Synthesising evidence from other sectors to strengthen health system responses to mass displacement: supporting Rohingya refugees in Bangladesh

综合其他部门的证据，加强卫生系统应对大规模流离失所的措施：支持孟加拉国的罗兴亚难民

• 批准号: MR/S013008/1
• 负责人: Natasha Howard
• 金额: $ 23.04万
• 依托单位: London School of Hygiene & Tropical Medicine
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FS013008%2F1
• 关键词: Synthesising; evidence; other; sectors; strengthen

Since August 2017, a large influx of Rohingya refugees have fled Myanmar and settled in Cox's Bazar in south-eastern Bangladesh, where two registered refugee camps, Kutupalong and Nayapara are operational. The health system in the region is facing tremendous pressure in serving such a large population, although 150 national and international partners coordinated by WHO and the Civil Surgeon's Office of Cox's Bazar, are providing health service delivery through 270 static and mobile health facilities. Several health system challenges include large host and refugee populations; responding to immediate, emerging health needs during the upcoming monsoon season and mitigating risks related to floods, landslides and cyclones, which could damage health infrastructure, and limit population access to health facilities. A team of researchers from London School of Hygiene and Tropical Medicine in the UK and University of Dhaka and BRAC University in Bangladesh are proposing to synthesize lessons from other humanitarian sectors to strengthen health system responses to support displaced Rohingya in Bangladesh. During this 18 month project we will investigate the following question 'What lessons can the health sector apply from other sectors to strengthen local health system responses to mass displacement?'This foundation study will have three components: 1. Evidence synthesis: We will conduct a review of non-health literature following from recently published evidence synthesis reviews.2. Framework development: We will draw from the evidence synthesis to develop a health systems resilience framework.3. Case study: We will conduct a case study in Balukhali refugee camp in Cox's Bazar, Bangladesh, to test our framework by examining how the local health system has been affected by and adapted to the refugee influx. We propose to conduct a dissemination workshop in Dhaka, to engage with regional stakeholders and incorporate their inputs on the robustness and resilience of health system responses to mass displacement. We will submit at least one manuscript to an international peer-reviewed journal and prepare a technical report to enable non-academic practitioners to benefit from the research.

自2017年8月以来，大量罗兴亚难民逃离缅甸并定居在孟加拉国东南部的科克斯巴扎尔，那里有两个已登记的难民营库图帕隆和纳亚帕拉正在运作。尽管在世卫组织和考克斯巴扎尔民间外科医生办公室的协调下，150个国家和国际合作伙伴正在通过270个静态和移动卫生设施提供卫生服务，但该地区的卫生系统在为如此多的人口提供服务方面面临着巨大压力。卫生系统面临的一些挑战包括大量收容人口和难民人口；应对即将到来的季风季节紧迫的、新出现的卫生需求，并减轻与洪水、山体滑坡和飓风有关的风险，这些风险可能会损害卫生基础设施，并限制人们使用卫生设施。来自英国伦敦卫生与热带医学院、达卡大学和孟加拉国 BRAC 大学的一组研究人员提议综合其他人道主义部门的经验教训，以加强卫生系统的应对措施，以支持孟加拉国流离失所的罗兴亚人。在这个为期 18 个月的项目中，我们将研究以下问题：“卫生部门可以从其他部门吸取哪些经验教训，以加强地方卫生系统对大规模流离失所的反应？”这项基础研究将由三个组成部分组成： 1. 证据综合：我们将根据最近发表的证据综合评论对非卫生文献进行审查。2.框架开发：我们将根据证据综合来开发卫生系统复原力框架。3．案例研究：我们将在孟加拉国科克斯巴扎尔的 Balukhali 难民营进行案例研究，通过检查当地卫生系统如何受到难民涌入的影响和适应难民涌入来测试我们的框架。我们建议在达卡举办一次传播研讨会，与区域利益攸关方进行接触，并吸收他们对卫生系统应对大规模流离失所的稳健性和复原力的意见。我们将向国际同行评审期刊提交至少一篇手稿，并准备一份技术报告，以使非学术从业者能够从研究中受益。

项目成果

How can humanitarian services provision during mass displacement better support health systems? An exploratory qualitative study of humanitarian service provider perspectives in Cox's Bazar, Bangladesh.

• DOI: 10.1016/j.jmh.2022.100132
• 发表时间: 2022
• 期刊: JOURNAL OF MIGRATION AND HEALTH
• 影响因子: 4.6
• 作者: Krishnan, Sneha;Zaman, Samia;Ferdaus, Muhammad;Kabir, Md Humayun;Khatun, Hafiza;Rahman, S. M. Safiqur;Marzouk, Manar;Durrance-Bagale, Anna;Howard, Natasha
• 通讯作者: Howard, Natasha

Community engagement in health systems interventions and research in conflict-affected countries: a scoping review of approaches.

• DOI: 10.1080/16549716.2022.2074131
• 发表时间: 2022-12-31
• 期刊: GLOBAL HEALTH ACTION
• 影响因子: 2.6
• 作者: Durrance-Bagale, Anna;Marzouk, Manar;Tung, Lam Sze;Agarwal, Sunanda;Aribou, Zeenathnisa Mougammadou;Ibrahim, Nafeesah Bte Mohamed;Mkhallalati, Hala;Newaz, Sanjida;Omar, Maryam;Ung, Mengieng;Zaseela, Ayshath;Nagashima-Hayashi, Michiko;Howard, Natasha
• 通讯作者: Howard, Natasha

Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review.

• DOI: 10.1016/j.jmh.2020.100028
• 发表时间: 2020
• 期刊: Journal of migration and health
• 影响因子: 4.6
• 作者: Durrance-Bagale A;Salman OM;Omar M;Alhaffar M;Ferdaus M;Newaz S;Krishnan S;Howard N
• 通讯作者: Howard N

Health system evaluation in conflict-affected countries: a scoping review of approaches and methods.

• DOI: 10.1186/s13031-023-00526-9
• 发表时间: 2023-06-19
• 期刊: CONFLICT AND HEALTH
• 影响因子: 3.6
• 作者: Marzouk, Manar;Durrance-Bagale, Anna;Lam, Sze Tung;Nagashima-Hayashi, Michiko;Ung, Mengieng;Aribou, Zeenathnisa Mougammadou;Zaseela, Ayshath;Ibrahim, Nafeesah Mohamed;Agarwal, Sunanda;Omar, Maryam;Newaz, Sanjida;Mkhallalati, Hala;Howard, Natasha
• 通讯作者: Howard, Natasha