Karl Blanchet
Dados Biográficos
| ID | 303570 |
|---|---|
| NOME | Karl Blanchet |
| PRENOMES | Karl |
| SOBRENOME | Blanchet |
| ASSINATURA | BLANCHET K |
| AFILIAÇÕES | University of Geneva |
| ORCID | 0000-0003-0498-8020 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 62 |
| TOTAL DE CITAÇÕES | 67 |
| TOTAL COMO AUTOR | 62 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
The development of the H3 Package
INTRODUCTION: Humanitarian crises substantially impact the health of affected populations, and the scale of humanitarian need is at a historic high level. To more effectively support the growing number of people affected by humanitarian crises, the WHO, the Global Health Cluster and humanitarian partners undertook an initiative to define a core set of services to be delivered during a humanitarian response. This paper describes that process. METH…
Community engagement for vaccine delivery in low- and middle-income countries and humanitarian settings
Vaccination is a critical public health intervention in humanitarian and low- and middle-income country (LMIC) settings, where populations face heightened risks of vaccine-preventable diseases. Community Engagement (CE) offers a pathway to address challenges related to local ownership, trust, and acceptance, yet its effectiveness in these contexts remain underexplored. We conducted an umbrella scoping review of published reviews to synthesise evi…
From ground realities to policy
INTRODUCTION: Understanding and evaluating health system governance is essential for resilient health systems. This study develops a framework to analyse health system governance in conflict-affected and high-risk areas, including fragmented systems. METHODS: The methodology adopts a qualitative multi-faceted approach, encompassing five methods: consultations with experts, thematic analysis of existing health system governance frameworks, focus g…
Deployment and uptake of Covid-19 vaccines for refugees and migrants in Ecuador
This study examines access and uptake of COVID-19 vaccines among refugees and migrants in Ecuador, including those with regular and irregular migration status. Conducted in Quito, Manta, and Huaquillas with 344 participants, the article reports on the survey data to assess vaccination access, barriers, and enablers. Findings show that 94% of respondents received at least one vaccine dose, despite 69% having irregular status. However, gaps remaine…
Examining the effect of nearby armed conflict on access to maternal and child health services in Burkina Faso’s primary healthcare facilities
BACKGROUND: Armed conflict is increasing in sub-Saharan Africa, impacting access to vital health services. However, scant evidence exists on the effects of the recently escalated conflict in Burkina Faso, a country severely affected by rising violence. METHODS: We conducted a longitudinal study, aligning conflict event data from the Uppsala Conflict Data Program with Burkina Faso's Health Management Information System data spanning from 2013 to 2…
Safeguarding healthcare workers in Gaza and throughout occupied Palestine
BOX International humanitarian law stipulates specific obligations during armed conflict, including the protection of healthcare and humanitarian workers
A qualitative study on behavioral and social drivers of Covid-19 vaccine amongst refugees and migrants in Pakistan
Migrants and refugees are among the most disadvantaged populations, with limited evidence on the access and uptake of COVID-19 vaccination among them. Therefore this qualitative study explores the behavioral and social drivers of the COVID-19 vaccine among the refugee and migrant population in Pakistan through in-depth interviews and focus group discussions with regular and irregular migrants and refugees residing in Pakistan. Key informant inter…
Understanding the political economy of reforming global health initiatives – insights from global and country levels
INTRODUCTION: Since 2000, the number and role of global health initiatives (GHIs) has been growing, with these platforms playing an increasingly important role in pooling and disbursing funds dedicated to specific global health priorities. While recognising their important contribution, there has also been a growth in concerns about distortions and inefficiencies linked to the GHIs and attempts to improve their alignment with country health syste…
Resilient health systems appraisal model. whole-of-system approach to health system resilience in fragile contexts
This study introduces the Resilient Health Systems Appraisal Model (ReHSAM), a whole-of-system approach for appraising health-system resilience. ReHSAM enables comprehensive assessment, cross-context comparison, and integration of resilience-building actions into health system operations. By translating resilience into universal yet context-adaptable standards, it provides a practical basis for bolstering health system resilience in both fragile …
Setting research priorities for sexual and reproductive health in humanitarian settings
This stakeholder-informed research agenda responds to calls for context-specific SRHR research in humanitarian settings. The importance of tailoring research to local realities, including health system capacity, legal constraints and cultural norms, was a recurrent theme across all regions. The BWRP method enables clear prioritisation while reducing respondent burden, offering a practical model for future exercises. As global funding for SRHR con…
The evolution of facility-based deliveries at primary healthcare centres during an insecurity and conflict crisis in Burkina Faso
