Imperial College London
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Dr Aula Abbara MBBS DTMH MD(Res)

Faculty of Medicine, Department of Infectious Disease

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

a.abbara15 Website

 
 
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Location

 

St Marys Multiple BuildingsSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Parkes:2022:10.1186/s13031-022-00493-7,
author = {Parkes, P and Pillay, T and Bdaiwi, Y and Simpson, R and Almoshmosh, N and Murad, L and Abbara, A},
doi = {10.1186/s13031-022-00493-7},
journal = {Conflict and Health},
title = {Telemedicine interventions in six conflict-affected countries in the WHO Eastern Mediterranean region: a systematic review},
url = {http://dx.doi.org/10.1186/s13031-022-00493-7},
volume = {16},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: The COVID-19 pandemic has escalated the use of telemedicine in both high and low resource settings however its use has preceded this, particularly in conflict-affected settings. Several countries in the WHO Eastern Mediterranean (EMR) region are affected by complex, protracted crises. Though telemedicine has been used in such settings, there has been no comprehensive assessment of what interventions are used, their efficacy, barriers, or current research gaps. Objectives: To perform a systematic review of academic and grey literature, identifying telemedicine interventions in select, EMR conflict-affected settings and relevant enablers and barriers to their implementation.Methods: A systematic search of ten academic databases and 3 grey literature sources from January 1st 2000 to December 31st 2020 was completed. Included articles reported on telemedicine use in six conflict-affected EMR countries (or territories) graded as WHO Health Emergencies: Afghanistan, Gaza, Iraq, Libya, Syria and Yemen. Data were extracted and narratively synthesised due to heterogeneity in study design and outcomes.Results: Of 3419 articles identified, twenty-one peer-reviewed and three grey literature sources met the inclusion criteria. We analysed these by context, intervention, and evaluation. Context: eight related to Afghanistan, eight to Syria and seven to Iraq with one each in Yemen and Gaza. Most were implemented by humanitarian or academic organisations with projects mostly initiated in the United States or Europe and mostly by physicians. The in-country links were mostly health professionals rather than patients seeking specialist inputs for specialities not locally available. Interventions: These included both SAF (store and forward) and RT (real-time) with a range of specialities represented including radiology, histopathology, dermatology, mental health, and intensive care. Evaluation: most papers were observational or descriptive with few describing quality measur
AU  - Parkes,P
AU  - Pillay,T
AU  - Bdaiwi,Y
AU  - Simpson,R
AU  - Almoshmosh,N
AU  - Murad,L
AU  - Abbara,A
DO  - 10.1186/s13031-022-00493-7
PY  - 2022///
SN  - 1752-1505
TI  - Telemedicine interventions in six conflict-affected countries in the WHO Eastern Mediterranean region: a systematic review
T2  - Conflict and Health
UR  - http://dx.doi.org/10.1186/s13031-022-00493-7
UR  - http://hdl.handle.net/10044/1/101375
VL  - 16
ER  -
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