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abstract: 'Background Forced displacement is a crucial determinant of poor health.
With 31 people displaced every minute worldwide, this is an important
global issue. Addressing this, the Participation Revolution workstream
from the World Humanitarian Summit''s Localisation commitments has gained
traction in attempting to improve the effectiveness of humanitarian aid.
Simultaneously, digital health initiatives have become increasingly
ubiquitous tools in crises to deliver humanitarian assistance and
address health burdens.
Objective This scoping review explores how the localisation agenda''s
commitment to participation has been adopted within digital health
interventions used by displaced people in low-and-middle-income
countries.
Methods This review adopted the Arksey and O''Malley approach and
searched five academic databases and three online literature
repositories with a Population, Concept and Context inclusion criteria.
Data were synthesised and analysed through a critical power lens from
the perspective of displaced people in low-and-middle-income- countries.
Results 27 papers demonstrated that a heterogeneous group of health
issues were addressed through various digital health initiatives,
principally through the use of mobile phones. The focus of the
literature lay largely within technical connectivity and feasibility
assessments, leaving a gap in understanding potential health
implications. The varied conceptualisation of the localisation
phenomenon has implications for the future of participatory humanitarian
action: Authorship of reviewed literature primarily descended from
high-income countries exposing global power dynamics leading the
narrative. However, power was not a central theme in the literature:
Whilst authors acknowledged the benefit of local involvement,
participatory activities were largely limited to informing content
adaptations and functional modifications within pre-determined projects
and objectives.
Conclusion With over 100 million people displaced globally, effective
initiatives that meaningfully address health needs without perpetuating
harmful inequalities are an essential contribution to the humanitarian
arena. The gap in health outcomes evidence, the limited constructions of
health, and the varying and nuanced digital divide factors are all
indicators of unequal power in the digital health sphere. More needs to
be done to address these gaps meaningfully, and more meaningful
participation could be a crucial undertaking to achieve this.
Registration The study protocol was registered before the study
With 31 people displaced every minute worldwide, this is an important global issue.
Addressing this, the Participation Revolution workstream from the World Humanitarian
Summit''s Localisation commitments has gained traction in attempting to improve
the effectiveness of humanitarian aid. Simultaneously, digital health initiatives
have become increasingly ubiquitous tools in crises to deliver humanitarian assistance
and address health burdens. Objective This scoping review explores how the localisation
agenda''s commitment to participation has been adopted within digital health interventions
used by displaced people in low-and-middle-income countries. Methods This review
adopted the Arksey and O''Malley approach and searched five academic databases and
three online literature repositories with a Population, Concept and Context inclusion
criteria. Data were synthesised and analysed through a critical power lens from
the perspective of displaced people in low-and-middle-income- countries. Results
27 papers demonstrated that a heterogeneous group of health issues were addressed
through various digital health initiatives, principally through the use of mobile
phones. The focus of the literature lay largely within technical connectivity and
feasibility assessments, leaving a gap in understanding potential health implications.
The varied conceptualisation of the localisation phenomenon has implications for
the future of participatory humanitarian action: Authorship of reviewed literature
primarily descended from high-income countries exposing global power dynamics leading
the narrative. However, power was not a central theme in the literature: Whilst
authors acknowledged the benefit of local involvement, participatory activities
were largely limited to informing content adaptations and functional modifications
within pre-determined projects and objectives. Conclusion With over 100 million
people displaced globally, effective initiatives that meaningfully address health
needs without perpetuating harmful inequalities are an essential contribution to
the humanitarian arena. The gap in health outcomes evidence, the limited constructions
of health, and the varying and nuanced digital divide factors are all indicators
of unequal power in the digital health sphere. More needs to be done to address
these gaps meaningfully, and more meaningful participation could be a crucial undertaking
to achieve this. Registration The study protocol was registered before the study
(10.17605/OSF.IO/9D25R) at https://osf.io/9d25r.'
affiliation: 'Benson, J (Corresponding Author), Univ Bremen, Fac Human \& Hlth Sci,
Publ Hlth, Bremen, Germany.
Benson, J (Corresponding Author), Leibniz Inst Prevent Res \& Epidemiol BIPS, Dept
Prevent \& Evaluat, Bremen, Germany.
Benson, J (Corresponding Author), Leibniz Sci Campus Digital Publ Hlth, Bremen,
Germany.
Benson, Jennifer; Lakeberg, Meret, Univ Bremen, Fac Human \& Hlth Sci, Publ Hlth,
Bremen, Germany.
affiliation: Benson, J (Corresponding Author), Univ Bremen, Fac Human \& Hlth Sci,
Publ Hlth, Bremen, Germany. Benson, J (Corresponding Author), Leibniz Inst Prevent
Res \& Epidemiol BIPS, Dept Prevent \& Evaluat, Bremen, Germany. Benson, J (Corresponding
Author), Leibniz Sci Campus Digital Publ Hlth, Bremen, Germany. Benson, Jennifer;
Lakeberg, Meret, Univ Bremen, Fac Human \& Hlth Sci, Publ Hlth, Bremen, Germany.
Benson, Jennifer; Brand, Tilman; Christianson, Lara; Lakeberg, Meret, Leibniz Inst
Prevent Res \& Epidemiol BIPS, Dept Prevent \& Evaluat, Bremen, Germany.
Benson, Jennifer, Leibniz Sci Campus Digital Publ Hlth, Bremen, Germany.'
Prevent Res \& Epidemiol BIPS, Dept Prevent \& Evaluat, Bremen, Germany. Benson,
Jennifer, Leibniz Sci Campus Digital Publ Hlth, Bremen, Germany.
article-number: '20'
author: Benson, Jennifer and Brand, Tilman and Christianson, Lara and Lakeberg, Meret
author-email: benson@leibniz-bips.de
@ -109,14 +52,12 @@ author_list:
given: Meret
da: '2023-09-28'
doi: 10.1186/s13031-023-00518-9
files: []
files:
- benson2023-a.pdf
issn: 1752-1505
journal: CONFLICT AND HEALTH
keywords: 'Humanitarian; Localisation; Participation Digital health; Displaced
populations; Digital divide; Health inequities; Low-and-middle-income
countries'
keywords: Humanitarian; Localisation; Participation Digital health; Displaced populations;
Digital divide; Health inequities; Low-and-middle-income countries
keywords-plus: MENTAL-HEALTH; TELEPSYCHIATRY; REFUGEES; SYSTEM; CONFLICT; WORK; CARE
language: English
month: APR 15
@ -132,7 +73,7 @@ times-cited: '0'
title: 'Localisation of digital health tools used by displaced populations in low
and middle-income settings: a scoping review and critical analysis of the Participation
Revolution'
type: Review
type: article
unique-id: WOS:000972073900002
usage-count-last-180-days: '1'
usage-count-since-2013: '1'