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Review
. 2021 Jun 25;36(6):974-981.
doi: 10.1093/heapol/czab042.

eHealth for service delivery in conflict: a narrative review of the application of eHealth technologies in contemporary conflict settings

Gemma Bowsher  1 , Nassim El Achi  2 , Katrin Augustin  3 , Kristen Meagher  1 , Abdulkarim Ekzayez  1 , Bayard Roberts  4 , Preeti Patel  5
Affiliations
Review

eHealth for service delivery in conflict: a narrative review of the application of eHealth technologies in contemporary conflict settings

Gemma Bowsher et al. Health Policy Plan. .

Abstract

The role of eHealth in conflict settings is increasingly important to address geographic, epidemiologic and clinical disparities. This study categorizes various forms of eHealth usage in conflict and aims to identify gaps in evidence to make recommendations for further research and practice. The analysis was carried out via a narrative hermeneutic review methodology. Articles that fulfilled the following screening criteria were reviewed: (1) describing an eHealth intervention in active conflict or ongoing insurgency, (2) an eHealth intervention targeting a conflict-affected population, (3) an e-learning platform for delivery in conflict settings and (4) non-interventional descriptive reviews relating to eHealth in conflict. Of the 489 papers eligible for screening, 46 merited final inclusion. Conflict settings described include Somalia, Sudan, Afghanistan, Syria, Iraq, Pakistan, Chechnya, Gaza and the Democratic Republic of Congo. Thirty-six studies described specific eHealth initiatives, while the remainder were more generic review papers exploring general principles. Analysis resulted in the elucidation of three final categories of current eHealth activity in conflict-affected settings: (1) eHealth for clinical management, (2) e-learning for healthcare in conflict and (3) eHealth for information management in conflict. Obvious disparities in the distribution of technological dividends from eHealth in conflict are demonstrated by this review. Conflict-affected populations are predominantly subject to ad hoc and voluntary initiatives delivered by diaspora and civil society organizations. While the deployment of eHealth technologies in conflict settings is increasingly normalized, there is a need for further clarification of global norms relating to practice in this context.

Keywords: Conflict; evidence-based medicine; health planning; health services research; refugee health.

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Figures

Figure 1.
Figure 1.
Table of definitions.
Figure 2.
Figure 2.
Reported eHealth interventions distributed by conflict.
See this image and copyright information in PMC

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References

    1. Al Shorbaji N. 2008. E-health in the Eastern Mediterranean Region: a decade of challenges and achievements. EMHJ-Eastern Mediterranean Health Journal 14: S157–73. - PubMed
    1. Alrifai A, Alyousef T, Fanari Z. 2018. Tele-cardiology in the Syrian War. Journal of the American College of Cardiology 71: 698–9.doi: 10.1016/j.jacc.2018.01.001. - DOI - PubMed
    1. Bernard R, Bowsher G, Sullivan R. 2020. COVID-19 and the rise of participatory SIGINT: an examination of the rise in government surveillance through mobile applications. American Journal ofPublic Health 110: 1780–5.doi: 10.2105/AJPH.2020.305912. - DOI - PMC - PubMed
    1. Benner T, Schachinger U, Nerlich M. 2004. Telemedicine in trauma and disasters--from war to earthquake: are we ready? Studies in Health Technology and Informatics 104: 106–15. - PubMed
    1. Boell SK, Cecez-Kecmanovic D. 2014. A hermeneutic approach for conducting literature reviews and literature searches. Communications of the Association for Information Systems 34: 257–86.