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NCDs in Humanitarian Settings

A knowledge hub presenting the key resources around non-communicable diseases (NCDs) in humanitarian settings accessibly in one place.

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About

The knowledge hub collates key resources to support the community of humanitarian organizations and academic institutions committed to improving the lives of people living with noncommunicable diseases in humanitarian settings.  The hub’s core team are members of the Centre for Global Chronic Conditions at LSHTM. The centre works in partnership with leading international NGOs, key UN agencies, and academic partners to improve NCD care delivery in humanitarian settings.

Resources

The hub acts as a repository of tools, publications, and other resources to support practitioners delivering and evaluating NCD care in fragile and conflict settings. We have included clinical, operational and training guidelines and tools, research publications, reports, as well as monitoring, evaluation and research tools.

Projects

LSHTM undertakes implementation research and mixed methods evaluations, developing methods around the use of routine clinical data in the context of interrupted health care delivery. Current projects focus on diabetes, hypertension and cardiovascular disease, integrating mental and physical NCD care and the impact of Covid-19 on NCD care delivery. We also feature research projects undertaken by other organisations. 

Resources
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Screening for diabetes, Kanyama clinic TB corner, Lusaka.

The knowledge hub has collated the tools, publications, and other resources for use by humanitarian actors and researchers. The list will be updated with new items continuously, which can also be tracked in the Updates section. Most resources are open access, while some may require consultation with the originator, as indicated.

Clinical and operational guidelines
Clinical and operational tools
Training materials and tools 
Monitoring, evaluation and research tools
Related resource pages

 

We have also collected key publications and reports on NCDs in humanitarian settings. We have structured these according to their main themes such as disease burden, access to care, models of care, perspectives, policy and commentaries, and reviews.  

Perspectives, commentaries, and policy briefs
Reviews
Burden of disease
Access to care
Models of care

 

This page is regularly updated with new resources. If you are aware of any materials that are missing from this page or would like to contribute your organisation’s tools, please contact Dr Éimhín Ansbro at eimhin.ansbro@lshtm.ac.uk.

Projects
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A family sat in a circle on the floor with medicine packets in the middle of them

LSHTM research projects 

NCD Care in Humanitarian Settings during Covid19 Disruption

This study aimed to support the continuation of primary health care delivery for people with hypertension and/or diabetes in humanitarian crises settings, in the context of Covid-19 and inform future similar healthcare delivery disruptions. With an advisory committee of humanitarian implementing organisations, we have identified priority service delivery approaches for maintaining access to care for people with hypertension and/or diabetes in low- and middle-income countries and humanitarian contexts. We have reviewed the evidence on factors affecting implementation processes and the effectiveness of these approaches. Via an online survey and follow-up interviews, we are collating experiences at the project level of adapting NCD service delivery to Covid-19 related disruption. 

CHANGE: Alcohol misuse and associated adversities among conflict-affected populations

CHANGE is a five-year multi-stakeholder research project which started in July 2020. It aims to address alcohol misuse and associated adversities among conflict-affected populations in Uganda and Ukraine. We seek to further develop Problem Management Plus (PM+). an evidence-based psychological intervention. We will complement PM+ by adding an additional psychological component addressing alcohol misuse. These country settings represent very different socio-economic, cultural and humanitarian characteristics and populations which supports understanding of the contextual influences on adapting and implementing PM+A. The comparison of outcomes and processes between the two sites will also help inform the future development and application of PM+A with other conflict-affected populations.

The GOAL partnership: Supporting government and partners in health system strengthening for better mental health of Syrian refugees and host communities in Lebanon

GOAL is a three-year multi-stakeholder research project which began in February 2020. The aim of GOAL is to support government and partners in strengthening the ability of health systems to meet the mental health needs of refugee and host communities affected by protracted displacement, focusing on Lebanon. GOAL consists of five Work Packages focusing on governance (transparency, accountability, and integrity), governance (participation), financing, and capacity strengthening. Co-production is also central to the GOAL approach, particularly involving the National Mental Health Program of Lebanon and mental health service users in the co-design and co-implementation of the project activities and outputs. We will also examine the benefits and challenges of co-production for the research in GOAL.

