Healthcare system resilience in Bangladesh and Haiti in times of global changes (climate-related events, migration and Covid-19): an interdisciplinary mixed method research protocol

BMC Health Services Research

Mowtushi Matin¹  Maeva Belloiseau²  Jean-Marc Goudet²  Sofia Meister²  Lucie Clech²  Lucas Franceschin²  Charlotte Paillard Turenne²  Valéry Ridde²  Annabel Desgrées du Loû²  Patrick Cloos³  Christian Dagenais⁴  Malabika Sarker⁵  Manuela De Allegri⁵  Tarik Benmarhnia⁶  Emmanuel Bonnet⁷  Ludovic Queuille⁸  Alain Casseus⁹  Dominique Mathon^1,10  Daniel Henrys^1,10 

[1] BRAC James P Grant School of Public Health, BRAC University;Centre Population et Développement (Ceped), Université de Paris, IRD, INSERM, Ceped;Département de médecine sociale et préventive, École de santé publique, École de travail social, Centre de recherche en santé publique (CRESP), Université de Montréal;Département de psychologie, Université de Montréal;Heidelberg Institute of Global Health, University Hospital and Medical Faculty, University of Heidelberg;Herbert Wertheim School of Public Health & Scripps Institution of Oceanography University of California;IRD, UMR 215 Prodig, 5, cours des Humanités;World Bank;Zanmi Lasante;École supérieure d’infotronique d’Haïti;

关键词: Healthcare systems resilience;    Global change;    Climate change;    Migration;    Covid-19;    Mixed-methods;   

DOI  :  10.1186/s12913-021-07294-3

来源: DOAJ

【 摘 要 】

Abstract Background Since climate change, pandemics and population mobility are challenging healthcare systems, an empirical and integrative research to studying and help improving the health systems resilience is needed. We present an interdisciplinary and mixed-methods research protocol, ClimHB, focusing on vulnerable localities in Bangladesh and Haiti, two countries highly sensitive to global changes. We develop a protocol studying the resilience of the healthcare system at multiple levels in the context of climate change and variability, population mobility and the Covid-19 pandemic, both from an institutional and community perspective. Methods The conceptual framework designed is based on a combination of Levesque’s Health Access Framework and the Foreign, Commonwealth and Development Office’s Resilience Framework to address both outputs and the processes of resilience of healthcare systems. It uses a mixed-method sequential exploratory research design combining multi-sites and longitudinal approaches. Forty clusters spread over four sites will be studied to understand the importance of context, involving more than 40 healthcare service providers and 2000 households to be surveyed. We will collect primary data through questionnaires, in-depth and semi-structured interviews, focus groups and participatory filming. We will also use secondary data on environmental events sensitive to climate change and potential health risks, healthcare providers’ functioning and organisation. Statistical analyses will include event-history analyses, development of composite indices, multilevel modelling and spatial analyses. Discussion This research will generate inter-disciplinary evidence and thus, through knowledge transfer activities, contribute to research on low and middle-income countries (LMIC) health systems and global changes and will better inform decision-makers and populations.

【 授权许可】

Unknown