Evidence map›Paper›PMID 39621734›Full record

ArticlePLOS global public health2024

Innovative strategies and implementation science approaches for health delivery among migrants in humanitarian settings: A scoping review.

Christopher W Reynolds, Jennifer Y Rha, Allison M Lenselink, Dhanya Asokumar, Laura Zebib, Gurpreet K Rana, Francesca L Giacona, Nowshin N Islam, Sanjana Kannikeswaran, Kara Manuel and 3 more

Abstract readScoping Review
In one paragraph

Article in PLOS global public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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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

13 authors.

Christopher W ReynoldsDepartment of Surgery, University of Michigan Medicine, Ann Arbor, Michigan, United States of America.ORCID https://orcid.org/0000-0001-6634-391X
Jennifer Y RhaRutgers Robert Wood Johnson Medical School, Newark, New Jersey, United States of America.ORCID https://orcid.org/0000-0002-5100-8542
Allison M LenselinkPhysicians for Human Rights Student Advisory Board, New York, New York, United States of America.ORCID https://orcid.org/0009-0004-2818-1090
Dhanya AsokumarDepartment of Surgery, University of Michigan Medicine, Ann Arbor, Michigan, United States of America.
Laura ZebibDepartment of Surgery, University of Michigan Medicine, Ann Arbor, Michigan, United States of America.ORCID https://orcid.org/0000-0001-6044-6563
Gurpreet K RanaTaubman Health Sciences Library, University of Michigan, Ann Arbor, Michigan, United States of America.ORCID https://orcid.org/0000-0002-9694-5003
Francesca L GiaconaDepartment of Surgery, University of Michigan Medicine, Ann Arbor, Michigan, United States of America.
Nowshin N IslamCUNY School of Medicine, New York, New York, United States of America.
Sanjana KannikeswaranDepartment of Surgery, University of Michigan Medicine, Ann Arbor, Michigan, United States of America.
Kara ManuelDepartment of Surgery, University of Michigan Medicine, Ann Arbor, Michigan, United States of America.
Allison W CheungDepartment of Surgery, University of Michigan Medicine, Ann Arbor, Michigan, United States of America.ORCID https://orcid.org/0000-0002-7164-348X
Maedeh MarzoughiDepartment of Surgery, University of Michigan Medicine, Ann Arbor, Michigan, United States of America.ORCID https://orcid.org/0009-0003-2252-629X
Michele HeislerDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOver 100 million displaced people rely on health services in humanitarian contexts, defined as unstable or transitory settings created in response to complex emergencies. While services are often described, there is a dearth of evidence on best practices for successful implementation to guide efforts to optimize health delivery. Implementation science is a promising but underutilized tool to address this gap. This scoping review evaluates implementation science in health services for forced migrants in humanitarian settings.

methodsWe conducted a scoping review according to JBI methodologies. A search of eight databases yielded 7,795 articles, after removal of duplicates, that were screened using PRISMA-ScR guidelines. Data extraction assessed study descriptors, implementation objects, barriers, facilitators, implementation strategies, and use of implementation frameworks in service delivery.

resultsData from 116 studies represented 37 countries and 11 topic areas. Methods were mainly cross-sectional with low-medium evidence rigor. Mental health programs (25%) and vaccination services (16%) were the most common objects of implementation. Thirty-eight unique barriers were identified including resource limitations (30%), health worker shortages (24%), and security risks (24%). Among 29 facilitators, the most common were health worker availability (25%), pre-existing partnerships (25%), and positive perceptions towards the intervention (20%). More than 90% of studies collectively identified 35 implementation strategies, the most common being capacity building (44%), stakeholder engagement (35%), information dissemination (38%), and feedback mechanisms (25%). Only 10 studies used formal implementation models, with RE-AIM (n = 3) and Intervention mapping (n = 2) being most frequent.

conclusionsIn this scoping review, we found similar barriers, facilitators, and implementation strategies across diverse humanitarian migrant settings and services. However, the use of rigorous methods and formal implementation models was rare. Frameworks included RE-AIM, CFIR, and Precede-Proceed. Increased use of implementation science frameworks and methods will help humanitarians more rigorously and systematically evaluate and develop best practices for implementation of health services for migrants in humanitarian settings.

Identifiers

PMID39621734
PMCPMC11611092

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LicenceCC BY
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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.