MSF Cardiovascular Polypill Implementation Study

The primary objective of this research project was to evaluate the implementation of treatment with a fixed-dose combination strategy for patients with ASCVD in a humanitarian refugee setting. It specifically assesses the impact on adherence and the acceptability, fidelity and sustainability, including costs, of this strategy. The research project utilises a mixed-method design with a prospective before and after study as well qualitative and descriptive costing components. The study sites were two MSF-run clinics in North Lebanon. The analysis is currently underway and will result in three papers submitted for peer-reviewed publication.

Partnering for Change (ICRC/DRC/Novo Nordisk) Models of care for NCDs in humanitarian settings

The research component of the partnership aims to review diabetes and hypertension services and gaps in humanitarian settings in LMICs and design an enhanced service delivery approach to support access to context-appropriate management and prevention activities for diabetes and hypertension. It consists of multiple streams, including a global assessment of existing evidence on models of care for hypertension and diabetes in humanitarian settings, a global review of expert opinions, and two case study assessments (in Lebanon and Iraq). The findings of these activities have informed the development of new and adapted approaches to diabetes and hypertension care and their evaluation in Lebanon, including peer support groups and integration of services.

STRENGTHS project: Scaling up psychological interventions with Syrian Refugees

The STRENGTHS project will train Syrian refugees to provide a mental health intervention called Problem Management+ (PM+) to fellow Syrian refugees. PM+ is developed by the WHO. It is a short programme that does not target a single disorder but the symptoms of common mental disorders. The STRENGTHS project will translate, adapt, test and implement the PM+ programmes Individual, Group, Early Adolescent Skills for Emotions (EASE) and an internet-delivered version. STRENGTHS will - in eight different countries in Europe and the MENA region - evaluate whether the intervention works, explore how it can be implemented in the specific context and whether it is cost-effective.

Mixed Methods Evaluation of MSF NCD Multidisciplinary Primary Care Service in Irbid, Jordan

This research project aimed to evaluate a primary care-based model of NCD care implemented by Medecins sans Frontieres in Irbid, Jordan in order to refine the model and to generate evidence on its feasibility, acceptability and effectiveness with a view to translating a similar model to comparable humanitarian settings. The study utilised a mixed-methods design based upon the RE-AIM framework. The data collection included a pre-existing cross-sectional health service access survey, routine cohort data, key stakeholder interviews and a medication adherence survey. The data were analysed using descriptive statistics, multivariate regression analysis, costing analysis and qualitative thematic analysis. The key findings included: the MSF programme is highly acceptable to patients, staff and stakeholders and is achieving good clinical outcomes. However, the costs are high, and it seems plausible to simplify the model of care for patients and staff. We proposed potential opportunities around referral pathways, task shifting, or the simplification of treatment.

Mixed Methods Evaluation of MSF integration of NCD care into general OPD and HIV/TB services at primary care level in Eswatini

MSF provided primary care services, HIV and TB programmes at a comprehensive clinic from 2011 to 2018 in Eswatini. With MOH collaboration, MSF integrated NCD care into general outpatient HIV and TB services in April 2016. The aim of the research project was to examine the processes, effectiveness and costs in order to strengthen the service, facilitate handover to another NGO and inform MSF and MOH policy and scale-up. We undertook a retrospective evaluation of routine facility-level data. This comprised: care model description; routine cohort data; and incremental costing analysis. The main research conclusion was that NCD care could be integrated into an HIV department and OPD setting and could achieve acceptable intermediate clinical outcomes and retention rates at a cost that was similar to HIV programmes. We proposed ways for improving the model of care around the themes of supply chains, counselling, advocacy and collaboration.

