A forgotten group during humanitarian crises: a systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings

Jennings, Lauren; George, Asha; Jacobs, Tanya; Blanchet, Karl; Singh, Neha

doi:10.1186/s13031-019-0240-y

Cited by 59 publications

(76 citation statements)

References 31 publications

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“…point out [7], however, the evidence base on adolescent health, and especially adolescent sexual and reproductive health, is a neglected area in humanitarian settings, and one that requires urgent attention.…”

Section: Adolescent-friendly Health Servicesmentioning

confidence: 99%

Adolescent access to health services in fragile and conflict-affected contexts: the case of the Gaza Strip

Hamad

Jones

Gercama

2020

Preprint

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Background: Enjoyment of physical and mental health is not only recognized as a human right but also as an integral part of development, as reflected in Sustainable Development Goal (SDG) 3 – to ensure healthy lives and promote well-being for all at all ages. The rapid physical, psychosocial and behavioural changes that take place during adolescence have a strong influence on the rest of a person’s life course, so investments in adolescent health services constitute a unique opportunity to reap lifelong and inter-generational dividends. Yet the evidence base on adolescents’ access to health services, particularly in conflict-affected contexts, remains thin. This article explores adolescents’ access to health services in the Gaza Strip, and their experiences and perceptions of those services. Methods: The article draws on mixed-methods research in the Gaza Strip in 2016 and 2017 involving 240 adolescents and 65 service providers, combining a QuickTapSurvey,™ key informant interviews, peer-to-peer research and individual in-depth interviews. Results: The findings underscore that gender norms—especially those pertaining to adolescent girls’ sexual purity––shape adolescent health in multiple ways. Girls face increasing restrictions on their mobility and social interactions, leaving them with limited opportunities for leisure or exercise, socializing with peers or seeking health (including mental health) services. Adolescent boys in Gaza do not face the same restrictions, but given the multiple political, economic and familial stressors, they are at high risk of substance abuse and involvement in peer violence. Moreover, our findings suggest that a range of socioeconomic, cultural and structural barriers prevent adolescents in Gaza from accessing quality and appropriate health care. Study participants cited the main challenges as an absence of preventive adolescent health initiatives and limited information on sexual and reproductive health, as well as drug shortages, high treatment costs, and negative interactions with service providers. Conclusions: The article highlights the importance of (1) designing and implementing conflict-sensitive and age- and gender-appropriate adolescent services and information; (2) promoting preventive services targeted at adolescents; and (3) improving service provider awareness of adolescents’ specific health needs in all contexts.

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Section: Adolescent-friendly Health Servicesmentioning

confidence: 99%

Adolescent access to health services in fragile and conflict-affected contexts: the case of the Gaza Strip

Hamad

Jones

Gercama

2020

Preprint

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“…A study published recently in The Lancet about women and children in conflict areas in Africa concluded that deaths of young women in sub-Saharan Africa are exceptionally high relative to developed countries and effective approaches to prevent and mitigate the deleterious effects of armed conflicts on women and children should be a global priority [72]. Another study indicated that young people, including adolescents, continue to be a neglected group in humanitarian settings and more attention is needed to the sexual and adolescents health in humanitarian settings [73].…”

Section: Discussionmentioning

confidence: 99%

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

Sweileh

2020

Int J Ment Health Syst

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Background: Fragile states pose a global challenge. Assessing health research activity on people living in these states can help identify neglected health domains in fragile settings. The objective of the current study was to assess and describe health research activity on people living in fragile states in the alert zone. Method: A bibliometric method was applied using SciVerse Scopus. Research articles published on people in fragile states in the alert zone were retrieved and analyzed. The Fragile State Index (FSI) score was used for selection of states in the alert zone. The analysis was limited to 1 year; 2018. Results: The search query found 2299 research articles giving an average of 2 research articles per one million population per year in the selected fragile states. The number of research articles per one million population was not significantly correlated (p = 0.053; r = − 0.349) with FSI scores. However, it was significantly correlated with the extent of international research collaboration (p < 0.01, r = 065). Research on communicable diseases was the largest research domain (763 articles; 33.2%) followed by maternal/women's health (430 articles; 18.7%), non-communicable diseases (291 articles; 12.7%), health system/policy (271 articles; 11.8%) and psychosocial and mental health (89; 3.9%). There were three research themes in the research domain of infectious diseases: HIV/AIDS; water-borne infectious diseases; and miscellaneous infectious diseases such as tuberculosis and malaria. The top ten cited articles were mainly on infectious diseases, particularly on malaria and Lassa fever. Of all the retrieved documents, 727 (31.6%) research articles appeared in national/regional journals while the remaining appeared in international journals. The World Health organization was the most active funding organization for research on fragile states. Top ten active institutions were mainly based in fragile states with the lowest FSI score, specifically Ethiopia, Uganda, Nigeria, and Pakistan. Conclusion: Research on fragile states was relatively low. Research on mental health and health system/policy should be encouraged. Collaboration and funding might help academic institutions in fragile states to make health problems in these countries more visible.

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“…A study published recently in The Lancet about women and children in con ict areas in Africa concluded that deaths of young women in sub-Saharan Africa are exceptionally high relative to developed countries and effective approaches to prevent and mitigate the deleterious effects of armed con icts on women and children should be a global priority [73]. Another study indicated that young people, including adolescents, continue to be a neglected group in humanitarian settings and more attention is needed to the sexual and adolescents health in humanitarian settings [74].…”

Section: Discussionmentioning

confidence: 99%

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

Sweileh¹

2020

Preprint

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Abstract Background: Fragile states pose a global challenge. Assessing health research activity on people living in these states can help identify neglected health domains in fragile settings. The objective of the current study was to assess and describe health research activity on people living in fragile states in the alert zone. Method: A bibliometric method was applied using SciVerse Scopus. Research articles published on people in fragile states in the alert zone were retrieved and analyzed. The Fragile State Index (FSI) score was used for selection of states in the alert zone. The analysis was limited to one year; 2018. Results: The search query found 2299 research articles giving an average of 2 research articles per one million population per year in the selected fragile states. The number of research articles per one million population was not significantly correlated (p=0.053; r= - 0.349) with FSI scores. However, it was significantly correlated with the extent of international research collaboration (P<0.01, r=065). Research on communicable diseases was the largest research domain (763 articles; 33.2%) followed by maternal/women’s health (430 articles; 18.7%), non-communicable diseases (291 articles; 12.7%), health system/policy (271 articles; 11.8%) and psychosocial and mental health (89; 3.9%). There were three research themes in the research domain of infectious diseases: HIV/AIDS; water-borne infectious diseases; and miscellaneous infectious diseases such as tuberculosis and malaria. The top ten cited articles were mainly on infectious diseases, particularly on malaria and Lassa fever. Of all the retrieved documents, 727 (31.6%) research articles appeared in national/regional journals while the remaining appeared in international journals. The World Health organization was the most active funding organization for research on fragile states. Top ten active institutions were mainly based in fragile states with the lowest FSI score, specifically Ethiopia, Uganda, Nigeria, and Pakistan. Conclusion: Research on fragile states was relatively low. Research on mental health and health system/policy should be encouraged. Collaboration and funding might help academic institutions in fragile states to make health problems in these countries more visible

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A forgotten group during humanitarian crises: a systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings

Cited by 59 publications

References 31 publications

Adolescent access to health services in fragile and conflict-affected contexts: the case of the Gaza Strip

Adolescent access to health services in fragile and conflict-affected contexts: the case of the Gaza Strip

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

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