This research provides crucial insights for strengthening Burkina Faso's health system resilience to conflict by spatially identifying how facility characteristics and geo-spatial determinants shape healthcare disruptions. Mapping these elements at a fine scale enables adaptive policy interventions and dynamic resource allocation based on evolving conflict dynamics, enhancing obstetric care during conflict. By integrating the applied geospatial m…
End Users’ Perspective of Digital Logistics Management Information System (eLMIS) Performance at Public Health Facilities of Amhara Region, Ethiopia
The healthcare supply chain relies on real-time logistics Management Information System (LMIS). Despite Ethiopia's adoption of a digital LMIS in 2009, ongoing evaluation of software, infrastructure, and sustainability remains essential for improving performance from users' and health system's perspectives. The study aimed to evaluate the performance of the facility version of digital LMIS at public health facilities in the Amhara Region, Ethiopia…
Cycles of disasters in Afghanistan
I will take part in the revolution with our people”
The coup and ensuing violence severely disrupted the healthcare system, resulting in shortages of supplies, reduced quality of care, and exacerbated challenges during the COVID-19 pandemic. Despite facing significant hardships, HWs remained resilient, engaging in resistance efforts within the CDM and seeking support from local communities and international organizations. They expressed a need for increased awareness, financial assistance, and con…
Providing continuity of care for people living with noncommunicable diseases in humanitarian settings
We recommend that humanitarian actors continue the work underway with the Lebanese Ministry of Public Health to align with and strengthen health system inputs, including supporting health governance through the accreditation process, exploring new funding mechanisms, strengthening the workforce via task sharing and training, supporting the medication supply chain, improving access to facilities and service quality, and supporting the development,…
Identifying vulnerabilities in essential health services
Monitoring and evaluating the implementation of essential packages of health services
Essential packages of health services (EPHS) are a critical tool for achieving universal health coverage, especially in low-income and lower middle-income countries. However, there is a lack of guidance and standards for monitoring and evaluation (M&E) of EPHS implementation. This paper is the final in a series of papers reviewing experiences using evidence from the Disease Control Priorities, third edition publications in EPHS reforms in seven c…
Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services
This paper reviews the experience of six low-income and lower middle-income countries in setting their own essential packages of health services (EPHS), with the purpose of identifying the key requirements for the successful design and transition to implementation of the packages in the context of accelerating progress towards universal health coverage (UHC). The analysis is based on input from three meetings of a knowledge network established by…
Resilience in childhood vaccination
INTRODUCTION: Despite rapidly growing academic and policy interest in health system resilience, the empirical literature on this topic remains small and focused on macrolevel effects arising from single shocks. To better understand health system responses to multiple shocks, we conducted an in-depth case study using qualitative system dynamics. We focused on routine childhood vaccination delivery in Lebanon in the context of at least three shocks…
Lessons from the development process of the Afghanistan integrated package of essential health services
In 2017, in the middle of the armed conflict with the Taliban, the Ministry of Public Health decided that the Afghan health system needed a well-defined priority package of health services taking into account the increasing burden of non-communicable diseases and injuries and benefiting from the latest evidence published by DCP3. This leads to a 2-year process involving data analysis, modelling and national consultations, which produce this Integ…
Decision-making processes for essential packages of health services
Many countries around the world strive for universal health coverage, and an essential packages of health services (EPHS) is a central policy instrument for countries to achieve this. It defines the coverage of services that are made available, as well as the proportion of the costs that are covered from different financial schemes and who can receive these services. This paper reports on the development of an analytical framework on the decision…
Societal acceptance of urban drones
The use of drones (or Unmanned Aerial Vehicles) in urban areas has emerged rapidly in the last decade, and continues to expand at an unprecedented pace. Alongside these emergent uses of high-impact technology in both public and private sectors, political debates about the potential risks and challenges have arisen, encompassing diverse perspectives and attitudes about the ethical, legal, social, and regulatory implications of introducing and inte…
Impact of conditional and unconditional cash transfers on health outcomes and use of health services in humanitarian settings
Evaluating Covid-19 decision-making in a humanitarian setting
