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Conflict and Health

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https://www.readbyqxmd.com/read/28725259/cardiovascular-disease-risk-and-prevention-amongst-syrian-refugees-mixed-methods-study-of-m%C3%A3-decins-sans-fronti%C3%A3-res-programme-in-jordan
#1
Dylan R J Collins, Kiran Jobanputra, Thomas Frost, Shoaib Muhammed, Alison Ward, Abed Alrazzaq Shafei, Taissir Fardous, Sadeq Gabashneh, Carl Heneghan
BACKGROUND: The growing burden of non-communicable diseases (NCDs) presented new challenges for medical humanitarian aid and little was known about primary health care approaches for these diseases in humanitarian response. We aimed to evaluate Médecins Sans Frontières (MSF's) use of total CVD risk based prevention strategies amongst Syrian refugees in northern Jordan to identify opportunities to improve total CVD risk based guidance for humanitarian settings. METHODS: We evaluated CVD risk assessment and management in two outpatient NCD clinics in the Irbid governorate of Jordan using a mixed methods design with qualitative and quantitative strands of equal priority, integrated during data collection and interpretation...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28680460/a-weak-health-response-is-increasing-the-risk-of-excess-mortality-as-food-crisis-worsens-in-somalia
#2
Andrew Seal, Francesco Checchi, Nancy Balfour, Abdi-Rashid Haji Nur, Mohamed Jelle
No abstract text is available yet for this article.
2017: Conflict and Health
https://www.readbyqxmd.com/read/28649273/high-burden-of-malaria-and-anemia-among-tribal-pregnant-women-in-a-chronic-conflict-corridor-in-india
#3
Gustavo Corrêa, Mrinalini Das, Rama Kovelamudi, Nagendra Jaladi, Charlotte Pignon, Kalyan Vysyaraju, Usha Yedla, Vijya Laxmi, Pavani Vemula, Vijaya Gowthami, Hemant Sharma, Daniel Remartinez, Stobdan Kalon, Kirrily de Polnay, Martin De Smet, Petros Isaakidis
BACKGROUND: With more than 200 million cases a year, malaria is an important global health concern, especially among pregnant women. The forested tribal areas of Andhra Pradesh, Telangana and Chhattisgarh in India are affected by malaria and by an on-going chronic conflict which seriously limits access to health care. The burden of malaria and anemia among pregnant women in these areas is unknown; moreover there are no specific recommendations for pregnant women in the Indian national malaria policy...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28572840/low-levels-of-viral-suppression-among-refugees-and-host-nationals-accessing-antiretroviral-therapy-in-a-kenyan-refugee-camp
#4
Joshua B Mendelsohn, Paul Spiegel, Alison Grant, Sathyanarayanan Doraiswamy, Marian Schilperoord, Natasha Larke, John Wagacha Burton, Jully A Okonji, Clement Zeh, Bosco Muhindo, Ibrahim M Mohammed, Irene N Mukui, Njogu Patterson, Egbert Sondorp, David A Ross
BACKGROUND: Refugees and host nationals who accessed antiretroviral therapy (ART) in a remote refugee camp in Kakuma, Kenya (2011-2013) were compared on outcome measures that included viral suppression and adherence to ART. METHODS: This study used a repeated cross-sectional design (Round One and Round Two). All adults (≥18 years) receiving care from the refugee camp clinic and taking antiretroviral therapy (ART) for ≥30 days were invited to participate. Adherence was measured by self-report and monthly pharmacy refills...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28515775/retrospective-mortality-among-refugees-from-the-central-african-republic-arriving-in-chad-2014
#5
Matthew E Coldiron, Thomas Roederer, Augusto E Llosa, Malika Bouhenia, Sassou Madi, Laurent Sury, Michaël Neuman, Klaudia Porten
