Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews

Introduction The Middle East and North African (MENA) region is characterised by high and complex migration flows, yet little is known about the health of migrant populations, their levels of underimmunisation and access to healthcare provision. Data are needed to support regional elimination and co...

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Main Authors: Charles Agyemang, Ali Ardalan, Farah Seedat, Bouchra Assarag, Nuria Casamitjana, Kolitha Wickramage, Sally Hargreaves, Ana Requena-Mendez, Fouad M Fouad, Dominik Zenner, Anna Deal, Stella Evangelidou, Wafa Saidi, Chiaki Ito, Oumnia Bouaddi, Moudrick Abdellatifi, Alba Cuxart-Graell, Hassan Edries, Eman Elafef, Taha Maatoug, Anissa Ouahchi, Liv Mathilde Pampiri, Sara Arias, Adel Abdelkhalek, Ahmed Hamed Arisha, Ibrahim Ahmed Bani, Aasmaa Chaoui, Wafa Chemao-Elfihri, Kenza Hassouni, Mahmoud Hilali, Mohamed Khalis, Wejdene Mansour, Ali Mtiraoui, MENA Migrant Health Working Group, Asad Adam, Adnene Ben Haj Aissa, Salma Altyib, Hanen Ben Belgacem, Imane Belkhammar, Thomas Calvot, Luciana Ceretti, Nelly Chavassieux, Hassan Chrifi, Mohamed Douagi, Algdail Elnil, Gonzalo Fanjul, Ahmed Hamed, Abdedayem Khelifi, Lora Makhlouf, Maissa Mokni, Davide Olchini, Tarik Oufkir, Nasong Park, Giuseppe Raffa, Sandra Santafé, Alice Sironi, Fatma Temimi, Zeineb Turki
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Language:English
Published: BMJ Publishing Group 2024-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/7/e083813.full
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author Charles Agyemang
Ali Ardalan
Farah Seedat
Bouchra Assarag
Nuria Casamitjana
Kolitha Wickramage
Sally Hargreaves
Ana Requena-Mendez
Fouad M Fouad
Dominik Zenner
Anna Deal
Stella Evangelidou
Wafa Saidi
Chiaki Ito
Oumnia Bouaddi
Moudrick Abdellatifi
Alba Cuxart-Graell
Hassan Edries
Eman Elafef
Taha Maatoug
Anissa Ouahchi
Liv Mathilde Pampiri
Sara Arias
Adel Abdelkhalek
Ahmed Hamed Arisha
Ibrahim Ahmed Bani
Aasmaa Chaoui
Wafa Chemao-Elfihri
Kenza Hassouni
Mahmoud Hilali
Mohamed Khalis
Wejdene Mansour
Ali Mtiraoui
MENA Migrant Health Working Group
Asad Adam
Adnene Ben Haj Aissa
Salma Altyib
Hanen Ben Belgacem
Imane Belkhammar
Thomas Calvot
Luciana Ceretti
Nelly Chavassieux
Hassan Chrifi
Mohamed Douagi
Algdail Elnil
Gonzalo Fanjul
Ahmed Hamed
Abdedayem Khelifi
Lora Makhlouf
Maissa Mokni
Davide Olchini
Tarik Oufkir
Nasong Park
Giuseppe Raffa
Sandra Santafé
Alice Sironi
Fatma Temimi
Zeineb Turki
author_facet Charles Agyemang
Ali Ardalan
Farah Seedat
Bouchra Assarag
Nuria Casamitjana
Kolitha Wickramage
Sally Hargreaves
Ana Requena-Mendez
Fouad M Fouad
Dominik Zenner
Anna Deal
Stella Evangelidou
Wafa Saidi
Chiaki Ito
Oumnia Bouaddi
Moudrick Abdellatifi
Alba Cuxart-Graell
Hassan Edries
Eman Elafef
Taha Maatoug
Anissa Ouahchi
Liv Mathilde Pampiri
Sara Arias
Adel Abdelkhalek
Ahmed Hamed Arisha
Ibrahim Ahmed Bani
Aasmaa Chaoui
Wafa Chemao-Elfihri
Kenza Hassouni
Mahmoud Hilali
Mohamed Khalis
Wejdene Mansour
Ali Mtiraoui
MENA Migrant Health Working Group
Asad Adam
Adnene Ben Haj Aissa
Salma Altyib
Hanen Ben Belgacem
Imane Belkhammar
Thomas Calvot
Luciana Ceretti
Nelly Chavassieux
Hassan Chrifi
Mohamed Douagi
Algdail Elnil
Gonzalo Fanjul
Ahmed Hamed
Abdedayem Khelifi
Lora Makhlouf
Maissa Mokni
Davide Olchini
Tarik Oufkir
Nasong Park
Giuseppe Raffa
Sandra Santafé
Alice Sironi
Fatma Temimi
Zeineb Turki
collection DOAJ
description Introduction The Middle East and North African (MENA) region is characterised by high and complex migration flows, yet little is known about the health of migrant populations, their levels of underimmunisation and access to healthcare provision. Data are needed to support regional elimination and control targets for key diseases and the design and delivery of programmes to improve health outcomes in these groups. This protocol describes a suite of seven systematic reviews that aim to identify, appraise and synthesise the available evidence on the burden and health outcomes, policies and access (barriers and facilitators) related to these mobile populations in the region.Methods Seven systematic reviews will cover three questions to explore