PDF(Pubmed)
Abstract：
BACKGROUND: Forced displacement is a crucial determinant of poor health. With 31 people displaced every minute worldwide, this is an important global issue. Addressing this, the Participation Revolution workstream from the World Humanitarian Summit\'s Localisation commitments has gained traction in attempting to improve the effectiveness of humanitarian aid. Simultaneously, digital health initiatives have become increasingly ubiquitous tools in crises to deliver humanitarian assistance and address health burdens.
OBJECTIVE: This scoping review explores how the localisation agenda\'s commitment to participation has been adopted within digital health interventions used by displaced people in low-and-middle-income countries.
METHODS: This review adopted the Arksey and O\'Malley approach and searched five academic databases and three online literature repositories with a Population, Concept and Context inclusion criteria. Data were synthesised and analysed through a critical power lens from the perspective of displaced people in low-and-middle-income-countries.
RESULTS: 27 papers demonstrated that a heterogeneous group of health issues were addressed through various digital health initiatives, principally through the use of mobile phones. The focus of the literature lay largely within technical connectivity and feasibility assessments, leaving a gap in understanding potential health implications. The varied conceptualisation of the localisation phenomenon has implications for the future of participatory humanitarian action: Authorship of reviewed literature primarily descended from high-income countries exposing global power dynamics leading the narrative. However, power was not a central theme in the literature: Whilst authors acknowledged the benefit of local involvement, participatory activities were largely limited to informing content adaptations and functional modifications within pre-determined projects and objectives.
CONCLUSIONS: With over 100 million people displaced globally, effective initiatives that meaningfully address health needs without perpetuating harmful inequalities are an essential contribution to the humanitarian arena. The gap in health outcomes evidence, the limited constructions of health, and the varying and nuanced digital divide factors are all indicators of unequal power in the digital health sphere. More needs to be done to address these gaps meaningfully, and more meaningful participation could be a crucial undertaking to achieve this. Registration The study protocol was registered before the study (10.17605/OSF.IO/9D25R) at https://osf.io/9d25r .
OBJECTIVE: This scoping review explores how the localisation agenda\'s commitment to participation has been adopted within digital health interventions used by displaced people in low-and-middle-income countries.
METHODS: This review adopted the Arksey and O\'Malley approach and searched five academic databases and three online literature repositories with a Population, Concept and Context inclusion criteria. Data were synthesised and analysed through a critical power lens from the perspective of displaced people in low-and-middle-income-countries.
RESULTS: 27 papers demonstrated that a heterogeneous group of health issues were addressed through various digital health initiatives, principally through the use of mobile phones. The focus of the literature lay largely within technical connectivity and feasibility assessments, leaving a gap in understanding potential health implications. The varied conceptualisation of the localisation phenomenon has implications for the future of participatory humanitarian action: Authorship of reviewed literature primarily descended from high-income countries exposing global power dynamics leading the narrative. However, power was not a central theme in the literature: Whilst authors acknowledged the benefit of local involvement, participatory activities were largely limited to informing content adaptations and functional modifications within pre-determined projects and objectives.
CONCLUSIONS: With over 100 million people displaced globally, effective initiatives that meaningfully address health needs without perpetuating harmful inequalities are an essential contribution to the humanitarian arena. The gap in health outcomes evidence, the limited constructions of health, and the varying and nuanced digital divide factors are all indicators of unequal power in the digital health sphere. More needs to be done to address these gaps meaningfully, and more meaningful participation could be a crucial undertaking to achieve this. Registration The study protocol was registered before the study (10.17605/OSF.IO/9D25R) at https://osf.io/9d25r .
摘要：
背景：被迫流离失所是健康状况不佳的关键决定因素。全球每分钟有31人流离失所，这是一个重要的全球性问题。解决这个问题，世界人道主义峰会本地化承诺的参与革命工作流程在试图提高人道主义援助的有效性方面获得了牵引力。同时,数字卫生倡议已成为危机中越来越普遍的工具，以提供人道主义援助和解决卫生负担。
目的：本范围审查探讨了本地化议程对参与的承诺如何在中低收入国家流离失所者使用的数字健康干预措施中得到采纳。
方法：这篇综述采用了Arksey和O\'Malley方法，并搜索了五个学术数据库和三个带有Population，概念和上下文包含标准。从中低收入国家流离失所者的角度，通过临界功率透镜对数据进行了综合和分析。
结果：27篇论文表明，通过各种数字健康计划解决了一组不同的健康问题，主要通过使用手机。文献的重点主要在于技术连通性和可行性评估，在理解潜在的健康影响方面留下了空白。本地化现象的各种概念化对参与性人道主义行动的未来产生了影响：经审查的文献的作者主要来自高收入国家，这些国家暴露了主导叙事的全球权力动态。然而,权力不是文献中的中心主题：虽然作者承认当地参与的好处，参与性活动在很大程度上仅限于在预先确定的项目和目标内告知内容调整和功能修改。
结论：全球有超过1亿人流离失所，在不使有害的不平等长期存在的情况下，有意义地满足卫生需求的有效举措是对人道主义领域的重要贡献。健康结果的差距证据，有限的健康结构，变化和细微差别的数字鸿沟因素都是数字健康领域权力不平等的指标。需要做更多的工作来有意义地解决这些差距，更有意义的参与可能是实现这一目标的一项关键任务。注册研究方案在研究前注册(10.17605/OSF。IO/9D25R)位于https://osf.io/9d25r。
目的：本范围审查探讨了本地化议程对参与的承诺如何在中低收入国家流离失所者使用的数字健康干预措施中得到采纳。
方法：这篇综述采用了Arksey和O\'Malley方法，并搜索了五个学术数据库和三个带有Population，概念和上下文包含标准。从中低收入国家流离失所者的角度，通过临界功率透镜对数据进行了综合和分析。
结果：27篇论文表明，通过各种数字健康计划解决了一组不同的健康问题，主要通过使用手机。文献的重点主要在于技术连通性和可行性评估，在理解潜在的健康影响方面留下了空白。本地化现象的各种概念化对参与性人道主义行动的未来产生了影响：经审查的文献的作者主要来自高收入国家，这些国家暴露了主导叙事的全球权力动态。然而,权力不是文献中的中心主题：虽然作者承认当地参与的好处，参与性活动在很大程度上仅限于在预先确定的项目和目标内告知内容调整和功能修改。
结论：全球有超过1亿人流离失所，在不使有害的不平等长期存在的情况下，有意义地满足卫生需求的有效举措是对人道主义领域的重要贡献。健康结果的差距证据，有限的健康结构，变化和细微差别的数字鸿沟因素都是数字健康领域权力不平等的指标。需要做更多的工作来有意义地解决这些差距，更有意义的参与可能是实现这一目标的一项关键任务。注册研究方案在研究前注册(10.17605/OSF。IO/9D25R)位于https://osf.io/9d25r。
