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Journal articles on the topic 'Conflict-Affected Healthcare'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

SHRİVASTAVA, Saurabh, and Prateek SHRİVASTAVA. "Ensuring delivery of medical education in conflict-affected nations." Cukurova Medical Journal 48, no. 4 (2023): 1427–28. http://dx.doi.org/10.17826/cumj.1323256.

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Medical education refers to the process wherein freshly passed school students are transformed into competent healthcare professionals after being subjected to a structured training program. The emergence or continuation of a conflict is expected to interrupt the ongoing civic activity, and is expected to result in the delay, decline, or complete interruption of the training activities and delivery of medical education in the medical institutions. All the above factors and existing realities call for the need to ensure that the process of medical education has to continue even during the confl

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Chaudhury, MD, MPH, ScD, Sumona, Miranda McKinley Ravicz, MD, Heather McPherson, et al. "Delivering primary healthcare in conflict-affected settings: A review of the literature." American Journal of Disaster Medicine 15, no. 1 (2020): 49–69. http://dx.doi.org/10.5055/ajdm.2020.0355.

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Objective: Conflict is often destructive to existing services and exacerbates population health inequities and the vulnerabilities of existing healthcare. We undertook a scoping review of the literature concerning delivery of primary healthcare (PHC) in post-conflict settings.Design: We undertook a scoping review of the peer-reviewed and gray literature to identify articles related to the development and delivery of PHC in post-conflict settings. We searched PubMed/Medline, Cochrane Library, Embase/Ovid, CAB abstracts, POPLINE, and WHO.int. between January 1990 through the December end of 2017

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Asah, Moses, and Asah Levi Moses. "The Effects of Armed Conflict on Healthcare in Nigeria – A Scoping Review." International Journal of Research and Scientific Innovation XI, no. XV (2025): 883–900. https://doi.org/10.51244/ijrsi.2024.11150067p.

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This scoping review examines the impact of armed conflict on healthcare delivery in Nigeria, highlighting the multifaceted consequences of violence on health services. The review synthesizes existing literature to explore the disruption of healthcare access, quality, and availability while identifying key factors exacerbating these challenges in conflict-affected regions. Through a comprehensive literature search, 59 studies were included, revealing direct effects such as increased mental health issues, traumatic injuries, malnutrition, and poor maternal and child health outcomes, alongside in

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Mavole, Johnson. "Protection and Maintenance of Healthcare Services for Civilians’ Well-Being in Conflict Affected Areas: Comparative Analysis of The African Situation." European Journal of Health Sciences 9, no. 2 (2023): 1–17. http://dx.doi.org/10.47672/ejhs.1507.

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Purpsoe: Medical neutrality refers to a globally accepted principle derived from International humanitarian law (IHL), International Human Rights Law and Medical Ethics. It is based on the principles of non-interference with medical services in times of armed conflict and civil unrest. It promotes the freedom for physicians and aid personnel to care for the sick and wounded, and to receive care regardless of political affiliation. The purpose of this study was to examine comparatively, the extent in which humanitarian aid access, healthcare facilities and healthcare professionals are protected

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Andeskebtso Yohanna Adaki * and John Wajim. "Impact of Conflict on Accessibility and Effectiveness of Family Planning Services in Conflict-Affected Areas of Taraba State, Nigeria." International Journal of Emerging Multidisciplinaries: Social Science 4, no. 1 (2025): 19. https://doi.org/10.54938/ijemdss.2025.04.1.348.

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Previous and ongoing conflicts in Taraba State have presented significant challenges to the accessibility and effectiveness of family planning services, posing a critical problem for public health in the state. This study investigated how conflict impacted these services identifying key barriers to their delivery. The data were collected through 15 Key Informant Interviews (KII) and 10 Focus Group Discussions (FGD)were held across the selected LGAs, each involving 5-10 participants involving healthcare professionals, community leaders, and local residents. The study found that conflict severel

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Shah, Muhammad Siffat. "Do Stress mediates Relationship between Work-Family Conflict and Work-Related Attitude of Nursing Professionals in Healthcare." Open Access Public Health and Health Administration Review 1, no. 2 (2023): 1–15. http://dx.doi.org/10.59644/oapr.1(2).27.

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Work-family conflict negatively affects the employee, his family, and his employer. The work-related attitude of the employee is also affected by work-family conflict. This study aimed to investigate the interrelationship between work-family conflict and work-related attitude and mediation caused by stress. The sample size was 119 female nurses. Results confirmed that work-family conflict was inversely correlated with work-related attitudes. Mediation of stress on work-family conflict and work-related attitude relationship was also proved. A significant demographic impact was also found on wor

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Bogale, Birke, Sasha Scambler, Aina Najwa Mohd Khairuddin, and Jennifer E. Gallagher. "Health system strengthening in fragile and conflict-affected states: A review of systematic reviews." PLOS ONE 19, no. 6 (2024): e0305234. http://dx.doi.org/10.1371/journal.pone.0305234.

