use of evidence-based guidance in humanitarian responses during COVID-19. Primary data collected during the rapidly evolving pandemic sheds new light on evidence-use processes in humanitarian response. Methods We collected and analysed COVID-19 guidance documents, and conducted semi-structured interviews remotely with a variety of humanitarian organisations responding and adapting to the COVID-19 pandemic. We used the COVID-19 Humanitarian platform, a website established by three universities in March 2020, to solicit, collate and document these experiences and knowledge. Results We analysed 131 guidance documents and conducted 80 interviews with humanitarian organisations, generating 61 published field experiences. Although COVID-19 guidance was quickly developed and disseminated in the initial phases of the crisis (from January to May 2020), updates or ongoing revision of the guidance has been limited. Interviews conducted between April and September 2020 showed that humanitarian organisations have responded to COVID-19 in innovative and context-specific ways, but have often had to adapt existing guidance to inform their operations in complex humanitarian settings. Conclusions Experiences from the field indicate that humanitarian organisations consulted guidance to respond and adapt to COVID-19, but whether referring to available guidance indicates evidence use depends on its accessibility, coherence, contextual relevance and trustworthiness. Feedback loops through online platforms like the COVID-19 Humanitarian platform that relay details of these evidence-use processes to global guidance setters could improve future humanitarian response.

scholarly journals COVID-19 guidance in humanitarian settings: The need for dynamic guidelines adapted to changing humanitarian crisis contexts

2021 ◽  
Author(s):  
Alex Odlum ◽  
Rosemary James ◽  
Audrey Mahieu ◽  
Karl Blanchet ◽  
Chiara Altare ◽  
...  
Keyword(s):  
Field Experiences ◽  
Local Context ◽  
Inclusion Criteria ◽  
Structured Interviews ◽  
Humanitarian Crisis ◽  
Humanitarian Settings ◽  
Complex Process ◽  
Global Guidance ◽  
Guidance Documents ◽  
Context Specific

Abstract Background: For humanitarian organisations to respond effectively to complex crises, they require access to up-to-date evidence-based guidance. In addition, the COVID-19 crisis has highlighted the importance of adapting and updating global guidance to context-specific and evolving needs in fragile and humanitarian settings. Our study aimed to understand the use of evidence in humanitarian responses during COVID-19.Methods: We collected and analysed COVID-19 guidance documents, and conducted semi-structured interviews remotely with a variety of humanitarian organisations responding and adapting to the COVID-19 pandemic. We used the COVID-19 Humanitarian platform, a website established by three universities in March 2020, to solicit, collate and document these experiences and knowledge.Results: We collected 180 guidance documents, and after excluding those that did not meet our inclusion criteria, analysed 131. We conducted 80 interviews with humanitarian organisations in the field, generating 61 published field experiences. Although COVID-19 guidance was quickly developed and disseminated in the initial phases of the crisis (from January to May 2020), updates or ongoing revision of the guidance has been limited. Interviews conducted between April and September 2020 showed that humanitarian organisations have responded to COVID-19 in innovative and context-specific ways, but have often had to adapt existing guidance to inform their operations in complex humanitarian settings.Conclusion: Experiences from the field indicate that adopting guidance to respond and adapt to COVID-19 is a complex process requiring innovation and collaboration based on the local context and resource availability. Global guidance aimed at humanitarian actors could be improved through responsive incorporation of contextualised field experiences in a timely manner using real-time feedback loops through online platforms like the COVID-19 Humanitarian platform.

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