Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews

Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews

IntroductionThe Middle East and North African (MENA) region is characterised by high and complex migration flows, yet little is known about the health of migrant populations, their levels of underimmunisation and access to healthcare provision. Data are needed to support regional elimination and con...

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Published in:BMJ open Vol. 14; no. 7; p. e083813
Main Authors: Seedat, Farah, Evangelidou, Stella, Abdellatifi, Moudrick, Bouaddi, Oumnia, Cuxart-Graell, Alba, Edries, Hassan, Elafef, Eman, Maatoug, Taha, Ouahchi, Anissa, Mathilde Pampiri, Liv, Deal, Anna, Arias, Sara, Abdelkhalek, Adel, Arisha, Ahmed Hamed, Assarag, Bouchra, Bani, Ibrahim Ahmed, Chaoui, Aasmaa, Chemao-Elfihri, Wafa, Hassouni, Kenza, Hilali, Mahmoud, Khalis, Mohamed, Mansour, Wejdene, Mtiraoui, Ali, Wickramage, Kolitha, Zenner, Dominik, Requena-Mendez, Ana, Hargreaves, Sally, Migrant Health Working Group, MENA, Adam, Asad, Aissa, Adnene Ben Haj, Agyemang, Charles, Altyib, Salma, Ardalan, Ali, Belgacem, Hanen Ben, Belkhammar, Imane, Calvot, Thomas, Casamitjana, Nuria, Ceretti, Luciana, Chavassieux, Nelly, Chrifi, Hassan, Douagi, Mohamed, Elnil, Algdail, Fanjul, Gonzalo, Fouad, Fouad M, Hamed, Ahmed, Ito, Chiaki, Khelifi, Abdedayem, Makhlouf, Lora, Mokni, Maissa, Olchini, Davide, Oufkir, Tarik, Park, Nasong, Raffa, Giuseppe, Saidi, Wafa, Santafé, Sandra, Sironi, Alice, Temimi, Fatma, Turki, Zeineb
Format: Journal Article
Language:English
Published: England British Medical Journal Publishing Group 13-07-2024
BMJ Publishing Group LTD
BMJ Publishing Group
Subjects:
Africa, Northern
EPIDEMIOLOGY
Global Health
Health Policy
Health Services Accessibility
Humans
Immunization
Medicin och hälsovetenskap
MENTAL HEALTH
Middle East
Political asylum
Protocol
Public health
Research Design
Systematic Review
Systematic Reviews as Topic
Transients and Migrants
Tropical diseases
Tuberculosis
Africa, Northern
Middle East
Lebanon
Morocco
Sudan
Egypt
Libya
Tunisia
PUBLIC HEALTH
MENTAL HEALTH
Health policy
Systematic Review
EPIDEMIOLOGY
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Summary:IntroductionThe Middle East and North African (MENA) region is characterised by high and complex migration flows, yet little is known about the health of migrant populations, their levels of underimmunisation and access to healthcare provision. Data are needed to support regional elimination and control targets for key diseases and the design and delivery of programmes to improve health outcomes in these groups. This protocol describes a suite of seven systematic reviews that aim to identify, appraise and synthesise the available evidence on the burden and health outcomes, policies and access (barriers and facilitators) related to these mobile populations in the region.MethodsSeven systematic reviews will cover three questions to explore the: (1) burden and health outcomes, (2) policies and (3) healthcare barriers and facilitators for the following seven disease areas in migrants in the MENA region: tuberculosis, HIV and hepatitis B and C, malaria and neglected tropical diseases, diabetes, mental health, maternal and neonatal health, and vaccine-preventable diseases. We will search electronic databases for studies in any language (year 2000–2023), reference-check relevant publications and cross-check included studies with experts. We will search for grey literature by hand searching key databases and websites (including regional organisations and MoH websites) for country-specific guidelines and talking to our network of experts for local and regional reports and key datasets. We will assess the studies and policies for their quality using appropriate tools. We will meta-analyse the data by disease outcome if they are of sufficient volume and similarity. Where meta-analysis is not possible and where data are on policy or access, we will narratively synthesise the evidence using summary tables, figures and text.DisseminationWe anticipate disseminating the findings through peer-reviewed publications, conferences and other formats relevant to all stakeholders. We are following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and protocols will be registered on International Prospective Register of Systematic Reviews.
Bibliography:Protocol
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AR-M and SH contributed equally.
Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.
AR-M and SH are joint senior authors.
None declared.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2023-083813