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Background Globally, there is growing attention towards health system strengthening, and the importance of quality in health systems. However, fragile and conflict-affected states present particular challenges. The aim of this study was to explore health system strengthening in fragile and conflict-affected states by synthesising the evidence from published literature. Methods We conducted a review of systematic reviews (Prospero Registration Number: CRD42022371955) by searching Ovid (Medline, Embase, and Global Health), Scopus, Web of Science, and the Cochrane Library databases. Only English-

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Baquial, Elvira. "Peace Education and the Promotion of Peace-building Initiatives through Health Care Programs in Conflict-Affected Areas in Mindanao." JPAIR Multidisciplinary Research 39, no. 1 (2020): 22–49. http://dx.doi.org/10.7719/jpair.v39i1.758.

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For several years now, there has been a growing global consciousness on the close connection between health and peace. This study aimed to describe peace education and determine the promotion of peace-building initiatives through healthcare programs in conflict-affected areas in Mindanao. The study utilized the descriptive research design and correlation method using survey, interview, and Focus Group Discussion, to 250 survey respondents, eight informants, and 16 FGD participants from conflict-affected areas of Maguindanao and North Cotabato. Data were analyzed and interpreted using mean and

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Daba, Chala, Amanuel Atamo, Daniel Gebretsadik Weldehanna, et al. "Infection prevention and control compliance of healthcare workers towards COVID-19 in conflict-affected public hospitals of Ethiopia." BMJ Open 13, no. 12 (2023): e074492. http://dx.doi.org/10.1136/bmjopen-2023-074492.

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ObjectiveNon-compliance with COVID-19 infection prevention and control (IPC) is one of the global public health problems particularly among those frontline healthcare workers. However, there are no detailed investigations on COVID-19 IPC compliance among healthcare workers in conflict-affected settings. The objective of this research was to assess compliance with COVID-19 IPC measures and determine the factors associated with it among healthcare providers in Ethiopian governmental hospitals affected by conflict.DesignA cross-sectional study was carried out within institutional settings.Study s

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Ahmed, Amani. "Understanding Hypertension Prevalence among Starving Young Adults in Conflict-Affected Sudan." American Journal of Medical Science and Innovation 3, no. 2 (2024): 59–66. http://dx.doi.org/10.54536/ajmsi.v3i2.3045.

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Hypertension is a prevalent global health challenge with multifactorial etiology, including economic instability, environmental stress, and nutritional deficiencies. This study investigates the prevalence of hypertension among starving young adults in conflict-affected states of Sudan, exploring the interplay of nutrition, health, and socio-economic dynamics. Data was collected from displacement camps in Al Jazirah, Central Darfur, and Khartoum, involving 720 participants over 16 months. Standardized protocols were employed for blood pressure measurement, laboratory tests, and clinical examina

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Health care delivery challenges in fragile, Conflict, and Vulnerable (FCV) setting: A public health perspective." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 1 (2024): 165–70. https://doi.org/10.5281/zenodo.15369564.

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<strong>Abstract</strong> In fragile, conflict-affected and vulnerable settings, health care delivery is faced with challenges, affecting routine health service organization and delivery systems, escalated health needs, resourcing issues, and public health crises. Access is prioritized over quality healthcare in most circumstances with complex delivery network having multiple stakeholders. To ensure the transition from chaos to peace, the eight essential elements of strategic action planning need to be effectively rolled out. Conflict resolution requires a change of perspective from working in

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D’Apice, Clelia, and Massimo Guasconi. "International Partnerships in Health Education: Adapting E-Learning Models for Conflict-Affected Myanmar." Healthcare 13, no. 3 (2025): 285. https://doi.org/10.3390/healthcare13030285.

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Background: In the wake of Myanmar’s 2021 military coup, the University of Parma, in partnership with Myanmar and Brazilian institutions, developed an asynchronous e-learning program to sustain healthcare education amid severe disruptions. The program aimed to address urgent training needs in emergency medicine, public health management, and mental health, aligning with Sustainable Development Goals. Methods: An educational needs assessment involving 298 surveys and 10 interviews identified training priorities. Based on these findings, a four-module e-learning course was created, covering basi

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Rass, Ella, Michelle Lokot, Felicity L. Brown, et al. "Participation by conflict-affected and forcibly displaced communities in humanitarian healthcare responses: A systematic review." Journal of Migration and Health 1-2 (2020): 100026. http://dx.doi.org/10.1016/j.jmh.2020.100026.

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Ekzayez, Abdulkarim, and Ammar Sabouni. "Targeting Healthcare in Syria." Journal of Humanitarian Affairs 2, no. 2 (2020): 3–12. http://dx.doi.org/10.7227/jha.038.

