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2016 ; 8
(ä): ä Nephropedia Template TP
gab.com Text
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English Wikipedia
Coordinating the Provision of Health Services in Humanitarian Crises: a
Systematic Review of Suggested Models
#MMPMID27617167
Lotfi T
; Bou-Karroum L
; Darzi A
; Hajjar R
; El Rahyel A
; El Eid J
; Itani M
; Brax H
; Akik C
; Osman M
; Hassan G
; El-Jardali F
; Akl E
PLoS Curr
2016[Aug]; 8
(ä): ä PMID27617167
show ga
BACKGROUND: Our objective was to identify published models of coordination
between entities funding or delivering health services in humanitarian crises,
whether the coordination took place during or after the crises. METHODS: We
included reports describing models of coordination in sufficient detail to allow
reproducibility. We also included reports describing implementation of identified
models, as case studies. We searched Medline, PubMed, EMBASE, Cochrane Central
Register of Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health
Library. We also searched websites of relevant organizations. We followed
standard systematic review methodology. RESULTS: Our search captured 14,309
citations. The screening process identified 34 eligible papers describing five
models of coordination of delivering health services: the "Cluster Approach"
(with 16 case studies), the 4Ws "Who is Where, When, doing What" mapping tool
(with four case studies), the "Sphere Project" (with two case studies), the "5x5"
model (with one case study), and the "model of information coordination" (with
one case study). The 4Ws and the 5x5 focus on coordination of services for mental
health, the remaining models do not focus on a specific health topic. The Cluster
approach appears to be the most widely used. One case study was a mixed
implementation of the Cluster approach and the Sphere model. We identified no
model of coordination for funding of health service. CONCLUSION: This systematic
review identified five proposed coordination models that have been implemented by
entities funding or delivering health service in humanitarian crises. There is a
need to compare the effect of these different models on outcomes such as
availability of and access to health services.