Evidence map›Paper›PMID 38515600›Full record

SynthesisFrontiers in public health2024

Health transformation toward universal healthcare coverage amidst conflict: examining the impact of international cooperation in Niger.

Mahamadou Doutchi, Abdoulaye Ghousmane, Fatimata Zampaligre, Bizo Moussa, El Khalef Ishagh, Ouédraogo Talatou Marc, Batouré Oumarou, Mutenda Sheria Kaya, Gbaguidi Aichatou Diawara, Abdoulaye Macire Camara and 10 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 2% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
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

20 authors at 5 institutions in 4 countries.

Mahamadou DoutchiDepartment of Public Health, Université de Zinder, Zinder, Niger.
Abdoulaye GhousmaneBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Fatimata ZampaligreBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Bizo MoussaBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
El Khalef IshaghBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Ouédraogo Talatou MarcBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Batouré OumarouBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Mutenda Sheria KayaBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Gbaguidi Aichatou DiawaraBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Abdoulaye Macire CamaraBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Seyni MoussaBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Kuyangisa BienvenuBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Joseph TokoBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Hamidou HarounaDirection de la Surveillance et la Réponse aux Epidémies du Ministère de la Santé Publique, de la Population et des Affaires Sociale, Chargé de la Surveillance, Niamey, Niger.
Haladou MoussaBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
N'Zue KofiBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Jacques Lukenze TamuziDepartment of Public Health, Université de Zinder, Zinder, Niger.
Patrick D M C KatotoDivision of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Charles S WiysongeCochrane South Africa, South African Medical Research Council, Cape Town, South Africa.
Blanche-Philomene Melanga AnyaBureau de l'Organisation Mondiale de la Santé (OMS), Niamey, Niger.
Ministère de la Santé Publique · NESouth African Medical Research Council · ZAUniversité de Zinder · NEWestern Cape Department of Health · ZAWorld Health Organization Regional Office for Africa · CG

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Approximately 70% of Sub-Saharan African countries have experienced armed conflicts with significant battle-related fatalities in the past two decades. Niger has witnessed a substantial rise in conflict-affected populations in recent years. In response, international cooperation has aimed to support health transformation in Niger's conflict zones and other conflict-affected areas in Sub-Saharan Africa. This study seeks to review the available evidence on health interventions facilitated by international cooperation in conflict zones, with a focus on Niger. Methods: We conducted a systematic literature review (SLR) adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search was conducted from 2000 to 4 September 2022 using MeSH terms and keywords to identify relevant studies and reports in Sub-Saharan Africa and specifically in Niger. Databases such as PubMed (Medline), Google Scholar, Google, and gray literature were utilized. The findings were presented both narratively and through tables and a conceptual framework. Results: Overall, 24 records (10 studies and 14 reports) that highlighted the significant role of international cooperation in promoting health transformation in conflict zones across Sub-Saharan Africa, including Niger, were identified. Major multilateral donors identified were the World Health Organization (WHO), United Nations Children's Fund (UNICEF), United Nations Fund for Population Activities (UNFPA), World Bank, United States Agency for International Development (USAID), European Union, European Commission Humanitarian Aid (ECHO), Global Fund, and Global Alliance for Vaccines and Immunization (GAVI). Most supports targeted maternal, newborn, child, adolescent, and youth health, nutrition, and psycho-social services. Furthermore, interventions were in the form of public health initiatives, mobile clinic implementation, data management, human resource capacity building, health information systems, health logistics, and research funding in conflict zones. Conclusion: This literature review underscores the significant engagement of international cooperation in strengthening and transforming health services in conflict-affected areas across Sub-Saharan Africa, with a particular focus on Niger. However, to optimize the effectiveness of healthcare activities from short- and long-term perspectives, international partners and the Ministry of Public Health need to re-evaluate and reshape their approach to health intervention in conflict zones.

Indexed as

International CooperationAfrica South of the SaharaArmed ConflictsHumansNigerUniversal Health CareUniversal Health Insurancearmed conflictshealth systeminternational cooperationNigerpartnerstransformation

Identifiers

PMID38515600
PMCPMC10956617
OpenAlexW4392563494

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.