Participation by conflict-affected and forcibly displaced communities in humanitarian healthcare responses: A systematic review

Rass, Ella; Lokot, Michelle; Brown, Felicity L.; Fuhr, Daniela C.; Asmar, Michèle Kosremelli; Smith, James; Bou-Orm, Ibrahim R.; Yérétzian, Joumana; Roberts, Bayard

doi:10.1016/j.jmh.2020.100026

Cited by 22 publications

(27 citation statements)

References 34 publications

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“…Emphasis should be placed on tailoring clinical interventions to the cultural and contextual particulars of specific refugee populations, such as resettled Syrian refugees ( 243 ). To support this, more should be done to increase community participation in both the design and implementation of health services for the forcibly displaced ( 244 ).…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

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Refugee Mental Health, Global Health Policy, and the Syrian Crisis

Cratsley

Brooks

Mackey

2021

Front. Public Health

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The most recent global refugee figures are staggering, with over 82.4 million people forcibly displaced and 26.4 million registered refugees. The ongoing conflict in Syria is a major contributor. After a decade of violence and destabilization, over 13.4 million Syrians have been displaced, including 6.7 million internally displaced persons and 6.7 million refugees registered in other countries. Beyond the immediate political and economic challenges, an essential component of any response to this humanitarian crisis must be health-related, including policies and interventions specific to mental health. This policy and practice review addresses refugee mental health in the context of the Syrian crisis, providing an update and overview of the current situation while exploring new initiatives in mental health research and global health policy that can help strengthen and expand services. Relevant global health policy frameworks are first briefly introduced, followed by a short summary of recent research on refugee mental health. We then provide an update on the current status of research, service provision, and health policy in the leading destinations for Syrians who have been forcibly displaced. This starts within Syria and then turns to Turkey, Lebanon, Jordan, and Germany. Finally, several general recommendations are discussed, including the pressing need for more data at each phase of migration, the expansion of integrated mental health services, and the explicit inclusion and prioritization of refugee mental health in national and global health policy.

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Section: Discussion and Recommendationsmentioning

confidence: 99%

“…To support this, more should be done to increase community participation in both the design and implementation of health services for the forcibly displaced (244).…”

Section: Capacity Building and Health Systems Strengtheningmentioning

confidence: 99%

Refugee Mental Health, Global Health Policy, and the Syrian Crisis

Cratsley

Brooks

Mackey

2021

Front. Public Health

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“…Vertical programmes imposed on communities by external actors have a mixed history of success, and many studies identified low acceptability and poor feasibility in NPI maintenance over the medium- and long-term. An alternative model is increasingly being sought, with humanitarian actors working more closely with communities to implement sustainable programmes with viability over the long-term and complementing development programmes [115]. To support this view, the evidence suggested that many NPIs benefited from incorporating an RCCE component.…”

Section: Discussionmentioning

confidence: 99%

Feasibility, Acceptability, and Effectiveness of Non-Pharmaceutical Interventions for Infectious Disease Prevention and Control in Crisis-Affected Settings and Informal Settlements: A Scoping Review

Polonsky

Bhatia

Fraser

et al. 2021

Preprint

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Introduction Non-pharmaceutical interventions (NPIs) are a crucial suite of measures to prevent and control infectious disease outbreaks. They are particularly important for crisis-affected populations that typically reside in settings characterised by overcrowding, inadequate access to healthcare and resource limitations. To describe the landscape of research and identify evidence gaps concerning the acceptability, feasibility, and effectiveness of NPIs among crisis-affected populations and informal settings, we conducted a systematic scoping review of the published evidence. Methods We systematically reviewed peer-reviewed articles published between 1970 and 2020 to collate available evidence on the feasibility, acceptability, and effectiveness of NPIs in crisis-affected populations and informal settlements. We performed quality assessments of each study using a standardised questionnaire. Results Our review included 158 studies published in 85 peer-reviewed articles. Most research used low quality study designs. The acceptability, feasibility, and effectiveness of NPIs was highly context dependent. In general, simple and cost-effective interventions such as community-level environmental cleaning and provision of water, sanitation and hygiene services, and distribution of items for personal protection such as insecticide-treated nets, were both highly feasible and acceptable. Logistical, financial, and human resource constraints affected both the implementation and sustainability of measures. Community engagement emerged as a strong factor contributing to the effectiveness of NPIs. Conversely, measures that involve potential restriction on personal liberty such as case isolation were found to be less acceptable to the community. Conclusion Overall, the evidence base was patchy, with substantial knowledge gaps between differing between settings and pathogens. Although implementation of NPIs presents unique practical challenges, it is critical that the lessons learned are shared with the wider community to build a robust evidence base.

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“…There is extensive literature on the role of community participation in humanitarian activities and evidence on the potential contribution of community engagement in crisis response and recovery (for reviews of this literature and evidence, see Brown et al, 2014;Rass et al, 2020;Bealt & Masouri, 2018). Evidence indicates that local participation can contribute to more effective information sharing where community groups have a more specific understanding of the affected setting (Bealt & Masouri, 2018, Brown et.…”

Section: Principles Of Participation In Humanitarian Responsementioning

confidence: 99%

Local Knowledge and Participation in the Covid-19 Response

Lenhardt¹

2021

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This report explores approaches to participation in humanitarian response and evidence on the contributions of community engagement in effective response and recovery efforts.It begins with a brief overview of decolonial perspectives on the Covid-19 pandemic to situate participation in the wider context and history of humanitarian and development theory and practice. This is followed by a brief summary of evidence on the role of participation in humanitarian activities andsituates the now ubiquitous concept of ‘Building Back Better’ (BBB) inthe discussion of participatory crisis response and recovery. The remaining sections of the report introduce participatory approaches that have been applied through the Covid-19 pandemic: decentralised decision-making, technological adaptations to engage local communities, and Southern-led research and participatory research methods.

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Participation by conflict-affected and forcibly displaced communities in humanitarian healthcare responses: A systematic review

Cited by 22 publications

References 34 publications

Refugee Mental Health, Global Health Policy, and the Syrian Crisis

Refugee Mental Health, Global Health Policy, and the Syrian Crisis

Feasibility, Acceptability, and Effectiveness of Non-Pharmaceutical Interventions for Infectious Disease Prevention and Control in Crisis-Affected Settings and Informal Settlements: A Scoping Review

Local Knowledge and Participation in the Covid-19 Response

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