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Dhihyah, Dhihyah, Abdul Basid, and Achmad Yani. "Resolving the Sudan Crisis: A Critical Discourse Analysis of Norman Fairclough’s Perspective." Journal of Language and Literature Studies 5, no. 1 (2025): 86–98. https://doi.org/10.36312/jolls.v5i1.2340.

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The conflict between South and North Sudan is worsened by racial differences. It has also destroyed public infrastructure, including healthcare. The healthcare system's collapse puts the Sudanese population at serious risk now and in the future. The purpose of this study is to reveal the text analysis dimension, the discourse practice dimension, and the sociocultural dimension in Sudan's famine news. A qualitative method is used as the foundational approach, with a critical paradigm as the research perspective. The approach used is Norman Fairclough's Critical Discourse Analysis (CDA) to uncov
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Crombé, Xavier, and Joanna Kuper. "War Breaks Out." Journal of Humanitarian Affairs 1, no. 2 (2019): 4–12. http://dx.doi.org/10.7227/jha.012.

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Abstract This article seeks to document and analyse violence affecting the provision of healthcare by Médecins Sans Frontières (MSF) and its intended beneficiaries in the early stage of the current civil war in South Sudan. Most NGO accounts and quantitative studies of violent attacks on healthcare tend to limit interpretation of their prime motives to the violation of international norms and deprivation of access to health services. Instead, we provide a detailed narrative, which contextualises violent incidents affecting healthcare, with regard for the dynamics of conflict in South Sudan as
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EL-Sadig, Sarah Misbah, Nouh Saad Mohamed, Eiman Siddig Ahmed, et al. "Obstacles faced by healthcare providers during COVID-19 pandemic in Sudan." Journal of Infection in Developing Countries 15, no. 11 (2021): 1615–17. http://dx.doi.org/10.3855/jidc.14726.

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The impacts of COVID -19 pandemic have been quite significant on healthcare providers. I was particularly challenging for those in Low and Middle-Income Countries including Sudan . Unfortunately, the pandemic has hit Sudan on extremely difficult time for the country and its people. The country was coming out of long-brutal and devastating dictatorship and transitioning to new democracy with civilian leadership. In addition to the pandemic related issues, trying to rebuild the health system during socioeconomic crisis, healthcare providers in the country were challenged personally and professio
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Hussein Ahmed, Asim Ahmed, Shimaa Elwasila Ali Eltahir, Sara Omer Ahmed Alabass, and Fadwa Hashim Mohamed Osman. "The ravages of war: challenges and resilience in medical education in Sudan." Education for Health 37, no. 3 (2024): 270–76. http://dx.doi.org/10.62694/efh.2024.154.

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The armed conflict between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) beginning on April 15, 2023, has thrust Sudan into a worsening humanitarian crisis, severely affecting all aspects of Sudanese life, including medical education and healthcare systems. This commentary explores the current state of medical training in Sudan amidst this conflict and discusses potential strategies to address the challenges faced by both students and educators.Following a comprehensive literature review of articles using keywords, and published from 2015 to the present, 2024, the challeng
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Meity, Yustina, and Arum Tri Utami. "The Effectiveness of the United Nations High Commissioner for Refugees (UNHCR) in Overcoming the Venezuelan Refugees Crisis 2020-2023." Proceedings of Sunan Ampel International Conference of Political and Social Sciences 2 (December 23, 2024): 318–32. https://doi.org/10.15642/saicopss.2024.2..318-332.

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This article discusses the effectiveness of the United Nations High Commissioner for Refugees (UNHCR) in addressing the refugee crisis in Venezuela. The study examines how effective the UNHCR, as a regime dealing with refugees, has been in managing the refugee crisis that occurred in Venezuela from 2022 to 2023. According to Underdal, a regime can be considered effective if it is able to perform certain functions in line with the purpose for which it was established. Therefore, Underdal's Regime Effectiveness framework guides the analysis of this research, focusing on how the rules and recomme
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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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English, Cara, Jennie Bever, and Elizabeth Wood. "Policies, Leadership, and Funding - Oh, My! How we are working together to improve perinatal care access &amp; integration in Arizona, U.S." International Journal of Integrated Care 23, S1 (2023): 526. http://dx.doi.org/10.5334/ijic.icic23192.

