Articles

A crisis of protection and safe passage: violence experienced by migrants/refugees travelling along the Western Balkan corridor to Northern Europe

Pushed by ongoing conflicts and pulled by the desire for a better life, over one million migrants/refugees transited Balkan countries and arrived in Europe during 2015 and early 2016. To curb this influx, Euro...

Authors: Jovana Arsenijević, Erin Schillberg, Aurelie Ponthieu, Lucio Malvisi, Waeil A. Elrahman Ahmed, Stefano Argenziano, Federica Zamatto, Simon Burroughs, Natalie Severy, Christophe Hebting, Brice de Vingne, Anthony D. Harries and Rony Zachariah

Prevalence of non-communicable diseases and access to health care and medications among Yazidis and other minority groups displaced by ISIS into the Kurdistan Region of Iraq

The increasing caseload of non-communicable diseases (NCDs) in displaced populations poses new challenges for humanitarian agencies and host country governments in the provision of health care, diagnostics and...

Authors: Valeria Cetorelli, Gilbert Burnham and Nazar Shabila

Ethical considerations for children’s participation in data collection activities during humanitarian emergencies: A Delphi review

Children’s right to participate in data collection during emergencies has been widely recognized by humanitarian actors. However, participation in such activities can expose children to risk. Tensions have bee...

Authors: Cyril Bennouna, Hani Mansourian and Lindsay Stark

Rescue medical activities in the mediterranean migrant crisis

Authors: Favila Escobio, Maryse Etiennoul and Stephany Spindola

Contraceptive availability leads to increase in use in conflict-affected Democratic Republic of the Congo: evidence from cross-sectional cluster surveys, facility assessments and service statistics

Humanitarian assistance standards mandate specific attention to address the sexual and reproductive health (SRH) needs of conflict-affected populations. Despite these internationally recognised standards, acce...

Authors: Sara E. Casey and Martin Tshipamba

Challenges to conducting epidemiology research in chronic conflict areas: examples from PURE- Palestine

Little has been written on the challenges of conducting research in regions or countries with chronic conflict and strife. In this paper we share our experiences in conducting a population based study of chron...

Authors: Rasha Khatib, Rita Giacaman, Umaiyeh Khammash and Salim Yusuf

A novel bio-psycho-social approach for rehabilitation of traumatized victims of torture and war in the post-conflict context: a pilot randomized controlled trial in Kosovo

Some evidence showed that multidisciplinary rehabilitation in Western countries is effective for treating war-related trauma, but it remains unclear whether this approach is applicable to civilians living in r...

Authors: Shr-Jie Wang, Ardiana Bytyçi, Selvi Izeti, Melita Kallaba, Feride Rushiti, Edith Montgomery and Jens Modvig

Evolution of policies on human resources for health: opportunities and constraints in four post-conflict and post-crisis settings

Few studies look at policy making in the health sector in the aftermath of a conflict or crisis and even fewer specifically focus on Human Resources for Health, which is a critical domain for health sector per...

Authors: Sophie Witter, Maria Paola Bertone, Yotamu Chirwa, Justine Namakula, Sovannarith So and Haja R. Wurie

Mental health and trauma in asylum seekers landing in Sicily in 2015: a descriptive study of neglected invisible wounds

In 2015, Italy was the second most common point of entry for asylum seekers into Europe after Greece. The vast majority embarked from war-torn Libya; 80,000 people claimed asylum that year. Their medical condi...

Authors: Anna Crepet, Francesco Rita, Anthony Reid, Wilma Van den Boogaard, Pina Deiana, Gaia Quaranta, Aurelia Barbieri, Francesco Bongiorno and Stefano Di Carlo

Implementation of Audio-Computer Assisted Self-Interview (ACASI) among adolescent girls in humanitarian settings: feasibility, acceptability, and lessons learned

Audio-Computer Assisted Self- Interview (ACASI) is a method of data collection in which participants listen to pre-recorded questions through headphones and respond to questions by selecting their answers on a...

