ArticleConflict and health2020
Responding to health needs of women, children and adolescents within Syria during conflict: intervention coverage, challenges and adaptations.
Article in Conflict and health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Classifying caesarean section to understand rising rates among Palestinian refugees: results from 290,047 electronic medical records across five settings.BMC pregnancy and childbirth · 2022Pooled it
- Health interventions and stakeholder roles in neonatal mortality reduction within low-income countries: A scoping review.Public health in practice (Oxford, England) · 2026Review
- Impact of the 2023-armed conflict on routine malaria imapact indicators in Sudan (January 2020-March 2025): a mixed-methods analysis of surveillance data.Malaria journal · 2026Article
- Epidemiology of acute myeloid leukemia in children and adolescents (1990-2021): a global burden of disease study.Die Naturwissenschaften · 2025Article
- Delivering an insecticide-treated net campaign in a complex operating environment: lessons from Anambra state, Nigeria.Malaria journal · 2025Article
- The localisation of humanitarian response to conflict and displacement: a scoping review from a health systems perspective.BMJ global health · 2025Article
- Establishing core competencies for neonatology fellowship training in Syria: a modified Delphi study approach.BMC medical education · 2025Article
- Post-crisis health reality and wellbeing of children within Syria: a scoping review of research from 2012 to 2024.Conflict and health · 2025Review
- Association between conflict intensity and health outcomes in contemporary conflicts, while accounting for the vulnerability and functioning of healthcare services.Conflict and health · 2025Article
- Navigating challenges, solutions and requirements in the provision of trauma care in conflict settings by humanitarian actors: a scoping literature review.Conflict and health · 2025Review
- Article
- Mental health and conflict: a pilot of an online eye movement desensitisation and reprocessing (EMDR) intervention for forcibly displaced Syrian women.Frontiers in public health · 2024Article
- Implementing community-based health program in conflict settings: documenting experiences from the Central African Republic and South Sudan.BMC health services research · 2023Article
- The impact of crisis and COVID-19 on Syrian children growth, health awareness and nutritional practices. a cross-sectional study.BMC pediatrics · 2023Article
- Prevalence and clinical characteristics of molar-incisor hypomineralization in Syrian children: a cross-sectional study.Scientific reports · 2023Article
- Evolution of assisted deliveries at primary healthcare centres in an unstable security context in Mali.BMJ global health · 2023Article
- Sexual and reproductive health knowledge among adolescent Syrian refugee girls displaced in Lebanon: The role of schooling and parental communication.PLOS global public health · 2023Article
- Identifying psychosocial problems, needs, and coping mechanisms of adolescent Syrian refugees in Jordan.Frontiers in psychiatry · 2023Article
- Maternal mortality and its prominence in the Syrian Arab Republic: Challenges, efforts, and recommendations.Annals of medicine and surgery (2012) · 2022Article
- 'We are trying to live in a normal way, but nothing is normal about us anymore…': a qualitative study of women's lived experiences of healthcare in opposition-controlled areas of Syria.BMJ global health · 2022Article
Corrections and comments
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Authors and funding
12 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWomen and children suffer disproportionately in armed-conflicts. Since 2011, the protracted Syrian crisis has fragmented the pre-existing healthcare system. Despite the massive health needs of women and children, the delivery of key reproductive, maternal, newborn, child and adolescent health and nutrition (RMNCAH&N) interventions, and its underlying factors are not well-understood in Syria. Our objective was to document intervention coverage indicators and their implementation challenges inside Syria during conflict.
methodsWe conducted 1) a desk review to extract RMNCAH&N intervention coverage indicators inside Syria during the conflict; and 2) qualitative interviews with decision makers and health program implementers to explore reasons behind provision/non-provision of RMNCAH&N interventions, and the rationale informing decisions, priorities, collaborations and implementation. We attempt to validate findings by triangulating data from both sources.
resultsKey findings showed that humanitarian organisations operating in Syria adopted a complex multi-hub structure, and some resorted to remote management to improve accessibility to certain geographic areas. The emergency response prioritised trauma care and infectious disease control. Yet, with time, humanitarian organisations successfully advocated for prioritising maternal and child health and nutrition interventions given evident needs. The volatile security context had implications on populations' healthcare seeking behaviors, such as women reportedly preferring home births, or requesting Caesarean-sections to reduce insecurity risks. Additional findings were glaring data gaps and geographic variations in the availability of data on RMNCAH&N indicators. Adaptations of the humanitarian response included task-shifting to overcome shortage in skilled healthcare workers following their exodus, outreach activities to enhance access to RMNCAH&N services, and operating in 'underground' facilities to avoid risk of attacks.
conclusionThe case of Syria provides a unique perspective on creative ways of managing the humanitarian response and delivering RMNCAH&N interventions, mainly in the multi-hub structure and use of remote management, despite encountered challenges. The scarcity of RMNCAH&N data is a tremendous challenge for both researchers and implementing agencies, as it limits accountability and monitoring, thus hindering the evaluation of delivered interventions.
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