Support and Evaluation of MSF Diabetes Outpatient Services in Mweso Hospital, DRC

MSF implemented an Integrated Diabetic Clinic within the Outpatient Department in North Kivu, Democratic Republic of Congo. We examined the effectiveness of this diabetes programme, the challenges and facilitators, and the lessons learnt from implementation that could be generalised to comparable settings. A retrospective cohort study of routine data from patients enrolled in the programme from January 2014 to February 2017 was undertaken and complemented by a descriptive costing analysis as well as focus group discussions and semi-structured qualitative interviews. The implications of the study findings were the observed deterioration in clinical target attainment during periods of service disruption due to insecurity highlighted the need for diabetes programmes in insecure settings to engage in emergency preparedness, including prioritising a sustained medication supply. The qualitative findings emphasized the importance of community awareness of diabetes and the value of treatment support. The costing results indicated that increased efficiencies in terms of supply use and patient throughput can reduce unit costs. 

Partner research projects

Rights Based Self Learning to Promote Mental Health after Disasters
This study will test a hypothesis that these e-tools on psychosocial support as well as rights of persons with mental or psychosocial disabilities can increase knowledge on mental health and disability, as well as resilience to disaster.

Refugee Emergency: (RE-DEFINE)
Refugee Emergency: Aim is to adapt, test and implement the Self Help Plus (SH+), a novel trans-diagnostic self-help preventive psycho social intervention developed by WHO to prevent the onset of mental disorders in refugees and asylum seekers resettled in middle-income and high-income countries.

Updates
Updates NCD Humanitarian
New publications: 14 resources were added to the hub

ACCESS TO CARE

A human rights-based approach to improve access to insulin and other aspects of diabetes care. Brennan, F., Williams, P., Armstrong, K., Klatman, E., Donelan, N., Ogle, G.D., Eussen, A. and Jenkins, A.J., 2022. Diabetes Research and Clinical Practice, 183, p.109153.

Assessing equity of access and affordability of care among South Sudanese refugees and host communities in two districts in Uganda: a cross-sectional survey. King, J., Prabhakar, P., Singh, N., Sulaiman, M., Greco, G., Mounier-Jack, S. and Borghi, J., 2022. BMC Health Services Research, 22(1), p.1165.

[Not open-access] “Who are you to tell me what to do?”–how to win over a community: A study on community engagement as a barrier and lever for non-governmental organisations in responding to non-communicable diseases in humanitarian settings. Knijf, M., 2022. Digitala Vetenskapliga Arkivet.

 

BURDEN OF DISEASE

Health Care Needs of Iraqi Refugees Presenting to the Kurdish Red Crescent Clinics in the Al Hol Camp During 12 Months of on-going Conflict: A Cross-sectional Study. Garavan, K.C., Berlaer, G., Houghton, F., Sherwan, Bery, Ronald, Buyl. and Hubloue, I., 2022. Short Title Complex Humanitarian Emergencies: Idp and Refugee Health Care Needs.

 

PERSPECTIVES, COMMENTARIES, AND POLICY BRIEFS

Caring for people with diabetes and non-communicable diseases in Ukraine: a humanitarian emergency. Maystruk, G., Perone, S.A., Anufriyeva, V., Boulle, P., Chappuis, F. and Beran, D., 2022. The Lancet Diabetes & Endocrinology, 10(5), p.308.

Diabetes in humanitarian crises. [Not open-access] Burki, T., 2022. The Lancet Diabetes & Endocrinology, 10(7), pp.486-487.

Discussion paper – Neglected and in Crisis: Delivering NCD Care in humanitarian settings. NCD Alliance, 2022. Access from: https://ncdalliance.org/

Noncommunicable Diseases: A Compendium. Banatvala, N. and Bovet, P., 2023. Taylor & Francis.

 

REVIEWS

The prevalence of non-communicable diseases among Syrian refugees in Syria's neighbouring host countries: a systematic review and meta-analysis. Al-Oraibi, A., Hassan, O., Chattopadhyay, K. and Nellums, L.B., 2022. Public Health, 205, pp.139-149.

 

MODELS OF CARE

Ethical Considerations Associated with Closing a Non-communicable Disease Program in a Humanitarian Setting. Saeed, H.M., Schwartz, L. and Hunt, M., 2022. Canadian Journal of Bioethics, 5(2), pp.132-135.