Authors: Kathryn Falb, Sophie Tanner, Khudejha Asghar, Samir Souidi, Stan Mierzwa, Asham Assazenew, Theresita Bakomere, Pamela Mallinga, Katie Robinette, Woinishet Tibebu and Lindsay Stark

Sexual violence-related pregnancies in eastern Democratic Republic of Congo: a qualitative analysis of access to pregnancy termination services

Sexual violence has been prevalent throughout the armed conflict in eastern Democratic Republic of Congo (DRC). Research on sexual violence-related pregnancies (SVRPs) and pregnancy termination in eastern DRC,...

Authors: Gillian Burkhardt, Jennifer Scott, Monica Adhiambo Onyango, Shada Rouhani, Sadia Haider, Ashley Greiner, Katherine Albutt, Michael VanRooyen and Susan Bartels

Does spending on refugees make a difference? A cross-sectional study of the association between refugee program spending and health outcomes in 70 sites in 17 countries

Numerous simultaneous complex humanitarian emergencies strain the ability of local governments and the international community to respond, underscoring the importance of cost-effective use of limited resources...

Authors: Timothy M Tan, Paul Spiegel, Christopher Haskew and P Gregg Greenough

Displaced populations due to humanitarian emergencies and its impact on global eradication and elimination of vaccine-preventable diseases

Populations affected by humanitarian emergencies may require unique strategies to ensure access to life-saving vaccines and attain sufficiently high population immunity to interrupt virus circulation. Vaccinat...

Authors: Eugene Lam, Michael Diaz, Allen Gidraf Kahindo Maina and Muireann Brennan

Nutritional situation among Syrian refugees hosted in Iraq, Jordan, and Lebanon: cross sectional surveys

Ongoing armed conflict in Syria has caused large scale displacement. Approximately half of the population of Syria have been displaced including the millions living as refugees in neighboring countries. We sou...

Authors: S. M. Moazzem Hossain, Eva Leidman, James Kingori, Abdullah Al Harun and Oleg O. Bilukha

Community based system dynamic as an approach for understanding and acting on messy problems: a case study for global mental health intervention in Afghanistan

Afghanistan lacks suitable specialized mental healthcare services despite high prevalence of severe mental health disorders which are aggravated by the conflict and numerous daily stressors. Recent studies hav...

Authors: Jean-Francois Trani, Ellis Ballard, Parul Bakhshi and Peter Hovmand

Prevalence, care-seeking, and health service utilization for non-communicable diseases among Syrian refugees and host communities in Lebanon

Given the large burden of non-communicable diseases (NCDs) among both Syrian refugees and the host communities within which they are settled, humanitarian actors and the government of Lebanon face immense chal...

Authors: Shannon Doocy, Emily Lyles, Baptiste Hanquart and Michael Woodman

Differences in tobacco smoking prevalence and frequency between adolescent Palestine refugee and non-refugee populations in Jordan, Lebanon, Syria, and the West Bank: cross-sectional analysis of the Global Youth Tobacco Survey

Evidence is conflicting as to the whether tobacco smoking prevalence is higher in refugee than non-refugee populations. The aim of this study was to compare the prevalence and frequency of tobacco smoking in P...

Authors: Mohammed Jawad, Ali Khader and Christopher Millett

Why Médecins Sans Frontières (MSF) provides safe abortion care and what that involves

MSF responds to needs for the termination of pregnancy, including on request (TPR); it is part of the organization’s work aimed at reducing maternal mortality and suffering; and preventing unsafe abortions in ...

Authors: Catrin Schulte-Hillen, Nelly Staderini and Jean-François Saint-Sauveur

The peacebuilding potential of healthcare training programs

Global health professionals regularly conduct healthcare trainings, such as first aid courses, in disadvantaged communities across the world. Many of these communities lack healthcare infrastructure because of...

Authors: Kyle G. Ratner and Lindsay B. Katona

Mental health and psychosocial support for South Sudanese refugees in northern Uganda: a needs and resource assessment

Since December 2013, an armed conflict in South Sudan has resulted in the displacement of over 2.2 million people, more than 270,000 of whom are presently in refugee settlements located throughout Uganda. Exis...

