Conflict and Health最新文献

{"title":"Availability of essential medicines, inventory management practices, and related challenges in internally displaced persons (IDP) camps, eastern Amhara, Ethiopia: an explanatory sequential mixed study.","authors":"Tekletsadik Tekleslassie Alemayehu, Alem Endeshaw Woldeyohanins, Eskedar Dires Gebremeskel, Gebremariam Wulie Geremew, Yilkal Abebaw Wassie, Mekonnen Derese Mekete, Tefera Minwagaw, Tesfaye Birhanu Abebe, Kelemnesh Seifu","doi":"10.1186/s13031-025-00697-7","DOIUrl":"10.1186/s13031-025-00697-7","url":null,"abstract":"<p><strong>Background: </strong>The ongoing conflicts and natural disasters in Ethiopia have led to a significant increase in the number of Internally Displaced Persons (IDPs), necessitating effective healthcare delivery in IDP camps. This study aims to assess the availability of essential medicines and inventory management practices and to identify common challenges within these camps in Eastern Amhara, Ethiopia.</p><p><strong>Methods: </strong>An explanatory sequential mixed method was employed, from August to October 2023, in 5 IDP camps in Eastern Amhara, Ethiopia. Structured and semi-structure questionnaires were utilized. Data were collected through face-to-face and telephone interview, document review, and observation. Quantitative data were entered into Epi Data version 4.6 and analyzed by SPSS window version 26, and descriptive statistics were computed and summarized results were presented by using text, tables and graphs, while thematic analysis using open code software was employed for qualitative data analysis.</p><p><strong>Results: </strong>The average availability of essential medicines in IDP camps was 77.3%. Inventory control cards were available in nearly half of the OPDs clinics in IDP camps. However, the overall updating practice on transaction was 0%. None of the IDP camps met the criteria for acceptable storage conditions. Only 18.2% of OPD clinics are adhered to FEFO inventory control procedure. Common challenges affecting the availability of essential medicines and inventory management practices in IDP include poor inventory management practices, national stock outs, irrational drug use, fraud and theft, insecurity, inadequate infrastructure, uncertainty, reliance on push delivery systems, lack of inter-agency collaboration, and limited resources.</p><p><strong>Conclusion: </strong>The study found that while the average availability of essential medicines in IDP camps was fairly- high, stockouts were common, and none of the camps met the established criteria for acceptable storage conditions. Inventory management practices were weak, with poor adherence to protocols such as bin card updating, stock level reviews, and the FEFO system. The current study suggest that significant efforts are being made to supply IDP camps with essential medicines, despite the challenges posed by poor inventory management, national-level stock shortages, irrational drug use, fraud and theft, insecurity, inadequate infrastructure, uncertainty, reliance on push delivery systems, lack of inter-agency collaboration, and limited resources.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"56"},"PeriodicalIF":3.4,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12323210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding the evidence on integration of cash assistance in gender-based violence case management in humanitarian settings: lessons learned from multi-country evaluations.","authors":"Emily Lyles, Nancy Glass, Elisabeth Sidabutar, Erika Garcia Roa, Carlos Hoyos, Andrea Pacheco, Diana Sarria, Alice Golay, Joanna Friedman, Eleonora Argenti, Madeline Madani, Pamela Di Camillo, Giada Cicognola, Elena Bertola, Shannon Doocy","doi":"10.1186/s13031-025-00691-z","DOIUrl":"10.1186/s13031-025-00691-z","url":null,"abstract":"","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"55"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating a culturally adapted mental health intervention within entrepreneurship training for displaced youth in Colombia: a pilot randomized controlled trial.","authors":"Alethea Desrosiers, María Pineros-Leano, Indrani Saran, Catalina Escobar, Natalia Pineros-Leano, María Paula Jimenez, Andres Moya, Theresa S Betancourt","doi":"10.1186/s13031-025-00675-z","DOIUrl":"10.1186/s13031-025-00675-z","url":null,"abstract":"<p><strong>Background: </strong>In Colombia, ~ 9 million youth and families have been negatively affected by decades of conflict and displacement, and ~ 2.9 million Venezuelans have migrated to Colombia. Many have experienced mental health issues in addition to socio-economic problems, but significant gaps remain in mental health service provision. We conducted a pilot-feasibility study of a culturally adapted mental health intervention integrated within entrepreneurship training for displaced Venezuelan and Colombian youth in Bogota, Colombia.