Management of Noncommunicable Disease Risk Factors among Venezuelans Affected by the Humanitarian Crisis (Doctoral dissertation, Harvard University). Goodman-Palmer, D., 2022. Access from: https://dash.harvard.edu/

Predictors and barriers for the management of non-communicable diseases among older Syrian refugees amidst the COVID-19 pandemic in Lebanon: A cross-sectional analysis of a multi-wave survey. McCall, S.J., Khoury, T.E., Salibi, N., Zeid, B.A., Haddad, M.E., Alawieh, M.F., Abdulrahim, S., Chaaya, M., Ghattas, H. and Sibai, A., 2022. medRxiv, pp.2022-04.

[Not open-access] OP03 Predictors of and barriers to self-management of non-communicable diseases among older Syrian refugees in Lebanon: A cross-sectional analysis from a multi-wave survey. McCall, S., Salibi, N., El Khoury, T., El Haddad, M., Abdulrahim, S., Chaaya, M. and Sibai, A., 2022. BMJ Epidemiology and Community Health.


OPERATIONAL AND CLINICAL GUIDELINES
Integration of NCD care in emergency response and preparedness. World Health Organization, 2018.

New publications: Multiple resources were added to the hub

Odhaib, S.A., Mansour, A.A., Khalifa, S.F., Shegem, N., Thannon, W., Abi Saad, M., Abdulrazaq, H., Belkhadir, J., Sandid, M. and Masood, S.N., 2022. Impact of humanitarian crises on diabetes care in Iraq and Syria—IDF-MENA region. Journal of Diabetology, 13(5), p.38.

[Not open access] Médecins Sans Frontières, 2022. TEMBO. https://tembo.msf.org/

World Health Organization, 2022. Noncommunicable disease facility-based monitoring guidance: framework, indicators and application. World Health Organization.

World Health Organization, 2021. International Webinar: Strengthening Noncommunicable Disease Prevention & Management in Humanitarian Settings - Reviewing the Cox's Bazar approach. apps.who.int

World Health Organization, 2020. Quality of care in fragile, conflict-affected and vulnerable settings: taking action. apps.who.int

Zablith, N., Diaconu, K., Naja, F., El Koussa, M., Loffreda, G., Bou-Orm, I. and Saleh, S., 2021. Dynamics of non-communicable disease prevention, diagnosis and control in Lebanon, a fragile settingConflict and health15(1), pp.1-13.

Nieto-Martínez, R., González-Rivas, J.P., Lima-Martínez, M., Stepenka, V., Rísquez, A. and Mechanick, J.I., 2015. Diabetes care in VenezuelaAnnals of global health81(6), pp.776-791.

Akik, C., Asfahani, F., Elghossain, T., Mesmar, S., Rabkin, M., El Sadr, W., Fouad, F.M. and Ghattas, H., 2022. Healthcare system responses to non-communicable diseases’ needs of Syrian refugees: The cases of Jordan and Lebanon. Journal of migration and health6, p.100136.

Ansbro, É , Dubois, G., Haugaard, N., Klansø, P. and Serafini, M., 2022. Conflict, Displacement and Living with a Chronic Diseasehttps://healthpolicy-watch.news/

Hammad, A.M., Al-Qerem, W., Alasmari, F., Ling, J., Qarqaz, R. and Alaqabani, H., 2022. Identifying Drug-Therapy Problems among Syrian Refugees in Zaatari Refugee CampInternational Journal of Environmental Research and Public Health19(12), p.7199.

Kehlenbrink, S., Ansbro, É., Besançon, S., Hassan, S., Roberts, B. and Jobanputra, K., 2022. Strengthening Diabetes Care In Humanitarian Crises In Low-And Middle-Income SettingsThe Journal of Clinical Endocrinology & Metabolism.

International Rescue Committee, Johns Hopkins University, 2022. Adoption of electronic medical records for chronic disease care in Kenyan refugee campshttps://reliefweb.int/

Mikki, N. and Mactaggart, I., 2022. The prevalence of diabetic retinopathy in the occupied Palestinian territories: a national cross-sectional studyThe Lancet399, p.S19.

