GCRF RESEARCH FOR HEALTH IN CONFLICT (R4HC-MENA): developing capability, partnerships and research in the Middle and Near East (MENA)

Lead Research Organisation: King's College London
Department Name: Cancer Studies

Abstract

Two billion people currently live in areas of conflict and fragility, reflecting a rapid increase in wars, ethnic strife and other man-made disasters since 2010. The world is also experiencing the greatest forced migration crisis since the Second World War with 65.3 million forcibly displaced persons, 40.8 million internally displaced persons (IDPs), 21.3 million refugees and a further 10 million stateless people. Across the Middle East and North Africa (MENA) region protracted conflicts in countries such as Syria and Libya, as well as Afghanistan, Iraq and Yemen, have led to dramatic increases of refugee populations in Turkey, Lebanon, the Occupied Palestinian Territories and Jordan. War affected populations from these countries have undergone the epidemiological transition and therefore present new health challenges. In particular, the diagnosis, management and treatment of non-communicable diseases (NCDs) present new challenges for domestic health systems, as well as for humanitarian and development aid providers. These challenges also threaten domestic health commitments to Universal Health Coverage (UHC) and the Sustainable Development Goals (SDGs). This new humanitarian-development-health nexus demands a unique research agenda radically different from traditional approaches that address health challenges in low-income countries with weak governments, institutions and a mainly communicable disease burden.

Without proper research capacity to generate crucial evidence to inform health policy and care, it will be impossible for countries in the MENA region to plan for rational and affordable health systems, sound economic policy and more effective aid effectiveness. The vision for our R4HC (Research for Health in Conflict)-MENA partnership is to build sustainable research capacity in this region to address major health challenges arising from conflict, specifically cancer and mental health as key NCDs.
R4HC-MENA will build research capacity in four distinct areas: (1) conflict and health; (2) the political economy of health in conflict; (3) cancer; and (4) mental health research in regions of conflict. This research capacity will focus on training staff in a variety of theoretical and practical methods for studying these areas, as well as conducting and publishing research projects to build further capability and disseminate findings. R4HC-MENA will enable lead countries in this region to grow and sustain research capacity that can critically inform aspects of health development that relate to armed conflict in the region. This will inform not only regional and international policy-makers, but also the development of affordable and equitable clinical models of care and pathways in complex NCDs such as cancer and mental health. R4HC-MENA will also link together regional ministries and academic centres, and key international partners, to widen the research to policy translation, and critically inform the health development agenda in other regions affected by conflict.

Planned Impact

The R4HC-MENA partnership has been built through a series of specific concept development meetings via the offices of the Chatham House-Syrian Public Health Network, the WHO EMRO Expert group and Ministerial leads at the 2016 World Health Assembly (e.g. see www.uicc.org/69th-world-health-assembly-live-update). This has resulted in early co-development of the overall program of activities and has ensured that both academic and policy-makers in direct partner ODA countries are fully committed to the life of this program and its sustainability. As articulated by partners in Jordan, Lebanon, Turkey and the Occupied Palestinian Territories, health development in the context of a region in conflict is economically critical not only to domestic populations but also to the ability of countries to host refugees, internally displaced persons (IDPs) and economic migrants. This program will also directly address two major NCDs - cancer and mental health - that are the cause of significant poor quality of life, suffering and productivity losses, due to morbidity and premature mortality. Impact will be delivered through the three strands of R4HC-MENA:
Building research capacity in conflict affected areas with a focus on health, the political economy of health and NCDs in the MENA region. The UK partner institutions will generate major new hubs and networks of academic excellence that will provide a focus for research education for the MENA region with an understanding that economic development for health is crucially dependent on evidence to inform policy. R4HC-MENA will provide substantial research infrastructure to support this need by training in the UK and in MENA partner countries substantial numbers of senior (4-6 p/yr),and middle-junior faculty (up to 40-50 /year) across the four work streams. New technology enhanced learning modules and tools will also be developed for both UK and MENA partners to support distance learning programs.
Partnerships: R4HC-MENA will link ODA partner countries with major advocacy groups, for example the National Cancer Institute Centre for Global Health-Cancer and the Harvard Humanitarian Initiative-Conflict and Health, which are able to provide bridging into major sources of research funding to help further build capacity in ODA countries. During the course of the program, R4HC-MENA will widely engage with major regional funders such as the Organisation of Islamic Cooperation, the Qatar National Research Fund and the Gates Foundation with whom we have had preliminary discussions at the 2016 World Innovation Health Summit in Doha about building cases for long-term research support for conflict and health. We will also use the partnership and key outputs to engage with a wider group of stakeholders such as humanitarian and development agencies, the private sector and other countries affected by conflict and humanitarian crises in order to embed this critical area of health research into a wider global audience.
Research projects proposed by R4HC-MENA are conceptualised to have maximum impact in each of the four work streams. For conflict and health research the use of novel tools for health intelligence in conflict is crucial for addressing major lacunae in current approaches to health surveillance in complex conflict environments. In the political economy of conflict data generated from understanding how current policies frame affordable NCD care, delivery will be crucial for regional multi-lateral organisations and Ministries of health. For research into cancer in conflict the data generated on national cancer surgical capacity, models and pathways of care will be essential for national cancer surgical plans. Palliative care outcome projects will build regional models of care. Lastly, mental health in conflict data will be generated to ensure locally meaningful care and models for intervention are regionally applicable.