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The United States has the highest maternal mortality rate of any high resource country, and it is the only country outside of Afghanistan and Sudan where the rate is rising. The rate of pregnancy-related mortality in the US increased from 7.2 pregnancy-related deaths per 100,000 live births per year in 1987 to 17.2 in 2017. In Arizona, almost half of all pregnancy-associated deaths in 2016-2018 or three out of five deaths were related to mental health conditions or substance use disorder, and 98% of those deaths were deemed preventable with 48.5% of deaths having a good chance to prevent the d
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Nadia, Ahmed Mohammed Hamad, Mohammed Hamid Amal, Ahmed Hassan Amel, Mohammed Idris Musa Amna, Mohammed alhussin Esraa, and Abd Alrahman Ahmed Elhassan Manal. "Assessment of the Nursing Educator's Role during (Covid-19) Outbreak in Sudan." International Journal of Innovative Science and Research Technology 7, no. 11 (2022): 644–50. https://doi.org/10.5281/zenodo.7388539.

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The novel coronavirus disease 2019 (COVID-19) was first identified in Wuhan, China on December 2019 in patients brought as atypical pneumonia. The World Health Organization (WHO) consider the coronavirus epidemic a pandemic. Nurses teachers have a vital role in guarantee that the next generation of nurses is processed to catered the growing demand for healthcare services. Aim: study objective to assess the nursing educator&rsquo;s role during Coronavirus (Covid-19) pandemic in Sudan 2020. Methods: cross-sectional descriptive community based study conducted among nursing educators at Sudan from
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Hussein, Amna, Fawaz Eljili Abdelradi, James Kelbert, et al. "1134 Impact of Conflict on Neurosurgery Practice in Sudan: A Narrative Review of Resilience and Challenges." Neurosurgery 71, Supplement_1 (2025): 173. https://doi.org/10.1227/neu.0000000000003360_1134.

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INTRODUCTION: Sudan, a multilingual nation in Northeast Africa, has a population of 43.8 million and has seen significant advancements in neurosurgical services and training over the past fifty years. 74 Sudanese neurosurgeons have completed their training locally or abroad. In 2021, Sudan had 38 neurosurgical trainees, 46% female. Historically, neurosurgery in Sudan was centralized in Khartoum and Madani. However, the conflict, beginning in 2023, prompted a necessary decentralization, with services expanding into new regions. METHODS: We conducted a cross-sectional qualitative analysis based
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Mohammed, Abdulghani Eissa Tour, Khalid Abdurrahman Jabir Othman, and Mohammed Abdalla Abdalgane Mohammed. "The Negative Effects of Some Non – Governmental Organizations (NGOs) on EFL Teaching and Learning in Sudan." International Journal of Linguistics 12, no. 2 (2020): 1. http://dx.doi.org/10.5296/ijl.v12i2.16583.

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The current study endeavours to investigate the negative impact created due to the existence of the international non-governmental organizations (NGOs) on the overall educational system in Sudan. It also attempts to determine how the great advantages and the big gains inspire EFL teachers to prefer working for these organizations rather than working for ministry of education, and how this situation generally influenced teaching and learning English. Under the umbrella of the humanitarian crises missions, Sudan has witnessed a rush of numerous and funded NGOs during the last two decades, partic
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Shroff, Farah M., Ricky Tsang, Norah Schwartz, Rania Alkhadragy, and Kranti Vora. "And Still She Rises: Policies for Improving Women’s Health for a More Equitable Post-Pandemic World." International Journal of Environmental Research and Public Health 19, no. 16 (2022): 10104. http://dx.doi.org/10.3390/ijerph191610104.

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The COVID-19 pandemic has spawned crises of violence, hunger and impoverishment. Maternal and Infant Health Canada (MIHCan) conducted this policy action study to explore how changes that have arisen during the COVID-19 pandemic may catalyze potential improvements in global women’s health toward the creation of a more equitable post-pandemic world. In this mixed methods study, 280 experts in women’s health responded to our survey and 65 subsequently participated in focus groups, including professionals from India, Egypt/Sudan, Canada and the United States/Mexico. From the results of this study,
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Konozy, Emadeldin Hassan E. "Sudan's healthcare crisis: The struggle of kidney patients amidst conflict." Health Science Reports 7, no. 3 (2024). http://dx.doi.org/10.1002/hsr2.1980.

