Evidence map›Paper›PMID 42058767›Full record

ReviewPublic health challenges2026

Colliding Wars: A Systematic Review on HIV Responses in Conflict-Affected Settings.

Mona Ibrahim, Alhadi Khogali, Eslam Sadeldin, Ethar Abosam, Yejide Okungbaye, Esther Osime, Mohammed F Adam, Mohamed Elsheikh, Bothaina Eltigani, Janina Jochim and 3 more

Abstract readReview
In one paragraph

Review in Public health challenges, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

13 authors.

Mona IbrahimUniversity of Oxford Oxford UK.
Alhadi KhogaliUniversity of Oxford Oxford UK.
Eslam SadeldinFaculty of Pharmacy University of Gezira Wad Madani Sudan.
Ethar AbosamAhfad University for Women Khartoum Sudan.
Yejide OkungbayeUniversity of Lagos Lagos Nigeria.
Esther OsimeKIT Royal Tropical Institute Amsterdam the Netherlands.
Mohammed F AdamUniversity of Science and Technology Khartoum Sudan.
Mohamed ElsheikhSt George's University School of Medicine, True Blue St George's Grenada.
Bothaina EltiganiUniversity of Oxford Oxford UK.
Janina JochimUniversity of Oxford Oxford UK.
Maysoon DahabLondon School of Hygiene and Tropical Medicine London UK.
Rachel YatesUniversity of Oxford Oxford UK.
Lucie CluverUniversity of Oxford Oxford UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Armed conflicts are an escalating threat to public health, often marked by violence, poverty, displacement and weakened health systems-conditions that mirror the drivers of HIV transmission. Aim: This review examines how armed conflict is associated with HIV vulnerability, disruptions to HIV services and how service delivery has adapted in these settings. Methods: A systematic search of six databases (MEDLINE, Embase, Scopus, CENTRAL, OVID, CINAHL) was conducted up to June 2022. Six reviewers independently screened studies, resolving discrepancies through consensus. Results: Of 7378 records, 17 met inclusion criteria. Studies revealed heightened HIV risk among adolescent girls, young women and displaced populations. Service interruptions-due to looting, supply chain breakdowns and population movement-led to treatment gaps and increased loss-to-follow-up. Adolescent girls, refugees, and those living in temporary shelters experienced consistently worse HIV risks and outcomes. Despite broad search terms, there was little-to-no evidence on some key populations, including prisoners, sex workers and people who inject drugs. Adaptive HIV prevention and response strategies-including hybrid delivery models, integrated medical supply chains and runaway bags (emergency stock packs)-were reported as promising but under-documented approaches. Conclusions: Conflict-driven displacement and health system disruption are associated with heightened HIV vulnerability in some settings though effects vary by context. People living with HIV in conflict-affected areas face disproportionate risks and must be prioritized within humanitarian response plans and in host-country health systems.

Identifiers

PMID42058767
PMCPMC13122119

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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.