BACKGROUND: The Central African Republic has known long periods of instability. In 2014, following the fall of an interim government installed by the Séléka coalition, a series of violent reprisals occurred. These events were largely directed at the country's Muslim minority and led to a massive displacement of the population. In 2014, we sought to document the retrospective mortality among refugees arriving from the CAR into Chad by conducting a series of surveys. METHODS: The Sido camp was surveyed exhaustively in March-April 2014 and a systematic sampling strategy was used in the Goré camp in October 2014...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28450885/measurement-invariance-of-the-hopkins-symptoms-checklist-a-novel-multigroup-alignment-analytic-approach-to-a-large-epidemiological-sample-across-eight-conflict-affected-districts-from-a-nation-wide-survey-in-sri-lanka
#6
Alvin Kuowei Tay, Rohan Jayasuriya, Dinuk Jayasuriya, Derrick Silove
BACKGROUND: The alignment method, a novel psychometric approach, represents a more flexible procedure for establishing measurement invariance in geographically, ethnically, or linguistically diverse samples, especially in large epidemiological surveys. Although the Hopkins Symptoms Checklist (HSCL-25) has been used extensively in the field to assess anxiety and depressive symptoms, questions remain about the comparability of findings when the instrument is applied across regions in large-scale national surveys...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28416965/a-crisis-of-protection-and-safe-passage-violence-experienced-by-migrants-refugees-travelling-along-the-western-balkan-corridor-to-northern-europe
#7
Jovana Arsenijević, Erin Schillberg, Aurelie Ponthieu, Lucio Malvisi, Waeil A Elrahman Ahmed, Stefano Argenziano, Federica Zamatto, Simon Burroughs, Natalie Severy, Christophe Hebting, Brice de Vingne, Anthony D Harries, Rony Zachariah
BACKGROUND: Pushed by ongoing conflicts and pulled by the desire for a better life, over one million migrants/refugees transited Balkan countries and arrived in Europe during 2015 and early 2016. To curb this influx, European countries instituted restrictive migration policies often characterized by building of razor-wire border fences and border closures. Among migrants/refugees who received mental health care in Serbia while travelling through Balkan countries to Northern Europe, we assessed the prevalence and patterns of violent events experienced including physical trauma...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28396693/prevalence-of-non-communicable-diseases-and-access-to-health-care-and-medications-among-yazidis-and-other-minority-groups-displaced-by-isis-into-the-kurdistan-region-of-iraq
#8
Valeria Cetorelli, Gilbert Burnham, Nazar Shabila
BACKGROUND: The increasing caseload of non-communicable diseases (NCDs) in displaced populations poses new challenges for humanitarian agencies and host country governments in the provision of health care, diagnostics and medications. This study aimed to characterise the prevalence of NCDs and better understand issues related to accessing care among Yazidis and other minority groups displaced by ISIS and currently residing in camps in the Kurdistan Region of Iraq. METHODS: The study covered 13 camps managed by the Kurdish Board of Relief and Humanitarian Affairs...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28352291/ethical-considerations-for-children-s-participation-in-data-collection-activities-during-humanitarian-emergencies-a-delphi-review
#9
Cyril Bennouna, Hani Mansourian, Lindsay Stark
BACKGROUND: Children's right to participate in data collection during emergencies has been widely recognized by humanitarian actors. However, participation in such activities can expose children to risk. Tensions have been noted between the right to participate and other principles, such as the imperative to 'do no harm.' With little evidence to inform guidance on addressing this tension, our study sought to identify expert consensus on whether and how children participate in emergency-related data collection activities...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28344642/rescue-medical-activities-in-the-mediterranean-migrant-crisis
#10
Favila Escobio, Maryse Etiennoul, Stephany Spindola
No abstract text is available yet for this article.