Publications

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Ekzayez A (2019) Chemical Weapons and public health: assessing impact and responses. in Journal of public health (Oxford, England)

 
Description 1. We have seen a major growth in academic faculty in conflict and health leveraged by the R4HC program. For example, Hacettepe now have 18 faculty focused on conflict & health and Birzeit have expanded to include Weeam Hammoudeh (Assistant Professor), Abdullatif Husseini (Professor) and three Research Assistants.
2. Significant growth in research outputs in most areas over last year (+17% CAGR) with more multi-lateral authorship papers.
3. Two major hubs for conflict and health at King's College London (KCL) and the American University of Beirut (AUB) (conflict medicine orientated) in development. Other hubs for cancer, palliative care and conflict established at the King Hussein Cancer Center (KHCC), Hacettepe and Birzeit. Major intellectual focus in R4HC around the political economy of health in conflict.
4. Co-operation around methodological rigour. R4HC is applying knowledge to make a unique theoretical contribution. Critique of concepts and methods used in published literature in relation to their relevance, importance, and indeed, validity in the regional and local contexts. R4HC to promote development of new tools related to concepts related to health in war which go beyond a biomedical approach to understanding what happens to people in wars and conflicts.
5. R4HC will use 2020 to reflect on partnership development and how it is meeting both ODA and national expectations for capacity building.
6. Research that changes people, practice and policy. Need to apply a stronger lens to scrutinise outputs and engage beyond R4HC into iNGO et al. R4HC teams uniquely placed to do comparative work beyond individual country and theme approaches.
7. Improved cross-cutting capacity interactions between workstreams, particularly political economy and palliative care. Mental health and cancer also increasing cross-workstream interactions as well as new joint workshops, including: workshop at Hacettepe convening the intensive short course "Qualitative Research Methods for Mental Health in War and Conflict" and program grant applications; Tobacco and Women's Health GCRF Cluster applications for September 2019: KHCC-GMH Lab collaboration to enhance existing mental health services for distressed breast cancer patients at KHCC using Interpersonal Psychotherapy (IPT), an evidence-based therapy that has been used successfully in the region.
8. R4HC partnership have six research proposals either submitted or committed to development. For example, three cluster proposals for the next round of GCRF funding (Tobacco, Women's Health and possibly, Healthcare Workers) and an ERC bid (AMR and War). Translation of capacity building into research grants remains a weakness, however, this year has seen a more concerted effort to develop and submit proposals.
9. Global Mental Health (GMH) Lab - Ministry of Public Health (MOPH) Lebanon, in the Mental Health workstream have successfully completed an adoption study of IPT among Lebanese mental health practitioners in diverse settings, as well as implemented the IMPACT model (collaborative care platform) in Makhzoumi PHC.
10. Data curation, sharing and management have now become a critical issue which the executive board will need to address more carefully.
11. Gender equality within the partnership is a key aim. A group led by Drs Kienzler, Hammoudeh, Patel, Mukherji et al are creating a Women Leaders in Conflict and Health program, which was launched in 2019.
12. Clear need to drive better and more equitable mentorship for mid-career faculty and mindset change from senior faculty to ensure equal opportunities across R4HC teaching faculty.
13. The GCRF Cluster call has provided a great opportunity to expand and develop the partnership, the start of which we have seen this year with joint GCRF, R4HC and PRECISE program bids to technology translation call. Other developments, particularly in security sector capacity building (military ethics, stabilisation etc) and political economy, will provide a rich source of future bids.
14. We are delighted that Professor Rita Giacaman accepted an honorary Doctorate of Science from KCL, which she formally received in October 2019.
15. Need to create a database of who is engaging with whom and how? Ministries, iNGO, UN e.g. Birzeit with UN/Ministry (e.g. various NGOs and other universities, other research establishments).Framework needed for capturing outputs that are non-publications, including a reportable taxonomy for R4HC. Look at creating short films with eCancer.
16. Looking to the future, the issue with these hubs will be sustainability. What are UKRI priorities? How will this work? Conflict shapes disease and health systems; how will R4HC influence these knowledge transmissions?
Exploitation Route Broadly this capacity programe by the end of 2019 has built three major centres & networks
1. Cancer and Palliative Care in Cancer Centre at King Hussein Cancer Centre
2. Conflict Medicine Centre at AUB Lebanon
3. Centre for Conflict & Health at KCL
4. Women Leaders in Conflict & Health