</p><p><strong>Methods: </strong>We recruited and enrolled 296 youth (52% Colombian; 71% female) aged 18-30 residing in Bogota with histories of displacement. Youth were randomized to a 2-week (10-day) integrated mental health and entrepreneurship program or to a waitlist control. Qualitative data on feasibility, acceptability and appropriateness was collected via exit interviews with a subset of youth (N = 24) and facilitators (N = 10). Quantitative data on mental health outcomes was collected at baseline, post-intervention and 6-month follow-up. Qualitative data was analyzed using an open-coding process. Quantitative data was analyzed using linear mixed effects models focusing on intent-to-treat impacts.</p><p><strong>Results: </strong>Qualitative findings suggested that participants were highly satisfied with the intervention, but they faced challenges with participation, including difficulties with transportation, childcare, and work schedules. Mixed effects models showed no significant differences on mental health outcomes between intervention participants compared with controls.</p><p><strong>Conclusion: </strong>Venezuelan and Colombian youth with histories of displacement perceived the integrated intervention as acceptable and beneficial, but attending the 10-day program was challenging. Future implementation efforts should consider hybrid formats or adjusting delivery pacing to better fit the daily lives of displaced youth.</p><p><strong>Clinical trials registry: </strong>NCT05857722.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"54"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of epidemics of substance misuse and suicide in Syria: casualties of protracted conflict and political instability.","authors":"Diana Rayes, Nadim Almoshmosh, Aala El-Khani, Munzer Alkhalil, Sara Basha, Fouad Fouad, Mohammad Abo Hilal, Beshr Hussain, Aula Abbara","doi":"10.1186/s13031-025-00689-7","DOIUrl":"10.1186/s13031-025-00689-7","url":null,"abstract":"<p><strong>Background: </strong>Over a decade of conflict in Syria had resulted in significant displacement and an increase in humanitarian needs. Emerging evidence points to a growing burden of substance misuse and deliberate self-harm- issues that remain underreported due to stigma, fear of criminalization, and a fragmented health system. This scoping review provides an overview of the prevalence, risk factors and health services available for these conditions inside Syria, supplemented by findings from an expert workshop with Syrian mental health stakeholders.</p><p><strong>Methods: </strong>A scoping review of academic and grey literature was conducted across PubMed, PsycINFO, Embase, and Google Scholar using terms related to substance misuse, suicide, self-harm, and Syria. Studies published on or after the onset of the Syrian conflict in 2011 and available in English or Arabic were included. These findings were contextualized with insights from an expert workshop conducted in Arabic, which included 25 Syrian mental health stakeholders, including psychologists, psychiatrists, public health, and policy professionals to identify priorities for research, programming and policy.</p><p><strong>Results: </strong>Our review identified a total of 29 sources (15 peer-reviewed and 14 from the grey literature) on substance misuse and self-harm inside Syria. Overall, data on the prevalence of these conditions in Syria is limited, with significant gaps in quality, consistency, and geographic coverage. Workshop participants identified critical barriers to understanding the scale and scope of these conditions including stigma, lack of trained personnel, and insufficient integration of services. Recommendations included expanding telemental health services, adopting WHO mhGAP tools to increase capacity of staff in primary care settings, investing in long-term MHPSS programming, and scaling up family-skills training to prevent substance misuse and self-harm.</p><p><strong>Conclusions: </strong>Though current evidence gaps and shortfalls in funding around substance misuse and deliberate self-harm in Syria remain, this study highlights the urgent need to address substance misuse and self-harm in Syria through multi-level, culturally adapted interventions, as well as through comprehensive mental health system reform and policy. Prioritizing MHPSS within Syria's health reconstruction agenda, particularly for internally displaced and high-risk populations, is essential for long-term peacebuilding and recovery.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"52"},"PeriodicalIF":3.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Handwashing with soap and influencing factors in crisis-affected refugee populations in Kenya and Uganda.","authors":"Innocent Kamara Tumwebaze, Dennis Akeyo, Vishna Shah, Naomi Ng'ang'a, Sheillah Simiyu","doi":"10.1186/s13031-025-00698-6","DOIUrl":"10.1186/s13031-025-00698-6","url":null,"abstract":"<p><strong>Background: </strong>Crisis-affected populations such as refugees are exposed to a greater risk of communicable diseases due to poor living conditions and limited access to basic services, such as water, sanitation and hygiene services. Hygiene practices such as handwashing with soap provides a critical barrier to disease prevention, for instance diarrheal infections in children under five years. This study aimed to understand the behavioural practice of handwashing with soap and the factors influencing the hygiene behaviour in two crisis-affected populations in Kenya and Uganda.