2017: Conflict and Health
https://www.readbyqxmd.com/read/28286546/contraceptive-availability-leads-to-increase-in-use-in-conflict-affected-democratic-republic-of-the-congo-evidence-from-cross-sectional-cluster-surveys-facility-assessments-and-service-statistics
#11
Sara E Casey, Martin Tshipamba
BACKGROUND: Humanitarian assistance standards mandate specific attention to address the sexual and reproductive health (SRH) needs of conflict-affected populations. Despite these internationally recognised standards, access to SRH services is still often compromised in conflict settings. CARE in collaboration with the RAISE Initiative strengthened the Ministry of Health (MOH) to provide contraceptive services in Maniema province, Democratic Republic of the Congo. This study evaluated the effectiveness of this support for MOH health facility provision of contraception...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28101127/mental-health-and-trauma-in-asylum-seekers-landing-in-sicily-in-2015-a-descriptive-study-of-neglected-invisible-wounds
#12
Anna Crepet, Francesco Rita, Anthony Reid, Wilma Van den Boogaard, Pina Deiana, Gaia Quaranta, Aurelia Barbieri, Francesco Bongiorno, Stefano Di Carlo
BACKGROUND: In 2015, Italy was the second most common point of entry for asylum seekers into Europe after Greece. The vast majority embarked from war-torn Libya; 80,000 people claimed asylum that year. Their medical conditions were assessed on arrival but their mental health needs were not addressed in any way, despite the likelihood of serious trauma before and during migration. Médecins sans Frontières (MSF), in agreement with the Italian Ministry of Health, provided mental health (MH) assessment and care for recently-landed asylum seekers in Sicily...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28649272/does-spending-on-refugees-make-a-difference-a-cross-sectional-study-of-the-association-between-refugee-program-spending-and-health-outcomes-in-70-sites-in-17-countries
#13
Timothy M Tan, Paul Spiegel, Christopher Haskew, P Gregg Greenough
BACKGROUND: Numerous simultaneous complex humanitarian emergencies strain the ability of local governments and the international community to respond, underscoring the importance of cost-effective use of limited resources. At the end of 2011, 42.5 million people were forcibly displaced, including 10.4 million refugees under the mandate of the United Nations High Commissioner for Refugees (UNHCR). UNHCR spent US$1.65 billion on refugee programs in 2011. We analyze the impact of aggregate-level UNHCR spending on mortality of refugee populations...
2016: Conflict and Health
https://www.readbyqxmd.com/read/28239410/challenges-to-conducting-epidemiology-research-in-chronic-conflict-areas-examples-from-pure-palestine
#14
Rasha Khatib, Rita Giacaman, Umaiyeh Khammash, Salim Yusuf
Little has been written on the challenges of conducting research in regions or countries with chronic conflict and strife. In this paper we share our experiences in conducting a population based study of chronic diseases in the occupied Palestinian territory and describe the challenges faced, some of which were unique to a conflict zone area, while others were common to low- and middle- income countries. After a short description of the situation in the occupied Palestinian territory at the time of data collection, and a brief overview of the design of the study, the challenges encountered in working within a fragmented health care system are discussed...
2016: Conflict and Health
https://www.readbyqxmd.com/read/28191034/a-novel-bio-psycho-social-approach-for-rehabilitation-of-traumatized-victims-of-torture-and-war-in-the-post-conflict-context-a-pilot-randomized-controlled-trial-in-kosovo
#15
Shr-Jie Wang, Ardiana Bytyçi, Selvi Izeti, Melita Kallaba, Feride Rushiti, Edith Montgomery, Jens Modvig
BACKGROUND: Some evidence showed that multidisciplinary rehabilitation in Western countries is effective for treating war-related trauma, but it remains unclear whether this approach is applicable to civilians living in resource-poor countries affected by war. In 2012-14, Danish Institute against Torture (DIGNITY) conducted a randomized controlled trial (RCT), in partnership with Kosova Rehabilitation Centre for Torture Victims (KRCT), to examine the effects of multidisciplinary intervention among victims of torture and war in Kosovo...
