ArticleHealth research policy and systems2016
Health systems research in fragile and conflict-affected states: a research agenda-setting exercise.
Article in Health research policy and systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Models of care for patients with hypertension and diabetes in humanitarian crises: a systematic review.Health policy and planning · 2021Pooled it
- The role and scope of practice of midwives in humanitarian settings: a systematic review and content analysis.Human resources for health · 2019Pooled it
- Setting a Nigeria national malaria operational research agenda: the process.BMC health services research · 2018Pooled it
- The impact of war on Primary Health Care in Ukraine: a cross-sectional survey and qualitative interviews with service providers.BMC health services research · 2026Article
- Association between conflict intensity and health outcomes in contemporary conflicts, while accounting for the vulnerability and functioning of healthcare services.Conflict and health · 2025Article
- Exploring the inherent resilience of health districts in a context of chronic armed conflict: a case study in Eastern Democratic Republic of the Congo.Health research policy and systems · 2024Article
- Modelling the spatial variability and uncertainty for under-vaccination and zero-dose children in fragile settings.Scientific reports · 2024Article
- The oral health care system in Libya: a case study.BMC oral health · 2024Article
- Health systems resilience in fragile and conflict-affected settings: a systematic scoping review.Conflict and health · 2024Article
- Antimicrobial stewardship in primary health care programs in humanitarian settings: the time to act is now.Antimicrobial resistance and infection control · 2023Article
- Profile of health care workers in a context of instability: a cross-sectional study of four rural health zones in eastern DR Congo (lessons learned).Human resources for health · 2023Article
- Multisectoral action towards sustainable development goal 3.d and building health systems resilience during and beyond COVID-19: Findings from an INTOSAI development initiative and World Health Organization collaboration.Frontiers in public health · 2023Article
- How can we strengthen partnership and coordination for health system emergency preparedness and response? Findings from a synthesis of experience across countries facing shocks.BMC health services research · 2022Article
- A literature review exploring how health systems respond to acute shocks in fragile and conflict-affected countries.Conflict and health · 2022Review
- Conducting rapid research to aid the design of a health systems governance intervention in the Somali Region of Ethiopia.Frontiers in sociology · 2022Article
- Are people most in need utilising health facilities in post-conflict settings? A cross-sectional study from South Kivu, eastern DR Congo.Global health action · 2020Article
- Capacity for health economics research and practice in Jordan, Lebanon, the occupied Palestinian territories and Turkey: needs assessment and options for development.Health research policy and systems · 2020Article
- Supporting the use of research evidence in decision-making in crisis zones in low- and middle-income countries: a critical interpretive synthesis.Health research policy and systems · 2020Article
- Is development aid to strengthen health systems during protracted conflict a useful investment? The case of South Sudan, 2011-2015.BMJ global health · 2020Article
- Health policy mapping and system gaps impeding the implementation of reproductive, maternal, neonatal, child, and adolescent health programs in South Sudan: a scoping review.Conflict and health · 2020Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is increasing interest amongst donors in investing in the health sectors of fragile and conflict-affected states, although there is limited research evidence and research funding to support this. Agreeing priority areas is therefore critical. This paper describes an 18-month process to develop a consultative research agenda and questions for health systems research, providing reflections on the process as well as its output.
methodsAfter a scoping review had been conducted, primary data was collected from August 2014 to September 2015. Data was collected using a mixture of methods, including an online survey (n = 61), two face-to-face group sessions (one with 11 participants; one with 17), email consultation (n = 18), a webinar (n = 65), and feedback via LinkedIn. Two steering committees of purposively selected experts guided the research process - a core steering committee (n = 10) and broad steering committee (n = 20). The process moved from developing broad topics and lists of research needs to grouping and honing them down into a smaller, prioritised agenda, with specific research questions associated to each topic.
resultsAn initial list of 146 topics was honed down to 25 research needs through this process, grouped thematically under transition and sustainability, resilience and fragility, gender and equity, accessibility, capacity building, actors and accountability, community, healthcare delivery, health workforce, and health financing. They were not ranked, as all health system areas are interdependent. The research agenda forms a starting point for local contextualisation and is not definitive.
conclusionsA wide range of stakeholders participated in the different stages of this exercise, which produced a useful starting point for health systems research agenda setting in fragile and conflict-affected states. The process of engagement may have been as valuable for building a community of researchers as the product. It is now important to drive forward the research agenda. Without both a higher profile and deeper focus for this area, there is a real risk that fragile and conflict-affected states will continue to fall behind in global health and development goals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.