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AbstractBackground and AimConflicts, akin to other crises, disrupt lives and healthcare infrastructure, disproportionately affecting vulnerable individuals. The ongoing Sudanese conflict, initiated on April 15, 2023, between the Sudanese Armed Forces (SAF) and the Rapid Support Force (RSF), triggers significant population displacement, healthcare facility closures, and a scarcity of medical resources. Amid the intense conflict in Khartoum, reports of deceased individuals in the streets heighten concerns about public health, emphasizing the gravity of the situation. This crisis compounds the ch
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Abdo, Abdelmounem, Salah Dafalla, Mohammed Bushra, et al. "Endoscopic retrograde cholangiopancreatography services in Sudan during wartime: Innovations in crisis." Endoscopy International Open, May 26, 2025. https://doi.org/10.1055/a-2621-5666.

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​Endoscopic Retrograde Cholangiopancreatography (ERCP) services in Africa have expanded in recent years, aiming to enhance healthcare infrastructure. ERCP, combining endoscopy and fluoroscopy, diagnoses and treats biliary and pancreatic ductal system conditions. Expanding these services addresses healthcare access disparities between urban and rural populations. ERCP services are well-established primarily in South Africa and Egypt. Countries like Nigeria, Uganda, Rwanda, Ethiopia, and Kenya have sustained ERCP services over the past five years. This paper examines the need to expand ERCP serv
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Musa, Muhammad Kabir, Gibert Eshun, Mohamed Abdulkareem Adam Modber, et al. "Public health consequences of armed conflict in Sudan in the face of global donor fatigue." Public Health Challenges 3, no. 1 (2024). http://dx.doi.org/10.1002/puh2.156.

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AbstractSudan, a country located in northeastern Africa, is grappling with a profound health crisis resulting from the recent war that erupted on April 15, 2023. This conflict has inflicted significant damage on the country's health system, particularly through the destruction of healthcare infrastructure. Approximately 61% of health facilities have been destroyed, leaving only 16% operating optimally in Khartoum. Hospitals and clinics, vital for public health, have become targets of violence, exacerbating the challenges faced by the nation. The World Health Organization has noted the closure
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Esam Siddig, Reem, Afaf Mohammed Hammad, and Elhadi Moheildin Awooda. "Teledentistry in the Time of Conflict in Sudan." Sudan Journal of Medical Sciences, September 30, 2024. http://dx.doi.org/10.18502/sjms.v19i3.13975.

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Background: The War in Sudan between the Sudanese armed forces and rapid support forces has left undeniable impacts on the healthcare system which is already compromised by decades of neglect. Hospitals were bombed or occupied by conflict parties. Healthcare providers were killed or assaulted, citizens were forced to displace, and access to healthcare was impaired in many cities. Teledentistry is a modern and promising way to provide dental consultations. It is an easy, safe, and affordable solution for both patients and dental personnel in times like war. This short communication aims to urge
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Osman, Wagd Mutaz, Leena Abdelghani Mohamed, and Abdulqadir J. Nashwan. "The devastating impact of conflict in Sudan on mental health services: a rapid review." Discover Mental Health 5, no. 1 (2025). https://doi.org/10.1007/s44192-025-00207-4.

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Abstract Sudan's healthcare system teeters on the brink of collapse as the country continues to reel from political instability and conflict that escalated in April 2023. The latest outbreak of violence between the national army and the Rapid Support Forces has exacerbated an already fragile healthcare infrastructure. This review provides a narrative synthesis of the existing literature and reports on the current state of mental health services in Sudan. The ongoing conflict has triggered widespread displacement, economic instability, and trauma, which have in turn contributed to increased rat
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Osman, Sarah Hashim Mohammed, and Abdulqadir J. Nashwan. "Prioritizing children’s mental health amidst Sudan’s humanitarian crisis: policy recommendations for immediate action." Child and Adolescent Psychiatry and Mental Health 17, no. 1 (2023). http://dx.doi.org/10.1186/s13034-023-00640-9.

