Delivering health interventions to women, children, and adolescents in conflict settings: what have we learned from ten country case studies?
Autor: | Neha S Singh, Anushka Ataullahjan, Khadidiatou Ndiaye, Jai K Das, Paul H Wise, Chiara Altare, Zahra Ahmed, Samira Sami, Chaza Akik, Hannah Tappis, Shafiq Mirzazada, Isabel C Garcés-Palacio, Hala Ghattas, Ana Langer, Ronald J Waldman, Paul Spiegel, Zulfiqar A Bhutta, Karl Blanchet, Zulfiqar Bhutta, Robert Black, Ties Boerma, Michelle Gaffey, Ronald Waldman, Paul Wise |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent media_common.quotation_subject Adolescent Health Armed conflict MEDLINE Psychological intervention 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Child media_common Refugees Nutrition Interventions Young child Child Health General Medicine Armed Conflicts Relief Work medicine.disease Democracy Malnutrition Family medicine Women's Health Female Psychology Delivery of Health Care Adolescent health |
Zdroj: | The Lancet. 397:533-542 |
ISSN: | 0140-6736 |
Popis: | Armed conflict disproportionately affects the morbidity, mortality, and wellbeing of women, newborns, children, and adolescents. Our study presents insights from a collection of ten country case studies aiming to assess the provision of sexual, reproductive, maternal, newborn, child, and adolescent health and nutrition interventions in ten conflict-affected settings in Afghanistan, Colombia, Democratic Republic of the Congo, Mali, Nigeria, Pakistan, Somalia, South Sudan, Syria, and Yemen. We found that despite large variations in contexts and decision making processes, antenatal care, basic emergency obstetric and newborn care, comprehensive emergency obstetric and newborn care, immunisation, treatment of common childhood illnesses, infant and young child feeding, and malnutrition treatment and screening were prioritised in these ten conflict settings. Many lifesaving women's and children's health (WCH) services, including the majority of reproductive, newborn, and adolescent health services, are not reported as being delivered in the ten conflict settings, and interventions to address stillbirths are absent. International donors remain the primary drivers of influencing the what, where, and how of implementing WCH interventions. Interpretation of WCH outcomes in conflict settings are particularly context-dependent given the myriad of complex factors that constitute conflict and their interactions. Moreover, the comprehensiveness and quality of data remain limited in conflict settings. The dynamic nature of modern conflict and the expanding role of non-state armed groups in large geographic areas pose new challenges to delivering WCH services. However, the humanitarian system is creative and pluralistic and has developed some novel solutions to bring lifesaving WCH services closer to populations using new modes of delivery. These solutions, when rigorously evaluated, can represent concrete response to current implementation challenges to modern armed conflicts. |
Databáze: | OpenAIRE |
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