the: (1) burden and health outcomes, (2) policies and (3) healthcare barriers and facilitators for the following seven disease areas in migrants in the MENA region: tuberculosis, HIV and hepatitis B and C, malaria and neglected tropical diseases, diabetes, mental health, maternal and neonatal health, and vaccine-preventable diseases. We will search electronic databases for studies in any language (year 2000–2023), reference-check relevant publications and cross-check included studies with experts. We will search for grey literature by hand searching key databases and websites (including regional organisations and MoH websites) for country-specific guidelines and talking to our network of experts for local and regional reports and key datasets. We will assess the studies and policies for their quality using appropriate tools. We will meta-analyse the data by disease outcome if they are of sufficient volume and similarity. Where meta-analysis is not possible and where data are on policy or access, we will narratively synthesise the evidence using summary tables, figures and text.Dissemination We anticipate disseminating the findings through peer-reviewed publications, conferences and other formats relevant to all stakeholders. We are following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and protocols will be registered on International Prospective Register of Systematic Reviews.
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spelling doaj-art-d5d257db451542a4833642f50d6853f22025-02-09T00:05:09ZengBMJ Publishing GroupBMJ Open2044-60552024-07-0114710.1136/bmjopen-2023-083813Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews 0Charles Agyemang1Ali ArdalanFarah Seedat2Bouchra Assarag3Nuria CasamitjanaKolitha Wickramage4Sally Hargreaves5Ana Requena-Mendez6Fouad M FouadDominik Zenner7Anna Deal8Stella Evangelidou9Wafa Saidi10Chiaki ItoOumnia Bouaddi11Moudrick Abdellatifi12Alba Cuxart-Graell13Hassan Edries14Eman Elafef15Taha Maatoug16Anissa Ouahchi17Liv Mathilde Pampiri18Sara Arias19Adel Abdelkhalek20Ahmed Hamed Arisha21Ibrahim Ahmed Bani22Aasmaa Chaoui23Wafa Chemao-Elfihri24Kenza Hassouni25Mahmoud Hilali26Mohamed Khalis27Wejdene Mansour28Ali Mtiraoui29MENA Migrant Health Working Group30Asad AdamAdnene Ben Haj AissaSalma AltyibHanen Ben BelgacemImane BelkhammarThomas CalvotLuciana CerettiNelly ChavassieuxHassan Chrifi31Mohamed Douagi32Algdail ElnilGonzalo FanjulAhmed HamedAbdedayem Khelifi33Lora MakhloufMaissa MokniDavide OlchiniTarik OufkirNasong ParkGiuseppe RaffaSandra SantaféAlice SironiFatma TemimiZeineb TurkiKenya National Bureau of Statistics, Nairobi, Nairobi, KenyaPublic and Occupational Health, University of Amsterdam, Amsterdam, The Netherlands2 The Migrant Health Research Group, St George`s University of London Institute for Infection and Immunity, London, UK7 Ecole Nationale de Santé Publique, Rabat, Morocco13 International Organization for Migration, Geneva, Switzerland2 The Migrant Health Research Group, St George`s University of London Institute for Infection and Immunity, London, UK1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain14 Queen Mary University of London, London, UK2 The Migrant Health Research Group, St George`s University of London Institute for Infection and Immunity, London, UK1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain2Strategic Health Operations Centre, Emergency Medicine Unit, General Directorate of Health, Ministry of Health, Tunisia1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain1 Barcelona Institute for Global Health, Barcelona, Spain1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain2 Barcelona Institute for Global Health, Barcelona, Catalunya, Spain1 Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain8 Faculty of Veterinary Medicine, Badr University in Cairo, Badr, Egypt5 Badr University in Cairo, Cairo, Egypt4 University of Gezira, Gezira, Sudan10 Ministère de la Santé, Rabat, Morocco8 Ecole Nationale de Santé Publique, Rabat, Morocco5 Mohammed VI University of Health Sciences, Casablanca, Morocco4 University of Gezira, Gezira, Sudan5 Mohammed VI University of Health Sciences, Casablanca, Morocco3 University of Sousse, Sousse, Tunisia3 University