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Developing Equitable Primary Health Care in Conflict-Affected Settings

Expert Perspectives From the Frontlines

Bibliographic Data

ID4688028
AuthorsD G Atallah (0000-0002-9310-505X, Boston University, Boston, Massachusetts, USA, corresponding author), Ahmadreza Djalali (Research Center in Emergency and Disaster Medicine (CRIMEDIM), Novara, Italy), Karla Fredricks (0000-0002-0727-9724, Massachusetts General Hospital, Boston, Massachusetts, USA), Lauren Arlington (Massachusetts General Hospital, Boston, Massachusetts, USA), Milagros Bussio (Pontificia Universidad Católica de Chile), Brett D Nelson (0000-0002-5049-1798, Massachusetts General Hospital, Boston, Massachusetts, USA)
Year2018
Volume28
Issue1
Pages98-111
Publication date2018-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732317738972
PMID29105569
OpenAlexW2767790367
LanguageEN
Citations received6
References cited25

Health systems are frequently among the casualties of conflict. Within these settings, increased knowledge is needed on how to rebuild and strengthen health infrastructure resilience, such as primary health care (PHC) systems, in context-specific ways that promote health equity. Therefore, this study aimed to explore perspectives of experts with experience working on frontlines of social crises to contribute to understandings of pathways toward equitable PHC in conflict-affected settings. Semistructured qualitative interviews with 18 expert participants were completed. Through engaging elements of grounded theory situational analysis, three themes emerged iteratively, including (a) Building Blocks, (b) Intermediating Factors, and (c) a Roadmap. These emergent themes contribute to conceptual frameworks explaining key contextually specific priorities, challenges, and facilitating factors for developing resilient health infrastructures under social crises. Findings inform policy and practical guidelines that address complexities of conflict conditions and underscore the importance of PHC development toward promoting health as a human right

Health care · Political science · Psychological resilience · Public health · Public relations · Qualitative research · Situational ethics · Social determinants of health · Social science · Sociology · Disaster Response and Management · Global Maternal and Child Health · Medicine · Migration, Health and Trauma · Nursing · Psychology · Social Psychology

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Unique citing works6
Citations per year1
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 6

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