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2015 ; 10
(9
): e0137159
Nephropedia Template TP
gab.com Text
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English Wikipedia
Effectiveness of Mechanisms and Models of Coordination between Organizations,
Agencies and Bodies Providing or Financing Health Services in Humanitarian
Crises: A Systematic Review
#MMPMID26332670
Akl EA
; El-Jardali F
; Bou Karroum L
; El-Eid J
; Brax H
; Akik C
; Osman M
; Hassan G
; Itani M
; Farha A
; Pottie K
; Oliver S
PLoS One
2015[]; 10
(9
): e0137159
PMID26332670
show ga
BACKGROUND: Effective coordination between organizations, agencies and bodies
providing or financing health services in humanitarian crises is required to
ensure efficiency of services, avoid duplication, and improve equity. The
objective of this review was to assess how, during and after humanitarian crises,
different mechanisms and models of coordination between organizations, agencies
and bodies providing or financing health services compare in terms of access to
health services and health outcomes. METHODS: We registered a protocol for this
review in PROSPERO International prospective register of systematic reviews under
number PROSPERO2014:CRD42014009267. Eligible studies included randomized and
nonrandomized designs, process evaluations and qualitative methods. We
electronically searched Medline, PubMed, EMBASE, Cochrane Central Register of
Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health Library and
websites of relevant organizations. We followed standard systematic review
methodology for the selection, data abstraction, and risk of bias assessment. We
assessed the quality of evidence using the GRADE approach. RESULTS: Of 14,309
identified citations from databases and organizations' websites, we identified
four eligible studies. Two studies used mixed-methods, one used quantitative
methods, and one used qualitative methods. The available evidence suggests that
information coordination between bodies providing health services in humanitarian
crises settings may be effective in improving health systems inputs. There is
additional evidence suggesting that management/directive coordination such as the
cluster model may improve health system inputs in addition to access to health
services. None of the included studies assessed coordination through common
representation and framework coordination. The evidence was judged to be of very
low quality. CONCLUSION: This systematic review provides evidence of possible
effectiveness of information coordination and management/directive coordination
between organizations, agencies and bodies providing or financing health services
in humanitarian crises. Our findings can inform the research agenda and highlight
the need for improving conduct and reporting of research in this field.