The global COVID-19 pandemic is unprecedented in its scope and impact. While a great deal of research has been directed towards the response in high-income countries, relatively little is known about the way in which decision-makers in low-income and crisis-affected countries have contended with the epidemic. Through use of an a priori decision framework, we aimed to evaluate the process of policy and operational decision-making in relation to th…
How to do (or not to do)…using causal loop diagrams for health system research in low and middle-income settings
Causal loop diagrams (CLDs) are a systems thinking method that can be used to visualize and unpack complex health system behaviour. They can be employed prospectively or retrospectively to identify the mechanisms and consequences of policies or interventions designed to strengthen health systems and inform discussion with policymakers and stakeholders on actions that may alleviate sub-optimal outcomes. Whilst the use of CLDs in health systems res…
A life in waiting
Refugees in Greece experience psychosocial distress and social suffering as a consequence of their uncertain and disrupted lives and the loss of social networks. Faster and transparent asylum procedures, the development of meaningful and empowering activities, and fostered social interactions with the surrounding society would contribute to alleviating their psychosocial suffering
Towards an understanding of resilience
The recent outbreak of Ebola Virus Disease (EVD) in West Africa has drawn attention to the role and responsiveness of health systems in the face of shock. It brought into sharp focus the idea that health systems need not only to be stronger but also more 'resilient'. In this article, we argue that responding to shocks is an important aspect of resilience, examining the health system behaviour in the face of four types of contemporary shocks: the …
The role of social networks in the governance of health systems
Efforts have been increasingly invested to improve local health systems' capacities in developing countries. We describe the application of innovative methods based on a social network analysis approach. The findings presented refer to a study carried out between July 2008 and January 2010 in the Brong Ahafo region of Ghana. Social network analysis methods were applied in five different districts using the software package Ucinet to calculate the…
Societal acceptance of urban drones
The use of drones (or Unmanned Aerial Vehicles) in urban areas has emerged rapidly in the last decade, and continues to expand at an unprecedented pace. Alongside these emergent uses of high-impact technology in both public and private sectors, political debates about the potential risks and challenges have arisen, encompassing diverse perspectives and attitudes about the ethical, legal, social, and regulatory implications of introducing and inte…
Access to social protection among people with disabilities
Although people with disabilities are frequently targeted as key beneficiaries of social protection, little is known on their access to existing programmes. This study uses mixed methods to explore participation in disability‐targeted and non‐targeted social protection programmes in Viet Nam, particularly in the district of Cam Le. In this district, social assistance and health insurance coverage among people with disabilities was 53 per cent and…
Contested legitimacy for anthropologists involved in medical humanitarian action
The growing involvement of anthropologists in medical humanitarian response efforts has laid bare the moral and ethical consequences that emerge from humanitarian action. Anthropologists are well placed to examine the social, political, cultural and economic dimensions that influence the spread of diseases, and the ways in which to respond to epidemics. Anthropologists are also, with care, able to turn a critical lens on medical humanitarian resp…
Access to Social Protection Among People with Disabilities
While people with disabilities are often targeted as key beneficiaries of social protection, there is little evidence available on their participation in existing programmes. This study uses mixed methods to explore access to disability-targeted and non-targeted social protection programmes in Nepal, particularly the District of Tanahun. In total, 31% of people with disabilities had Disability Identification Cards, which entitles them to a range …
Chronic NCD care in crises
Comprehensive guidance would foster standardization, continuity, integration and, thus, better quality care. Future models should take a health system strengthening approach, use patient-centred design, and should be co-created with patients and providers. Those designing new models may draw on lessons learned from existing chronic care models in high- and low-income settings
Understanding the maternal and child health system response to payment for performance in Tanzania using a causal loop diagram approach
Participatory Development
Forty years after independence, the African countries have still not taken off economically. The many indicators produced by national bodies describe a wholly discouraging situation, even worse than in the 1970s. Yet, for many years, quite large budgets have been invested in development and thousands of people are working on the subject. Why is it that, now that the development policies of the 1970s and 1980s have been questioned and there is awa…
Providing continuity of care for people living with noncommunicable diseases in humanitarian settings