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Nine years of continuous conflict in Syria have borne witness to various atrocities against civilians, some of which amount to war crimes. Most of the involved parties have committed such atrocities, but the Government of Syria (GoS) and its allies remain at the top of the list of perpetrators. Out of a population of 21 million in 2010, more than half a million Syrians were killed as of January 2019 with more than 13 million displaced either inside the country, in neighbouring countries or elsewhere. Moreover, civilian infrastructures, including but not limited to health, have been severely af

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Taithe, Bertrand, Bhimsen Devkota, and Louis Lillywhite. ""Like a Yam Between Two Stones": Remembering Healthcare at War in Nepal (1996–2006)." Humanity: An International Journal of Human Rights, Humanitarianism, and Development 14, no. 3 (2023): 448–70. http://dx.doi.org/10.1353/hum.2023.a924873.

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Abstract: The Nepal civil war (1996-2006) opposed a rural Maoist insurrection and a succession of monarchical regimes and governments. Despite a shift in perception of the conflict post 9/11, the conflict remained largely internal to Nepal with limited international involvement. Over that same period, health indicators in most domains recorded significant improvements including in the areas most affected by the conflict. Building on human rights datasets of violent incidents and systematic oral history in three regions affected to varying degrees by the conflict, this article argues that the h

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Taleb, Jamal Anes. "Strategic Management in Healthcare Private Sector in Yemen." Journal of Social Studies 31, no. 5 (2025): 167–86. https://doi.org/10.20428/jss.v31i5.2866.

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This study aims to examine the role and impact of strategic management within the healthcare sector, focusing on a case study of a private hospital in Yemen. The primary objective is to assess how the implementation of strategic management practices influences organizational performance, particularly in reducing risks, operational costs, and waste, while enhancing long-term service quality and sustainability. In a context where healthcare systems face numerous challenges, particularly in conflict-affected regions such as Yemen, strategic management offers a potential pathway toward enhanced ef

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Stephen, Roland I., Jennifer A. Tyndall, Jamiu S. Olumoh, et al. "The pattern and burden of non-communicable diseases in armed conflict-exposed populations in Northeastern Nigeria." PeerJ 13 (January 17, 2025): e18520. https://doi.org/10.7717/peerj.18520.

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Background The risk of non-communicable diseases (NCDs) in conflict and post-conflict settings in Northeastern Nigeria has not been evaluated to date. As this region undergoes recovery, understanding the prevalence of NCDs, such as hypertension, diabetes, depression, and obesity, and the associated behavioral coping mechanisms, is crucial for developing tailored healthcare solutions. Therefore, this study aimed to assess the impact of conflict on the prevalence of NCDs in conflict-exposed areas in Northeastern Nigeria compared with non-conflict regions. Methods This study was an unmatched cros

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Garry, S., and F. Checchi. "Armed conflict and public health: into the 21st century." Journal of Public Health 42, no. 3 (2019): e287-e298. http://dx.doi.org/10.1093/pubmed/fdz095.

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Abstract Background Many people worldwide are affected by conflict, and countries affected are less likely to meet the UN Sustainable Development Goals. This review outlines the effects of conflict on health and focuses on areas requiring more attention. Methods We completed a search of the literature using Medline, Embase and Global Health. Results Health effects of conflict include trauma; mental health; non-communicable diseases (NCDs); child health; sexual, reproductive and maternal health; and infectious diseases. Conflict damages health directly through fighting, and indirectly through w

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Alhaffar, Mervat, Aseel Hamid, Yazan Douedari, and Natasha Howard. "’We are trying to live in a normal way, but nothing is normal about us anymore…’: a qualitative study of women’s lived experiences of healthcare in opposition-controlled areas of Syria." BMJ Global Health 7, no. 7 (2022): e008812. http://dx.doi.org/10.1136/bmjgh-2022-008812.

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IntroductionThe Syrian conflict, which has included mass killings, displacement, infrastructure destruction and illegal targeting of health facilities and staff mainly by the Syrian government and allies, is in its 10th year. This study explored the lived experiences of women within healthcare, both as health workers and service users, in Syrian opposition-controlled areas (OCAs).MethodsWe chose a qualitative study design, with 20 in-depth interviews conducted remotely over WhatsApp and Messenger with purposively sampled Syrian women (ie, 15 health workers, 5 service users). We analysed data u

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ENE VINCENT-ORUGBO. "The Multifaceted Vulnerability of Women in Conflict Zones: Beyond Widowhood." World Journal of Advanced Research and Reviews 24, no. 3 (2024): 1419–26. https://doi.org/10.30574/wjarr.2024.24.3.3858.

