背景:随着全球旷日持久的难民危机的增加,必须确保在流离失所环境中建立强大的国家卫生信息系统(HIS),其中包括对难民敏感的数据和按难民身份分类。这项多国研究旨在评估难民健康数据与约旦国家HIS的整合程度,黎巴嫩,在收集和报告与难民有关的健康指标方面,确定其国家HIS的优势和劣势。
方法:本研究采用比较国家分析方法,采用三阶段框架。第一阶段涉及审查全球卫生组织编制的4120项指标,接下来是多阶段的细化过程,导致45个指标分布在五个主题上。第二阶段包括从文献中选择相关标准,包括数据源,年度报告,按难民身份分类,难民人口调整,准确度,和一致性。第三阶段涉及根据这些标准评估数据可用性和选定指标的质量。
结果:我们的分析揭示了评估约旦难民健康状况的重大挑战,黎巴嫩,乌干达,主要源于现有健康数据和指标的限制。具体来说,我们发现了重大问题,包括依赖国际数据源的不完整的本地数据收集,从不同实体收集的零散数据导致差异,在大多数指标上,难民和收容人口之间缺乏区别。这些限制阻碍了准确的比较和分析。根据这些发现,提出了一系列可行的建议,以指导这三个国家的政策制定者改善将难民健康数据整合到其国家HIS中,最终提高难民的福祉和获得医疗保健服务的机会。
结论:约旦难民相关健康数据的现状,黎巴嫩,乌干达表示需要改进数据收集和报告做法,按难民身份进行分类,并将难民健康数据更好地纳入国家HIS,以了解东道国难民的健康状况和需求。关键的改进策略包括建立一个集中的机构,以实现一致和高效的数据管理,促进透明和包容性的数据治理,加强劳动力能力,以有效管理难民健康数据。
BACKGROUND: With the increasing number of protracted refugee crises globally, it is essential to ensure strong national health information systems (HIS) in displacement settings that include refugee-sensitive data and disaggregation by refugee status. This multi-country study aims to assess the degree of integration of refugee health data into national HIS in Jordan, Lebanon, and Uganda and identify the strengths and weaknesses of their national HIS in terms of collecting and reporting on refugee-related health indicators.
METHODS: The study employs a comparative country analysis approach using a three-phase framework. The first phase involved reviewing 4120 indicators compiled from global health organizations, followed by a multi-stage refinement process, resulting in 45 indicators distributed across five themes. The second phase consisted of selecting relevant criteria from the literature, including data sources, annual reporting, disaggregation by refugee status, refugee population adjustments, accuracy, and consistency. The third phase involved assessing data availability and quality of the selected indicators against these criteria.
RESULTS: Our analysis uncovered significant challenges in assessing the health status of refugees in Jordan, Lebanon, and Uganda, primarily stemming from limitations in the available health data and indicators. Specifically, we identified significant issues including incomplete local data collection with reliance on international data sources, fragmented data collection from various entities leading to discrepancies, and a lack of distinction between refugees and host populations in most indicators. These limitations hinder accurate comparisons and analyses. In light of these findings, a set of actionable recommendations was proposed to guide policymakers in the three countries to improve the integration of refugee health data into their national HIS ultimately enhancing refugees\' well-being and access to healthcare services.
CONCLUSIONS: The current status of refugee-related health data in Jordan, Lebanon, and Uganda indicates the need for improved data collection and reporting practices, disaggregation by refugee status and better integration of refugee health data into national HIS to capture the health status and needs of refugees in host countries. Key improvement strategies include establishing a centralized authority for consistent and efficient data management, fostering transparent and inclusive data governance, and strengthening workforce capacity to manage refugee health data effectively.