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey in two refugee populations primarily targeting household heads or next in charge of making decisions in the randomly selected households. We also carried out structured observations to observe the general handwashing practices of individuals within the study households.</p><p><strong>Results: </strong>Out of 645 household respondents interviewed, 319 were from Dadaab (Kenya) refugee camp, and 326 from Kyangwali (Uganda) refugee settlement. Self-reported washing of hands with soap was 48.1% in Dadaab and 31.6% in Kyangwali. From the observation of handwashing with soap events, the rates were even lower (Dadaab refugee camp-33. 4% and Kyangwali refugee settlement-12.1%). Rinsing hands with water was the most common practice by individuals in the two communities. Nearly all respondents in Dadaab and Kyangwali used mobile vessels for handwashing needs. Some of the factors associated with handwashing with soap included-availability of water and soap for handwashing needs, time spent on water collection, and presence of handwashing facilities.</p><p><strong>Conclusion: </strong>Our study shows that handwashing with soap is lowly practiced, with the availability of soap and water for handwashing needs and presence of handwashing facilities fundamental. For improvements in handwashing with soap by all household members for collective effect on reducing diarrheal infections in crisis-affected populations, interventions could benefit from further research on the influence of fixed handwashing facilities as prompts to behavioural performance as well as psychosocial determinants influencing behaviour change performance.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"53"},"PeriodicalIF":3.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'They were just enjoying love and she was making money': A qualitative analysis of UN peacekeeper sexual interactions in the Democratic Republic of Congo.","authors":"Samantha Gray, Sandrine Lusamba, Heather Stuart, Sabine Lee, Susan A Bartels","doi":"10.1186/s13031-025-00693-x","DOIUrl":"10.1186/s13031-025-00693-x","url":null,"abstract":"<p><strong>Background: </strong>Peacekeeper-perpetrated sexual exploitation and abuse (SEA) is widespread. While the United Nation's (UN) zero-tolerance policy prohibits all exploitative and abusive peacekeeper sexual interactions with host community members, its implementation has been criticized for failing to recognize women's agency and survival needs by oversimplifying the complex and dynamic romantic and transactional elements. This study aims to demonstrate that not all sexual interactions between peacekeepers and host community members are equally exploitative or abusive.</p><p><strong>Methods: </strong>The Democratic Republic of Congo (DRC) was chosen for this study due to its longstanding history of UN peacekeeping operations, documented cases of peacekeeper-perpetrated SEA, and socio-economic and gendered inequalities that contribute to transactional and coercive sexual interactions. To provide evidence that not all sexual interactions between peacekeepers and host community members are equally exploitative and/or abusive and to better understand how local community members perceive these sexual interactions at the intersection of romance and mutually beneficial transactions, we analysed micro-narrative data (n = 1822) from the eastern DRC.</p><p><strong>Results: </strong>Four prominent types of sexual interactions were identified: romantic, transactional sex, sex work, and sexual assault/harassment. The characteristics of the interactions highlighted the influence of structural factors, economic need, and gendered power. Community perceptions around initiation, intermediaries, and beneficiaries varied and were, by construct, at odds with the UN's conceptualization of sexual interactions between their staff and beneficiaries as exploitative and/or abusive due to the power dynamics inherent in such relationships.</p><p><strong>Conclusions: </strong>The zero-tolerance policy fails to recognize the nuanced range of diverse and dynamic sexual interactions between UN peacekeepers and host community members in the DRC. It is recommended that SEA reporting measures be reconfigured in light of this complexity, and we suggest a non-binary method of measuring the degree of exploitation and abuse. Accepting that sexual interactions between host community members and UN peacekeepers represent varying levels of exploitation and abuse may improve interventions to better prevent and address peacekeeper-perpetrated SEA.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"51"},"PeriodicalIF":3.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"War's youngest victims: a descriptive cross-sectional study on injury distributions, severity patterns, and outcomes among paediatric trauma patients in Kharkiv, Ukraine.","authors":"Filippa Sennersten, Safora Frogh, Gustav Falk, Mariia Matvieienko, Olha Karafulidi, Olha Konstantynovska, Yohan Robinson, Andreas Wladis, Denise Bäckström","doi":"10.1186/s13031-025-00694-w","DOIUrl":"10.1186/s13031-025-00694-w","url":null,"abstract":"<p><strong>Background: </strong>Paediatric trauma in conflict zones is a major public health concern, with children being highly susceptible to both immediate injuries and long-term disabilities. The Russian Invasion of Ukraine in February 2022 has significantly affected the civilian population, particularly children. However, despite reports highlighting the extent of paediatric casualties, empirical data on injury patterns among children in the ongoing conflict remains scarce.