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This study delves into the multifaceted impact of armed conflict on women, with a specific focus on the experiences of women in conflict zones. Employing a qualitative research design, the study utilizes a desk review of secondary sources to explore themes such as forced displacement, sexual violence, economic marginalization, and limited access to healthcare. The findings highlight the devastating consequences of conflict on women's lives, including increased vulnerability to violence, poverty, and social exclusion. The paper concludes by discussing the urgent need for targeted interventions

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ENE, VINCENT-ORUGBO. "The Multifaceted Vulnerability of Women in Conflict Zones: Beyond Widowhood." World Journal of Advanced Research and Reviews 24, no. 3 (2024): 1419–26. https://doi.org/10.5281/zenodo.15193621.

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This study delves into the multifaceted impact of armed conflict on women, with a specific focus on the experiences of women in conflict zones. Employing a qualitative research design, the study utilizes a desk review of secondary sources to explore themes such as forced displacement, sexual violence, economic marginalization, and limited access to healthcare. The findings highlight the devastating consequences of conflict on women's lives, including increased vulnerability to violence, poverty, and social exclusion. The paper concludes by discussing the urgent need for targeted interventions

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Lazieh, Stefany M., Maia C. Tarnas, Kelli Wagner, et al. "Healthcare workers’ perceptions of postoperative care and implementation challenges in conflict-affected northwest Syria: a mixed-methods analysis." BMJ Public Health 3, no. 1 (2025): e001236. https://doi.org/10.1136/bmjph-2024-001236.

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IntroductionProtracted violent conflict has severely reduced healthcare provision in northwest Syria (NWS), and this is especially concerning for postoperative care as conflict-related injuries have further compounded this strain. Without sufficient postoperative care, minor complications can evolve into life-threatening events. In this study, we aim to understand healthcare workers’ attitudes, practices and perceptions regarding postoperative care in NWS and identify key barriers to postoperative care.MethodsIndividuals with experience in health leadership positions in NWS were identified usi

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Isara, Alphonsus Rukevwe, Zara William Wudiri, Hadiza Abigail Agbo, Luret Albert Lar, Adesuwa Queen Aigbokhaode, and Nyemike Simeon Awunor. "Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre Study." Nigerian Postgraduate Medical Journal 31, no. 4 (2024): 299–310. https://doi.org/10.4103/npmj.npmj_221_24.

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Background: In Nigeria, violence against healthcare has adversely affected the access to and delivery of healthcare services with serious consequences for healthcare workers (HCWs). This study assessed the prevalence and patterns of violence against HCWs in areas of armed conflict, areas of other situation of violence and areas not affected by conflict in Nigeria. Methodology: A cross-sectional study utilising a mixed method approach comprising both quantitative survey and qualitative data collection methods. All the categories of HCWs in public healthcare facilities participated in the study.

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Ekezie, Winifred, Enemona Emmanuel Adaji, and Rachael L. Murray. "Essential healthcare services provided to conflict-affected internallydisplaced populations in low and middle-income countries: A systematicreview." Health Promotion Perspectives 10, no. 1 (2020): 24–37. http://dx.doi.org/10.15171/hpp.2020.06.

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Background: Conflict and violent crises have resulted in over 40 million of internally displaced persons (IDPs). Most affected regions lack access to basic health resources and generally rely on humanitarian support. The objective of this review was to appraise primary health service interventions among conflict-induced internally displaced populations in low and middle income countries between 2000 and 2019. Methods: A systematic review of literature in the following databases: Embase, MEDLINE, PsyArticles, PsycINFO, Scopus, Web of Science, LILAC and CAB Articles, was performed to identify in

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Ugwu, Chinyere N., Okechukwu Paul-Chima Ugwu, Esther Ugo Alum, et al. "Sustainable development goals (SDGs) and resilient healthcare systems: Addressing medicine and public health challenges in conflict zones." Medicine 104, no. 7 (2025): e41535. https://doi.org/10.1097/md.0000000000041535.

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This review explores the integration of sustainable development goals (SDGs) into healthcare organizations in conflict zones, with a specific focus on emergent models aimed at improving population health. The primary objective is to examine how innovative approaches such as telemedicine, mobile health clinics, and community health worker initiatives can be aligned with SDG targets, thereby enhancing healthcare outcomes in conflict-affected regions. The review focuses on the important areas of concern which encompasses technology, infrastructure, community engagement, and social/psychological f

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Kevin, Wunderlich, and Thompson Emmanuel. "Estimating Health Care Costs among Fragile and Conflict Affected States: An Elastic Net-Risk Measures Approach." International Journal of Public Health Science (IJPHS) 7, no. 3 (2018): 175~185. https://doi.org/10.11591/ijphs.v7i3.14844.

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Fragile and conflict affected states (FCAS) are those in which the government lacks the political will and/or capacity to provide the basic functions necessary for poverty reduction, economic development, and the security of human rights of their populations. Until recent history, unfortunately, the majority of research conducted and universal health care debates have been centered around middle income and emerging economies. As a result, FCAS have been neglected from many global discussions and decisions. Due to this neglect, many FCAS do not have proper vaccinations and antibiotics. Seemingl

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Sabah, Faisal Yousef, and Samer Abuzerr. "Relationship between housing and health in conflict-affected Gaza and policy implications for reducing health inequities." Eastern Mediterranean Health Journal 31, no. 2 (2025): 141–47. https://doi.org/10.26719/2025.31.2.141.

