Article type
Year
Abstract
Background:
Forcibly displaced people living in temporary camps face a specific range of health, social and environmental hazards as a result of their exposure to traumatic events and the nature of camps themselves. Given differences in the individuals (often from a variety of backgrounds with experience of recent trauma), the camp environment, and the healthcare arrangements in camps, it is not clear if current clinical guidelines are fit for purpose.
Objectives:
To identify whether current World Health Organization (WHO) and Médecins Sans Frontières (MSF) guidelines explicitly consider the special circumstances of people displaced forcibly into temporary camps in making evidence-based recommendations.
Methods:
Using predefined inclusion criteria and dual data extraction, we conducted systematic searches for relevant guidelines in three databases: the WHO guideline review committee (GRC); the MSF guideline repository and the WHO Institutional Repository of Information Sharing (IRIS) database.
The inclusion criteria included any international (> 2 countries), clinical, primary care recommendations specifically adapted to forcibly displaced people living in temporary settlements or humanitarian settings, or both. We also explored methods used in older guidelines, restricted to mental health and contraception.
Results:
To date, we have found no up-to-date, evidence-based, clinical primary care guidelines with recommendations tailored to the challenges faced by forcibly displaced people living in temporary camps. We have found recommendations adapted to humanitarian settings, but approaches are not clearly documented or systematic.
Conclusions:
There is paucity of systematically adapted up-to-date international clinical guidance for primary healthcare providers working with forcibly displaced people living in temporary camps. The presentation will include a draft framework for adapting existing evidence and guidelines for use in this population.
Patient or healthcare consumer involvement:
To date, we have found no explicit integration of the views of forcibly displaced people living in temporary camps in the guideline development process. This is an important area that needs careful consideration in the development of any future guidelines for this highly vulnerable population.
Forcibly displaced people living in temporary camps face a specific range of health, social and environmental hazards as a result of their exposure to traumatic events and the nature of camps themselves. Given differences in the individuals (often from a variety of backgrounds with experience of recent trauma), the camp environment, and the healthcare arrangements in camps, it is not clear if current clinical guidelines are fit for purpose.
Objectives:
To identify whether current World Health Organization (WHO) and Médecins Sans Frontières (MSF) guidelines explicitly consider the special circumstances of people displaced forcibly into temporary camps in making evidence-based recommendations.
Methods:
Using predefined inclusion criteria and dual data extraction, we conducted systematic searches for relevant guidelines in three databases: the WHO guideline review committee (GRC); the MSF guideline repository and the WHO Institutional Repository of Information Sharing (IRIS) database.
The inclusion criteria included any international (> 2 countries), clinical, primary care recommendations specifically adapted to forcibly displaced people living in temporary settlements or humanitarian settings, or both. We also explored methods used in older guidelines, restricted to mental health and contraception.
Results:
To date, we have found no up-to-date, evidence-based, clinical primary care guidelines with recommendations tailored to the challenges faced by forcibly displaced people living in temporary camps. We have found recommendations adapted to humanitarian settings, but approaches are not clearly documented or systematic.
Conclusions:
There is paucity of systematically adapted up-to-date international clinical guidance for primary healthcare providers working with forcibly displaced people living in temporary camps. The presentation will include a draft framework for adapting existing evidence and guidelines for use in this population.
Patient or healthcare consumer involvement:
To date, we have found no explicit integration of the views of forcibly displaced people living in temporary camps in the guideline development process. This is an important area that needs careful consideration in the development of any future guidelines for this highly vulnerable population.