</p><p><strong>Objective: </strong>Describe the injury distributions, severity and outcomes of paediatric war-related trauma patients during the Russian invasion of Ukraine, using a hospital-based cohort from Kharkiv.</p><p><strong>Methods: </strong>This descriptive cross-sectional study examined 64 war-related paediatric trauma patients (0-17 years) admitted to two Kharkiv hospitals between February 2022 and November 2023. Injury mechanisms, severity (using Abbreviated Injury Scale and Injury Severity Score [ISS]), and clinical outcomes were assessed.</p><p><strong>Results: </strong>War-related injuries, including blast and shelling, accounted for 26% of all cases. Temporal analysis showed two peaks in injury incidence correlating with significant military events in the region. Analysis of the war-related injuries indicated that the most affected body regions included the upper extremities (31%), lower extremities (28%), and thorax (28%). The median ISS was 9, with over one-third (36%) of patients sustaining severe or critical injuries. Outcomes at discharge revealed a majority, 52%, achieved good recovery, followed by 41% with moderate disabilities. A smaller percentage (3%) faced severe disabilities, while 5% of the cases resulted in fatalities.</p><p><strong>Conclusions: </strong>This study offers new insights into paediatric trauma from modern warfare in a high-income setting, highlighting the occurrence of blast and shelling injuries, injury patterns overall similar to previous conflicts, and high disability rates at discharge. The findings underscore the need for comprehensive trauma care, including acute treatment and long-term rehabilitation, and can inform improvements in care protocols, resource allocation, and rehabilitation strategies.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"50"},"PeriodicalIF":3.4,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic disease patients during the armed conflict in Sudan: a cross-sectional study on mental health and quality of life.","authors":"Sohaib Mohammed Mokhtar Ahmed, Moram Elfadel Abdelrhaman Gasmalha, Ahmed Balla M Ahmed, Khalid Abusofyan Eljezoli Mohammed, Salma Alrawa, Hebatallah Fadhl, Mohanned Abdalsalam Mohammed Salih, Israa Alamin Mohammed Hussein, Asma Mohammed Ahmed Mohammed Salih, Haifa Ibnomer Abdelrahman Elsharif, Hiba Atif Ahmad Elhussein, Sajda Abdelaziz Yahya Abaker, Tagwa Adil Sedahmed Khalefa, Ekhlass Hassan Hdab Hammed, Muhannad Bushra Masaad Ahmed","doi":"10.1186/s13031-025-00695-9","DOIUrl":"10.1186/s13031-025-00695-9","url":null,"abstract":"<p><strong>Background: </strong>Chronic diseases represent a major global health burden, with their impact becoming even more pronounced in conflict settings. In such environments, the mental health and quality of life of chronic disease patients often deteriorate due to the disruptions caused by war. This study aimed to assess mental health issues among chronic disease patients and evaluate their quality of life during the ongoing armed conflict in Sudan.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among chronic disease patients in the safest states of Sudan during the current war. Mental health was assessed with the Patient Health Questionnaire-9 for depression and Generalized Anxiety Disorder-7 for anxiety, and quality of life was evaluated using the EuroQol 5-Dimension 5-Level scale. Chi-square tests and Spearman's rank examined associations between socio-demographic factors and mental health outcomes. Multiple linear regression identified predictors influencing mental health issues, with statistical significance set at p ≤ 0.05.</p><p><strong>Results: </strong>Among 1116 chronic disease patients, the median depression score was 7 (IQR = 8), with 50.3% reporting mild to moderate depression, while the median anxiety score was 6 (IQR = 8), with 47.1% experiencing mild to moderate anxiety. Depression showed significantly strong positive correlation with anxiety (ρ = 0.810, p < 0.00). In terms of health-related quality of life, the pain/discomfort domain showed 40.7% of patients reporting moderate to extreme problems, followed by the anxiety/depression domain at 43.4%, making these the most affected areas.</p><p><strong>Conclusion: </strong>This study revealed high levels of depression and anxiety among Sudanese chronic disease patients during the war, alongside a notably poor quality of life. The findings underscore the urgent need for intervention to implement targeted mental health support programs, aiming to improve the quality of life for this vulnerable population.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"49"},"PeriodicalIF":3.