Cargando…
Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review
BACKGROUND: Effective coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises is required to ensure efficiency of services, avoid duplication, and improve equity. The objective of this review was to assess how, during and after humanitari...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4558048/ https://www.ncbi.nlm.nih.gov/pubmed/26332670 http://dx.doi.org/10.1371/journal.pone.0137159 |
_version_ | 1782388565314895872 |
---|---|
author | Akl, Elie A. El-Jardali, Fadi Bou Karroum, Lama El-Eid, Jamale Brax, Hneine Akik, Chaza Osman, Mona Hassan, Ghayda Itani, Mira Farha, Aida Pottie, Kevin Oliver, Sandy |
author_facet | Akl, Elie A. El-Jardali, Fadi Bou Karroum, Lama El-Eid, Jamale Brax, Hneine Akik, Chaza Osman, Mona Hassan, Ghayda Itani, Mira Farha, Aida Pottie, Kevin Oliver, Sandy |
author_sort | Akl, Elie A. |
collection | PubMed |
description | BACKGROUND: Effective coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises is required to ensure efficiency of services, avoid duplication, and improve equity. The objective of this review was to assess how, during and after humanitarian crises, different mechanisms and models of coordination between organizations, agencies and bodies providing or financing health services compare in terms of access to health services and health outcomes. METHODS: We registered a protocol for this review in PROSPERO International prospective register of systematic reviews under number PROSPERO2014:CRD42014009267. Eligible studies included randomized and nonrandomized designs, process evaluations and qualitative methods. We electronically searched Medline, PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health Library and websites of relevant organizations. We followed standard systematic review methodology for the selection, data abstraction, and risk of bias assessment. We assessed the quality of evidence using the GRADE approach. RESULTS: Of 14,309 identified citations from databases and organizations' websites, we identified four eligible studies. Two studies used mixed-methods, one used quantitative methods, and one used qualitative methods. The available evidence suggests that information coordination between bodies providing health services in humanitarian crises settings may be effective in improving health systems inputs. There is additional evidence suggesting that management/directive coordination such as the cluster model may improve health system inputs in addition to access to health services. None of the included studies assessed coordination through common representation and framework coordination. The evidence was judged to be of very low quality. CONCLUSION: This systematic review provides evidence of possible effectiveness of information coordination and management/directive coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises. Our findings can inform the research agenda and highlight the need for improving conduct and reporting of research in this field. |
format | Online Article Text |
id | pubmed-4558048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-45580482015-09-10 Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review Akl, Elie A. El-Jardali, Fadi Bou Karroum, Lama El-Eid, Jamale Brax, Hneine Akik, Chaza Osman, Mona Hassan, Ghayda Itani, Mira Farha, Aida Pottie, Kevin Oliver, Sandy PLoS One Research Article BACKGROUND: Effective coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises is required to ensure efficiency of services, avoid duplication, and improve equity. The objective of this review was to assess how, during and after humanitarian crises, different mechanisms and models of coordination between organizations, agencies and bodies providing or financing health services compare in terms of access to health services and health outcomes. METHODS: We registered a protocol for this review in PROSPERO International prospective register of systematic reviews under number PROSPERO2014:CRD42014009267. Eligible studies included randomized and nonrandomized designs, process evaluations and qualitative methods. We electronically searched Medline, PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health Library and websites of relevant organizations. We followed standard systematic review methodology for the selection, data abstraction, and risk of bias assessment. We assessed the quality of evidence using the GRADE approach. RESULTS: Of 14,309 identified citations from databases and organizations' websites, we identified four eligible studies. Two studies used mixed-methods, one used quantitative methods, and one used qualitative methods. The available evidence suggests that information coordination between bodies providing health services in humanitarian crises settings may be effective in improving health systems inputs. There is additional evidence suggesting that management/directive coordination such as the cluster model may improve health system inputs in addition to access to health services. None of the included studies assessed coordination through common representation and framework coordination. The evidence was judged to be of very low quality. CONCLUSION: This systematic review provides evidence of possible effectiveness of information coordination and management/directive coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises. Our findings can inform the research agenda and highlight the need for improving conduct and reporting of research in this field. Public Library of Science 2015-09-02 /pmc/articles/PMC4558048/ /pubmed/26332670 http://dx.doi.org/10.1371/journal.pone.0137159 Text en © 2015 Akl et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Akl, Elie A. El-Jardali, Fadi Bou Karroum, Lama El-Eid, Jamale Brax, Hneine Akik, Chaza Osman, Mona Hassan, Ghayda Itani, Mira Farha, Aida Pottie, Kevin Oliver, Sandy Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review |
title | Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review |
title_full | Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review |
title_fullStr | Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review |
title_full_unstemmed | Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review |
title_short | Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review |
title_sort | effectiveness of mechanisms and models of coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4558048/ https://www.ncbi.nlm.nih.gov/pubmed/26332670 http://dx.doi.org/10.1371/journal.pone.0137159 |
work_keys_str_mv | AT akleliea effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT eljardalifadi effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT boukarroumlama effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT eleidjamale effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT braxhneine effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT akikchaza effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT osmanmona effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT hassanghayda effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT itanimira effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT farhaaida effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT pottiekevin effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview AT oliversandy effectivenessofmechanismsandmodelsofcoordinationbetweenorganizationsagenciesandbodiesprovidingorfinancinghealthservicesinhumanitariancrisesasystematicreview |