Healing after war/conflict: transformative health workforce strategies for a resilient future: a systematic scoping review
摘要
Human resources for health (HRH) are critical for effective healthcare delivery, particularly in post-conflict settings where health systems face severe challenges. Post-conflict environments often exacerbate pre-existing HRH challenges, such as shortages, poor working conditions, and limited training opportunities. This scoping review aims to identify and synthesize evidence on interventions addressing HRH in post-conflict settings, highlighting strategies, outcomes, and barriers to their implementation.
MethodsA systematic search was conducted across multiple databases (e.g., PubMed, Scopus, Web of Science) and grey literature sources, including WHO and ReBUILD Consortium reports. Inclusion criteria encompassed quantitative, qualitative, and mixed-method studies, reviews, and guidelines focused on HRH interventions in post-conflict settings published since 1990. Data were charted and analyzed using the Joanna Briggs Institute (JBI) framework to identify key themes, interventions, and outcomes.
ResultsThe review included 14 studies, comprising primary research and systematic, scoping, and narrative reviews. Key interventions identified include recruitment and deployment strategies, capacity-building programs, incentive schemes, and retention mechanisms. Case studies from Sub-Saharan Africa, Southeast Asia, and the Middle East highlighted innovative policies, such as community-based recruitment and accelerated training programs. Barriers to implementation included political instability, lack of funding, and uncoordinated efforts among stakeholders. Successful initiatives involved long-term planning, local community engagement, and integration with broader health system recovery strategies.
ConclusionEffective HRH interventions in post-conflict settings require comprehensive planning, coordination among stakeholders, and sustained investment. Policies should prioritize retention, capacity building, and equitable deployment to rebuild resilient health systems. These findings provide a roadmap for policymakers and practitioners to enhance HRH recovery efforts in similar contexts.