Authors: Alex Adaku, James Okello, Blakeley Lowry, Jeremy C. Kane, Stephen Alderman, Seggane Musisi and Wietse A. Tol

Assessing the use of the neighborhood method to estimate the prevalence of child separation: a pilot in North Kivu, DRC

This article reports on the use of the ‘neighborhood method’ to measure the prevalence and basic characteristics of children who became separated from their parents or usual caregivers subsequent to an attack ...

Authors: Hani Mansourian, Beth L. Rubenstein, Craig Spencer, Makini Chisolm-Straker, Eva Noble, Anna Skeels, Chiara Ceriotti and Lindsay Stark

Mental health problems among conflict-affected adults in Grozny, Chechnya: a qualitative study

A decade of conflict in Chechnya destroyed infrastructure and resulted in widespread exposure to violence. Amidst substantial reconstruction, periodic violence has contributed to an ongoing atmosphere of insec...

Authors: Amanda J. Nguyen, Concetta Feo, Kyuri Idrisov, Giovanni Pintaldi, Annick Lenglet, Zalina Tsatsaeva, Paul Bolton and Judith Bass

Erratum to: Evaluation of a surgical service in the chronic phase of a refugee camp: an example from the Thai-Myanmar border

Authors: Chathika K. Weerasuriya, Saw Oo Tan, Lykourgos Christos Alexakis, Aung Kaung Set, Marcus J. Rijken, Paul Martyn, François Nosten and Rose McGready

Erratum to: Neonatal outcomes of Syrian refugees delivered in a tertiary hospital in Ankara, Turkey

Authors: Mehmet Büyüktiryaki, Fuat Emre Canpolat, Evrim Alyamaç Dizdar, Nilüfer Okur and Gülsüm Kadıoğlu Şimşek

Comments on the article: “Syrian refugees in Lebanon: the search for universal health coverage”

This letter intends to clarify information and misconceptions found in the article “Syrian refugees in Lebanon: the search for universal health coverage” which was published June 1st, 2016, and to challenge th...

Authors: Walid Ammar, Alissar Radi and Fadi El-Jardali

Excess mortality in refugees, internally displaced persons and resident populations in complex humanitarian emergencies (1998–2012) – insights from operational data

Complex humanitarian emergencies are characterised by a break-down of health systems. All-cause mortality increases and non-violent excess deaths (predominantly due to infectious diseases) have been shown to o...

Authors: Peter Heudtlass, Niko Speybroeck and Debarati Guha-Sapir

Psychosocial wellbeing and physical health among Tamil schoolchildren in northern Sri Lanka

Mental disorders contribute to the global disease burden and have an increased prevalence among children in emergency settings. Good physical health is crucial for mental well-being, although physical health i...

Authors: Alexander Hamilton, Charlie Foster, Justin Richards and Rajendra Surenthirakumaran

Dangerous crossing: demographic and clinical features of rescued sea migrants seen in 2014 at an outpatient clinic at Augusta Harbor, Italy

In recent years Europe has received an increasing influx of migrants, many of whom risked their lives crossing the Mediterranean Sea. In October 2013, Italy launched a search and rescue operation at sea in res...

Authors: Alessia Trovato, Anthony Reid, Kudakwashe C. Takarinda, Chiara Montaldo, Tom Decroo, Philip Owiti, Francesco Bongiorno and Stefano Di Carlo

Syrian refugees in Lebanon: the search for universal health coverage

The crisis in Syria has forced more than 4 million people to find refuge outside Syria. In Lebanon, in 2015, the refugee population represented 30 % of the total population. International health assistance has...

Authors: Karl Blanchet, Fouad M. Fouad and Tejendra Pherali

Abducted children and youth in Lord’s Resistance Army in Northeastern Democratic Republic of the Congo (DRC): mechanisms of indoctrination and control

Globally, an estimated 300,000 children under the age of 18 participate in combat situations; those in armed groups in particular suffer prolonged exposure to psychological and physical abuse. The Lord’s Resis...

