Reproductive, Maternal, Newborn and Child Health Service Delivery During Conflict in Yemen: a Case Study Hannah Tappis1* , Sarah Elaraby1, Shatha Elnakib1, Nagiba A
Tappis et al. Conflict and Health (2020) 14:30 https://doi.org/10.1186/s13031-020-00269-x RESEARCH Open Access Reproductive, maternal, newborn and child health service delivery during conflict in Yemen: a case study Hannah Tappis1* , Sarah Elaraby1, Shatha Elnakib1, Nagiba A. Abdulghani AlShawafi2, Huda BaSaleem3, Iman Ahmed Saleh Al-Gawfi2, Fouad Othman4, Fouzia Shafique5, Eman Al-Kubati5, Nuzhat Rafique5 and Paul Spiegel1 Abstract Background: Armed conflict, food insecurity, epidemic cholera, economic decline and deterioration of essential public services present overwhelming challenges to population health and well-being in Yemen. Although the majority of the population is in need of humanitarian assistance and civil servants in many areas have not received salaries since 2016, many healthcare providers continue to work, and families continue to need and seek care. Methods: This case study examines how reproductive, maternal, newborn, child and adolescent health and nutrition (RMNCAH+N) services have been delivered since 2015, and identifies factors influencing implementation of these services in three governorates of Yemen. Content analysis methods were used to analyze publicly available documents and datasets published since 2000 as well as 94 semi-structured individual and group interviews conducted with government officials, humanitarian agency staff and facility-based healthcare providers and six focus group discussions conducted with community health midwives and volunteers in September–October 2018. Results: Humanitarian response efforts focus on maintaining basic services at functioning facilities, and deploying mobile clinics, outreach teams and community health volunteer networks to address urgent needs where access is possible. Attention to specific aspects of RMNCAH+N varies slightly by location, with differences driven by priorities of government authorities, levels of violence, humanitarian access and availability of qualified human resources.
[Show full text]