Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-10T09:56:18.432Z Has data issue: false hasContentIssue false

Data Collection Tools for Maternal and Child Health in Humanitarian Emergencies: An Updated Systematic Review

Published online by Cambridge University Press:  10 December 2019

Juliana Lima Constantino*
Affiliation:
Department of Epidemilogy and Biostatistics, Universidade Federal Fluminense, Niterói, Brazil
Fernanda Dias Romeiro
Affiliation:
Department of Epidemilogy and Biostatistics, Universidade Federal Fluminense, Niterói, Brazil
Theresa Diaz
Affiliation:
World Health Organization, Geneva, Switzerland
Allisyn C Moran
Affiliation:
World Health Organization, Geneva, Switzerland
Cynthia Boschi-Pinto
Affiliation:
Department of Epidemilogy and Biostatistics, Universidade Federal Fluminense, Niterói, Brazil
*
Correspondence and reprint requests to Juliana Lima Constantino MD, Universidade Federal Fluminense, Avenida Marques do Paraná, 303, Niterói, RJ, Brazil, 24033-900 (e-mail: jlconstantino@id.uff.br)

Abstract

The worst rates of preventable mortality and morbidity among women and children occur in humanitarian settings. Reliable, easy-to-use, standardized, and efficient tools for data collection are needed to enable different organizations to plan and act in the most effective way. In 2015, the World Health Organization (WHO) commissioned a review of tools for data collection on the health of women and children in humanitarian emergencies. An update of this review was conducted to investigate whether the recommendations made were taken forward and to identify newly developed tools. Fifty-three studies and 5 new tools were identified. Only 1 study used 1 of the tools identified in our search. Little has been done in terms of the previous recommendations. Authors may not be aware of the availability of such tools and of the importance of documenting their data using the same methods as other researchers. Currently used tools may not be suitable for use in humanitarian settings or may not include the domains of the authors’ interests. The development of standardized instruments should be done with all key workers in the area and could be coordinated by the WHO.

Type
Systematic Review
Copyright
Copyright © 2019 World Health Organization under license to Disaster Medicine and Public Health Inc. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

UNICEF. Humanitarian action for children 2014. February 2014. www.unicef.org/gambia/Humanitarian_Action_for_Childen_2014_Overview.pdf. Accessed April 20, 2018.Google Scholar
United Nations Development Programme. UNDP fast facts: disaster risk reduction and recovery. April 2014. www.undp.org/content/undp/en/home/librarypage/results/fast_facts/fast-facts--disaster-risk-reduction-and-recovery.html. Accessed January 18, 2018.Google Scholar
Sarah, Z. Women’s, children’s, and adolescents’ health in humanitarian and other crises. BMJ. 2015;351:4346.Google Scholar
Miller, A, Yeskey, K, Garantziotis, S, et al. Integrating health research into disaster response: the new NIH Disaster Research Response Program. In: Blake, D, Johnston, DM, MacDonald, C, eds. Int J Environ Res Public Health. 2016;13(7):676. doi:10.3390/ijerph13070676.CrossRefGoogle Scholar
Pyone, T, Dickinson, F, Kerr, R, et al. Data collection tools for maternal and child health in humanitarian emergencies: a systematic review. Bull World Health Organ. 2015;93(9):648658A. doi:10.2471/BLT.14.148429.CrossRefGoogle ScholarPubMed
The PRISMA Statement. York, UK: Prospero. 2014. http://www.equator-network.org/reporting-guidelines/prisma/. Accessed November 20, 2017.Google Scholar
Lucas, PJ, Baird, J, Arai, L, et al. Worked examples of alternative methods for the synthesis of qualitative and quantitative research in systematic reviews. BMC Med Res Methodol. 2007;7(1):4. doi:10.1186/1471-2288-7-4.CrossRefGoogle ScholarPubMed
Joinpoint Regression Program, Version 4.6.0.0. Statistical Research and Applications Branch, National Cancer Institute, USA; 2018.Google Scholar
