Delivering health interventions to women, children, and adolescents in conflict settings: what have we learned from ten country case studies?

نویسندگان

چکیده

Armed conflict disproportionately affects the morbidity, mortality, and wellbeing of women, newborns, children, adolescents. Our study presents insights from a collection ten country case studies aiming to assess provision sexual, reproductive, maternal, newborn, child, adolescent health nutrition interventions in conflict-affected settings Afghanistan, Colombia, Democratic Republic Congo, Mali, Nigeria, Pakistan, Somalia, South Sudan, Syria, Yemen. We found that despite large variations contexts decision making processes, antenatal care, basic emergency obstetric newborn comprehensive immunisation, treatment common childhood illnesses, infant young child feeding, malnutrition screening were prioritised these settings. Many lifesaving women's children's (WCH) services, including majority are not reported as being delivered settings, address stillbirths absent. International donors remain primary drivers influencing what, where, how implementing WCH interventions. Interpretation outcomes particularly context-dependent given myriad complex factors constitute their interactions. Moreover, comprehensiveness quality data limited The dynamic nature modern expanding role non-state armed groups geographic areas pose new challenges delivering services. However, humanitarian system is creative pluralistic has developed some novel solutions bring services closer populations using modes delivery. These solutions, when rigorously evaluated, can represent concrete response current implementation conflicts.

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ژورنال

عنوان ژورنال: The Lancet

سال: 2021

ISSN: ['1474-547X', '0099-5355', '0140-6736']

DOI: https://doi.org/10.1016/s0140-6736(21)00132-x