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Addressing the health needs of children in complex emergencies is critical to the success of relief efforts and requires coordinated and effective interventions. However, little systematic work has been undertaken to evaluate such care. To address this need, this monograph presents a review of the published literature in this area, providing background on the burden of disease, the major causes of morbidity and mortality, and the evidence base for effective interventions. It also describes surveys of nongovernmental organizations (NGOs) and international agencies providing care to children in complex emergencies, which were conducted to identify guidelines commonly used to provide such care and assesses the content and limitations of these guidelines. A more in-depth survey of several organizations was also conducted to assess obstacles to this kind of care. On the basis of the survey findings and the review of the published literature, the working group recommended that evidence-based, locally adapted guidelines to address the curative and preventive care of children in complex emergencies and health systems planning should be adopted by ministries of health and supported by the World Health Organization (WHO) and UNICEF. The guidelines should target, as much as possible, the different levels of health care workers providing care to children to ensure appropriate, effective, and uniform care in a variety of situations. Child Health in Complex Emergencies presents specific examples of areas for further research and guideline development. This report is not intended to be an exhaustive and definitive assessment of child health in complex emergencies. The topic is much too vast and complex, and different individuals and institutions will have incompatible perspectives. Rather, we aim to provide a starting point for discussion and debate on how to improve the care of children in these settings.
Mental health and psychosocial support (MHPSS) is a term used to describe a wide range of actions that address social, psychological and psychiatric problems that are either pre-existing or emergency-induced. These actions are carried out in highly different contexts by organizations and people with different professional backgrounds, in different sectors and with different types of resources. All these different actors--and their donors--need practical assessments leading to recommendations that can be used immediately to improve people's mental health and well-being. Although a range of assessment tools exist, what has been missing is an overall approach that clarifies when to use which tool for what purpose. This document offers an approach to assessment that should help you review information that is already available and only collect new data that will be of practical use, depending on your capacity and the phase of the humanitarian crisis. This document is rooted in two policy documents, the IASC Reference Group s (2010) "Mental Health and Psychosocial Support in Humanitarian Emergencies: What Should Humanitarian Health Actors Know?" and the "Sphere Handbook's Standard on Mental Health" (Sphere Project, 2011). It is written primarily for public health actors. As the social determinants of mental health and psychosocial problems occur across sectors, half of the tools in the accompanying toolkit cover MHPSS assessment issues relevant to other sectors as well as the health sector.
The organisation of this report aims to heighten our understanding of the myriad ways in which armed conflict affects children - and how children regard their participation not only in war but in programmes aimed at preventing violence against them and in promoting their recovery and reintegration. The central message of this 10-year strategic review is that "war violates every right of the child". The report thus frames its findings within three categories: political and diplomatic actions and responsibilities; system-wide international policies, standards and architectures; and prevention and response.
As large-scale emergencies continue to pose a threat to U.S. populations at the local, state, and national levels, the public and private sectors are demanding improved public health preparedness, response, and cooperation for such events. Emergency Public Health provides readers with important information and analysis of key public health crises threatening our local, state, and national jurisdictions. As the first text of its kind in the emerging field of emergency public health, it provides a framework for public health professionals, policy makers, first responders, and emergency healthcare providers to plan and implement effective measures to protect the public health of civilian populations during times of emergencies. Written by experts with both emergency healthcare and public health backgrounds, the case-based chapters provide valuable information on the preparedness, response, and mitigation of emergency public health topics. In addition, Emergency Public Health contains timely information of key areas such as public health law and the interactions among government jurisdictions. Each chapter also includes online resources for the reader to pursue additional web-based resources. Important features: - Chapters written by emergency physicians with public health degrees - Case-based chapters - Web resources provided - Covers large-scale issues such as public health law, government jurisdictions, NGO’s, - Chapter devoted to specific needs of children - Chapter on mental health issues in times of public health emergencies - Specific chapters on public health tools such as surveillance and rapid needs assessment - Each chapter follows a consistent structure to maintain clarity and continuity throughout the text: A. Introduction B. Historical perspectives C. Preparedness D. Response E. Case study F. On-line resources Competitive features: - Covers natural emergencies - Covers key topics in terrorism - Covers primary topics for disaster medicine Questions for instructors - What are the key topics in your course? - How do you like to prepare your students for public health emergencies? - What management principles are addressed in your course? - Do you teach special issues such as children and mental health issues during emergencies?
The involvement of children and young people in consultations about aspects of their health or illness is often limited, with their role in diagnosis and decision-making on treatment options secondary to that of parents or carers. However, research shows that most children and young people want greater involvement, that this can both improve their understanding of their illness and positively influence healthcare outcomes. Policy recommendations increasingly require health professionals to involve children and young people in healthcare, but there is little available guidance on building the knowledge and skills needed to do so effectively. This book meets that need, including an overview of the particular issues involved and providing structured guidance for different types of consultations, including children with learning difficulties, disabled children and children as carers. Edited by eminent researchers, and with highly experienced contributors, this book is an invaluable resource for GPs and GP registrars, paediatric and emergency consultants and specialist registrars, nurses, paramedics, healthcare educators and trainees, and all those who work with children and young people in health-related contexts.
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Written by more than 30 emergency physicians with first-hand experience handling medical care during disasters, this volume is the only single comprehensive reference on disaster medicine. It provides the information that every emergency department needs to prepare for and handle the challenges of natural and manmade disasters. The contributors present guidelines for assessing the affected population's health care needs, establishing priorities, allocating resources, and treating individuals. Coverage encompasses a wide range of natural, industrial, technologic, transportation-related, and conflict-related disasters, with examples from around the world. This edition has more illustrations and more information on weapons of mass destruction and explosions.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Admittedly, the world and the nature of forced migration have changed a great deal over the last two decades. The relevance of data accumulated during that time period can now be called into question. The roundtable and the Program on Forced Migration at the Mailman School of Public Health of Columbia University have commissioned a series of epidemiological reviews on priority public health problems for forced migrants that will update the state of knowledge. Malaria Control During Mass Population Movements and Natural Disasters- the first in the series, provides a basic overview of the state of knowledge of epidemiology of malaria and public health interventions and practices for controlling the disease in situations involving forced migration and conflict.
Analysing the abusive systems that surround and produce humanitarian disasters, this text gives particular attention to the economic, political and psychological functions of civil conflicts and humanitarian disasters.