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Int J Public Health. 2015 Nov;60(7):865-72. doi: 10.1007/s00038-015-0723-6. Epub 2015 Aug 23.

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

Author information

1
Public Health in Humanitarian Crises Group, London School of Hygiene and Tropical Medicine, London, UK. james.dominic.smith@gmail.com.
2
ECOHOST-The Centre for Health and Social Change, The London School of Hygiene and Tropical Medicine, London, UK.
3
Public Health in Humanitarian Crises Group, London School of Hygiene and Tropical Medicine, London, UK.
4
Department of Orthopaedic Surgery, University of California, San Francisco, USA.

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.

KEYWORDS:

Conflict; Disasters; Global surgery; Humanitarianism; Injury; Rehabilitation

PMID:
26298446
PMCID:
PMC4636531
DOI:
10.1007/s00038-015-0723-6
[Indexed for MEDLINE]
Free PMC Article

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