Syria is a country which underwent an armed conflict for 10 years and suffered from the weaponisation of health.
A mixed-methods systematic review including quantitative, qualitative, mixed-methods and textual literature between 2011 and 2021 including papers on the Syrian MEHPT undergraduate and postgraduate education and training personnel (including medicine, dentistry, pharmacy, nursing, midwifery and allied health professionals). The electronic search was conducted in October 2018 in Embase, Global Health, Medline, PsycINFO, Web of Science, PubMed, Scopus, CINAHL and grey literature. And an update to the search was conducted in August 2021 in PubMed, Google Scholar and Trip database.
The impact of conflict on the MEHPT system, personnel, experiences, challenges and channels of support.
Of the 5710 citations screened, 70 met the inclusion criteria (34 quantitative, 3 qualitative, 1 mixed-method, and 32 reports and opinion papers). The two major cross-cutting themes were attacks on MEHPT and innovations (present in 41% and 44% of the papers, respectively), followed by challenges facing the MEHPT sector and attitudes and knowledge of trainees and students, and lastly health system and policy issues, and narrating experiences.
Conflict in Syria has politicised all aspects of MEHPT. Influenced by political control, the MEHPT system has been divided into two distinguished geopolitical contexts; government-controlled areas (GCAs) and non-GCAs (NGCAs), each having its characteristics and level of war impact. International and regional academic institutes collaboration and coordination efforts are needed to formulate educational platforms using innovative approaches (such as online/blended/store-and-forward/peer-training/online tutoring) to strengthen and build the capacity of the health workforce in conflict-affected areas.
方法:叙利亚是一个经历了10年武装冲突并遭受卫生武器化的国家。
方法:混合方法系统综述,包括定量,定性,2011年至2021年之间的混合方法和文本文献,包括关于叙利亚MEHPT本科和研究生教育和培训人员的论文(包括医学,牙科,药房,护理,助产士和专职卫生专业人员)。电子搜索于2018年10月在Embase进行,全球卫生,Medline,PsycINFO,WebofScience,PubMed,Scopus,CINAHL和灰色文献。2021年8月,PubMed对搜索进行了更新,谷歌学者和旅行数据库。
结果:冲突对MEHPT系统的影响,人员,经验,挑战和支持渠道。
结果:在筛选的5710篇引文中,70符合纳入标准(34个定量,3定性,1混合方法,和32份报告和意见文件)。两个主要的交叉主题是对MEHPT的攻击和创新(在41%和44%的论文中,分别),其次是MEHPT部门面临的挑战以及学员和学生的态度和知识,最后是卫生系统和政策问题,和叙述经验。
结论:叙利亚的冲突已将MEHPT的所有方面政治化。受政治控制的影响,MEHPT系统被划分为两个独特的地缘政治背景;政府控制区(GCA)和非GCA(NGCA),每个人都有其特点和战争影响水平。需要国际和区域学术机构的合作与协调努力,以使用创新方法(例如在线/混合/存储和转发/同伴培训/在线辅导)来制定教育平台,以加强和建设卫生人员的能力。受冲突影响的地区。