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Background: Poor housing infrastructure, displacement and limited access to healthcare exacerbate health inequities and have negative impact on the wellbeing of residents in conflict-affected areas such as Gaza. Aim: To explore the relationship between housing conditions and health outcomes due to the war in the Gaza Strip. Methods: Using a semi-structured questionnaire, we conducted focus group discussions with 25 participants aged ≥18 years in the Gaza Strip, and in-depth interviews with 10 key informants, between May and August 2024. Using NVivo software, we conducted thematic analysis to e

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Dual Healing in Crisis: A WHO-Guided Approach to Integrating Mental Health and Psychosocial Support within Cardiac Care in Sudan's Conflict-Affected Regions." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 6 (2024): 13–19. https://doi.org/10.5281/zenodo.15448675.

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<strong>Abstract</strong> In conflict-affected regions, the compounded effects of stress, trauma, and inadequate healthcare services heighten both mental health and cardiovascular risks. Sudan's ongoing armed conflict exemplifies these challenges, with the population facing violence, displacement, and a significant burden of mental health and cardiovascular conditions. This review explores the integration of mental health and psychosocial support (MHPSS) into cardiac care, emphasizing the benefits and challenges of such an approach. Drawing on WHO-endorsed frameworks, such as the mhGAP Humanit

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Fatokun, Olalekan Samuel, and Mondreal Chinonso Olise. "Analysing the Challenges of Humanitarian Workers in Provision of Assistance to Internally Displaced Persons (IDPs) in Conflict Zones: Study of North Eastern Nigeria." Journal of Contemporary International Relations and Diplomacy 5, no. 2 (2024): 82–108. https://doi.org/10.53982/jcird.2024.0502.05-j.

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This study explored the challenges encountered by humanitarian workers in providing assistance to Internally Displaced Persons (IDPs) within conflict-ridden zones, with a particular focus on North Eastern Nigeria. Amidst the turmoil of armed conflict and displacement, humanitarian workers serve as vital conduits of aid, striving to alleviate the suffering of affected populations and facilitate their transition towards sustainable recovery. These roles notwithstanding, the humanitarian workers face myriad challenges that hamper their ability to provide sustained and comprehensive aid to vulnera

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Alhaj, Ahmed, Mohammed Afana, and Hassan Rhama. "Psychological Distress Among Healthcare Providers During the 2023–2025 Israel-Gaza Conflict." American Journal of Applied Psychology 14, no. 2 (2025): 60–69. https://doi.org/10.11648/j.ajap.20251402.12.

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Healthcare providers in conflict zones face profound psychological challenges that threaten both their well-being and capacity to deliver care. This study examines the mental health burden among 400 healthcare workers at Gaza’s Nasser Medical Complex during the 2023–2025 Israel-Gaza conflict, a period marked by systemic collapse, relentless violence, and resource scarcity. Utilizing a cross-sectional design, the Depression, Anxiety, and Stress Scales (DASS-21) and a sociodemographic survey were administered to assess psychological distress and its correlates. Results revealed alarming rates of

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Ngide, Hilary Ewang, Ngeh Laura Senke, and Ngala Bryan Sama. "Armed Conflict: Impact on Women and Children in the South West Region, Cameroon." International Journal of Research and Innovation in Social Science VIII, no. XI (2024): 1584–94. https://doi.org/10.47772/ijriss.2024.8110128.

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Armed conflicts have severe impacts on the affected communities, especially women and children, who are considered the most vulnerable group of people in such a context. The armed conflict in the North West and South West Regions of Cameroon has been raging on for five years now. Women and children have been the primary victims, which is a cause for concern. This prompted this research on “Armed Conflict: Impact on Women and Children in the South West Region, Cameroon”. This study sought to investigate the impact of the armed conflict on women and children in the South West Region of Cameroon.

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Maha Alain, Bakwanamaha, Muhindo Vunyatsi Faustin, and Kataka Asifiwe Olga. "Commentary on Septate uterus discovery during an emergency cesarean section in the North Eastern of the Democratic Republic of Congo: A case report and review of the literature." Journal of Mental Health & Clinical Psychology 9, no. 1 (2025): 18–20. https://doi.org/10.29245/2578-2959/2025/1.1334.

