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 |
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| 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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