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring disparities and drivers of contraceptive use among Syrian refugee youth: evidence from a mixed-methods study in Jordan.","authors":"Sara Luckenbill, Sarah Baird, Sarah Alheiwidi, Nicola Jones","doi":"10.1186/s13031-025-00690-0","DOIUrl":"10.1186/s13031-025-00690-0","url":null,"abstract":"<p><strong>Background: </strong>Access to sexual and reproductive health services is an explicit element of the Sustainable Development Goals, and is critical for achieving family planning goals and broader well-being of young people. Youth (15-24 years) face many barriers to accessible, quality services, and refugees often experience additional barriers due to physical, economic, legal and/or social exclusion. This study explored these barriers in the context of Jordan, a country that has one of the highest proportions of refugees globally.</p><p><strong>Methods: </strong>This concurrent mixed-methods study utilizes the 2022-2023 Gender and Adolescence: Global Evidence survey data collected from 313 married female youth living in Jordan to describe utilization of contraceptives among Jordanians and Syrian refugees, exploring the role of residence (formal refugee camp, host community or informal tented settlement) and factors associated with contraceptive use among Syrian refugees. A multivariable linear probability model and qualitative data from in-depth individual interviews and focus group discussions were used to explore underlying factors driving differences in contraceptive utilization among Syrian refugee youth.</p><p><strong>Results: </strong>The survey found that 63.4% of Jordanian youth and 42.8% of Syrian refugee youth were recently using contraception, with notable differences in type of contraceptive method used by both refugee status and residence. Among Syrian refugee youth, living in a host community emerged as a key factor associated with contraceptive use, as it was associated with a 19.6 percentage point increase in the likelihood of using contraception compared to those living in refugee camps. Qualitative themes nuance these findings, suggesting that living in a refugee camp where there is more restricted access to healthcare services, more salient social norms, and limited knowledge about reproductive health present barriers to contraceptive use for Syrian refugee youth.</p><p><strong>Conclusions: </strong>These results highlight that youth-friendly reproductive health services are having mixed efficacy in Jordan. Understanding barriers to contraception should inform family planning services for marginalized groups like Syrian refugee youth. There is a need for evidence-informed efforts to expand provision of family planning counselling and access to contraceptives for young married couples in Jordan, and especially for those living in formal refugee camps.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"48"},"PeriodicalIF":3.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Voices of teachers: a qualitative analysis of the feasibility and qualitative perceptions of impact of SEE Learning on the well-being of Ukrainian classrooms before and during war.","authors":"Tyralynn Frazier, Sara Rosenstein, Oleksandr Elkoin, Oleg Marushchenko, Natalia Rudzynska, Tetiana Drozhzhina","doi":"10.1186/s13031-025-00688-8","DOIUrl":"10.1186/s13031-025-00688-8","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the feasibility and qualitative impact of SEE Learning, a school-based Social and Emotional Learning (SEL) program, on the well-being of Ukrainian classrooms amidst war. By prioritizing children's social and emotional development and access to quality education during conflict, this research aims to understand the potential contribution of compassion-based training programs to building sustainable pathways toward peace.</p><p><strong>Methods: </strong>Twenty-three implementing teachers participated in in-depth interviews about SEE Learning implementation and impact. The interviews were conducted in Ukrainian, translated into English, and de-identified for analysis. Data was coded by primary and secondary coders, with agreement determined and analyzed through thematic analysis.</p><p><strong>Results: </strong>Teachers expressed the need for SEE Learning in their classrooms during war. They viewed SEE Learning implementation during war as more important than before the 2022 Russian invasion, allocating extra class time to engage in SEE Learning-specific activities. The program helped teachers cultivate a safe and supportive space for processing difficult emotions brought on by war. Its implementation supported teachers' personal and professional development alongside the building of students' social-emotional skills. Teachers noticed that students were better able to identify and understand their emotions and the emotions of others, creating a more compassionate and productive classroom environment.</p><p><strong>Conclusions: </strong>SEE Learning shows promise in helping teachers create safe, supportive environments and address students' emotional needs in high-conflict contexts. Further research and culturally specific implementations are essential to enhance psychosocial support and resilience in such challenging settings.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"19 1","pages":"47"},"PeriodicalIF":3.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}