Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review.
Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review.
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DOI：
10.1016/j.jmh.2020.100028
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发表时间：
2020
影响因子：
4.6
通讯作者：
Howard N
中科院分区：
文献类型：
--
作者：
Durrance-Bagale A;Salman OM;Omar M;Alhaffar M;Ferdaus M;Newaz S;Krishnan S;Howard N
卫生系统从对大规模流离失所的群集反应中学习的潜在范围。在大规模流离失所期间，非卫生集群可有助于改善健康状况。聚类方法往往是孤立的，缺乏跨聚类学习。流离失所者、人道主义行动者和政府之间仍然需要公平的权力动态。人道主义集群方法于2005年建立，但目前尚不清楚如何从人道主义集群中吸取教训，为低收入和中等收入国家的大规模流离失所提供信息并加强卫生系统应对措施。我们进行了范围审查，以检查现有研究的范围和性质，并确定相关的教训。我们将Arksey和O'Malley的范围界定框架与Levac 2010年的修订版和Khalil 2016年的改进版结合起来，重点从离散的人道主义集群中找出可以加强卫生系统对大规模人口流离失所的反应的经验教训。我们按集群对主题进行了总结。在纳入的186个来源中，56%是同行评议的研究文章。大多数与健康（37%）、保护（18%）或营养（13%）相关。卫生系统应对的主要经验包括必须赋予妇女权力；确保社区参与决策过程（例如营地和住房的规划和建设），以加强社区之间和社区内部的信任和联系；让潜在的最终用户参与技术创新发展（例如地理信息系统），以确保相关性和适用性。我们的综述提供的证据表明，非卫生集群可以通过政府或人道主义合作伙伴实施重点干预措施，为低收入和中等收入国家卫生系统应对大规模流离失所提供信息，从而有助于改善健康结果。
Potential scope for health-system learning from cluster responses to mass displacement. Non-health clusters can contribute to health improvements during mass displacement. Cluster approaches are often siloed with insufficient cross-cluster learning. Equitable power dynamics between displaced people, humanitarian actors, and governments are still needed. The humanitarian cluster approach was established in 2005 but clarity on how lessons from humanitarian clusters can inform and strengthen health system responses to mass displacement in low and middle-income countries (LMIC) is lacking. We conducted a scoping review to examine the extent and nature of existing research and identify relevant lessons. We used Arksey and O'Malley's scoping framework with Levac's 2010 revisions and Khalil's 2016 refinements, focussing on identifying lessons from discrete humanitarian clusters that could strengthen health system responses to mass population displacement. We summarised thematically by cluster. Of 186 sources included, 56% were peer-reviewed research articles. Most related to health (37%), protection (18%), or nutrition (13%) clusters. Key lessons for health system responses included the necessity of empowering women; ensuring communities are engaged in decision-making processes (e.g. planning and construction of camps and housing) to strengthen trust and bonds between and within communities; and involving potential end-users in technological innovations development (e.g. geographical information systems) to ensure relevance and applicability. Our review provided evidence that non-health clusters can contribute to improving health outcomes using focussed interventions for implementation by government or humanitarian partners to inform LMIC health system responses to mass displacement.
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影响因子：
4.9
作者：
Checchi F;Stewart BT;Palmer JJ;Grundy C
通讯作者：
Grundy C
影响因子：
3.2
作者：
Clark-Kazak, Christina R.
通讯作者：
Clark-Kazak, Christina R.
DOI：
10.1108/jhlscm-05-2017-0020
发表时间：
2018-01-01
影响因子：
4
作者：
Al Adem, Samar;Childerhouse, Paul;Wang, Bill
通讯作者：
Wang, Bill
影响因子：
1.2
作者：
AlMakhamreh, Sahar Suleiman;Hutchinson, Aisha Jane
通讯作者：
Hutchinson, Aisha Jane
影响因子：
11.1
作者：
Ayoya, Mohamed Ag;Golden, Kate;Marhone, Joseline Pierre
通讯作者：
Marhone, Joseline Pierre