Our scholastic outputs have had major impacts across national and domestic policy agenda's, particularly in cancer, palliative care and mental health.
Sectors Healthcare,Government, Democracy and Justice,Security and Diplomacy

URL https://r4hc-mena.org/
 
Description As a caveat to this narrative please be aware that the GAL for the award was only received on the start date of the award, and we are being required to provide substantial administrative documentation by 1 April 2018, and a further set of gateway reviews by 1 Oct 2018. To date, we have now had 12 executive boards on a rotating basis in each partner countries a major launch after year one, and a joint international advisory board-executive board meeting. We are also, finally at full-staffing for all the program and the programme has leveraged an extra 14.5fte staff across the partnership. Our research capacity findings are being used by Jordan to develop a new national cancer control plan and new Centres of Excellence for Palliative Care for Refugees, a mental health research capacity training program from Birzeit in Palestine which has now regionally expanded, and new conflict & health program in Turkey at Hacetteppe University. We have new research programs being developing in mental health, palliative care, AMR and conflict and most recently utilising novel VR methods for building surgical capacity funded by Welcome Trust. R4HC has been actively engaged with the political leadership in Lebanon, Turkey and Jordan, to date at the MInister level, as well as leadership of ICRC, MSF and UNHCR. In addition at this mid term our work is being used by FCTC for tobacco control in conflict.
First Year Of Impact 2018
Sector Healthcare
Impact Types Societal,Policy & public services

 
Description "Research Methods for Mental Health in War and Conflict": Specialized cohort training in "Linear and logistic regression"
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
URL https://r4hc-mena.org/2019/02/12/research-methods-for-mental-health-in-war-and-conflict-specialized-...
 
Description Advisory Board: Faculty of Health Sciences, American University of Beirut - Professor Rita Giacaman
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
 
Description Advisory Committee of the NIH Fogarty International Centre for Global Health Studies: Advancing Health Research in Humanitarian Crises - Professor Rita Giacaman
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
 
Description Advisory Committee: Global Society on Health and Armed Conflict - Professor Rita Giacaman
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
 
Description C-POS
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Hacettepe University, Turkey is involved in developing Children's Palliative care Outcome Scale (C-POS) in association with King's College London, UK and King Hussein Cancer Centre, Jordan. This scale will improve awareness of unmet need of terminally ill children with cancer and allows health care providers to address physical, emotional and social needs of these children. Currently R4HC research team at Hacettepe University is working for developing C-POS, palliative care literature review and key informant interviews. These research activities will potentially influence policies and practice and health economy because studies from other countries reveal that that integration of palliative care program into cancer care may reduce symptom burden, improves quality of life and caregiver outcomes. Studies also show that implementation of palliative care for cancer patients substantially reduce healthcare expenditures. A research team at Hacettepe University is working on literature review and key informant interviews regarding status of palliative care for cancer patients in Turkey. The recommendation made by these studies will likely provide guidelines for National cancer care policies.
 
