对受冲突影响人口的儿童公共卫生干预:系统性审查
Ayesha Kadir1, Sneha Krishnan2,3, Catherine McGowan4
1Department of Paediatrics, Viborg Regional Hospital, Denmark.
武装冲突中儿童的干预措施显示出希望,特别是非专业精神健康和心理社会支持 (MHPSS). 然而,关于儿童发育的安全性,长期影响和干预措施的证据仍然有限.
科学领域:
- 儿童公共卫生 儿童公共卫生
- 全球健康 全球健康
- 人道主义研究 人道主义研究
背景情况:
- 武装冲突严重影响儿童的福祉,给人道主义援助带来了挑战.
- 现有的应对措施需要基于证据的战略,以有效地保护儿童和促进健康.
研究的目的:
- 系统地审查有关冲突受影响人口儿童公共卫生干预措施有效性的证据.
- 发现有关人道主义危机中儿童健康干预的研究缺口.
主要方法:
- 数据库和灰色文献的系统审查 (2012年1月 - 2025年2月).
- 包括对儿童或护理人员干预结果的研究,不包括营养和围产期护理.
- 关于环境,人口,干预,研究设计和研究结果的数据提取.
主要成果:
- 51项干预研究符合标准,主要来自非洲,中东和亚洲.
- 心理健康和心理社会支持 (MHPSS) 干预最常见 (57%),显示出有希望的结果,特别是非专业的方法.
- 身体儿童健康干预包括免疫和性/生殖健康;儿童发育和残疾儿童存在证据差距.
结论:
- 冲突地区儿童公共卫生干预的证据越来越多,但范围和地理范围仍然有限.
- 在干预安全性,长期影响,可持续性和特殊人群 (如残疾儿童) 方面存在重大差距.
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