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Child health in complex emergencies.

William J Moss1, Meenakshi Ramakrishnan, Dory Storms

  • 1Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA. wmoss@jhsph.edu

Bulletin of the World Health Organization
|February 28, 2006
PubMed
Summary

Effective interventions are crucial for child health in emergencies. Research gaps and the need for adapted guidelines are identified to improve care for children in crisis situations.

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Area of Science:

  • Global Health
  • Pediatric Medicine
  • Public Health in Emergencies

Background:

  • Child health in complex emergencies requires coordinated interventions.
  • Existing literature primarily describes disease burden, with limited interventional studies.
  • International relief organizations often adapt guidelines from stable settings.

Purpose of the Study:

  • Identify research needs for child health in complex emergencies.
  • Improve existing guidelines for pediatric care in crisis situations.
  • Assess the current practices of international relief organizations.

Main Methods:

  • Systematic review of published literature on child health in complex emergencies.
  • Survey of international relief organizations involved in child health.

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  • Analysis of guideline availability and adaptation for emergency settings.

    • Main Results:

    • Limited interventional studies published; focus on disease burden.
    • Organizations commonly use World Health Organization (WHO) and United Nations Children's Fund (UNICEF) guidelines.
    • Gaps identified in guidelines for neonates, HIV, tuberculosis, trauma, and mental health.
    • Guidelines are often not adapted for diverse healthcare workers in emergencies.

    Conclusions:

    • Evidence-based, locally adapted guidelines are essential for children in complex emergencies.
    • Ministries of health, WHO, and UNICEF should support and disseminate these guidelines.
    • Improved guidelines will ensure effective and uniform care for children in crisis.