Authors: Jocelyn TD Kelly, Lindsay Branham and Michele R. Decker

The mortality in Gaza in July—September 2014: a retrospective chart-review study

The majority of Gazans who were killed or injured in the 2014 Israel—Gaza war were civilians, and one-fourth of the population were internally displaced. As the Gaza Strip is a small territory, the whole popul...

Authors: Arild Vaktskjold, Mohammad Yaghi, Usama Balawi, Bjørn Iversen and Wendy Venter

Comprehensive development and testing of the ASIST-GBV, a screening tool for responding to gender-based violence among women in humanitarian settings

Conflict affected refugees and internally displaced persons (IDPs) are at increased vulnerability to gender-based violence (GBV). Health, psychosocial, and protection services have been implemented in humanita...

Authors: A. L. Wirtz, N. Glass, K. Pham, N. Perrin, L. S. Rubenstein, S. Singh and A. Vu

A quantitative assessment of termination of sexual violence-related pregnancies in eastern Democratic Republic of Congo

Sexual violence is prevalent in eastern Democratic Republic of Congo (DRC), and has resulted in sexual violence-related pregnancies (SVRPs). Despite restrictive laws, women may seek to terminate SVRPs; however...

Authors: Shada A. Rouhani, Jennifer Scott, Gillian Burkhardt, Monica A. Onyango, Sadia Haider, Ashley Greiner, Katherine Albutt, Michael VanRooyen and Susan A. Bartels

Why don’t humanitarian organizations provide safe abortion services?

Although sexual and reproductive health services have become more available in humanitarian settings over the last decade, safe abortion services are still rarely provided. The authors’ observations suggest th...

Authors: Therese McGinn and Sara E. Casey

Global assistance in caring for Syrian refugees

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Authors: Mujalli Mhailan Murshidi

Retrospective analysis of reproductive health indicators in the United Nations High Commissioner for Refugees post-emergency camps 2007–2013

The United Nations Refugee Agency’s Health Information System issues analytical reports on the current camp conditions and trends for priority reproductive health issues. The goal was to assess the status of r...

Authors: Jennifer Whitmill, Curtis Blanton, Sathyanarayanan Doraiswamy, Nadine Cornier, Marian Schilperood, Paul Spiegel and Barbara Tomczyk

Attitudes of Palestinian medical students on the geopolitical barriers to accessing hospitals for clinical training: a qualitative study

The movement of Palestinians in the occupied Palestinian territories is restricted by bureaucratic and physical obstacles. To date, no studies have examined the barriers that Palestinian medical students face ...

Authors: Sarrah Shahawy and Megan Diamond

Road traffic fatalities in selected governorates of Iraq from 2010 to 2013: prospective surveillance

The insurgency tactics that characterize modern warfare, such as suicide car bombs and roadside bombs, have the potential to significantly impact road traffic injuries in conflict affected-countries. As road t...

Authors: Eva Leidman, Maret Maliniak, Abdul-Salam Saleh Sultan, Ahmed Hassan, Syed Jaffar Hussain and Oleg O. Bilukha

Acknowledgement of manuscript reviewers 2015

The editors of Conflict and Health would like to thank all our reviewers who have contributed to the journal in Volume 9 (2015).

Authors: Ruwan Ratnayake, Bayard Roberts, Michelle Gaffey and Adrianna Murphy

Psychometric properties and reliability of the Assessment Screen to Identify Survivors Toolkit for Gender Based Violence (ASIST-GBV): results from humanitarian settings in Ethiopia and Colombia

Refugees and internally displaced persons who are affected by armed-conflict are at increased vulnerability to some forms of sexual violence or other types of gender-based violence. A validated, brief and easy...

Authors: Alexander Vu, Andrea Wirtz, Kiemanh Pham, Sonal Singh, Leonard Rubenstein, Nancy Glass and Nancy Perrin

Neonatal outcomes of Syrian refugees delivered in a tertiary hospital in Ankara, Turkey

We retrospectively reviewed the medical records of all Syrian immigrants from the TurkishSyrian border who delivered the Zekai Tahir Burak Maternity and Teaching Hospital Neonatal Intensive Care Unit (NICU) in...