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AbstractThe humanitarian crisis precipitated by the ongoing conflict in Sudan poses profound risks to the health and welfare of the country’s children. This paper explores essential policy interventions to safeguard child mental health services under these challenging circumstances. Crucial strategies include enhancing healthcare accessibility for children and their caregivers, promoting education, and improving household living conditions. Additionally, it is vital to provide improved access to information about nutritious food and strengthen health systems in areas directly exposed to confli
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Ahmed, Rehab. "P04 Solution fundamentals are lacking: time to seek practical ways to tackle the AMR crisis in Sudan and other similar settings." JAC-Antimicrobial Resistance 4, Supplement_2 (2022). http://dx.doi.org/10.1093/jacamr/dlac053.004.

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Abstract Background A flood of data is showing that the silent pandemic is no longer silent. It is already here and impacting the entire world and is particularly severe in low- and middle-income countries. Objectives To highlight the scarcity of data about antimicrobial resistance (AMR) in Sudan, which is now devastated by the political unrest. Simultaneously the review is calling attention to the day-to-day deterioration in the infrastructural foundation necessary to combat AMR. Methods The review spans different topics related to AMR. It includes data and epidemiology of antimicrobial resis
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Elmukashfi ShamsEldin Elobied, Hind, Muhannad Bushra Masaad Ahmed, Ahmed Balla M. Ahmed, et al. "Healthcare accessibility, utilization, and quality of life among internally displaced people during the Sudan war: a cross-sectional study." Conflict and Health 19, no. 1 (2025). https://doi.org/10.1186/s13031-025-00655-3.

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Abstract Background The ongoing war in Sudan has triggered a massive displacement crisis, leaving internally displaced people (IDP) struggling to access healthcare services. This study aimed to investigate healthcare access, utilization, and the quality of life among Sudanese IDP during the conflict. Methods This cross-sectional study was carried out among Sudanese internally displaced people in six states. Quality of life was assessed using the WHOQOL-Bref questionnaire. Accessibility, utilization, and the consequences of not accessing healthcare were evaluated using an author-designed questi
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Hemmeda, Lina, Abubaker E. A. Koko, Radia F. Mohamed, et al. "Accessibility crisis of essential medicines at Sudanese primary healthcare facilities: a cross-sectional drugs’ dispensaries assessment and patients’ perspectives." International Journal for Equity in Health 22, no. 1 (2023). http://dx.doi.org/10.1186/s12939-023-02009-y.

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Abstract Background Access to essential medicines is a critical component of universal health coverage. However, the availability of essential medicines in Sudan isn’t well studied. As well, most Sudanese people lack health insurance, making out-of-pocket spending the primary source of drug financing. Therefore, the affordability of medicines in Sudan is questionable, with only 30% of the total population being covered by a public health service or public health insurance. We undertook this study to assess the availability and prices of essential medicines in public-sector health facilities in
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Stefanova, Stanislava. "Beyond Victimhood: Women as Agents of Change in Humanitarian Crises." International Journal of Innovative Science and Research Technology, April 3, 2025, 1872–76. https://doi.org/10.38124/ijisrt/25mar1392.

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This article challenges the dominant narrative portraying women in humanitarian crises and armed conflicts as passive victims. While acknowledging the gendered vulnerabilities women face—such as displacement, gender-based violence, and loss of livelihoods—the article foregrounds women's roles as active agents of change who contribute meaningfully to recovery, resilience, and peacebuilding. Drawing on case studies from Liberia, Colombia, Ukraine, South Sudan, Syria, and Bangladesh, the article highlights how women lead informal economies, initiate grassroots support networks, and rebuild essent
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Dafallah, Alaa, Osman K. O. Elmahi, Maisoon Elbukhari Ibrahim, Rania Elfatih Elsheikh, and Karl Blanchet. "Destruction, disruption and disaster: Sudan’s health system amidst armed conflict." Conflict and Health 17, no. 1 (2023). http://dx.doi.org/10.1186/s13031-023-00542-9.