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In the limited resources settings of sub-Saharan Africa generally and specifically in a region affected by armed conflict, diagnosis and management of congenital malformations pose significant challenges. This commentary on “Septate uterus discovery during an emergency cesarean section in the North Eastern of the Democratic Republic of Congo: A case report and review of the literature”, examines the diagnostic challenges, the impact of armed conflict on maternal health and the management strategies. In addition, it highlights the importance of accurate diagnosis and effective management in obs

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Atnafu, Asmamaw, Endalkachew Dellie, Adane Kebede, et al. "Health system responsiveness and its associated factors for intrapartum care in conflict affected areas in Amhara region, Ethiopia: a cross-sectional study." BMJ Open 14, no. 7 (2024): e082507. http://dx.doi.org/10.1136/bmjopen-2023-082507.

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ObjectiveIn Ethiopia, information about health system responsiveness (HSR) in conflict-affected areas is limited. No previous local study was conducted on the assessment of HSR at the community level. Hence, the study assessed HSR for intrapartum care in conflict-affected areas in Amhara region, Ethiopia.DesignCommunity-based cross-sectional study design.SettingWadila, Gayint and Meket districts, Amhara region, Ethiopia.ParticipantsThe participants were 419 mothers who gave birth in conflict-affected areas within the last 6 months. The study included all mothers who gave birth at health facili

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Nasser, Elias, Nour Alshaer, Muaaz Wajahath, et al. "Management of Fracture-Related Infection in Conflict Zones: Lessons Learned from Medical Missions to Gaza." Antibiotics 13, no. 11 (2024): 1020. http://dx.doi.org/10.3390/antibiotics13111020.

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Background/Objectives: Fracture-related infections (FRIs) are a significant complication in conflict zones, where limited resources and damaged infrastructure complicate orthopedic care. Methods: This study retrospectively reviews the management of FRIs during medical missions to Gaza from April to July 2024. Results: Among 135 patients treated for war-related fractures, 30% were identified with suspected FRIs, which were primarily following explosive injuries. Contributing factors to the high incidence of infection included malnutrition, poor sanitation, and the scarcity of sterile surgical s

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Amberg, Felix, Karl Blanchet, Neha S. Singh, et al. "Examining the effect of nearby armed conflict on access to maternal and child health services in Burkina Faso’s primary healthcare facilities." BMJ Global Health 10, no. 6 (2025): e015507. https://doi.org/10.1136/bmjgh-2024-015507.

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BackgroundArmed conflict is increasing in sub-Saharan Africa, impacting access to vital health services. However, scant evidence exists on the effects of the recently escalated conflict in Burkina Faso, a country severely affected by rising violence.MethodsWe conducted a longitudinal study, aligning conflict event data from the Uppsala Conflict Data Program with Burkina Faso’s Health Management Information System data spanning from 2013 to 2021. Applying negative binomial regression models with health facility fixed effects, we assessed the impact of nearby armed conflict events (within 25 km

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Estrada, Tatiana. "Native American Student Healthcare." Toro Historical Review 13, no. 1 (2022): 1–25. http://dx.doi.org/10.46787/tthr.v13i1.3322.

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The subject of student health at U.S off-reservation boarding schools is not often discussed in depth in historical research. As such, this study seeks to investigate this topic area and contribute towards bridging that gap. Oftentimes, official records indicated a wide array of efforts undertaken at boarding schools to maintain student health. However, these records conflict with accounts of the practical experience at these schools. Upon examination, the issues experienced at boarding schools stemmed from three interconnected problems: over enrollment, overcrowding, and inadequate funding. T

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Noh, Jin-Won, Lena J. Lee, Kyoung-Beom Kim, Jiho Cha, and Young Dae Kwon. "Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide study." BMJ Open 12, no. 12 (2022): e063329. http://dx.doi.org/10.1136/bmjopen-2022-063329.

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ObjectiveAfghanistan, with one of the world’s largest refugee populations, suffers an enormous burden of injury resulting in loss of life. This study aims to identify the epidemiology of injuries or death in the crisis-affected populations across Afghanistan and to investigate factors associated with injuries or deaths due to traumatic events.DesignCross-sectional study.SettingThis study analysed Whole Afghanistan Assessment 2019 data. This survey geographically covered all 34 accessible provinces in Afghanistan.Participants31 343 displaced and shock-affected households in Afghanistan.Primary

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Noh, Jin-Won, Yu-Mi Im, Kyoung-Beom Kim, Min Hee Kim, Young Dae Kwon, and Jiho Cha. "Digital and Economic Determinants of Healthcare in the Crisis-Affected Population in Afghanistan: Access to Mobile Phone and Socioeconomic Barriers." Healthcare 9, no. 5 (2021): 506. http://dx.doi.org/10.3390/healthcare9050506.