Description Commissioner: Lancet Commission on Syria - Professor Rita Giacaman
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Membership of a guideline committee
 
Description Coordination Committee and Steering Group of the Lancet Palestinian Health Alliance - Professor Rita Giacaman
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Membership of a guideline committee
 
Description Global Forum on Humanitarian Health Research (GFH2R), led by the International Development Research Centre, Canada (IDRC), UK Medical Research Council (MRC), Wellcome Trust (UK) and US National Institute of Health (NIH) - Rita Giacaman
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
 
Description Lancet Palestinian Health Alliance Steering Group - Rita Giacaman
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
 
Description Nudge Presentation: Behavioral insights to counter health inequalities
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5269661/#wps20379-bib-0003
 
Description Reproductive Health Working Group, Arab World and Turkey - Rita Giacaman
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
 
Description Research Methods for Mental Health in War and Conflict - Online Course
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Fifteen participants (11 males and 4 females) completed the post-course evaluation survey. Twelve have a Master's degree and three have a Ph.D. Six reported working in Governmental organisations, two in the UNRWA, three for local non-government organisations, two for International non-government organisations, one for the World Health Organisation (WHO), and one for Palestinian National Institute of Public Health-WHO. The number of working years for participants ranged from two years to 20 years with an average of nine years. They described the focus of their institutions as follows: education (3); research (6); services (8); community development (5); health (2); child protection and psychosocial (1); Public health surveillance and registries (1). Respondents reported being involved in the following research activities: project development (5), surveys (6), interviews (11), observations (6), report writing (10), research projects (11), and any form of data management (7).
 
Description Strategic Advisory Board for the Center for Global Burn Injury Policy and Research
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description World Mental Health Initiative - Prof. Cengiz Kiliç, Member
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
 
Description AMR Global Development Award
Amount £75,729 (GBP)
Funding ID MR/R014914/1 
Organisation Medical Research Council of South Africa (MRC) 
Sector Public
Country South Africa
Start 10/2017 
End 10/2018
 
Title Infographic training manual 
Description Developed an infographic training manual as part of our research methods course. We trained participants in it as a more creative approach to data dissemination to communities/wider public. 
Type Of Material Improvements to research infrastructure 
Year Produced 2018 
Provided To Others? Yes  
Impact Trained participants in the course Research methods for mental health in war and conflict as a more creative approach to data dissemination to communities/wider public. 
 
Title Mental Health and Psychosocial Directory (MHPSS) - West Bank/oPt 
Description The MHPSS Directory provides up-to-date information about governmental and non-governmental organisations providing mental health and psychosocial support services in the West Bank of the occupied Palestinian territory. It includes contact information, service location, types of services and activities, beneficiaries and MHPSS staffing.This MHPSS Directory can be used to aid in referrals, for facilitating cooperation and partnerships between organisations engaged in similar work, or for further research purposes in this field. 
Type Of Material Improvements to research infrastructure 
Year Produced 2019 
Provided To Others? Yes  
Impact The availability of a roster with all psychosocial mental health institutions (Governmental, UNRWA and local and international NGOS) means that people have access to knowing how to refer those with mental health issues and that people have easy access to this tool. 
URL http://icph.birzeit.edu/research-intervention-tools/mental-health-and-psychosocial-directory-mhpss-w...
 