Ngaruiya, C., Bernstein, R., Leff, R., Wallace, L., Agrawal, P., Selvam, A., Hersey, D. and Hayward, A., 2022. Systematic review on chronic non-communicable disease in disaster settingsBMC Public Health22(1), pp.1-88.

Asgary, R., Garland, V., Ro, V., Stribling, J.C. and Waldman, R., 2022. A systematic review of effective strategies for chronic disease management in humanitarian settings; opportunities and challenges. Preventive medicine161, p.107154.

Rahman, A., Biswas, J. and Banik, P.C., 2022. Non-communicable diseases risk factors among the forcefully displaced Rohingya population in BangladeshPLOS Global Public Health2(9), p.e0000930.

List of past events added

3rd Symposium on Diabetes in Humanitarian Crises. International Alliance for Diabetes Action (IADA). October 20-21 2022 in Krakow, Poland.

IADA is inviting to the 3rd annual symposium on diabetes in humanitarian crises taking place in Krakow in autumn 2022. The event will be a hybrid with options of joining both in-person and online. Registration of interest can be done directly with the organizer (IADA).

MSF Scientific days. Médecins Sans Frontières. Conference, 2021.

MSF Scientific Days bring together researchers, practitioners, academics and patient representatives to catalyse improvements in the quality of care provided to patients and communities at risk. The presentations include a wide range of subjects, including non-communicable disease care.

Caring for people with NCDs in humanitarian settings during the COVID-19 pandemic. Ready Initiative. Webinar, 2020.

In this webinar, experts from humanitarian organizations and the World Health Organization shared their experiences with challenges, current responses, lessons learned, and the pending agenda for non-communicable diseases in COVID-19.

2nd Annual Symposium on Diabetes in Humanitarian Crisis. Harvard Humanitarian Initiative, London School of Hygiene & Tropical Medicine, International Alliance for Diabetes Action, Brigham and Women’s Hospital. Symposium, 2020.

This 2nd Annual Symposium on Diabetes in Humanitarian Crises followed up on the progress that has been made over the past year since the Boston Declaration. Discussions covered major global events of the past year that changed the humanitarian health agenda, and a way forward.

1st Annual Symposium on Diabetes in Humanitarian Crisis. Harvard Humanitarian Initiative, London School of Hygiene & Tropical Medicine, International Alliance for Diabetes Action, Brigham and Women’s Hospital. Symposium, 2020.

In April 2019, Harvard University convened a meeting in Boston with humanitarian and other organizations in global health to discuss the immediate needs and barriers to tackling diabetes in humanitarian crises and push a unified agenda. The meeting resulted in the Boston Declaration which was signed by 64 signatories from over 40 international organizations.

Chronic care in humanitarian crises. International Committee of the Red Cross (ICRC), the Danish Red Cross, Novo Nordisk, London School of Hygiene & Tropical Medicine. World Health Assembly 19 side-event, 2019.

As a WHA72 side-event, the impact partnership between the ICRC, DRC and Novo Nordisk brought key stakeholders together in a panel discussion to explore the current state of NCD care in humanitarian settings. Moderator: Pablo Perel.

Fixed Dose Combination Pills for NCDs Symposium. George Institute for Global Health, London School of Hygiene & Tropical Medicine, Médecins sans Frontières. Symposium, 2018.

This international symposium brought together experts working on fixed-dose combinations for CVD and hypertension together with experts working in the fields of HIV and TB, as well as representatives from governmental, non-governmental organizations, civil society, industry and funders. The aim was to provoke a lively discussion around the barriers, next steps, and an agenda for further research, advocacy and policy change.

Resources for the Ukraine response

The team has collated NCD related resources for the Ukraine response, which are now easily accessible through as a PDF. It outlines key operational resources that may help humanitarian organizations addressing NCDs in their Ukraine response. 