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Despite recent progress in Afghanistan’s health system from the support of international donors and NGOs, protracted conflicts combined with a series of natural disasters have continued to present substantial health risks. Extreme poverty has still aggravated social determinants of health and financial barriers to healthcare. Little is known about the context-specific factors influencing access to healthcare in the crisis-affected population. Using a subset of data from ‘Whole of Afghanistan Assessment (WoAA) 2019’, this study analyzed 31,343 households’ data, which was collected between 17 Ju

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Patel, MPH, MPhil, Sonny S., Oleksii Sukhovii, MD, Oleksandr Zvinchuk, MS, Julian H. Neylan, MS, and Timothy B. Erickson, MD. "Converging impact of the ongoing conflict and COVID-19 pandemic on mental health and substance use disorders in Ukraine." Journal of Emergency Management 19, no. 9 (2021): 63–68. http://dx.doi.org/10.5055/jem.0603.

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Since the Russian annexation of the Autonomous Republic of Crimea and the subsequent occupation of parts of the Donetsk and Luhansk regions, Ukraine has been facing increasing security and healthcare challenges. The seven-year war in East Ukraine has led to a rise in substance and alcohol use and increasing addiction rates among veterans, internally displaced persons, and civilian survivors. This article examines the combined impact of the ongoing Russo–Ukrainian conflict and COVID-19 pandemic on substance use in Ukraine. It also gives an overview of the institutions in place to monitor and im

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Yaro, David Suaka, Daniel Dramani Kipo-Sunyehzi, and Munkaila Abdul Basit Danjoe. "Protracted Conflicts in Africa: Evidence of the Ramifications of Bawku Conflict in Ghana on Access to Health Facilities and Health Service Utilisation." SCIENCE MUNDI 3, no. 1 (2023): 43–53. http://dx.doi.org/10.51867/scimundi.3.1.5.

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The study mainly analyzes some protracted conflicts in Africa, particularly in Northern Ghana in Bawku in the Upper East Region of Ghana. The theoretical perspective was on protracted social conflict theory with insights from Edward Azar and its implications or ramifications on the internal and external relations of countries. The method used was largely a descriptive survey design, with the main instrument of data collection being a questionnaire, which was administered in the Bawku area in June 2023. A simple random sampling technique was used to select the respondents. The sample size was 3

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Malafa, Johnson, Stephen Moki, Emile Sunjo, and Samuel Ewusi. "Assessing the Effectiveness of Humanitarian and Peacebuilding Role of NGOs in the Cameroon Anglophone Conflict: A Survey of the Affected Communities." Journal of Conflict Management 4, no. 4 (2024): 1–23. http://dx.doi.org/10.47604/jcm.2889.

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Purpose: The Anglophone conflict has attracted interest from different stakeholders around the world, including international and local NGOs that are providing humanitarian and peacebuilding services to the affected communities. Despite their efforts to curb the negative effects of the conflict and improve human security, the situation remains stagnant, despite some relative peace in certain parts of the two regions. The objective of this study was to examine the effectiveness of the humanitarian and peacebuilding role of these NGOs in the conflict. Methodology: A quantitative research approac

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Mohamed, E. Syed, Tawseef Ahmad Naqishbandi, and Guido Veronese. "Metaverse!" International Journal of E-Adoption 15, no. 2 (2023): 1–21. http://dx.doi.org/10.4018/ijea.316537.

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This study aimed to synthesize the literature on Metaverse to highlight its current research, opportunities, and applications in e-healthcare and education to reduce inequalities and for delivering fair and equal opportunities and solutions. The authors employed preferred reporting items for systematic reviews and meta-analyses (PRISMA) to rapidly map the field of a metaverse in health and education. Two major application domains emerged in the literature from the 88 research publications, which include (1) Metaverse in healthcare and (2) Metaverse in education. This study will act as a road m

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Nurzahara Sihombing, M. Agung Rahmadi, Helsa Nasution, and Luthfiah Mawar. "Mental Health of Healthcare Professionals in the Conflict Zone of Syam : an Analysis of Burnout and Secondary Trauma." Detector: Jurnal Inovasi Riset Ilmu Kesehatan 3, no. 2 (2025): 134–53. https://doi.org/10.55606/detector.v3i2.5005.

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This study investigates the profound impact of the protracted humanitarian crisis in the conflict zone of Syam on the mental health of healthcare professionals, employing a systematic meta-analytical approach across 47 independent studies (N = 12,487) published between 2011 and 2023. The findings reveal an alarmingly high prevalence of burnout, reaching 78.3% (95% CI [75.2–81.4]), with emotional exhaustion recorded as the most dominant dimension (M = 3.89; SD = 0.76). Additionally, secondary trauma was identified in 65.7% of all respondents (95% CI [62.4–69.0]), with the primary symptoms manif

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Ali, Ayad M., Rahel F. Abdlwahid, Abdulla M. Sabr, Omar M. Adullah, Shakal A. Osman, and Renaz P. Maulud. "Health governance in lower-income countries and conflict-affected populations." International Journal of Health Governance, June 19, 2025. https://doi.org/10.1108/ijhg-09-2024-0123.

