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Conflict and Health

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https://www.readbyqxmd.com/read/30214472/a-cross-sectional-assessment-of-diabetes-self-management-education-and-support-needs-of-syrian-refugee-patients-living-with-diabetes-in-bekaa-valley-lebanon
#1
James A Elliott, Debashish Das, Philippe Cavailler, Fabien Schneider, Maya Shah, Annette Ravaud, Maria Lightowler, Philippa Boulle
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30202431/-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
#2
Christos Eleftherakos, Wilma van den Boogaard, Declan Barry, Nathalie Severy, Ioanna Kotsioni, Louise Roland-Gosselin
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.Syrians were generally granted refugee status in Greece and those arrived before the 20th of March 2016 had the option of being relocated to other European countries...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30166993/population-trends-related-to-injury-from-explosive-munitions-in-lao-pdr-1964-2008-a-retrospective-analysis
#3
Stacey E Pizzino, Samuel Hundessa, Vinu Verghis, Mark Griffin, Jo Durham
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30127845/armed-conflict-alcohol-misuse-decision-making-and-intimate-partner-violence-among-women-in-northeastern-uganda-a-population-level-study
#4
Jennifer J Mootz, Florence Kyoheirwe Muhanguzi, Pavel Panko, Patrick Onyango Mangen, Milton L Wainberg, Ilana Pinsky, Kaveh Khoshnood
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30127844/facilitators-and-barriers-in-implementing-the-minimum-initial-services-package-misp-for-reproductive-health-in-nepal-post-earthquake
#5
Anna Myers, Samira Sami, Monica Adhiambo Onyango, Hari Karki, Rosilawati Anggraini, Sandra Krause
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. The purpose of this study was to identify the facilitators and barriers affecting the implementation of priority RH services in two districts...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30127843/adaptation-and-testing-of-an-assessment-for-mental-health-and-alcohol-use-problems-among-conflict-affected-adults-in-ukraine
#6
S Benjamin Doty, Emily E Haroz, Namrita S Singh, Sergiy Bogdanov, Judith K Bass, Laura K Murray, Karis L Callaway, Paul A Bolton
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. The instrument-the Mental Health Assessment Inventory (MHAI)-combines adapted standard screeners with items derived locally in Ukraine...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30079099/living-in-mosul-during-the-time-of-isis-and-the-military-liberation-results-from-a-40-cluster-household-survey
#7
R Lafta, V Cetorelli, G Burnham
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. Methods: To assess life in Mosul under ISIS, and the consequences of the military campaign to retake Mosul we conducted a 40 cluster-30 household survey in Mosul, starting in March 2017...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30026794/barriers-to-cardiovascular-disease-secondary-prevention-care-in-the-west-bank-palestine-a-health-professional-perspective
#8
Jane Collier, Hanna Kienzler
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. In the occupied Palestinian territory (oPt), the focus of this article, CVD ranks top of ten NCD killers, accounting for approximately 37...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30026793/tuberculosis-contact-tracing-among-syrian-refugee-populations-lessons-from-jordan
#9
Edouard Hosten, Mandana Mehta, Emmanuel Andre, Khaled Abu Rumman, Dimitri Van der Linden
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30008800/prevalence-of-non-communicable-diseases-and-access-to-care-among-non-camp-syrian-refugees-in-northern-jordan
#10
Manuela Rehr, Muhammad Shoaib, Sara Ellithy, Suhib Okour, Cono Ariti, Idriss Ait-Bouziad, Paul van den Bosch, Anais Deprade, Mohammad Altarawneh, Abdel Shafei, Sadeq Gabashneh, Annick Lenglet
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/30002727/small-and-light-arms-violence-reduction-as-a-public-health-measure-the-case-of-libya
#11
REVIEW
Gemma Bowsher, Patrick Bogue, Preeti Patel, Peter Boyle, Richard Sullivan
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29988565/provision-and-continuation-of-antiretroviral-therapy-during-acute-conflict-the-experience-of-msf-in-central-african-republic-and-yemen
#12
Cecilia Ferreyra, Daniel O'Brien, Beatriz Alonso, Abdulbasset Al-Zomour, Nathan Ford
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. "Run-away bags" containing 3 or 4 months of ART were distributed to patients at MSF facilities...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29983733/performance-based-financing-in-three-humanitarian-settings-principles-and-pragmatism
#13
Maria Paola Bertone, Eelco Jacobs, Jurrien Toonen, Ngozi Akwataghibe, Sophie Witter
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29977331/-the-needs-have-clearly-evolved-as-time-has-gone-on-a-qualitative-study-to-explore-stakeholders-perspectives-on-the-health-needs-of-syrian-refugees-in-greece-following-the-2016-european-union-turkey-agreement
#14
Rebecca Hémono, Bridget Relyea, Jennifer Scott, Sinan Khaddaj, Angeliki Douka, Alison Wringe
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29881448/a-scoping-review-of-the-associations-between-mental-health-and-factors-related-to-hiv-acquisition-and-disease-progression-in-conflict-affected-populations
#15
REVIEW
Erica Koegler, Caitlin E Kennedy
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29853989/wishful-thinking-versus-operational-commitment-is-the-international-guidance-on-priority-sexual-and-reproductive-health-interventions-in-humanitarian-settings-becoming-unrealistic
#16
REVIEW
Nguyen Toan Tran, Catrin Schulte-Hillen
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29796081/a-factor-analytic-investigation-of-dsm-5-ptsd-symptoms-in-a-culturally-diverse-sample-of-refugees-resettled-in-australia
#17
Philippa Specker, Belinda J Liddell, Yulisha Byrow, Richard A Bryant, Angela Nickerson
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 Diagnostic and Statistical Manual of Mental Disorders (DSM-5), and this reformulation has yet to be comprehensively investigated in the context of PTSD arising from traumatic events experienced by refugees...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29785204/using-digital-health-to-enable-ethical-health-research-in-conflict-and-other-humanitarian-settings
#18
REVIEW
Eric D Perakslis
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...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29785203/conflict-and-tuberculosis-in-sudan-a-10-year-review-of-the-national-tuberculosis-programme-2004-2014
#19
Sara A Hassanain, Jeffrey K Edwards, Emilie Venables, Engy Ali, Khadiga Adam, Hafiz Hussien, Asma Elsony
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. Hence, this can cause an increased risk of infection, greater morbidity and mortality from tuberculosis (TB), especially amongst the poor, displaced and refugee populations. This study will be the first to describe TB case notifications, characteristics and outcomes over a ten-year period in Darfur in comparison with the non-conflict Eastern zones within Sudan...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29760768/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
#20
REVIEW
Tania Josiane Bosqui, Bassam Marshoud
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.g. Médecins Sans Frontières and the Psychosocial Centre of the International Federation of Red Cross and Red Crescent Societies), with extracted data analysed using Thematic Content Analysis...
2018: Conflict and Health
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