Addressing culture and context in humanitarian response: preparing desk reviews to inform mental health and psychosocial support.

Journal: Conflict and health

Volume: 11

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, North Broadway Rm. , Baltimore, MD USA. Research & Development Department, War Child Holland, Amsterdam, the Netherlands. Duke Global Health Institute, Duke University, Durham, NC USA. Public Health Section, United Nations High Commissioner for Refugees, Geneva, Switzerland. Division of Social and Transcultural Psychiatry, McGill University, Montréal, QC Canada. Department of Psychology, Université du Québec à Montréal, Montréal, QC Canada. Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK. Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland.

Abstract summary 

Delivery of effective mental health and psychosocial support programs requires knowledge of existing health systems and socio-cultural context. To respond rapidly to humanitarian emergencies, international organizations often seek to design programs according to international guidelines and mobilize external human resources to manage and deliver programs. Familiarizing international humanitarian practitioners with local culture and contextualizing programs is essential to minimize risk of harm, maximize benefit, and optimize efficient use of resources. Timely literature reviews on traditional health practices, cultural beliefs and attitudes toward mental health and illness, local health care systems and previous experiences with humanitarian interventions can provide international practitioners with crucial background information to improve their capacity to work efficiently and with maximum benefit. In this paper, we draw on experience implementing desk review guidance from the World Health Organization (WHO) and UNHCR, the United Nations Refugee Agency (2012) in four diverse humanitarian crises (earthquakes in Haiti and Nepal; forced displacement among Syrians and Congolese). We discuss critical parameters for the design and implementation of desk reviews, and discuss current challenges and future directions to improve mental health care and psychosocial support in humanitarian emergencies.

Authors & Co-authors:  Greene M Claire MC Jordans Mark J D MJD Kohrt Brandon A BA Ventevogel Peter P Kirmayer Laurence J LJ Hassan Ghayda G Chiumento Anna A van Ommeren Mark M Tol Wietse A WA

Study Outcome 

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Statistics
Citations :  Inter-Agency Standing Committee . IASC guidelines on mental health and psychosocial support in emergency settings. Geneva: IASC; 2007.
Authors :  9
Identifiers
Doi : 21
SSN : 1752-1505
Study Population
Male,Female
Mesh Terms
Other Terms
Context;Culture;Desk review;Emergency;Humanitarian;Mental health;Psychosocial
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England