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

The humanitarian cluster approach was established in 2005 but clarity on how lessons from humanitarian clusters can inform and strengthen health system responses to mass displacement in low and middle-income countries (LMIC) is lacking. We conducted a scoping review to examine the extent and nature...

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Autores principales: Durrance-Bagale, Anna, Salman, Omar Mukhtar, Omar, Maryam, Alhaffar, Mervat, Ferdaus, Muhammad, Newaz, Sanjida, Krishnan, Sneha, Howard, Natasha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790453/
https://www.ncbi.nlm.nih.gov/pubmed/33458716
http://dx.doi.org/10.1016/j.jmh.2020.100028
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author Durrance-Bagale, Anna
Salman, Omar Mukhtar
Omar, Maryam
Alhaffar, Mervat
Ferdaus, Muhammad
Newaz, Sanjida
Krishnan, Sneha
Howard, Natasha
author_facet Durrance-Bagale, Anna
Salman, Omar Mukhtar
Omar, Maryam
Alhaffar, Mervat
Ferdaus, Muhammad
Newaz, Sanjida
Krishnan, Sneha
Howard, Natasha
author_sort Durrance-Bagale, Anna
collection PubMed
description The humanitarian cluster approach was established in 2005 but clarity on how lessons from humanitarian clusters can inform and strengthen health system responses to mass displacement in low and middle-income countries (LMIC) is lacking. We conducted a scoping review to examine the extent and nature of existing research and identify relevant lessons. We used Arksey and O'Malley's scoping framework with Levac's 2010 revisions and Khalil's 2016 refinements, focussing on identifying lessons from discrete humanitarian clusters that could strengthen health system responses to mass population displacement. We summarised thematically by cluster. Of 186 sources included, 56% were peer-reviewed research articles. Most related to health (37%), protection (18%), or nutrition (13%) clusters. Key lessons for health system responses included the necessity of empowering women; ensuring communities are engaged in decision-making processes (e.g. planning and construction of camps and housing) to strengthen trust and bonds between and within communities; and involving potential end-users in technological innovations development (e.g. geographical information systems) to ensure relevance and applicability. Our review provided evidence that non-health clusters can contribute to improving health outcomes using focussed interventions for implementation by government or humanitarian partners to inform LMIC health system responses to mass displacement.
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spelling pubmed-77904532021-01-14 Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review Durrance-Bagale, Anna Salman, Omar Mukhtar Omar, Maryam Alhaffar, Mervat Ferdaus, Muhammad Newaz, Sanjida Krishnan, Sneha Howard, Natasha J Migr Health Article The humanitarian cluster approach was established in 2005 but clarity on how lessons from humanitarian clusters can inform and strengthen health system responses to mass displacement in low and middle-income countries (LMIC) is lacking. We conducted a scoping review to examine the extent and nature of existing research and identify relevant lessons. We used Arksey and O'Malley's scoping framework with Levac's 2010 revisions and Khalil's 2016 refinements, focussing on identifying lessons from discrete humanitarian clusters that could strengthen health system responses to mass population displacement. We summarised thematically by cluster. Of 186 sources included, 56% were peer-reviewed research articles. Most related to health (37%), protection (18%), or nutrition (13%) clusters. Key lessons for health system responses included the necessity of empowering women; ensuring communities are engaged in decision-making processes (e.g. planning and construction of camps and housing) to strengthen trust and bonds between and within communities; and involving potential end-users in technological innovations development (e.g. geographical information systems) to ensure relevance and applicability. Our review provided evidence that non-health clusters can contribute to improving health outcomes using focussed interventions for implementation by government or humanitarian partners to inform LMIC health system responses to mass displacement. Elsevier 2020-12-09 /pmc/articles/PMC7790453/ /pubmed/33458716 http://dx.doi.org/10.1016/j.jmh.2020.100028 Text en © 2020 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Durrance-Bagale, Anna
Salman, Omar Mukhtar
Omar, Maryam
Alhaffar, Mervat
Ferdaus, Muhammad
Newaz, Sanjida
Krishnan, Sneha
Howard, Natasha
Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review
title Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review
title_full Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review
title_fullStr Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review
title_full_unstemmed Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review
title_short Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review
title_sort lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: a scoping review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790453/
https://www.ncbi.nlm.nih.gov/pubmed/33458716
http://dx.doi.org/10.1016/j.jmh.2020.100028
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