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AbstractThe ongoing armed conflict in Sudan has resulted in a deepening humanitarian crisis with significant implications for the country's health system, threatening its collapse. This article examines the destruction, disruption, and disastrous consequences inflicted upon Sudan's health system. The conflict has led to the severe compromise of healthcare facilities, with only one-third of hospitals in conflict zones operational. Artillery attacks, forced militarization, power outages, and shortages of medical supplies and personnel have further crippled the health system. The exodus of health
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Adam Abdelmalik, Mohammed Abdelkrim, Abdalbasit Adam Mariod, Mohamed Adam Beraima, et al. "Knowledge and Practice Regarding Coronavirus Disease Prevention (COVID-19) Among Internally Displaced Persons in Camps in Central Darfur Region, Sudan." Sudan Journal of Medical Sciences, June 30, 2021. http://dx.doi.org/10.18502/sjms.v16i2.9287.

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Background: The lacking healthcare system services in conflict areas and the emergence of infection with a pandemic of coronavirus disease may exacerbate the humanitarian crisis among the camp residents in the central Dafur region of Sudan. Adequate knowledge and practices are vital to prevent coronavirus disease 2019 (COVID-19). Therefore, this study aimed to investigate the knowledge and practice regarding COVID-19 among internally displaced persons in Sudan.&#x0D; Methods: In this cross-sectional study, data were collected through an online survey using a self-administered questionnaire. Co
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Lobitz, Stephan. "Migration: The aftershocks to the provision of healthcare." Thalassemia Reports 8, no. 1 (2018). http://dx.doi.org/10.4081/thal.2018.7471.

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Migration is the “movement of people to a new area or country in order to find work or better living conditions” (Oxford dictionary). The term “migration” summarizes forced, reluctant and voluntary migration. Voluntary migration is a comparatively constant event. But reluctant and, in particular, forced migration have been subject to substantial change during the last years. At the end of 2016, more than 17.2 million refugees (+ 5.3 million Palestinians) were on the run outside their home countries. 55% of them fled from Syria (5.5 million), Afghanistan (2.5 million) and South Sudan (1.4 milli
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Mercogliano, Michelangelo, Gloria Spatari, Chiara Noviello, et al. "Building evidences in Public Health Emergency Preparedness (“BePHEP” Project)—a systematic review." International Journal for Equity in Health 24, no. 1 (2025). https://doi.org/10.1186/s12939-025-02382-w.

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Abstract Introduction Humanitarian crises exacerbate the vulnerability of already fragile healthcare systems and significantly increase the risk of infectious disease outbreaks in low- and middle-income countries (LMICs). This systematic review aims to evaluate strategies and interventions implemented in LMICs to prevent and manage infectious diseases outbreaks during humanitarian crises from 2018 to 2023. Methods A comprehensive literature search was conducted across Scopus, PubMed, and Web of Science, adhering to the PRISMA guideline and the SPIDER framework to identify relevant studies. The
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Elamin, Muna Mohamed, Salih Boushra Hamza, Yassin Abdelrahim Abdalla, et al. "The Psychological Impact of the COVID-19 Pandemic on health professionals in Sudan 2020." Sudan Journal of Medical Sciences, July 9, 2020, 54–70. http://dx.doi.org/10.18502/sjms.v15i5.7136.

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Abstract&#x0D; Background: The 2019 novel corona virus (COVID-19) is highly contagious with pandemic transmission, so it is associated with severe health problems and high public anxiety, with healthcare community speculation to be the most distressed because they were at the highest risk of infection. This study aimed to investigate the psychological impact on frontline medical staff in Khartoum state, Sudan, during the COVID‑19 outbreak between January and March 2020&#x0D; Material and Methods: Patient Health questionnaire-9 (PHQ-9), generalized anxiety Disorders (GAD-7) scale and the revise
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Hutchinson, E., S. Kiwanuk, R. Muhindo, et al. "The paradoxical surplus of healthcare workers in Africa: the need for research and policy engagement." European Journal of Public Health 34, Supplement_3 (2024). http://dx.doi.org/10.1093/eurpub/ckae144.269.