New resource: MOOC on Operational Research for Humanitarians

The Geneva Centre of Humanitarian Studies, the International Committee of the Red Cross, and the Aga Khan University have just launched a new, free MOOC (Massive Open Online Course) on Operational Research for Humanitarians. While not specific to health or NCDs, it may prove a useful resource for our community working on NCDs in humanitarian settings.

Register here: https://www.coursera.org/learn/research-humanitarian

Or watch the trailer video: https://www.youtube.com/watch?v=5t27AlftwPg

New publications: Multiple resources were added to the hub

Harris, P., Kirkland, R., Masanja, S., Le Feuvre, P., Montgomery, S., Ansbro, É., Woodman, M. and Harris, M., 2022. Strengthening the primary care workforce to deliver high-quality care for non-communicable diseases in refugee settings: lessons learnt from a UNHCR partnership. BMJ global health, 7(Suppl 5), p.e007334.

Kiapi, L., Alani, A.H., Ahmed, I., Lyons, G., McLain, G., Miller, L., Darji, B., Waweru, I., Aragno, M., Kisarach, K. and Zeleke, M., 2022. Assessment of the non-communicable diseases kit for humanitarian emergencies in Yemen and Libya. BMJ Global Health, 7(Suppl 5), p.e006621.

Miller, L., Alani, A.H., Avril, N., Jingree, M.L., Atwiine, A.B., Al Amire, K., Khan, M., Moe, A.A., Nyalwal, B.L.A., Mohamed, A.A. and Ruto, T.K., 2022. Adaptation of care for non-communicable diseases during the COVID-19 pandemic: a global case study. BMJ Global Health, 7(Suppl 5), p.e006620.

MSF Access Campaign, Santé Diabète, 2022.Towards insulin for all: operationalising the WHA74 resolution on diabetes. Accessible from: https://msfaccess.org/

Ogle, G., Middlehurst, A., Silink, M. and Hanas, R., 2017. Pocketbook for management of diabetes in childhood and adolescence in under-resourced countries. International Diabetes Federation.

Resolve to Safe Lives, MSF Access Campaign, 2022. Under Pressure: Strategies to improve access to antihypertensive medicines. Accessible from: https://msfaccess.org/

World Health Organization, 2019. Follow-up to the political declaration of the third high-level meeting of the General Assembly on the prevention and control of non-communicable diseases. WHA72 (11). Geneva: WHO.

World Health Organization Regional Office for Africa, 2020. WHO PEN and Integrated Outpatient Care for Severe, Chronic NCDs at First Referral Hospitals in the African Region (PEN-Plus): Report on Regional Consultation.

World Health Organization, 2021. WHO guidance on preparing for national response to health emergencies and disasters.

World Health Organization, 2022. Noncommunicable Diseases Data Portal. Accessible from: https://ncdportal.org/Home

Job vacancy: Consultant - Global Financing Mechanism(s) Applicable for NCD Service Delivery in Humanitarian Settings

Within the framework of its international strategy, the Danish Red Cross aims to engage in broad alliances and partnerships to explore new ways to increase investments in the prevention and care of NCDs in humanitarian settings. Over the years DRC has developed strong expertise, engagement, and partnerships within NCDs prevention and care, with a particular focus on humanitarian and fragile settings. DRC aims to bring these experiences to scale and explore how the DRC can facilitate, support or take the lead on ensuring further global investments in NCDs management with the aim of substantially increasing access to NCD prevention, treatment, care and support for people affected by crisis situations and other vulnerabilities.  

Deliverables 

  • A mapping report on existing funding mechanisms for NCDs globally, as well as specifically in humanitarian and fragile settings (15 pages max excluding annexes).  

  • Recommendations regarding potential funding mechanisms for NCD prevention and care including a feasibility assessment on the potential to mobilize a global financing initiative for NCD management containing findings and recommendations for next steps. Format: This can be a brief report (maximum 6 pages excluding annexes) or a slide deck highlighting different options, their pros and cons, as well as recommendations. 

  • A presentation to the Reference Group and ICRC focal point of the preliminary findings. 

