ArticleHealth research policy and systems2017
Health systems research in fragile and conflict affected states: a qualitative study of associated challenges.
Article in Health research policy and systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Chronic Health Crises and Emergency Medicine in War-torn Yemen, Exacerbated by the COVID-19 Pandemic.The western journal of emergency medicine · 2022Pooled it
- Post-conflict restoration of health facilities in Amhara region, Ethiopia.BMC research notes · 2026Article
- Nurse-Led Antenatal Care in Conflict-Affected Yemen: A Prospective Cohort Study with Difference-in-Differences Analysis.Journal of healthcare leadership · 2026Article
- Assessment of Hand Hygiene Knowledge, Attitude, and Practice Among Health Sciences Students in Herat, Afghanistan: A Cross-Sectional Study [Response to Letter].Risk management and healthcare policy · 2025Article
- Renewable resilience in conflict: lessons learned from Syria's solar-powered electric health vehicles.Frontiers in public health · 2025Article
- Academic performance, perceptions, and motivations of medical PhD students in Ukraine during wartime: a mixed methods study.BMC medical education · 2024Article
- Addressing abdominal trauma from conflict and warfare in under-resourced regions: A critical narrative review.Health science reports · 2024Article
- Health systems resilience in fragile and conflict-affected settings: a systematic scoping review.Conflict and health · 2024Article
- Health system evaluation in conflict-affected countries: a scoping review of approaches and methods.Conflict and health · 2023Article
- Evaluating a research training programme for frontline health workers in conflict-affected and fragile settings in the middle east.BMC medical education · 2023Article
- Strengthening health systems and peacebuilding through women's leadership: a qualitative study.Globalization and health · 2023Article
- Adaptive Mechanisms of Health Zones to Chronic Traumatic Events in Eastern DRC: A Multiple Case Study.International journal of health policy and management · 2023Article
- Human Resources for Health in Conflict Affected Settings: A Scoping Review of Primary Peer Reviewed Publications 2016-2022.International journal of health policy and management · 2023Article
- Maintaining health professional education during war: A scoping review.Medical education · 2022Article
- A mixed methods study to assess the impact of COVID-19 on maternal, newborn, child health and nutrition in fragile and conflict-affected settings.Conflict and health · 2022Article
- Assessing innovative approaches for global health capacity building in fragile settings in the MENA region: development of the evaluation of capacity building (eCAP) program.Conflict and health · 2022Article
- Evaluating an e-learning program to strengthen the capacity of humanitarian workers in the MENA region: the Humanitarian Leadership Diploma.Conflict and health · 2022Article
- Health research capacity building of health workers in fragile and conflict-affected settings: a scoping review of challenges, strengths, and recommendations.Health research policy and systems · 2021Article
- Dynamics of non-communicable disease prevention, diagnosis and control in Lebanon, a fragile setting.Conflict and health · 2021Article
- Containing measles in conflict-driven humanitarian settings.BMJ global health · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundHigh quality health systems research (HSR) in fragile and conflict-affected states (FCAS) is essential to guiding the policies and programmes that will improve access to health services and, ultimately, health outcomes. Yet, conducting HSR in FCAS is challenging. An understanding of these challenges is essential to tackling them and to supporting research conducted in these complex environments. Led by the Thematic Working Group on Health Systems in FCAS, the primary aim of this study was to develop a research agenda on HSR in FCAS. The secondary aim was to identify the challenges associated with conducting HSR in these contexts. This paper presents these challenges.
methodsGuided by a purposely-selected steering group, this qualitative study collected respondents' perspectives through an online survey (n = 61) and a group discussion at the Third Global Symposium on HSR in September 2014 (n = 11). Respondents with knowledge and/or experience of HSR in FCAS were intentionally recruited.
resultsOf those ever involved in HSR in FCAS (45/61, 75%), almost all (98%) experienced challenges in conducting their research. Challenges fall under three broad thematic areas: (1) lack of appropriate support; (2) complex local research environment, including access constraints, weak local research capacity, collaboration challenges and lack of trust in the research process; and (3) limited research application, including rapidly outdated findings and lack of engagement with the research process and results.
conclusionsThis study shows that those familiar with HSR in FCAS face many challenges in gaining support for and in conducting and applying high-quality research. There is a need for more sustainable support, including commitment to and long-term funding of HSR in FCAS; investment in capacity building within FCAS to meet the challenges related to implementation of research in these complex environments; relationship and trust building among stakeholders involved in HSR, particularly between local and international researchers and between researchers and participants; and innovative and flexible approaches to research design and implementation in these insecure and rapidly changing contexts.
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What OpenQuestion holds
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.