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PurposeThis paper aims to investigate the governance challenges faced by healthcare providers in Kalar, Iraq, particularly regarding the delivery of healthcare services to internally displaced persons (IDPs). By analyzing structured questionnaire responses from healthcare employers, the study identifies key barriers to effective health governance, including resource limitations, legal framework inefficiencies, and the need for enhanced collaboration among stakeholders. The insights gained will inform policymakers and healthcare providers on improving health service delivery in conflict-affecte

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Omam, Lundi-Anne, Elizabeth Jarman, Kelli N. O’Laughlin, and Rosalind Parkes-Ratanshi. "Primary healthcare delivery models in African conflict-affected settings: a systematic review." Conflict and Health 17, no. 1 (2023). http://dx.doi.org/10.1186/s13031-023-00533-w.

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Abstract Background In conflict-affected settings, access to primary healthcare for displaced populations is constrained by multiple challenges. These include geographical, cultural, communication, logistical and financial barriers, as well as risks posed to health workers and the population by insecurity. Different models of care are used to provide primary healthcare to affected communities. However, there is a paucity of evidence on how these models are selected and implemented by organisations working in conflict and displacement-affected settings. Our aim was to explore the different prim

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Agopian, A., L. Musheghyan, Z. Sargsyan, D. Abrahamian, and A. Dorian. "Maternal health in conflict-affected settings: a case study from a frozen conflict zone." European Journal of Public Health 34, Supplement_3 (2024). http://dx.doi.org/10.1093/eurpub/ckae144.1987.

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Abstract Background Reproductive, maternal, newborn and child health are negatively impacted in conflict-affected settings, and may be acutely affected in frozen conflicts due to fragile health systems and uncertain geopolitical contexts. To better understand maternal health in a frozen conflict zone, we examined maternal health outcomes in Nagorno-Karabakh during a ceasefire period prior to the forced displacement of the entire population. Methods Multistage cluster sampling was used to sample 1023 households in Nagorno-Karabakh during the summer of 2022. From each household, one woman, age 1

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Ahmed, Sirwan Khalid, Safin Hussein, Deepak Chandran, Md Rabiul Islam, and Kuldeep Dhama. "The role of digital health in revolutionizing healthcare delivery and improving health outcomes in conflict zones." DIGITAL HEALTH 9 (January 2023). http://dx.doi.org/10.1177/20552076231218158.

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The provision and planning for healthcare delivery in conflict is a pressing imperative. Healthcare within these environments is naturally complex, given the entanglement of affected populations, militaries and oft-deteriorating public services. The field of digital health, placed at the intersection of healthcare and technology, has the power to revolutionize healthcare delivery and improve health outcomes worldwide. Its impact is particularly significant in conflict zones, where it can address the unique challenges faced by these regions. Violence, damaged infrastructure, restricted mobility

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Nikoloski, Zlatko, Mubarik M. Mohamoud, and Elias Mossialos. "Universal health coverage in fragile and conflict-affected States: insights from Somalia." International Journal for Equity in Health 24, no. 1 (2025). https://doi.org/10.1186/s12939-025-02486-3.

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Abstract Introduction Achieving Sustainable Development Goal (SDG) 3, which focuses on health, and more specifically SDG 3.8—universal health coverage (UHC)—by 2030 remains a critical objective for all nations. This paper presents an updated evaluation of Somalia’s progress toward UHC. Additionally, by identifying key barriers to achieving UHC in Somalia, this study offers insights that may be valuable for other conflict-affected and post-conflict countries striving to improve healthcare access and financial protection. Methodology To assess Somalia’s progress at various levels, we developed a

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David, Siddarth Daniels, and Anneli Eriksson. "Association between conflict intensity and health outcomes in contemporary conflicts, while accounting for the vulnerability and functioning of healthcare services." Conflict and Health 19, no. 1 (2025). https://doi.org/10.1186/s13031-025-00654-4.

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Abstract Background Armed conflict can be described as human development in reverse. In addition to the direct consequences of violence, there are numerous ways in which armed conflict may have indirect effects on people’s health and well-being. Studies give varying results, and health impacts seem to differ from context to context. We aimed to determine how conflict intensity is associated with health outcomes, accounting for existing vulnerabilities and the functioning of healthcare services in countries experiencing armed conflict. Method This study is based on panel data on conflict intens

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Ramadan, Marwa, Hannah Tappis, and William Brieger. "Primary Healthcare Quality in Conflict and Fragility: a subnational analysis of disparities using Population Health surveys." Conflict and Health 16, no. 1 (2022). http://dx.doi.org/10.1186/s13031-022-00466-w.

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Abstract Background Recent global reports highlighted the importance of addressing the quality of care in all settings including fragile and conflict-affected situations (FCS), as a central strategy for the attainment of sustainable development goals and universal health coverage. Increased mortality burden in FCS reflects the inability to provide routine services of good quality. There is also paucity of research documenting the impact of conflict on the quality of care within fragile states including disparities in service delivery. This study addresses this measurement gap by examining disp

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