Title NODDA 2017 Infographic 
Description An infographic developed on 'The Drug Situation in Lebanon' 
Type Of Material Improvements to research infrastructure 
Year Produced 2019 
Provided To Others? Yes  
Impact Tomas Folke provided visualisation for the Lebanese Ministry of Public Health report updating on the national mental health strategy, which was presented widely in their policy networks 
 
Description CSaP Policy Fellows 
Organisation University of Cambridge
Country United Kingdom 
Sector Academic/University 
PI Contribution Seven Policy Fellows from the Middle East North Africa (MENA) region were nominated by some of the R4HC-MENA co-investigators and partners and they committed to spend time visiting the UK to explore health policy questions that would benefit from academic input. R4HC provided the funding for this activity to take place.
Collaborator Contribution The Centre for Science and Policy (CSaP) at the University of Cambridge worked with R4HC-MENA to support seven Policy Fellows throughout two-year Fellowships which they pursue alongside their main jobs. CSaP is currently evaluating feedback from the initial meetings during this first pilot of the R4HC Policy Fellowship programme, and suggesting ways to take forward some of the connections made.
Impact The interdisciplinary nature of the researchers that the Policy Fellows met was valued: expertise was provided from varied fields including oncology, palliative care, mental health, health economics, sociology, political science and more. Organisations including Chatham House, the Royal Institute of International Affairs, and the World Health Organization (Eastern Mediterranean Regional Office) also participated in this knowledge exchange programme with R4HC Policy Fellows.
Start Year 2018
 
Description Conflict and Health Course King's College London 
Organisation American University of Beirut
Country Lebanon 
Sector Academic/University 
PI Contribution R4HC-MENA Co-Investigators and Research Associates at King's College London implement the Conflict and Health masters course
Collaborator Contribution Two guest lecturers from the American University of Beirut through the R4HC partnership have taken lectures during this course.
Impact Cross collaboration within the conflict and health course for R4HC members and Masters students to learn from a range of lecturers within the UK and MENA region.
Start Year 2018
 
Description Medical Ethics Education and Training Tools for Crisis Zones 
Organisation King's College London
Department Centre for Military Ethics
Country United Kingdom 
Sector Academic/University 
PI Contribution Administrative support to undertake fieldwork necessary to further develop the Military Ethics Education Playing Cards.
Collaborator Contribution Field work to refine and expand the existing Military Ethics Education Playing Cards and their linked online resources by researching and developing a new training and education resource specifically designed for health care professionals deployed in conflict, post conflict and humanitarian disaster relief environments.
Impact Development of playing cards.
Start Year 2018
 
Description Partnering Cities for More Secure Healthcare 
Organisation International Committee of the Red Cross
Country Switzerland 
Sector Charity/Non Profit 
PI Contribution Undertaking a desk-review, key informant interviews and analyse findings.
Collaborator Contribution Meeting hosted by the ICRC at beginning of project, further meeting in London to present findings and collaborate further.
Impact Literature review and interviews with experts in healthcare, violence, urban planners across various sectors - academia, government, local government.
Start Year 2018
 
Description Qualitative Research Methods for Palliative Care 
Organisation King Hussein Medical Center
Country Jordan 
Sector Hospitals 
PI Contribution The KCL team developing and implementing this collaborative course included Professor Richard Harding and Dr Ping Guo.
Collaborator Contribution The team from King Hussein Cancer Centre, included Professor Omar Shamieh. Additionally, the King Hussein Cancer Centre provided the facilities for this course
Impact This collaboration is Phase I of the Palliative Care team's study exploring the palliative needs and experiences of those with advanced cancer, including refugees in Jordan.This collaboration included a multidisciplinary team from KCL, KHCC and Al Bashir Hospital. The training was interactive and focused on: the purpose of qualitative research; theoretical underpinnings; good interviewing practice; the SOP of the study; role plays on interviewing techniques; data storage and management.
Start Year 2018
 