We recommend that humanitarian actors continue the work underway with the Lebanese Ministry of Public Health to align with and strengthen health system inputs, including supporting health governance through the accreditation process, exploring new funding mechanisms, strengthening the workforce via task sharing and training, supporting the medication supply chain, improving access to facilities and service quality, and supporting the development,…
When Refugees Care for Refugees in Lebanon
Despite a surge in initiatives to integrate foreign-trained physicians into local health systems and a drive to learn from localised humanitarian initiatives under the COVID-19 pandemic, we still know little about the on-the-ground strategies developed by refugee doctors to meet the needs of refugee patients. In Lebanon, displaced Syrian health professionals have mounted informal, local responses to care for displaced Syrian patients. Drawing on …
Participatory Development
Forty years after independence, the African countries have still not taken off economically. The many indicators produced by national bodies describe a wholly discouraging situation, even worse than in the 1970s. Yet, for many years, quite large budgets have been invested in development and thousands of people are working on the subject. Why is it that, now that the development policies of the 1970s and 1980s have been questioned and there is awa…
How to do (or not to do) … a social network analysis in health systems research
The main challenges in international health are to scale up effective health interventions in low- and middle-income countries in order to reach a higher proportion of the population. This can be achieved through better insight into how health systems are structured. Social network analysis can provide an appropriate and innovative paradigm for the health systems researcher, allow new analyses of the structure of health systems, and facilitate un…
The role of social networks in the governance of health systems
Efforts have been increasingly invested to improve local health systems' capacities in developing countries. We describe the application of innovative methods based on a social network analysis approach. The findings presented refer to a study carried out between July 2008 and January 2010 in the Brong Ahafo region of Ghana. Social network analysis methods were applied in five different districts using the software package Ucinet to calculate the…
Syrian refugees in Lebanon
The crisis in Syria has forced more than 4 million people to find refuge outside Syria. In Lebanon, in 2015, the refugee population represented 30 % of the total population. International health assistance has been provided to refugee populations in Lebanon. However, the current humanitarian system has also contributed to increase fragmentation of the Lebanese health system. Ensuring universal health coverage to vulnerable Lebanese, Syrian and Pa…
Governance and Capacity to Manage Resilience of Health Systems
The term resilience has dominated the discourse among health systems researchers since 2014 and the onset of the Ebola outbreak in West Africa. There is wide consensus that the global community has to help build more resilient health systems. But do we really know what resilience means, and do we all have the same vision of resilience? The present paper presents a new conceptual framework on governance of resilience based on systems thinking and …
Evidence on public health interventions in humanitarian crises
Systems thinking in public health
The UCL–Lancet Commission on Migration and Health
Thank You to Reviewers 2017
Towards an understanding of resilience
The recent outbreak of Ebola Virus Disease (EVD) in West Africa has drawn attention to the role and responsiveness of health systems in the face of shock. It brought into sharp focus the idea that health systems need not only to be stronger but also more 'resilient'. In this article, we argue that responding to shocks is an important aspect of resilience, examining the health system behaviour in the face of four types of contemporary shocks: the …
A life in waiting
Refugees in Greece experience psychosocial distress and social suffering as a consequence of their uncertain and disrupted lives and the loss of social networks. Faster and transparent asylum procedures, the development of meaningful and empowering activities, and fostered social interactions with the surrounding society would contribute to alleviating their psychosocial suffering
Localisation and cross-border assistance to deliver humanitarian health services in North-West Syria
Our multifaceted narrative unpacks circular flows of interactions among actors and uncovers strategies developed by practitioners on the field, which are often left undocumented. We argue that there is an opportunity for the humanitarian sector to learn from these synergies to rethink how medical humanitarianism is framed (hopefully leading to a more collaborative framing that resists mainstreaming "local" actors within a "traditional" system). T…
A case-control study of musculoskeletal impairment
Adults with MSI in Myanmar who are not in receipt of rehabilitative services may be at increased risk of poverty and lower quality of life in relation to increased health needs and limited opportunities to participate in productive work. This study highlights the need for more comprehensive and appropriate support to persons with physical impairments in Myanmar
Access to Social Protection Among People with Disabilities