  • A presentation to the representatives of DRC’s International Management team for further discussion among the team and ICRC management representative. 

The work is expected to start October 1st, with a deadline of December 20th. 30 days across a period of two and a half months. Moreover, there will be a budget to cover miscellaneous costs such as for meetings and workshops. Application deadline: 15th September 2022.

Details on the post can be found in the job description.

New publication: Factors Influencing the Implementation of Remote Delivery Strategies for NCD care in LMICs: A Narrative Review

Favas, C., Ansbro, É., Eweka, E., Agarwal, G., Lazo Porras, M., Tsiligianni, I., Vedanthan, R., Webster, R., Perel, P. and Murphy, A., 2022. Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low-and Middle-Income Countries: A Narrative Review. Public Health Reviews, p.21.

New publications: Two reviews and an editorial

Leff, R., Selvam, A., Bernstein, R., Wallace, L., Hayward, A., Agrawal, P., Hersey, D. and Ngaruiya, C., 2021. A Review of Interventions for Non-Communicable Diseases in Humanitarian Emergencies in Low-and Middle-Income Countries. medRxiv.

Patel, P., Kiapi, L. and Gomez, E.J., 2022. Launching a new series on non-communicable prevention in humanitarian settings. BMJ Global Health, 7(Suppl 5), p.e009710.

Schmid, B., Ansbro, É., Raju, E., Willis, R., Shabila, N. and Perel, P., 2022. Models of care for non-communicable diseases for displaced populations in Iraq: a scoping review. Conflict and Health, 16(1), pp.1-18.

New publication: Qualitative study of global experts' perspectives on models of care (issue brief)
New publication: Building long-term NCD emergency preparedness and responses for humanitarian crises (policy brief)
New publication: Global experts' view on care models for hypertension and diabetes in crises
Job vacancy: Program and Community Manager at IADA

The International Alliance for Diabetes Action (iada) is a partnership of over 40 international organizations with an interest in diabetes from different sectors that is developing concrete collaborative initiatives that will increase access to and quality of care for people with diabetes in humanitarian settings. The Program and Community Manager will help build, grow, and manage the iada community (online and offline) by coordinating the alliance around the objectives of the annual plan, managing communications, public relations, social media, content creation and helping plan live events, such as the annual symposium. They will also provide organisational management for the secretariat and together with the board of directors develop and implement a fundraising strategy.

The post is part-time (8 hours per week) at 0.2 FTE, remote and fixed-term for 6-12 months. Application deadline: 9th March.

Details on the post can be found in the job description.

Job vacancy: Research Fellow at LSHTM

The London School of Hygiene & Tropical Medicine is a world-leading centre for research and postgraduate education in public and global health. We are looking for a Research Fellow to join the P4C team (a partnership between LSHTM, International Committee of the Red Cross, Danish Red Cross and Novo Nordisk) to strengthen non-communicable disease care models in humanitarian settings. 

The post is full-time 35 hours per week, 1.0 FTE and fixed-term until 31 December 2022. Application deadline (extended): 15th March 2022.

Details on the post can be found in the job description.

New publications: Multiple resources were added to the hub

Arakelyan, S., Jailobaeva, K., Dakessian, A., Diaconu, K., Caperon, L., Strang, A., Bou-Orm, I.R., Witter, S. and Ager, A., 2021. The role of trust in health-seeking for non-communicable disease services in fragile contexts: A cross-country comparative studySocial Science & Medicine291, p.114473.

Barth, C.A., Wladis, A., Blake, C., Bhandarkar, P., Perone, S.A. and O'Sullivan, C., 2021. Retrospective observational study of characteristics of persons with amputations accessing International Committee of the Red Cross (ICRC) rehabilitation centres in five conflict and postconflict countriesBMJ open11(12), p.e049533.

Ibragimov, K., Palma, M., Keane, G., Ousley, J., Crowe, M., Carreño, C., Casas, G., Mills, C. and Llosa, A., 2022. Shifting to Tele-Mental Health in humanitarian and crisis settings: an evaluation of Médecins Sans Frontières experience during the COVID-19 pandemicConflict and Health16(1), pp.1-15.

