Evidence map›Paper›PMID 32341087›Full record

SynthesisBMJ global health2020

Delivering infectious disease interventions to women and children in conflict settings: a systematic reviefw.

Sarah Meteke, Marianne Stefopulos, Daina Als, Michelle Gaffey, Mahdis Kamali, Fahad J Siddiqui, Mariella Munyuzangabo, Reena P Jain, Shailja Shah, Amruta Radhakrishnan and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Guidance for infectious disease care in the face of human conflict: a case-based narrative review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 3 countries.

Sarah MetekeCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Marianne StefopulosCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Daina AlsCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Michelle GaffeyCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Mahdis KamaliCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Fahad J SiddiquiCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Mariella MunyuzangaboCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Reena P JainCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0001-7004-5093
Shailja ShahCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Amruta RadhakrishnanCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Anushka AtaullahjanCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Zulfiqar A BhuttaCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada Zulfiqar.bhutta@sickkids.ca.
Hospital for Sick Children · CAAga Khan University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConflict has played a role in the large-scale deterioration of health systems in low-income and middle-income countries (LMICs) and increased risk of infections and outbreaks. This systematic review aimed to synthesise the literature on mechanisms of delivery for a range of infectious disease-related interventions provided to conflict-affected women, children and adolescents.

methodsWe searched Medline, Embase, CINAHL and PsychINFO databases for literature published in English from January 1990 to March 2018. Eligible publications reported on conflict-affected neonates, children, adolescents or women in LMICs who received an infectious disease intervention. We extracted and synthesised information on delivery characteristics, including delivery site and personnel involved, as well as barriers and facilitators, and we tabulated reported intervention coverage and effectiveness data.

resultsA majority of the 194 eligible publications reported on intervention delivery in sub-Saharan Africa. Vaccines for measles and polio were the most commonly reported interventions, followed by malaria treatment. Over two-thirds of reported interventions were delivered in camp settings for displaced families. The use of clinics as a delivery site was reported across all intervention types, but outreach and community-based delivery were also reported for many interventions. Key barriers to service delivery included restricted access to target populations; conversely, adopting social mobilisation strategies and collaborating with community figures were reported as facilitating intervention delivery. Few publications reported on intervention coverage, mostly reporting variable coverage for vaccines, and fewer reported on intervention effectiveness, mostly for malaria treatment regimens.

conclusionsDespite an increased focus on health outcomes in humanitarian crises, our review highlights important gaps in the literature on intervention delivery among specific subpopulations and geographies. This indicates a need for more rigorous research and reporting on effective strategies for delivering infectious disease interventions in different conflict contexts. PROSPERO REGISTRATION NUMBER: CRD42019125221.

Indexed as

Armed ConflictsDelivery of Health CareAdolescentAfrica South of the SaharaChildCommunicable Disease ControlCommunicable DiseasesFemaleHumansInfant, Newbornchild healthinfections, diseases, disorders, injuriesmaternal healthsystematic reviewvaccines

Identifiers

PMID32341087
PMCPMC7213813
OpenAlexW3020286822

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.