Description Research Methods for Mental Health in War and Conflict at Birzeit University - Intensive Short Course 
Organisation Birzeit University
Country Palestine, State of 
Sector Academic/University 
PI Contribution The course was jointly taught and certified by the Institute of Community & Public Health (ICPH), Birzeit University and King's College London (KCL) with the aim to equip course participants with up-to-date qualitative and quantitative research skills. The course was team-taught by experienced researchers, including from KCL Hanna Kienzler and Nancy Tamimi
Collaborator Contribution The course was jointly taught and certified by the Institute of Community & Public Health (ICPH), Birzeit University and King's College London (KCL) with the aim to equip course participants with up-to-date qualitative and quantitative research skills.The course was implemented at the Institute of Community & Public Health (ICPH), Birzeit University. The course was team-taught by experienced researchers, including from BZU, Rita Giacaman, Weeam Hammoudeh and Abudllatif Husseini.
Impact Participants of the course involved a group of 28 mental health workers, administrators and researchers working for institutions as diverse as the Ministry of Health, the Palestinian Counselling Centre, Treatment and Rehabilitation Centre for Victims of Torture, UNRWA, MSF and various universities among others. The course was theory-led, however, participants were given ample opportunities to apply concepts and techniques via practical and interactive activities, including a small research project and presentation focusing on the concept of uncertainty and its impact on mental health and well-being. Participants designed, conducted and disseminated the findings of qualitative and quantitative research projects. An infographic training manual was developed as part of the course. Participants were trained in it as a more creative approach to data dissemination to communities/wider public.
Start Year 2018
 
Description Research Methods for Mental Health in War and Conflict: Qualitative Data Coding and Analysis 
Organisation Birzeit University
Country Palestine, State of 
Sector Academic/University 
PI Contribution The course was designed based on the results of a Needs Assessment survey and the recently delivered intensive course "Research Methods for Mental Health in War and Conflict" (King's College London and Birzeit University Collaboration). They were taught at the Institute of Community and Public Health (ICPH) at Birzeit University by Dr Hanna Kienzler from King's College London with assistance from Ranim Amra and Shiraz Nasr from ICPH.
Collaborator Contribution The courses were designed and taught in collaboration with Birzeit University R4HC-MENA members and others from the ICPH at Birzeit.
Impact Participants included researchers; Master's students; Mental health professionals working for the Ministry of Health and NGOs. Participants have strengthened the following skills: qualitative data coding and analysis, thematic analysis. Approximately 4 cohort members (originally trained during the intensive summer course and now receiving specialised cohort training) are designing their own research projects and receive support and mentoring from the trainers at BZU and KCL.
Start Year 2018
 
Description Training Needs Assessment for Mental Health Research in War and Conflict. The West Bank, occupied Palestinian territory 
Organisation Birzeit University
Country Palestine, State of 
Sector Academic/University 
PI Contribution Survey developed by both ICPH and KCL staff. Report written by ICPH with contribution from KCL; editing by KCL
Collaborator Contribution Survey developed by both ICPH and KCL staff. Interviews carried out by ICPH. Data analysis carried out by ICPHReport written by ICPH with contribution from KCL.
Impact Assessment identified the gap between reported importance of work tasks versus how well respondents do this task. Conclusion - substantial need for training in qualitative and quantitative methods among managers and employees working in research or record keeping.
Start Year 2018
 
Description Women Leaders in Health and Conflict Partnership 
Organisation London School of Hygiene and Tropical Medicine (LSHTM)
Country United Kingdom 
Sector Academic/University 
PI Contribution Partnership between R4HC King's College London team and the Health in Humanitarian Crisis (HHIC) at the London School of Hygiene and Tropical Medicine (LSHTM). Organising, funding and promoting events at King's College London and R4HC partner institutions.
Collaborator Contribution HHIC have hosted and promoted events and will continue to support with events through the coming year.
Impact Engagement activities: Women & Health and their role in Lebanon's current political crisis and Intifada, Dr Nassim El Achi, London School of Hygiene and Tropical Medicine, United Kingdom, 4 February 2020 Women Leaders in Health and Conflict Conferences, 8 June 2020, King's College London, United Kingdom and 25-26 June 2020, Hacettepe University, Ankara
Start Year 2020
 