2016: Conflict and Health
https://www.readbyqxmd.com/read/28115986/evolution-of-policies-on-human-resources-for-health-opportunities-and-constraints-in-four-post-conflict-and-post-crisis-settings
#16
Sophie Witter, Maria Paola Bertone, Yotamu Chirwa, Justine Namakula, Sovannarith So, Haja R Wurie
BACKGROUND: Few studies look at policy making in the health sector in the aftermath of a conflict or crisis and even fewer specifically focus on Human Resources for Health, which is a critical domain for health sector performance. The main objective of the article is to shed light on the patterns and drivers of post-conflict policy-making. In particular, we explore whether the post -conflict period offers increased chances for the opening of 'windows for opportunity' for change and reform and the potential to reset health systems...
2016: Conflict and Health
https://www.readbyqxmd.com/read/28053657/implementation-of-audio-computer-assisted-self-interview-acasi-among-adolescent-girls-in-humanitarian-settings-feasibility-acceptability-and-lessons-learned
#17
Kathryn Falb, Sophie Tanner, Khudejha Asghar, Samir Souidi, Stan Mierzwa, Asham Assazenew, Theresita Bakomere, Pamela Mallinga, Katie Robinette, Woinishet Tibebu, Lindsay Stark
BACKGROUND: Audio-Computer Assisted Self- Interview (ACASI) is a method of data collection in which participants listen to pre-recorded questions through headphones and respond to questions by selecting their answers on a touch screen or keypad, and is seen as advantageous for gathering data on sensitive topics such as experiences of violence. This paper seeks to explore the feasibility and acceptability of using ACASI with adolescent girls and to document the implementation of such an approach in two humanitarian settings: conflict-affected communities in eastern Democratic Republic of Congo (DRC) and refugee camps along the Sudan-Ethiopia border...
2016: Conflict and Health
https://www.readbyqxmd.com/read/28031743/sexual-violence-related-pregnancies-in-eastern-democratic-republic-of-congo-a-qualitative-analysis-of-access-to-pregnancy-termination-services
#18
Gillian Burkhardt, Jennifer Scott, Monica Adhiambo Onyango, Shada Rouhani, Sadia Haider, Ashley Greiner, Katherine Albutt, Michael VanRooyen, Susan Bartels
BACKGROUND: Sexual violence has been prevalent throughout the armed conflict in eastern Democratic Republic of Congo (DRC). Research on sexual violence-related pregnancies (SVRPs) and pregnancy termination in eastern DRC, a context with high prevalence of sexual violence, high maternal mortality, and restrictive abortion laws, is scant but crucial to improving the overall health of women in the DRC. Understanding women's perceptions and experiences related to an SVRP, and in particular to pregnancy termination in this context, is critical for developing effective, targeted programming...
2016: Conflict and Health
https://www.readbyqxmd.com/read/27956938/displaced-populations-due-to-humanitarian-emergencies-and-its-impact-on-global-eradication-and-elimination-of-vaccine-preventable-diseases
#19
Eugene Lam, Michael Diaz, Allen Gidraf Kahindo Maina, Muireann Brennan
Populations affected by humanitarian emergencies may require unique strategies to ensure access to life-saving vaccines and attain sufficiently high population immunity to interrupt virus circulation. Vaccination strategies among displaced populations should not be an afterthought and must be part of the vaccine-preventable disease eradication and elimination initiatives from the start.
2016: Conflict and Health
https://www.readbyqxmd.com/read/27872656/nutritional-situation-among-syrian-refugees-hosted-in-iraq-jordan-and-lebanon-cross-sectional-surveys
#20
S M Moazzem Hossain, Eva Leidman, James Kingori, Abdullah Al Harun, Oleg O Bilukha
BACKGROUND: Ongoing armed conflict in Syria has caused large scale displacement. Approximately half of the population of Syria have been displaced including the millions living as refugees in neighboring countries. We sought to assess the health and nutrition of Syrian refugees affected by the conflict. METHODS: Representative cross-sectional surveys of Syrian refugees were conducted between October 2 and November 30, 2013 in Lebanon, April 12 and May 1, 2014 in Jordan, and May 20 and 31, 2013 in Iraq...
2016: Conflict and Health
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