Authors: Mehmet Büyüktiryaki, Fuat Emre Canpolat, Evrim Alyamaç Dizdar, Nilüfer Okur and Gülsüm Kadıoğlu Şimşek

Soap is not enough: handwashing practices and knowledge in refugee camps, Maban County, South Sudan

Refugees are at high risk for communicable diseases due to overcrowding and poor water, sanitation, and hygiene conditions. Handwashing with soap removes pathogens from hands and reduces disease risk. A hepati...

Authors: Raina M Phillips, Jelena Vujcic, Andrew Boscoe, Thomas Handzel, Mark Aninyasi, Susan T Cookson, Curtis Blanton, Lauren S Blum and Pavani K Ram

Providing surgery in a war-torn context: the Médecins Sans Frontières experience in Syria

Since 2011, civil war has crippled Syria leaving much of the population without access to healthcare. Various field hospitals have been clandestinely set up to provide basic healthcare but few have been able t...

Authors: Miguel Trelles, Lynette Dominguez, Katie Tayler-Smith, Katrin Kisswani, Alberto Zerboni, Thierry Vandenborre, Silvia Dallatomasina, Alaa Rahmoun and Marie-Christine Ferir

Psychological distress and its associations with past events in pregnant women affected by armed conflict in Swat, Pakistan: a cross sectional study

The public health significance of maternal mental health is well established. Armed conflicts expose populations to events that could have long-term negative consequences for mental health of pregnant women an...

Authors: Muhammad Naseem Khan, Anna Chiumento, Mukesh Dherani, Katie Bristow, Siham Sikander and Atif Rahman

Coping among trauma-affected youth: a qualitative study

Eastern Democratic Republic of Congo has endured decades of conflict resulting in widespread experiences of conflict related trauma and destruction to health and social infrastructure. The aim of this qualitat...

Authors: Megan Cherewick, Anjalee Kohli, Mitima Mpanano Remy, Clovis Mitima Murhula, Arsene Kajabika Bin Kurhorhwa, Alfred Bacikenge Mirindi, Nadine Mwinja Bufole, Jean Heri Banywesize, Gisele Mushengezi Ntakwinja, Gracia Mitima Kindja and Nancy Glass

Child health in Syria: recognising the lasting effects of warfare on health

The war in Syria, now in its fourth year, is one of the bloodiest in recent times. The legacy of war includes damage to the health of children that can last for decades and affect future generations. In this a...

Authors: Delan Devakumar, Marion Birch, Leonard S. Rubenstein, David Osrin, Egbert Sondorp and Jonathan C. K. Wells

Militarization, human rights violations and community responses as determinants of health in southeastern Myanmar: results of a cluster survey

The Myanmar army and ethnic armed groups agreed to a preliminary ceasefire in 2012, but a heavy military presence remains in southeastern Myanmar. Qualitative data suggested this militarization can result in h...

Authors: William W. Davis, Luke C. Mullany, Matt Schissler, Saw Albert and Chris Beyrer

The influence of maternal health education on the place of delivery in conflict settings of Darfur, Sudan

Armed conflict and socio-demographic characteristics of internally displaced persons (IDPs) are very important factors that influence the provision of reproductive health (RH) in humanitarian settings. Materna...

Authors: Izzeldin F. Adam

Health service resilience in Yobe state, Nigeria in the context of the Boko Haram insurgency: a systems dynamics analysis using group model building

Yobe State has faced severe disruption of its health service as a result of the Boko Haram insurgency. A systems dynamics analysis was conducted to identify key pathways of threat to provision and emerging pat...

Authors: Alastair K. Ager, Martina Lembani, Abdulaziz Mohammed, Garba Mohammed Ashir, Ahmad Abdulwahab, Helen de Pinho, Peter Delobelle and Christina Zarowsky

Internal displacement and the Syrian crisis: an analysis of trends from 2011–2014

Since the start of the Syrian crisis in 2011, civil unrest and armed conflict in the country have resulted in a rapidly increasing number of people displaced both within and outside of Syria. Those displaced f...

Authors: Shannon Doocy, Emily Lyles, Tefera D. Delbiso and Courtland W. Robinson