of Sousse, Sousse, Tunisia2 Barcelona Institute for Global Health, Barcelona, Catalunya, Spain7 Ecole Nationale de Santé Publique, Rabat, Morocco6 Office Nationale de la Famille et de la Population, Tunis, Tunisia6 Office Nationale de la Famille et de la Population, Tunis, TunisiaIntroduction The Middle East and North African (MENA) region is characterised by high and complex migration flows, yet little is known about the health of migrant populations, their levels of underimmunisation and access to healthcare provision. Data are needed to support regional elimination and control targets for key diseases and the design and delivery of programmes to improve health outcomes in these groups. This protocol describes a suite of seven systematic reviews that aim to identify, appraise and synthesise the available evidence on the burden and health outcomes, policies and access (barriers and facilitators) related to these mobile populations in the region.Methods Seven systematic reviews will cover three questions to explore the: (1) burden and health outcomes, (2) policies and (3) healthcare barriers and facilitators for the following seven disease areas in migrants in the MENA region: tuberculosis, HIV and hepatitis B and C, malaria and neglected tropical diseases, diabetes, mental health, maternal and neonatal health, and vaccine-preventable diseases. We will search electronic databases for studies in any language (year 2000–2023), reference-check relevant publications and cross-check included studies with experts. We will search for grey literature by hand searching key databases and websites (including regional organisations and MoH websites) for country-specific guidelines and talking to our network of experts for local and regional reports and key datasets. We will assess the studies and policies for their quality using appropriate tools. We will meta-analyse the data by disease outcome if they are of sufficient volume and similarity. Where meta-analysis is not possible and where data are on policy or access, we will narratively synthesise the evidence using summary tables, figures and text.Dissemination We anticipate disseminating the findings through peer-reviewed publications, conferences and other formats relevant to all stakeholders. We are following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and protocols will be registered on International Prospective Register of Systematic Reviews.https://bmjopen.bmj.com/content/14/7/e083813.full
spellingShingle Charles Agyemang
Ali Ardalan
Farah Seedat
Bouchra Assarag
Nuria Casamitjana
Kolitha Wickramage
Sally Hargreaves
Ana Requena-Mendez
Fouad M Fouad
Dominik Zenner
Anna Deal
Stella Evangelidou
Wafa Saidi
Chiaki Ito
Oumnia Bouaddi
Moudrick Abdellatifi
Alba Cuxart-Graell
Hassan Edries
Eman Elafef
Taha Maatoug
Anissa Ouahchi
Liv Mathilde Pampiri
Sara Arias
Adel Abdelkhalek
Ahmed Hamed Arisha
Ibrahim Ahmed Bani
Aasmaa Chaoui
Wafa Chemao-Elfihri
Kenza Hassouni
Mahmoud Hilali
Mohamed Khalis
Wejdene Mansour
Ali Mtiraoui
MENA Migrant Health Working Group
Asad Adam
Adnene Ben Haj Aissa
Salma Altyib
Hanen Ben Belgacem
Imane Belkhammar
Thomas Calvot
Luciana Ceretti
Nelly Chavassieux
Hassan Chrifi
Mohamed Douagi
Algdail Elnil
Gonzalo Fanjul
Ahmed Hamed
Abdedayem Khelifi
Lora Makhlouf
Maissa Mokni
Davide Olchini
Tarik Oufkir
Nasong Park
Giuseppe Raffa
Sandra Santafé
Alice Sironi
Fatma Temimi
Zeineb Turki
Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews
BMJ Open
title Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews
title_full Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews
title_fullStr Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews
title_full_unstemmed Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews
title_short Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African region: a protocol for a suite of systematic reviews
title_sort defining indicators for disease burden health outcomes policies and barriers and facilitators to health services for migrant populations in the middle east and north african region a protocol for a suite of systematic reviews
url https://bmjopen.bmj.com/content/14/7/e083813.full
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