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Reproductive, maternal, neonatal and child health in conflict: a case study on Syria using Countdown indicators

Show simple item record DeJong, Jocelyn Ghattas, Hala Bashour, Hyam Mourtada, Rima Akik, Chaza Reese-Masterson, Amelia 2023-02-07T11:22:20Z 2023-02-07T11:22:20Z 2017-09
dc.identifier.citation DeJong, Jocelyn, et al. "Reproductive, Maternal, Neonatal and Child Health in Conflict: A Case Study on Syria using Countdown Indicators." BMJ Global Health, vol. 2, no. 3, 2017, pp. 1-13
dc.identifier.issn 2059-7908
dc.identifier.uri 10.1136/bmjgh-2017-000302
dc.description.abstract Women and children account for a disproportionate morbidity burden among conflict-affected populations, and yet they are not included in global accountability frameworks for women’s and children’s health. We use Countdown to 2015 (Millennium Development Goals) health indicators to provide an up-to-date review and analysis of the best available data on Syrian refugees in Jordan, Lebanon and Turkey and internally displaced within Syria and explore data challenges in this conflict setting. Methods We searched Medline, PubMed, Scopus, Popline and Index Medicus for WHO Eastern Mediterranean Region Office and relevant development/humanitarian databases in all languages from January 2011 until December 2015. We met in person or emailed relevant key stakeholders in Lebanon, Jordan, Syria and Turkey to obtain any unpublished or missing data. We convened a meeting of experts working with these populations to discuss the results. Results The following trends were found based on available data for these populations as compared with preconflict Syria. Birth registration in Syria and in host neighbouring countries decreased and was very low in Lebanon. In Syria, the infant mortality rate and under-five mortality rate increased, and coverage of antenatal care (one visit with a skilled attendant), skilled birth attendance and vaccination (except for DTP3 vaccine) declined. The number of Syrian refugee women attending more than four antenatal care visits was low in Lebanon and in non-camp settings in Jordan. Few data were available on these indicators among the internally displaced. In conflict settings such as that of Syria, coverage rates of interventions are often unknown or difficult to ascertain because of measurement challenges in accessing conflict-affected populations or to the inability to determine relevant denominators in this dynamic setting. Conclusion Research, monitoring and evaluation in humanitarian settings could better inform public health interventions if findings were more widely shared, methodologies were more explicit and globally agreed definitions and indicators were used consistently.
dc.language.iso en
dc.publisher BMJ global health
dc.subject women
dc.subject childern
dc.subject conflict
dc.subject Syrian Refugees
dc.subject health indicators
dc.subject birth
dc.title Reproductive, maternal, neonatal and child health in conflict: a case study on Syria using Countdown indicators
dc.type Article

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