PDF(Pubmed)
Abstract：
BACKGROUND: In conflict settings, as it is the case in Syria, it is crucial to enhance health information management to facilitate an effective and sustainable approach to strengthening health systems in such contexts. In this study, we aim to provide a baseline understanding of the present state of health information management in Northwest Syria (NWS) to better plan for strengthening the health information system of the area that is transitioning to an early-recovery stage.
METHODS: A combination of questionnaires and subsequent interviews was used for data collection. Purposive sampling was used to select twenty-one respondents directly involved in managing and directing different domains of health information in the NWS who worked with local NGOs, INGOs, UN-agencies, or part of the Health Working Group. A scoring system for each public health domain was constructed based on the number and quality of the available datasets for these domains, which were established by Checci and others.
CONCLUSIONS: Reliable and aggregate health information in the NWS is limited, despite some improvements made over the past decade. The conflict restricted and challenged efforts to establish a concentrated and harmonized HIS in the NWS, which led to a lack of leadership, poor coordination, and duplication of key activities. Although the UN established the EWARN and HeRAMS as common data collection systems in the NWS, they are directed toward advocacy and managed by external experts with little participation or access from local stakeholders to these datasets.
CONCLUSIONS: There is a need for participatory approaches and the empowerment of local actors and local NGOs, cooperation between local and international stakeholders to increase access to data, and a central domain for planning, organization, and harmonizing the process. To enhance the humanitarian health response in Syria and other crisis areas, it is imperative to invest in data collection and utilisation, mHealth and eHealth technologies, capacity building, and robust technical and autonomous leadership.
METHODS: A combination of questionnaires and subsequent interviews was used for data collection. Purposive sampling was used to select twenty-one respondents directly involved in managing and directing different domains of health information in the NWS who worked with local NGOs, INGOs, UN-agencies, or part of the Health Working Group. A scoring system for each public health domain was constructed based on the number and quality of the available datasets for these domains, which were established by Checci and others.
CONCLUSIONS: Reliable and aggregate health information in the NWS is limited, despite some improvements made over the past decade. The conflict restricted and challenged efforts to establish a concentrated and harmonized HIS in the NWS, which led to a lack of leadership, poor coordination, and duplication of key activities. Although the UN established the EWARN and HeRAMS as common data collection systems in the NWS, they are directed toward advocacy and managed by external experts with little participation or access from local stakeholders to these datasets.
CONCLUSIONS: There is a need for participatory approaches and the empowerment of local actors and local NGOs, cooperation between local and international stakeholders to increase access to data, and a central domain for planning, organization, and harmonizing the process. To enhance the humanitarian health response in Syria and other crisis areas, it is imperative to invest in data collection and utilisation, mHealth and eHealth technologies, capacity building, and robust technical and autonomous leadership.
摘要：
背景：在冲突设置中，就像叙利亚的情况一样，在这种情况下，必须加强卫生信息管理，以促进采取有效和可持续的方法来加强卫生系统。在这项研究中,我们的目标是对叙利亚西北部(NWS)卫生信息管理的现状进行基线了解,以便更好地制定计划,加强该地区正在向早期恢复阶段过渡的卫生信息系统.
方法：采用问卷调查和随后的访谈相结合的方法进行数据收集。目的抽样被用来选择21个受访者直接参与管理和指导与当地非政府组织合作的NWS不同领域的健康信息，INGO,联合国机构，或健康工作组的一部分。根据这些领域可用数据集的数量和质量，构建了每个公共卫生领域的评分系统，由Checci和其他人建立。
结论：NWS中可靠和汇总的健康信息有限，尽管在过去十年中取得了一些进步。冲突限制并挑战了在NWS中建立集中和统一的HIS的努力，导致缺乏领导力，协调性差,以及关键活动的重复。尽管联合国在NWS中建立了EWARN和HeRAMS作为通用数据收集系统，它们是针对倡导和管理的外部专家很少参与或从本地利益相关者访问这些数据集。
结论：需要采取参与性方法，增强地方行为者和地方非政府组织的权能，当地和国际利益攸关方之间的合作，以增加对数据的访问，和一个规划的中心领域，组织,协调过程。加强叙利亚和其他危机地区的人道主义卫生反应，必须投资于数据收集和利用，mHealth和eHealth技术，能力建设,以及强大的技术和自主领导力。
方法：采用问卷调查和随后的访谈相结合的方法进行数据收集。目的抽样被用来选择21个受访者直接参与管理和指导与当地非政府组织合作的NWS不同领域的健康信息，INGO,联合国机构，或健康工作组的一部分。根据这些领域可用数据集的数量和质量，构建了每个公共卫生领域的评分系统，由Checci和其他人建立。
结论：NWS中可靠和汇总的健康信息有限，尽管在过去十年中取得了一些进步。冲突限制并挑战了在NWS中建立集中和统一的HIS的努力，导致缺乏领导力，协调性差,以及关键活动的重复。尽管联合国在NWS中建立了EWARN和HeRAMS作为通用数据收集系统，它们是针对倡导和管理的外部专家很少参与或从本地利益相关者访问这些数据集。
结论：需要采取参与性方法，增强地方行为者和地方非政府组织的权能，当地和国际利益攸关方之间的合作，以增加对数据的访问，和一个规划的中心领域，组织,协调过程。加强叙利亚和其他危机地区的人道主义卫生反应，必须投资于数据收集和利用，mHealth和eHealth技术，能力建设,以及强大的技术和自主领导力。
