GCRF RESEARCH FOR HEALTH IN CONFLICT (R4HC-MENA): developing capability, partnerships and research in the Middle and Near East (MENA)

GCRF 冲突中健康研究 (R4HC-MENA)：在中东和近东 (MENA) 发展能力、伙伴关系和研究

• 批准号: ES/P010962/1
• 负责人: Richard Sullivan
• 金额: $ 761.78万
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2017
• 资助国家: 英国
• 起止时间: 2017 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FP010962%2F1
• 关键词: GCRF; RESEARCH; HEALTH; CONFLICT; R4HC

Two billion people currently live in areas of conflict and fragility, reflecting a rapid increase in wars, ethnic strife and other man-made disasters since 2010. The world is also experiencing the greatest forced migration crisis since the Second World War with 65.3 million forcibly displaced persons, 40.8 million internally displaced persons (IDPs), 21.3 million refugees and a further 10 million stateless people. Across the Middle East and North Africa (MENA) region protracted conflicts in countries such as Syria and Libya, as well as Afghanistan, Iraq and Yemen, have led to dramatic increases of refugee populations in Turkey, Lebanon, the Occupied Palestinian Territories and Jordan. War affected populations from these countries have undergone the epidemiological transition and therefore present new health challenges. In particular, the diagnosis, management and treatment of non-communicable diseases (NCDs) present new challenges for domestic health systems, as well as for humanitarian and development aid providers. These challenges also threaten domestic health commitments to Universal Health Coverage (UHC) and the Sustainable Development Goals (SDGs). This new humanitarian-development-health nexus demands a unique research agenda radically different from traditional approaches that address health challenges in low-income countries with weak governments, institutions and a mainly communicable disease burden.Without proper research capacity to generate crucial evidence to inform health policy and care, it will be impossible for countries in the MENA region to plan for rational and affordable health systems, sound economic policy and more effective aid effectiveness. The vision for our R4HC (Research for Health in Conflict)-MENA partnership is to build sustainable research capacity in this region to address major health challenges arising from conflict, specifically cancer and mental health as key NCDs. R4HC-MENA will build research capacity in four distinct areas: (1) conflict and health; (2) the political economy of health in conflict; (3) cancer; and (4) mental health research in regions of conflict. This research capacity will focus on training staff in a variety of theoretical and practical methods for studying these areas, as well as conducting and publishing research projects to build further capability and disseminate findings. R4HC-MENA will enable lead countries in this region to grow and sustain research capacity that can critically inform aspects of health development that relate to armed conflict in the region. This will inform not only regional and international policy-makers, but also the development of affordable and equitable clinical models of care and pathways in complex NCDs such as cancer and mental health. R4HC-MENA will also link together regional ministries and academic centres, and key international partners, to widen the research to policy translation, and critically inform the health development agenda in other regions affected by conflict.

目前有20亿人生活在冲突和脆弱地区，反映了自2010年以来战争、种族冲突和其他人为灾害的迅速增加。世界还经历着自第二次世界大战以来最严重的被迫移徙危机，有6 530万人被迫流离失所，4 080万境内流离失所者，2 130万难民和1 000万无国籍人。在整个中东和北非地区，叙利亚和利比亚以及阿富汗、伊拉克和也门等国的长期冲突导致土耳其、黎巴嫩、巴勒斯坦被占领土和约旦的难民人口急剧增加。这些国家受战争影响的人口经历了流行病的转变，因此提出了新的健康挑战。特别是，非传染性疾病的诊断、管理和治疗给国内卫生系统以及人道主义和发展援助提供者带来了新的挑战。这些挑战也威胁到国内对全民健康覆盖（UHC）和可持续发展目标（SDG）的卫生承诺。这一新的人道主义-发展-卫生关系需要一个独特的研究议程，这一议程与应对政府和机构薄弱、主要是传染性疾病负担的低收入国家的卫生挑战的传统方法截然不同，如果没有适当的研究能力来提供重要证据，为卫生政策和保健提供信息，中东和北非地区各国就不可能规划合理和负担得起的卫生系统，健全经济政策和更有效的援助效力。我们的R4 HC（冲突中的健康研究）-中东和北非伙伴关系的愿景是在该地区建立可持续的研究能力，以应对冲突带来的重大健康挑战，特别是癌症和心理健康作为主要的非传染性疾病。R4 HC-MENA将在四个不同领域建立研究能力：（1）冲突与健康;（2）冲突中健康的政治经济学;（3）癌症;（4）冲突地区的心理健康研究。这种研究能力将侧重于培训工作人员掌握研究这些领域的各种理论和实践方法，以及开展和出版研究项目，以进一步建设能力和传播研究结果。R4 HC-MENA将使该地区的主要国家能够发展和维持研究能力，为该地区与武装冲突有关的卫生发展方面提供重要信息。这不仅将为区域和国际决策者提供信息，而且还将为制定负担得起和公平的临床护理模式以及癌症和精神健康等复杂非传染性疾病的治疗途径提供信息。R4 HC-MENA还将把区域部委和学术中心以及主要的国际合作伙伴联系起来，将研究扩大到政策翻译，并为受冲突影响的其他地区的卫生发展议程提供重要信息。

项目成果

Strengthening capacity for cancer research in conflict settings: key informant insights from the Middle East.

• DOI: 10.3332/ecancer.2020.1153
• 发表时间: 2020
• 期刊: Ecancermedicalscience
• 影响因子: 1.8
• 作者: Abdul-Sater Z;Menassa M;El Achi N;Abdul-Khalek RA;Abu-Sittah G;Mukherji D
• 通讯作者: Mukherji D

Ageism, an invisible social determinant of health for older Syrian refugees in Lebanon: a service providers' perspective.

• DOI: 10.1186/s13031-022-00491-9
• 发表时间: 2022-11-24
• 期刊: CONFLICT AND HEALTH
• 影响因子: 3.6
• 作者: Chahine, Maya Abi;Kienzler, Hanna
• 通讯作者: Kienzler, Hanna

The Profile of Non-Communicable Disease (NCD) research in the Middle East and North Africa (MENA) region: Analyzing the NCD burden, research outputs and international research collaboration

中东和北非 (MENA) 地区非传染性疾病 (NCD) 研究概况：分析非传染性疾病负担、研究成果和国际研究合作

• DOI: 10.17863/cam.51930
• 发表时间: 2020
• 作者: Aggarwal A

Cancer registration in the Middle East, North Africa, and Turkey (MENAT) region: A tale of conflict, challenges, and opportunities.

• DOI: 10.3389/fonc.2022.1050168
• 发表时间: 2022
• 期刊: FRONTIERS IN ONCOLOGY
• 影响因子: 4.7
• 作者: Abdul-Sater, Zahi;Mukherji, Deborah;Adib, Salim M.;Shamseddine, Ali;Abu-Sitta, Ghassan;Fadhil, Ibtihal;Sullivan, Richard;Omari, Amal Al;Saleh, Shadi;Taher, Ali
• 通讯作者: Taher, Ali

Research Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries.

• DOI: 10.5334/aogh.2809
• 发表时间: 2020-11-06
• 期刊: Annals of global health
• 影响因子: 2.9
• 作者: Abdul-Sater Z;Kobeissi E;Menassa M;Telvizian T;Mukherji D
• 通讯作者: Mukherji D