冲突国家卫生系统评估:对方法和方法的范围审查
Manar Marzouk1,2, Anna Durrance-Bagale1,2, Sze Tung Lam3,4
1Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, 12 Science Drive 2, Singapore, 117549, Singapore.
Conflict and health
|June 19, 2023
概括
冲突地区的卫生系统评估有限,通常使用简单的方法,并专注于外部资助的项目. 需要更严格的方法来解决偏见并改善当地参与.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 冲突与健康 冲突与健康
背景情况:
- 在受冲突影响的环境中,加强卫生系统的专业化程度越来越高,但记录不足.
- 评估通常由非政府组织 (NGO) 进行,其出版能力有限.
- 现有文献的基准对于未来的弹性和能力评估至关重要.
研究的目的:
- 综合在受冲突影响的环境中对卫生系统评估的同行评审文献中的方法论方法和方法.
- 在这些背景下确定现有卫生系统评估的范围和主要发现.
- 建立未来关于卫生系统弹性研究的基准.
主要方法:
- 使用Arksey和O'Malley的方法进行了范围审查.
- 通过使用世界卫生组织 (WHO) 的卫生系统"构建块"框架来综合研究结果.
- 包括来自2,355篇选文章的58个符合条件的来源.
主要成果:
- 评估集中在26个受冲突影响的国家,主要是南苏丹,阿富汗,刚果民主共和国和巴勒斯坦.
- 大多数研究 (86%) 是由外国机构领导的,重点是服务交付 (78%),主要是定性设计 (53%).
- 有限的理论基础,简单的设计和依赖低成本的方法是普遍存在的,通常反映了非政府组织的项目评估.
结论:
- 评估文献的范围和内容有限,偏爱简化方法和国际项目.
- 确定了地理,组件,性别和作者偏见.
- 需要更严格和系统的评估方法来缓解诸如有限的创新,当地参与度低,偏见等挑战.
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