Strengthening the evidence base for health programming in humanitarian crises

Author:

Ager A.1,Burnham G.2,Checchi F.3,Gayer M.4,Grais R. F.5,Henkens M.6,Massaquoi M. B. F.7,Nandy R.8,Navarro-Colorado C.9,Spiegel P.10

Affiliation:

1. Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA.

2. Bloomberg School of Public Health, Johns Hopkins University, 615 North Wolfe Street, no. 5041, Baltimore, MD 21205, USA.

3. Save the Children UK, 1 St John’s Lane, London EC1M 4AR, UK.

4. World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.

5. Epicentre, 55 Rue Crozatier, 75012 Paris, France.

6. Médecins Sans Frontières International, Rue Dupré 94/Dupréstraat 94, 1090 Brussels, Belgium.

7. Clinton Health Access Initiative, Monrovia, Liberia.

8. UNICEF, Wisma Metropolitan II, lantai 10, Jalan Jenderal Sudirman kavling 31, Jakarta 12920, Indonesia.

9. Division of Global Health Protection, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA.

10. United Nations High Commissioner for Refugees (UNHCR), Case Postale 2500, CH-1211 Genève 2 Dépôt, Geneva, Switzerland.

Abstract

Given the growing scale and complexity of responses to humanitarian crises, it is important to develop a stronger evidence base for health interventions in such contexts. Humanitarian crises present unique challenges to rigorous and effective research, but there are substantial opportunities for scientific advance. Studies need to focus where the translation of evidence from noncrisis scenarios is not viable and on ethical ways of determining what happens in the absence of an intervention. Robust methodologies suited to crisis settings have to be developed and used to assess interventions with potential for delivery at scale. Strengthening research capacity in the low- to middle-income countries that are vulnerable to crises is also crucial.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

Reference16 articles.

1. UNHCR “UNHCR global trends 2013: War’s human cost” (United Nations Geneva 2014); www.unhcr.org/trends2013/.

2. Sphere Project The Sphere Handbook: Humanitarian Charter and Minimum Standards in Humanitarian Response (Practical Action London 2011).

3. K. Blanchett et al . “An evidence review of research on health interventions in humanitarian crises” [Enhancing Learning and Research for Humanitarian Assistance (ELRHA) Cardiff UK 2013]; www.elrha.org/r2hc/evidence-review.

4. Prioritization of themes and research questions for health outcomes in natural disasters, humanitarian crises or other major healthcare emergencies;Evidence Aid Priority Setting Group;PLOS Curr.,2013

5. A. Ager “Health on the move: The impact of forced displacement on health ” in World Disasters Report: Focus on Forced Migration and Displacement R. Zetter Ed. (International Federation of Red Cross and Red Crescent Societies Geneva 2012) pp. 80–111.

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