Erland, E, Dahl, B. Midwives’ experiences of caring for pregnant women admitted to Ebola centres in Sierra Leone. Midwifery. 2017;55:2328.10.1016/j.midw.2017.08.005CrossRefGoogle ScholarPubMed
Food and Agriculture Organization of the United Nations. Somalia nutrition analysis: Post Deyr 2014/15. Technical Series Report No. VII 58, March 5, 2015.Google Scholar
Arbour, M, Murray, KA, Yoshikawa, H, Arriet, F, Moraga, C, Vega, MAC. Emotional, physical, and social needs among 0-5-year-old children displaced by the 2010 Chilean earthquake: associated characteristics and exposures. Disasters. 2016;41(2):365387. doi:10.1111/disa.12197.CrossRefGoogle ScholarPubMed
Krause, S, Morris, C, McGinn, T. Displaced and desperate: assessment of reproductive health for Colombia’s internally displaced persons. New York: Women’s Commission for Refugee Women and Children, Reproductive Health for Refugees Consortium; 2003.Google Scholar
Sugawara, J, Hoshiai, T, Sato, K, et al. Impact of the Great East Japan Earthquake on regional obstetrical care in Miyagi Prefecture. Prehosp Disaster Med. 2016;31(3):255258.10.1017/S1049023X1600025XCrossRefGoogle ScholarPubMed
Harville, EW, Giarratano, G, Savage, J, et al. Birth outcomes in a disaster recovery environment: New Orleans women after Katrina. Matern Child Health J. 2015;19(11):25122522.10.1007/s10995-015-1772-4CrossRefGoogle Scholar
Bouchghoul, H, Hornez, E, Duval-Arnould, X, et al. Humanitarian obstetric care for refugees of the Syrian war. The first 6 months of experience of Gynécologie Sans Frontières in Zaatari Refugee Camp (Jordan). Acta Obstet Gynecol Scand. 2015;94(7):755759.10.1111/aogs.12638CrossRefGoogle Scholar
Kyozuka, H, Yasuda, S, Kawamura, M, et al. Impact of the Great East Japan Earthquake on feeding methods and newborn growth at 1 month postpartum: results from the Fukushima Health Management Survey. Radiat Environ Biophys. 2016;55:139146.CrossRefGoogle ScholarPubMed
Aakre, I, Lilleengen, AM, Lerseth Aarsand, M, et al. Infant feeding practices in the Saharawi refugee camps Algeria, a cross-sectional study among children from birth to six months of age. Int Breastfeed J. 2016;12:8.10.1186/s13006-016-0098-1CrossRefGoogle ScholarPubMed
Nidzvetska, S, Rodriguez-Llanes, JM, Aujoulat, I, et al. Maternal and child health of internally displaced persons in Ukraine: a qualitative study. In Tchounwou, PB, Efird, JT, Bith-Melander, P, eds. Int J Environ Res Public Health. 2017;14(1):54.10.3390/ijerph14010054CrossRefGoogle Scholar
Brunson, J. Maternal, newborn, and child health after the 2015 Nepal earthquakes: an investigation of the long-term gendered impacts of disasters. Matern Child Health J. 2017;21(12):22672273.10.1007/s10995-017-2350-8CrossRefGoogle ScholarPubMed
Hossain, SMM, Leidman, E, Kingori, J, et al. Nutritional situation among Syrian refugees hosted in Iraq, Jordan, and Lebanon: cross sectional surveys. Confl Health. 2016;10:26.10.1186/s13031-016-0093-6CrossRefGoogle ScholarPubMed
Ahamadani, FA, Louis, H, Ugwi, P, et al. Perinatal health care in a conflict-affected setting: evaluation of health-care services and newborn outcomes at a regional medical centre in Iraq. East Mediterr Health J. 2015;20(12):789795.10.26719/2014.20.12.789CrossRefGoogle Scholar
Mugo, NS, Dibley, MJ, Damundu, EY, et al. “The system here isn’t on patients’ side” – perspectives of women and men on the barriers to accessing and utilizing maternal healthcare services in South Sudan. BMC Health Serv Res. 2018;18(1):10.10.1186/s12913-017-2788-9CrossRefGoogle ScholarPubMed
Rees, SJ, Tol, W, Mohsin, M, et al. A high-risk group of pregnant women with elevated levels of conflict-related trauma, intimate partner violence, symptoms of depression and other forms of mental distress in post-conflict Timor-Leste. Transl Psychiatry. 2016;6:e725.CrossRefGoogle ScholarPubMed
