Setting research priorities for sexual, reproductive, maternal, newborn, child and adolescent health in humanitarian settings

Autor: Kobeissi, Loulou, Nair, Mahalakshmi, Evers, Egmond Samir, Han, Mansuk Daniel, Aboubaker, Samira, Say, Lale, Rollins, Nigel, Darmstadt, Gary L, Blanchet, Karl, Garcia, Daniel Martinez, Hagon, Olivier, Ashorn, Per, Members of the WHO research prioritization group for SRMNCAH promotion in humanitarian settings
Přispěvatelé: Tampere University, Clinical Medicine, Department of Paediatrics
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Health (social science)
Service delivery framework
Sexual health
030231 tropical medicine
lcsh:Special situations and conditions
Delphi method
Adolescent health
Humanitarian pediatrics
Delphi
03 medical and health sciences
0302 clinical medicine
Nursing
3123 Gynaecology and paediatrics
medicine
CHNRI
030212 general & internal medicine
Newborn health
Research question
Reproductive health
Research priorities
Child health
Data collection
business.industry
Public health
Research
lcsh:RC952-1245
Public Health
Environmental and Occupational Health
Health services research
lcsh:Medical emergencies. Critical care. Intensive care. First aid
lcsh:RC86-88.9
3142 Public health care science
environmental and occupational health
Maternal health
business
Psychology
Humanitarian conflict
Zdroj: Conflict and Health, Vol 15, Iss 1, Pp 1-10 (2021)
Conflict and Health
Popis: Background An estimated 70.8 million people are forcibly displaced worldwide, 75% of whom are women and children. Prioritizing a global research agenda to inform guidance, service delivery, access to and quality of services is essential to improve the survival and health of women, children and adolescents in humanitarian settings. Method A mixed-methods design was adapted from the Child Health and Nutrition Research Initiative (CHNRI) methodology to solicit priority research questions across the sexual, reproductive, maternal, newborn, child and adolescent health (SRMNCAH) domains in humanitarian settings. The first step (CHNRI) involved data collection and scoring of perceived priority questions, using a web-based survey over two rounds (first, to generate the questions and secondly, to score them). Over 1000 stakeholders from across the globe were approached; 177 took part in the first survey and 69 took part in the second. These research questions were prioritized by generating a research prioritization score (RPP) across four dimensions: answerability, program feasibility, public health relevance and equity. A Delphi process of 29 experts followed, where the 50 scored and prioritized CHRNI research questions were shortlisted. The top five questions from the CHNRI scored list for each SRMNCAH domain were voted on, rendering a final list per domain. Results A total of 280 questions were generated. Generated questions covered sexual and reproductive health (SRH) (n = 90, 32.1%), maternal health (n = 75, 26.8%), newborn health (n = 42, 15.0%), child health (n = 43, 15.4%), and non-SRH aspects of adolescent health (n = 31, 11.1%). A shortlist of the top ten prioritized questions for each domain were generated on the basis of the computed RPPs. During the Delphi process, the prioritized questions, based on the CHNRI process, were further refined. Five questions from the shortlist of each of the SRMNCAH domain were formulated, resulting in 25 priority questions across SRMNCAH. For example, one of the prioritized SRH shortlisted and prioritized research question included: “What are effective strategies to implement good quality comprehensive contraceptive services (long-acting, short-acting and EC) for women and girls in humanitarian settings?” Conclusion Data needs, effective intervention strategies and approaches, as well as greater efficiency and quality during delivery of care in humanitarian settings were prioritized. The findings from this research provide guidance for researchers, program implementers, as well as donor agencies on SRMNCAH research priorities in humanitarian settings. A global research agenda could save the lives of those who are at greatest risk and vulnerability as well as increase opportunities for translation and innovation for SRMNCAH in humanitarian settings.
Databáze: OpenAIRE
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