Evidence map›Paper›PMID 32665784›Full record

ReviewConflict and health2020

Challenges of providing healthcare worker education and training in protracted conflict: a focus on non-government controlled areas in north west Syria.

Yamama Bdaiwi, Diana Rayes, Ammar Sabouni, Lina Murad, Fouad Fouad, Waseem Zakaria, Mahmoud Hariri, Abdelkarim Ekzayez, Ahmad Tarakji, Aula Abbara

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review 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 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

Yamama Bdaiwi *University of Oxford, Oxford, UK.
Diana Rayes *Syria Public Health Network, London, UK.
Ammar SabouniAcademic Primary Care, Hull York Medical School, Hull, UK.
Lina MuradSyrian American Medical Society, Washington DC, USA.
Fouad FouadAmerican University of Beirut, Beirut, Lebanon.
Waseem ZakariaSyrian Board of Medical Specialties, Gaziantep, Turkey.
Mahmoud HaririSyrian Board of Medical Specialties, Gaziantep, Turkey.
Abdelkarim EkzayezConflict and Health, King's College London, London, UK.
Ahmad TarakjiSyrian American Medical Society, Washington DC, USA.
Aula AbbaraSyria Public Health Network, London, UK.ORCID 0000-0002-7049-8399

Funding

Global Mental Health Training ProgramT32MH103210 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Judith Karen Bass, Sarah Sutherlin-McIvor Murray · 2015 to 2026
$4.0M
NIMH NIH HHS T32 MH103210
6 · The paper itself

Abstract

Without healthcare workers (HCWs), health and humanitarian provision in Syria cannot be sustained either now or in the post-conflict phase. The protracted conflict has led to the exodus of more than 70% of the healthcare workforce. Those remaining work in dangerous conditions with insufficient resources and a healthcare system that has been decimated by protracted conflict. For many HCWs, particularly those in non-government-controlled areas (NGCAs) of Syria, undergraduate education and postgraduate training has been interrupted with few opportunities to continue. In this manuscript, we explore initiatives present in north west Syria at both undergraduate and postgraduate level for physician and non-physician HCWs. Conclusion: Challenges to HCW education in north west Syria can be broadly divided into 1. Organisational (local healthcare leadership and governance, coordination and collaboration between stakeholders, competition between stakeholders and insufficient funding.) 2. Programmatic (lack of accreditation or recognition of qualifications, insufficient physical space for teaching, exodus of faculty affecting teaching and training, prioritisation of physicians over non-physicians, informally trained healthcare workers.) 3. Healthcare system related (politicisation of healthcare system, changing healthcare needs of the population, ongoing attacks on healthcare.) Locally implementable strategies including dedicated funding are key to supporting retention of HCWs and return during post-conflict reconstruction.

Indexed as

ConflictDoctorsEducationHealth professionalsNursesSyria

Identifiers

PMID32665784
PMCPMC7341478

What OpenQuestion holds

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Registered trials

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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.