Benage, M, Greenough, PG, Vinck, P, et al. An assessment of antenatal care among Syrian refugees in Lebanon. Confl Health. 2015;9:8.CrossRefGoogle ScholarPubMed
Dong, C, Ge, P, Ren, X, et al. Evaluating the micronutrient status of women of child-bearing age living in the rural disaster areas one year after Wenchuan earthquake. Asia Pac J Clin Nutr. 2014;23(4):671677.Google ScholarPubMed
Gilder, ME, Zin, TW, Wai, NS, et al. Gestational diabetes mellitus prevalence in Maela refugee camp on the Thai–Myanmar border: a clinical report. Global Health Action. 2014;7:10.3402/gha.v7.23887.10.3402/gha.v7.23887CrossRefGoogle Scholar
Corrêa, G, Das, M, Kovelamudi, R, et al. High burden of malaria and anemia among tribal pregnant women in a chronic conflict corridor in India. Confl Health. 2017;11:10.10.1186/s13031-017-0113-1CrossRefGoogle Scholar
Banks, T, Kang, J, Watts, I, et al. High hepatitis B seroprevalence and risk factors for infection in pregnant women on the Thailand-Myanmar border. J Infect Dev Ctries. 2016;10(4):384388.10.3855/jidc.7422CrossRefGoogle ScholarPubMed
Goto, A, Bromet, EJ, Fujimori, K, et al. Immediate effects of the Fukushima nuclear power plant disaster on depressive symptoms among mothers with infants: a prefectural-wide cross-sectional study from the Fukushima Health Management Survey. BMC Psychiatry. 2015;15:59.10.1186/s12888-015-0443-8CrossRefGoogle ScholarPubMed
Sato, M, Nakamura, Y, Atogami, F, et al. Immediate needs and concerns among pregnant women during and after Typhoon Haiyan (Yolanda). PLoS Curr. 2016;8.CrossRefGoogle Scholar
Anastasi, E, Borchert, M, Campbell, OMR, et al. Losing women along the path to safe motherhood: why is there such a gap between women’s use of antenatal care and skilled birth attendance? A mixed methods study in northern Uganda. BMC Pregnancy Childbirth. 2015;15:287.10.1186/s12884-015-0695-9CrossRefGoogle ScholarPubMed
Gizelis, TI, Karim, S, Østby, G, et al. Maternal health care in the time of Ebola: a mixed-method exploration of the impact of the epidemic on delivery services in Monrovia. World Dev. 2017;98:169178.10.1016/j.worlddev.2017.04.027CrossRefGoogle Scholar
Isosävi, S, Diab, SY, Kangaslampi, S, et al. Maternal trauma affects prenatal mental health and infant stress regulation among Palestinian dyads. Infant Ment Health J. 2017;38(5):617633.10.1002/imhj.21658CrossRefGoogle ScholarPubMed
Silove, D, Rees, S, Tay, AK, et al. Pathways to perinatal depressive symptoms after mass conflict in Timor-Leste: a modelling analysis using cross-sectional data. Lancet Psychiatry. 2015;2(2):161167.10.1016/S2215-0366(14)00054-6CrossRefGoogle ScholarPubMed
Brock, RL, O’Hara, MW, Hart, KJ, et al. Peritraumatic distress mediates the effect of severity of disaster exposure on perinatal depression: the Iowa Flood Study. J Trauma Stress. 2015;28(6):515522.10.1002/jts.22056CrossRefGoogle ScholarPubMed
Massad, S, Khammash, U, Shute, R. Political violence and mental health of Bedouin children in the West Bank, Palestine: a cross-sectional study. Med Confl Surviv. 2017;33(3):188206.10.1080/13623699.2017.1368307CrossRefGoogle ScholarPubMed
Sriskandarajah, V, Neuner, F, Catani, C. Predictors of violence against children in Tamil families in northern Sri Lanka. Soc Sci Med. 2015;146:257265.10.1016/j.socscimed.2015.10.010CrossRefGoogle ScholarPubMed
El Kishawi, RR, Soo, KL, Abed, YA, Muda, WAMW. Prevalence and associated factors influencing stunting in children aged 2–5 years in the Gaza Strip-Palestine: a cross-sectional study. BMC Pediatrics. 2017;17:210.10.1186/s12887-017-0957-yCrossRefGoogle ScholarPubMed
Alemayehu, A, Gedefaw, L, Yemane, T, et al. Prevalence, severity, and determinant factors of anemia among pregnant women in South Sudanese Refugees, Pugnido, Western Ethiopia. Anemia. 2016;2016 9817358.10.1155/2016/9817358CrossRefGoogle ScholarPubMed
Hoogenboom, G, Thwin, MM, Velink, K, et al. Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment. BMC Pregnancy Childbirth. 2015;15:17.10.1186/s12884-015-0444-0CrossRefGoogle Scholar