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Abstract Background In many countries in Africa, there is a paradoxical surplus of under and unemployed nurses, midwives, physicians and pharmacists which exists amidst a shortage of staff within the formal health system. By 2030, the World Health Organisation Africa Region may find itself with a shortage of 6.1 million healthcare workers (HCWs) alongside 700,000 un- or underemployed health staff. This study aims to bring the nature and consequences of an existing paradoxical surplus of HCWs in low income countries into the HCW migration debate and to explore novel solutions. Methods The study
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Hafez, Hadeer, Mohamed Saad Rakab, Adham Elshehaby, et al. "Pharmacies and use of antibiotics: a cross sectional study in 19 Arab countries." Antimicrobial Resistance & Infection Control 13, no. 1 (2024). http://dx.doi.org/10.1186/s13756-024-01458-6.

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Abstract Background The rise of antimicrobial resistance, which is partially attributed to the overuse and/or misuse of antibiotics in health care, is one of the world’s largest public health challenges. The distribution of antibiotics in absence of a prescription in pharmacies is a significant contributor to the growing global public health crisis of antibiotic resistance. A pharmacist’s clinical and lawful knowledge of antibiotic provide has an impact on the proper way to dispense medication. There are few novel studies assessing pharmacists comprehension and experience in prescribing antibi
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D’Andrea, Shawn M., Nada Fadul, MarkAlain Dery, William L. Brim, Andrea M. Israel, and Bruce Baird Struminger. "Healthcare capacity strengthening in conflict settings through virtual emergency medical training and outreach: Ukraine and Sudan case studies." Frontiers in Public Health 12 (October 18, 2024). http://dx.doi.org/10.3389/fpubh.2024.1441322.

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The use of digital learning in healthcare is expanding in a range of contexts including for settings of armed conflict. Humanitarian emergencies and war often lead to a surge of traumatic injuries, emotional distress, and disruption to health systems risking neglect and exacerbations of chronic illness, and acute infectious disease outbreaks, often requiring an international response. On the ground humanitarian response is often essential though logistical and security challenges can delay these responses, and the reliance on an international workforce unfamiliar with local cultures can create
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Salih, Alaaddin, and Mohamed Mohamed. "A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan." BMC Public Health 21, no. 1 (2021). http://dx.doi.org/10.1186/s12889-021-12154-0.

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Abstract Background The efficiency of mass chlorination in controlling diarrheal diseases during acute emergencies has been extensively reported in literature. However, long-term crises received unparallel attention. Researchers have previously carried out a trial that investigated the impact of using chemical means to treat water reservoirs of Um-Baddah Nevachah, a refugee camp located in the western outskirts of Khartoum, Sudan. A double-blind community experimental trial was carried out by randomly adding either chlorine or a placebo to the major water tanks in the area. Data were collected
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Baleela, Rania M. H., Abubakr Mohammad, and Sara A. K. Saeed. "The role of social media in public health awareness during times of war in Sudan: snakebites and scorpion stings." BMC Public Health 24, no. 1 (2024). http://dx.doi.org/10.1186/s12889-024-19156-8.

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Abstract Background Snakebite envenomation (SBE) and scorpion sting envenomation (SSE) are significant neglected tropical diseases that primarily affect impoverished communities in rural areas of developing nations. A lack of understanding about snake and scorpion species and their distribution exacerbates the disabilities and fatalities caused by SBE and SSE. In Sudan, particularly in regions affected by ongoing conflicts where healthcare resources are scarce, social media platforms offer a cost-effective approach to addressing public health challenges. Our aim in this study is to highlight t
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Gesesew, Hailay Abrha. "World AIDS Day 2023: time to prioritize perilous HIV medicine." Conflict and Health 18, no. 1 (2024). http://dx.doi.org/10.1186/s13031-024-00573-w.

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Abstract Background World AIDS Day has been observed on the first of December every year. Whilst there are specific themes during the commemoration, the role of conflict on HIV seems neglected and needs prioritization given the rise of conflicts globally. Discussion The global HIV response brought substantial reduction of new HIV infections and HIV-related deaths, and increment of antiretroviral therapy coverage. Nevertheless, there is substantial inequity on the benefit of the response. Individuals with HIV in conflict zones have suffered immensely and are often neglected. The fact that the l
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