Kehlenbrink, S., Mahboob, O., Al-Zubi, S., Boulle, P., Perone, S.A., Alani, A.H., Kiapi, L., Miller, L., Hering, H., Woodman, M. and Donelan, K., 2022. An inter-humanitarian agency study of diabetes care and surveillance in humanitarian settings. The Lancet Diabetes & Endocrinology.

New publications: Integrating mental health and psychosocial support within NCD prevention and care (study and scoping report)

Gyawali, B., Harasym, M.C., Hassan, S., Cooper, K., Boschma, A., Bird, M., Konradsen, F., Raju, E. and Tellier, S., 2021. Not an ‘either/or’: Integrating mental health and psychosocial support within non-communicable disease prevention and care in humanitarian response. Journal of Global Health, 11.
 

Scoping report: Integrating Mental Health And Psychosocial Support Within Noncommunicable Disease Prevention and Care In Humanitarian Response. An exploratory review. IFRC Reference Centre for Psychosocial Support. 2021.

New publication: Systematic review of models of care (issue brief)
About
About NCDs in Humanitarian Settings 2 columns
About NCDs in Humanitarian Settings 2 columns left paragraph
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A nurse takes the blood pressure of an expectant mother at the Kuchigoro Primary Health Centre, Abuja.

The knowledge hub

The knowledge hub collates key resources to support the community of humanitarian organizations and academic institutions committed to improving the lives of people living with noncommunicable diseases in humanitarian settings. The repository includes materials, tools, publications and other resources to facilitate access, knowledge sharing and mutual learning amongst actors in the field. The knowledge hub is facilitated by the Centre for Global Chronic Conditions at LSHTM, with a cross-disciplinary core team.

The CGCC

The Centre for Global Chronic Conditions collaborates with partners to improve NCD care delivery in humanitarian crises, including fragile health systems, disaster and conflict settings. We aim to:

  1. Grow the knowledge base via pragmatic evaluations, implementation research, quasi-experimental and innovative approaches to research in fragile humanitarian settings
  2. Support practitioners designing and delivering NCD care in fragile health systems, disaster and conflict settings
  3. Work on innovative approaches to chronic care delivery in the setting of healthcare disruption
  4. Collate evidence, guidelines and tools to manage NCDs in humanitarian settings
  5. Convene different actors (academia, NGOs, UN agencies, governments)
  6. Engage in shared learning with partners and building research capacity as relevant

We work with academic partners in Lebanon, Jordan, Iraq, UK and US and with major international humanitarian NGOs and UN agencies. We undertake implementation research, mixed methods evaluations and have developed methodology around the use of routine clinical data in the context of interrupted health care delivery. The focus of our work is on diabetes, hypertension and cardiovascular disease, integrating mental and physical NCD care and the impact of Covid19 on NCD care delivery.

Partners and funders

The NCDs in Humanitarian Setting Special Interest Group of the Centre for Global Chronic Conditions at the London School of Hygiene and Tropical Medicine works with a variety of partners. These include humanitarian implementing organisations, academic institutions, UN bodies and funding bodies, such as the Global Alliance for Chronic Conditions and the private sector.

The knowledge hub is hosted and maintained by the CGCC at LSHTM. Seed funding for site development was provided by Novo Nordisk A/S. The funder has had no role in the design, selection of content or governance of the site.

 

NCDs in humanitarian settings knowledge hub partner logos

 

Team

These are the core people working on NCDs in humanitarian settings across the different departments and faculties at LSHTM.

Team Block

Pablo
Perel

Professor

Adrianna
Murphy

Associate Professor

Ruth
Willis

Research Fellow

David
Prieto-Merino

Associate Professor

Daniela
Fuhr

Honorary Professor

Michelle
Lokot

Assistant Professor

Ruwan
Ratnayake

Research Degree Student

Caroline Favas

Benjamin
Schmid

Research Assistant

Lavanya
Vijayasingham

Research Fellow