Adam, IF, Nakamura, K, Kizuki, M, et al Relationship between implementing interpersonal communication and mass education campaigns in emergency settings and use of reproductive healthcare services: evidence from Darfur, Sudan. BMJ Open. 2015;5:e008285.10.1136/bmjopen-2015-008285CrossRefGoogle ScholarPubMed
Oni, O, Harville, E, Xiong, X, et al. Relationships among stress coping styles and pregnancy complications among women exposed to Hurricane Katrina. J Obstet Gynecol Neonatal Nurs. 2015;44(2):256267.CrossRefGoogle ScholarPubMed
Maheen, H, Hoban, E. Rural women’s experience of living and giving birth in relief camps in Pakistan. PLoS Curr. 2017;9.10.1371/currents.dis.7285361a16eefbeddacc8599f326a1ddCrossRefGoogle Scholar
Laplante, DP, Brunet, A, King, S. The effects of maternal stress and illness during pregnancy on infant temperament: Project Ice Storm. Pediatr Res. 2016;79(1–1):107113.10.1038/pr.2015.177CrossRefGoogle ScholarPubMed
Adam, IF. The influence of maternal health education on the place of delivery in conflict settings of Darfur, Sudan. Confl Health. 2015;9:31.10.1186/s13031-015-0057-2CrossRefGoogle ScholarPubMed
Pham, K, Sharpe, EC, Weiss, WM, et al. The use of a lot quality assurance sampling methodology to assess and manage primary health interventions in conflict-affected West Darfur, Sudan. Popul Health Metr. 2016;14:34.10.1186/s12963-016-0103-3CrossRefGoogle ScholarPubMed
Ing, H, Fellmeth, G, White, J, et al. Validation of the Edinburgh Postnatal Depression Scale (EPDS) on the Thai-Myanmar border. Trop Doct. 2017;47(4):339347.CrossRefGoogle ScholarPubMed
Leidman, E, Tromble, E, Yermina, A, et al. Acute malnutrition among children, mortality, and humanitarian interventions in conflict-affected regions – Nigeria, October 2016–March 2017. MMWR Morb Mortal Wkly Rep. 2017;66(48):13321335.10.15585/mmwr.mm6648a4CrossRefGoogle Scholar
Dawson-Hahn, EE, Pak-Gorstein, S, Hoopes, AJ, et al. Comparison of the nutritional status of overseas refugee children with low income children in Washington State. PLoS One. 2016;11(1):e0147854.10.1371/journal.pone.0147854CrossRefGoogle ScholarPubMed
Bilukha, OO, Jayasekaran, D, Burton, A, et al. Nutritional status of women and child refugees from Syria-Jordan, April–May 2014. MMWR Morbid Mortal Wkly Rep. 2014;63(29);638639.Google ScholarPubMed
Carlson, LC, Lafta, R, Al-Shatari, S, et al. Pediatric injury during conflict and prolonged insecurity in Iraq from 2003–2014. Surgery. 2016;160(2):493500.10.1016/j.surg.2016.03.022CrossRefGoogle ScholarPubMed
Borba, CPC, Ng, LC, Stevenson, A, et al. A mental health needs assessment of children and adolescents in post-conflict Liberia: results from a quantitative key-informant survey. Int J Culture Ment Health. 2016;9(1):5670.10.1080/17542863.2015.1106569CrossRefGoogle ScholarPubMed
Longobardi, C, Veronesi, TG, Prino, LE. Abuses, resilience, behavioural problems and post-traumatic stress symptoms among unaccompanied migrant minors: an Italian cross-sectional exploratory study. Psychiatr Psychol Klin. 2017;17(2): 8792.10.15557/PiPK.2017.0009CrossRefGoogle Scholar
Fredricks, K, Dinh, H, Kusi, M, et al. Community health workers and disasters: lessons learned from the 2015 earthquake in Nepal. Prehosp Disaster Med. 2017;32(6):604609.10.1017/S1049023X1700680XCrossRefGoogle ScholarPubMed
Doocy, S, Lyles, E, Akhu-Zaheya, L, et al. Health service utilization and access to medicines among Syrian refugee children in Jordan. Int J Health Plann Manage. 2016;31(1):97112.CrossRefGoogle ScholarPubMed
Van den Berg, MM, Madi, HH, Khader, A, et al. Increasing neonatal mortality among Palestine refugees in the Gaza Strip. In: Correa-Velez, I, ed. PLoS One. 2015;10(8):e0135092.CrossRefGoogle Scholar
Flynn-O’Brien, KT, Trelles, M, Dominguez, L, et al. Surgery for children in low-income countries affected by humanitarian emergencies from 2008 to 2014: The Médecins Sans Frontières Operations Centre Brussels experience. J Pediatr Surg. 2016;51(4):659669.10.1016/j.jpedsurg.2015.08.063CrossRefGoogle Scholar
