2023-09-28 14:46:10 +00:00
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abstract: 'Background Forced displacement is a crucial determinant of poor health.
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With 31 people displaced every minute worldwide, this is an important global issue.
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Addressing this, the Participation Revolution workstream from the World Humanitarian
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Summit''s Localisation commitments has gained traction in attempting to improve
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the effectiveness of humanitarian aid. Simultaneously, digital health initiatives
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have become increasingly ubiquitous tools in crises to deliver humanitarian assistance
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and address health burdens. Objective This scoping review explores how the localisation
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agenda''s commitment to participation has been adopted within digital health interventions
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used by displaced people in low-and-middle-income countries. Methods This review
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adopted the Arksey and O''Malley approach and searched five academic databases and
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three online literature repositories with a Population, Concept and Context inclusion
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criteria. Data were synthesised and analysed through a critical power lens from
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the perspective of displaced people in low-and-middle-income- countries. Results
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27 papers demonstrated that a heterogeneous group of health issues were addressed
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through various digital health initiatives, principally through the use of mobile
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phones. The focus of the literature lay largely within technical connectivity and
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feasibility assessments, leaving a gap in understanding potential health implications.
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The varied conceptualisation of the localisation phenomenon has implications for
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the future of participatory humanitarian action: Authorship of reviewed literature
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primarily descended from high-income countries exposing global power dynamics leading
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the narrative. However, power was not a central theme in the literature: Whilst
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authors acknowledged the benefit of local involvement, participatory activities
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were largely limited to informing content adaptations and functional modifications
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within pre-determined projects and objectives. Conclusion With over 100 million
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people displaced globally, effective initiatives that meaningfully address health
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needs without perpetuating harmful inequalities are an essential contribution to
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the humanitarian arena. The gap in health outcomes evidence, the limited constructions
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of health, and the varying and nuanced digital divide factors are all indicators
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of unequal power in the digital health sphere. More needs to be done to address
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these gaps meaningfully, and more meaningful participation could be a crucial undertaking
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to achieve this. Registration The study protocol was registered before the study
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(10.17605/OSF.IO/9D25R) at https://osf.io/9d25r.'
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affiliation: Benson, J (Corresponding Author), Univ Bremen, Fac Human \& Hlth Sci,
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Publ Hlth, Bremen, Germany. Benson, J (Corresponding Author), Leibniz Inst Prevent
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Res \& Epidemiol BIPS, Dept Prevent \& Evaluat, Bremen, Germany. Benson, J (Corresponding
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Author), Leibniz Sci Campus Digital Publ Hlth, Bremen, Germany. Benson, Jennifer;
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Lakeberg, Meret, Univ Bremen, Fac Human \& Hlth Sci, Publ Hlth, Bremen, Germany.
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Benson, Jennifer; Brand, Tilman; Christianson, Lara; Lakeberg, Meret, Leibniz Inst
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Prevent Res \& Epidemiol BIPS, Dept Prevent \& Evaluat, Bremen, Germany. Benson,
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Jennifer, Leibniz Sci Campus Digital Publ Hlth, Bremen, Germany.
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article-number: '20'
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author: Benson, Jennifer and Brand, Tilman and Christianson, Lara and Lakeberg, Meret
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author-email: benson@leibniz-bips.de
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author_list:
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- family: Benson
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given: Jennifer
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- family: Brand
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given: Tilman
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- family: Christianson
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given: Lara
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- family: Lakeberg
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given: Meret
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da: '2023-09-28'
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doi: 10.1186/s13031-023-00518-9
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files:
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- benson2023-a.pdf
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issn: 1752-1505
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journal: CONFLICT AND HEALTH
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keywords: Humanitarian; Localisation; Participation Digital health; Displaced populations;
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Digital divide; Health inequities; Low-and-middle-income countries
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keywords-plus: MENTAL-HEALTH; TELEPSYCHIATRY; REFUGEES; SYSTEM; CONFLICT; WORK; CARE
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language: English
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month: APR 15
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number: '1'
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number-of-cited-references: '136'
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orcid-numbers: Benson, Jennifer/0000-0001-8909-1233
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papis_id: 9793593896ba24c99690b50b05c8f87b
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ref: Benson2023localisationdigital
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tags:
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- relevant
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- review
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times-cited: '0'
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title: 'Localisation of digital health tools used by displaced populations in low
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and middle-income settings: a scoping review and critical analysis of the Participation
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Revolution'
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type: article
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unique-id: WOS:000972073900002
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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volume: '17'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2023'
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