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Scientific article
Review
Open access
English

A systematic literature review of the quality of evidence for injury and rehabilitation interventions in humanitarian crises

Published inInternational journal of public health, vol. 60, no. 7, p. 865-872
Publication date2015-11
First online date2015-08-23
Abstract

Introduction: Humanitarian crises continue to pose a significant threat to health; the United Nations estimates that 144 million people are directly affected by conflict or environmental disasters. During most humanitarian crises, surgical and rehabilitative interventions remain a priority.

Objectives: This review assessed the quality of evidence that informs injury and physical rehabilitation interventions in humanitarian crises.

Methods: Peer-reviewed and grey literature sources were assessed in a systematic manner. Selected papers were evaluated using quality criteria based on a modified version of the STROBE protocol.

Results: 46 papers met the inclusion criteria. 63 % of the papers referred to situations of armed conflict, of which the Yugoslav Wars were the most studied crisis context. 59 % of the studies were published since the year 2000. However, only two studies were considered of a high quality.

Conclusions: While there is now a greater emphasis on research in this sector, the volume of evidence remains inadequate given the growing number of humanitarian programmes worldwide. Further research is needed to ensure a greater breadth and depth of understanding of the most appropriate interventions in different settings.

eng
Keywords
  • Conflict
  • Disasters
  • Global surgery
  • Humanitarianism
  • Injury
  • Rehabilitation
  • Altruism
  • Humans
  • International Cooperation
  • Patient Care Team
  • Relief Work
  • Surgical Procedures, Operative / rehabilitation
  • Voluntary Health Agencies
  • Warfare
  • Wounds and Injuries / therapy
Affiliation Not a UNIGE publication
Citation (ISO format)
SMITH, James et al. A systematic literature review of the quality of evidence for injury and rehabilitation interventions in humanitarian crises. In: International journal of public health, 2015, vol. 60, n° 7, p. 865–872. doi: 10.1007/s00038-015-0723-6
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ISSN of the journal1661-8556
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