Stark, L, Asghar, K, Meyer, S, et al. The effect of gender norms on the association between violence and hope among girls in the Democratic Republic of the Congo. Global Ment Health. 2017;4:e1.10.1017/gmh.2016.31CrossRefGoogle ScholarPubMed
Invisible wounds: the impact of six years of war on the m ental health of Syria’s children. Save the Children. 2017. https://www.savethechildren.org.uk/content/dam/global/reports/emergency-humanitarian-response/invisible-wounds.pdf. Accessed January 22, 2018.Google Scholar
Amone-P’Olak, K, Jones, P, Meiser-Stedman, R, et al. War experiences, general functioning and barriers to care among former child soldiers in Northern Uganda: the WAYS study. J Public Health (Oxf). 2014;36(4):568576.10.1093/pubmed/fdt126CrossRefGoogle ScholarPubMed
Scott, J, Mullen, C, Rouhani, S, et al. A qualitative analysis of psychosocial outcomes among women with sexual violence-related pregnancies in eastern Democratic Republic of Congo. Int J Ment Health Syst. 2017;11:64.10.1186/s13033-017-0171-1CrossRefGoogle ScholarPubMed
CDC Reproductive Health Assessment Questionnaire – Pregn ant and postpartum women. Centers for Disease Control and Prevention. 2014. https://www.cdc.gov/reproductivehealth/emergency/. Accessed January 22, 2018.Google Scholar
Measuring mortality, nutritional status, and food security in crisis situations: SMART methodology. SMART Manual Version 2, 2017.Google Scholar
Collecting supplemental information on pregnant women when conducting post-disaster morbidity surveillance. Centers for Disease Control and Prevention. 2017. https://www.cdc.gov/reproductivehealth/emergency/pdfs/Sample-Protocol-Post-Disaster-Data-Collection-Strategies.pdf. Accessed January 21, 2018.Google Scholar
CMAM Toolkit: rapid start-up resources for emergency nutrition personnel. Save the Children. 2017. https://www.fsnnetwork.org/updated-cmam-toolkit-webinar-rapid-start-resources-emergency-nutrition-personnel. Accessed October 23, 2019.Google Scholar
Escala de Bienestar Infantil en situación de emergencia – EBI. Chile. Santiago de Chile; Chile. Sistema de Protección Integral a la Infancia Crece Contigo, UNICEF Chile; 2010:36.Google Scholar
Child Status Index Tool Kit. 2nd ed. Agency for International Development. 2013. https://www.measureevaluation.org/resources/tools/ovc/child-status-index/child-status-index-tool-kit. Accessed January 18, 2018.Google Scholar
CDC. Health indicators for disaster-affected pregnant and postpartum women and infants. Atlanta, GA: Division of Reproductive Health, National Center for Chronic Disease Prevention & Health Promotion, Centers for Disease Control & Prevention; 2013.Google Scholar
A Guideline for ttC Data Collection and Reporting. World Vision International. 2016. https://www.wvi.org/sites/default/files/Guidance%20on%20TTC%20Data%20Collection%20and%20Reporting.pdf. Accessed January 22, 2018.Google Scholar
Status of Women and Infants in Complex Humanitarian Emergencies – Gasseer. J Midwifery; Women’s Health – Wiley Online Library; 2004.Google Scholar
Newborn Health in Humanitarian Settings Field Guide. United Nations Children’s Fund and Save the Children. 2018. https://www.healthynewbornnetwork.org/hnn-content/uploads/NewBornHealthBook-Production2017-V4b-Press.pdf. Accessed January 21, 2018.Google Scholar
Guha-Sapir, D1. Rapid assessment of health needs in mass emergencies: review of current concepts and methods. World Health Stat Q. 1991;44(3):171181.Google ScholarPubMed
Rapid health assessment of refugee or displaced populations. 3rd ed. 2006. Médecins Sans Frontières. http://refbooks.msf.org/msf_docs/en/rapid_health/rapid_health_en.pdf. Accessed January 21, 2018.Google Scholar
Dickinson, FM, Pyone, T, van den Broek, N. Experiences from the field: maternal, reproductive and child health data collection in humanitarian and emergency situations. Int Health. 2016;8(2):8388. doi:10.1093/inthealth/ihv045.CrossRefGoogle ScholarPubMed