While people with disabilities are often targeted as key beneficiaries of social protection, there is little evidence available on their participation in existing programmes. This study uses mixed methods to explore access to disability-targeted and non-targeted social protection programmes in Nepal, particularly the District of Tanahun. In total, 31% of people with disabilities had Disability Identification Cards, which entitles them to a range …
Access to social protection among people with disabilities
Although people with disabilities are frequently targeted as key beneficiaries of social protection, little is known on their access to existing programmes. This study uses mixed methods to explore participation in disability‐targeted and non‐targeted social protection programmes in Viet Nam, particularly in the district of Cam Le. In this district, social assistance and health insurance coverage among people with disabilities was 53 per cent and…
What does ‘leave no one behind’ mean for humanitarian crises-affected populations in the Covid-19 pandemic
Background Risks of hospitalized infections associated with newer biologic agents have not been well characterized in relation to risks with anti-TNF therapy, especially in rheumatoid arthritis (RA) patients with high comorbidity burdens. Objectives To compare the risk of hospitalized infections among RA patients switching from anti-TNF therapy to rituximab (RTX), abatacept (ABA) or another anti-TNF. Methods Using data from 2002-10 from the U.S. …
The cost-effectiveness of using performance-based financing to deliver the basic package of health services in Afghanistan
Performance-based financing (PBF) is a mechanism to improve the quality and the utilisation of health benefit packages. There is a dearth of economic evaluations of PBF in the ‘real world’. Afghanistan implemented PBF between 2010 and 2015 and evaluated the programme using a pragmatic cluster-randomised control trial. We conducted a cost-effectiveness analysis of the PBF programme in Afghanistan, compared with the standard of care, from the provi…
Towards systematic evaluation of epidemic responses during humanitarian crises
Epidemics continue to pose a significant public health threat to populations in low and middle-income countries. However, little is known about the appropriateness and performance of response interventions in such settings. We undertook a rapid scoping review of public health evaluation frameworks for emergency settings in order to judge their suitability for assessing epidemic response. Our search identified a large variety of frameworks. Howeve…
Protecting essential health services in low-income and middle-income countries and humanitarian settings while responding to the Covid-19 pandemic
In health outcomes terms, the poorest countries stand to lose the most from these disruptions. In this paper, we make the case for a rational approach to public sector health spending and decision making during and in the early recovery phase of the COVID-19 pandemic. Based on ethics and equity principles, it is crucial to ensure that patients not infected by COVID-19 continue to get access to healthcare and that the services they need continue t…
Covid-19 in humanitarian settings
Humanitarian organizations have developed innovative and context specific interventions in response to the COVID-19 pandemic as guidance has been normative in nature and most are not humanitarian specific. In April 2020, three universities developed a COVID-19 humanitarian-specific website ( www.covid19humanitarian.com ) to allow humanitarians from the field to upload their experiences or be interviewed by academics to share their creative respon…
Responding to health needs of women, children and adolescents within Syria during conflict
The case of Syria provides a unique perspective on creative ways of managing the humanitarian response and delivering RMNCAH&N interventions, mainly in the multi-hub structure and use of remote management, despite encountered challenges. The scarcity of RMNCAH&N data is a tremendous challenge for both researchers and implementing agencies, as it limits accountability and monitoring, thus hindering the evaluation of delivered interventions
Thank You to Reviewers 2019
Contested legitimacy for anthropologists involved in medical humanitarian action
The growing involvement of anthropologists in medical humanitarian response efforts has laid bare the moral and ethical consequences that emerge from humanitarian action. Anthropologists are well placed to examine the social, political, cultural and economic dimensions that influence the spread of diseases, and the ways in which to respond to epidemics. Anthropologists are also, with care, able to turn a critical lens on medical humanitarian resp…
The Lancet Global Health Commission on Global Eye Health
There is extensive evidence showing that improving eye health contributes directly and indirectly to achieving many Sustainable Development Goals, including reducing poverty and improving work productivity, general and mental health, and education and equity. Improving eye health is a practical and cost-effective way of unlocking human potential. Eye health needs to be reframed as an enabling, cross-cutting issue within the sustainable developmen…
The effects of armed conflict on the health of women and children
Political science (40 obras) · Medicine (38 obras) · Global Maternal and Child Health (28 obras) · Economic growth (23 obras) · Economics (23 obras) · Business (22 obras) · Public health (22 obras) · Environmental health (21 obras) · Computer Science (18 obras) · Nursing (17 obras)