Setting research priorities for sexual, reproductive, maternal, newborn, child and adolescent health in humanitarian settings

Article Article scientifique Article Setting research priorities for sexual, reproductive, maternal, newborn, child and adolescent health in humanitarian settings eng 2021-03-26 2021-03-26 author Kobeissi Loulou 0000-0002-7975-7529 SRH Integration in Health Systems (SHS), Department of Sexual and Reproductive Health and Research (SRH), World Health Organization (WHO), Universal Health Coverage - Life Course Division (UHC/LC), Geneva, Switzerland. kobeissil@who.int. author Nair Mahalakshmi Department of Maternal, Newborn, Child and Adolescent Health and Ageing (MCA),World Health Organization, Universal Health Coverage - Life Course Division (UHC/LC), Geneva, Switzerland. 812104 author Evers Egmond Samir 0000-0003-0492-6786 Department of Maternal, Newborn, Child and Adolescent Health and Ageing (MCA),World Health Organization, Universal Health Coverage - Life Course Division (UHC/LC), Geneva, Switzerland. author Han Mansuk Daniel Department of Maternal, Newborn, Child and Adolescent Health and Ageing (MCA),World Health Organization, Universal Health Coverage - Life Course Division (UHC/LC), Geneva, Switzerland. author Aboubaker Samira Independent Consultant, Geneva, Switzerland. author Say Lale SRH Integration in Health Systems (SHS), Department of Sexual and Reproductive Health and Research (SRH), World Health Organization (WHO), Universal Health Coverage - Life Course Division (UHC/LC), Geneva, Switzerland. author Rollins Nigel Department of Maternal, Newborn, Child and Adolescent Health and Ageing (MCA),World Health Organization, Universal Health Coverage - Life Course Division (UHC/LC), Geneva, Switzerland. author Darmstadt Gary L 0000-0002-7522-5824 Maternal and Child Health, Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, USA. author Blanchet Karl 0000-0003-0498-8020 Geneva Centre of Humanitarian Studies, University of Geneva, the Graduate Institute, Geneva, Switzerland. 932568 Geneva Centre of Humanitarian Studies (MCERA) author Garcia Daniel Martinez Women and Child Health Unit, Medical Department of Médecins Sans Frontières (MSF), Geneva, Switzerland. author Hagon Olivier Center for Humanitarian Medicine and Disaster Management (CHMDM), WHO Collaborative center, Division of Tropical and Humanitarian Medicine, Geneva University Hospitals, Geneva, Switzerland. 44550 Département de santé et médecine communautaire (MECOM) author Ashorn Per 0000-0003-2311-2593 Center for Child Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland. Members of the WHO research prioritization group for SRMNCAH promotion in humanitarian settings 16 10.1186/s13031-021-00353-w 33771212 1752-1505 PMC7995567 https://conflictandhealth.biomedcentral.com/articles/10.1186/s13031-021-00353-w Background: An estimated 70.8 million people are forcibly displaced worldwide, 75% of whom are women and children. Prioritizing a global research agenda to inform guidance, service delivery, access to and quality of services is essential to improve the survival and health of women, children and adolescents in humanitarian settings. Method: A mixed-methods design was adapted from the Child Health and Nutrition Research Initiative (CHNRI) methodology to solicit priority research questions across the sexual, reproductive, maternal, newborn, child and adolescent health (SRMNCAH) domains in humanitarian settings. The first step (CHNRI) involved data collection and scoring of perceived priority questions, using a web-based survey over two rounds (first, to generate the questions and secondly, to score them). Over 1000 stakeholders from across the globe were approached; 177 took part in the first survey and 69 took part in the second. These research questions were prioritized by generating a research prioritization score (RPP) across four dimensions: answerability, program feasibility, public health relevance and equity. A Delphi process of 29 experts followed, where the 50 scored and prioritized CHRNI research questions were shortlisted. The top five questions from the CHNRI scored list for each SRMNCAH domain were voted on, rendering a final list per domain. Results: A total of 280 questions were generated. Generated questions covered sexual and reproductive health (SRH) (n = 90, 32.1%), maternal health (n = 75, 26.8%), newborn health (n = 42, 15.0%), child health (n = 43, 15.4%), and non-SRH aspects of adolescent health (n = 31, 11.1%). A shortlist of the top ten prioritized questions for each domain were generated on the basis of the computed RPPs. During the Delphi process, the prioritized questions, based on the CHNRI process, were further refined. Five questions from the shortlist of each of the SRMNCAH domain were formulated, resulting in 25 priority questions across SRMNCAH. For example, one of the prioritized SRH shortlisted and prioritized research question included: "What are effective strategies to implement good quality comprehensive contraceptive services (long-acting, short-acting and EC) for women and girls in humanitarian settings?" Conclusion: Data needs, effective intervention strategies and approaches, as well as greater efficiency and quality during delivery of care in humanitarian settings were prioritized. The findings from this research provide guidance for researchers, program implementers, as well as donor agencies on SRMNCAH research priorities in humanitarian settings. A global research agenda could save the lives of those who are at greatest risk and vulnerability as well as increase opportunities for translation and innovation for SRMNCAH in humanitarian settings. Adolescent health CHNRI Child health Delphi Humanitarian conflict Humanitarian pediatrics Maternal health Newborn health Reproductive health Research priorities Sexual health Dewey 613 64 Département de santé et médecine communautaires 22A false Conflict and health 15 1 0ff7f78c-ab35-463b-947d-c5d82e37b6ba Article (Published version) Public Article-scientifique-from-unpaywall.pdf 1226568 application/pdf CC BY-4.0 04b30467f7d7ba9f948372ef0a1ffff21db9723b74435451ec8feee873518e45 68eaf5e0-f96c-4164-b58a-3fef578d5ca7 Appendix Public 13031_2021_353_MOESM1_ESM.docx 670613 application/vnd.openxmlformats-officedocument.wordprocessingml.document 86c1f67158f7d9ce4215a112d6ff0aaf9828b39c99402f97f4cfae5e2df254aa 71f2790a-39cc-4094-8c3f-552050995e3d Appendix Public 13031_2021_353_MOESM2_ESM.docx 21118 application/vnd.openxmlformats-officedocument.wordprocessingml.document bda2628f51e1b3b3980c1b4230d7f8d0eb5bdf6bdf34f8cf340165a409e6ba61 openAccess Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires

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Setting research priorities for sexual, reproductive, maternal, newborn, child and adolescent health in humanitarian settings	Conflict and health			2021	77	99

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Nair, Mahalakshmi