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

  (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.

  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.'
article-number: '20'
author: Benson, Jennifer and Brand, Tilman and Christianson, Lara and Lakeberg, Meret
author-email: benson@leibniz-bips.de
author_list:
- family: Benson
  given: Jennifer
- family: Brand
  given: Tilman
- family: Christianson
  given: Lara
- family: Lakeberg
  given: Meret
da: '2023-09-28'
doi: 10.1186/s13031-023-00518-9
files: []
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-plus: MENTAL-HEALTH; TELEPSYCHIATRY; REFUGEES; SYSTEM; CONFLICT; WORK; CARE
language: English
month: APR 15
number: '1'
number-of-cited-references: '136'
orcid-numbers: Benson, Jennifer/0000-0001-8909-1233
papis_id: 9793593896ba24c99690b50b05c8f87b
ref: Benson2023localisationdigital
tags:
- relevant
- review
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
unique-id: WOS:000972073900002
usage-count-last-180-days: '1'
usage-count-since-2013: '1'
volume: '17'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2023'