Description Bridging the divide between political science and public health 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact This talk was part of the Women Leaders in Health and Conflict initiative. In this event, Professor Melani Cammett[1], Clarence Dillon Professor of International Affairs in the Department of Government, Chair of the Harvard Academy for International and Area Studies and Acting Director of the Weatherhead Center for International Affairs at Harvard University, discussed her research which intersects political science and public health in conflict-affected areas; a nexus which lies at the heart of several global health challenges and opportunities. 32 attendees, primarily students, joined.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2019/11/01/bridging-the-divide-between-political-science-and-public-health/
 
Description CSaP Policy Fellows 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact The Centre for Science and Policy (CSaP) at the University of Cambridge was pleased to deliver programmes for five Policy Fellows from the MENA region, as part of the 2019 cohort. These Policy Fellows are:

Dr Tasnim Atatrah, Country Preparedness Officer, Central Asia, World Health Organisation
Dr Mohammed Rasoul Tarawneh, Secretary General, High Health Council, Jordan
Dr Mustafa Cemaloglu, Paediatric Oncology and Haematology Fellow, Hacettepe University, Turkey
Dr Khamis Elessi, Consultant and Head of Evidence-Based Medicine Unit, Islamic University, Gaza, Palestine
Dr Mouna Mayoufi, Health Coordinator, International Rescue Committee

This group visited Cambridge and London between 18 and 22 November 2019, meeting researchers and policy makers. Their questions covered areas from NCD policy in humanitarian settings, to health economics, and palliative care. Researchers from the University of Cambridge, King's College London, Imperial College London and other universities contributed to meeting the Policy Fellows. The Policy Fellows have been sent evaluation surveys to complete and initial feedback suggests that there were a number of useful meetings.

Three more Policy Fellows were elected as part of the 2019 cohort: Dr Mai Alkaila, Minister of Health, Palestine, hopes to visit the UK in early 2020. Two Policy Fellows who were elected had their visa applications refused: Dr Mohamed Hamze, Director, White Smile Organization, Syria and Dr Naser Almhawish, Surveillance Coordinator, Assistance Coordination Unit, Syria. CSaP are organizing some meetings with researchers in the UK for Dr Hamze via Skype.
Year(s) Of Engagement Activity 2019
 
Description Cancer Control Course for Oncology Professionals 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact The Cancer Control Course for Oncology Professionals was conducted on 17th April 2019 at the start of the Turkish National Cancer Congress in Antalya. This Course was designed to increase awareness of the benefits of cancer control planning and to scale up the capacity of oncology professionals in Turkey with the purpose of promoting national cancer control planning and implementation through a multi-sectoral approach.

This course was facilitated by a diverse range of experts, including UICC past president, past directors of the Turkish Cancer Control Department & cancer registries, the head of an NGO working for cancer control in Turkey, public health professors, epidemiologists, as well as a representative from the Ministry of Health.

There were 41 participants in this course, who were selected from different regions across Turkey. All participants were healthcare professionals and researchers working in oncology settings that are critical to the development and implementation of a national cancer control plan. Participants appreciated this course for its focused and concise nature. All attendees received a certificate for completing the course.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2019/05/15/cancer-control-course-for-oncology-professionals/
 
Description Cancer Policy Roundtable 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact The three thematic sessions of the roundtable explored a wide spectrum of topics, from the epidemiological burden of cancer through to the alignment of cancer control programmes with plans for progress towards universal health coverage. In the first session Dr Omar Nimri (Jordan Cancer Registry) and Dr Asem Mansour (KHCC) explored the magnitude and nuances of cancer burden in Jordan; their perspective was complemented by Dr Deborah Mukherji's (American University of Beirut Medical Center, Lebanon) outline of the complex cancer care pathways in Lebanon. In the second session, Dr Mohammed Tarawneh's (Jordan High Health Council) overview of Jordan's health system priorities was followed by perspectives on the use of economic evidence at the global level (Dr Allison Colbert, WHO) and in the English National Health Service (Prof Kalipso Chalkidou, Imperial College London). Prof Richard Sullivan (King's College London) concluded the session with an overview of data requirements for better cancer intelligence, particularly in settings affected by conflict and instability. The third session saw deep dives into case-studies of HTA application from Jordan (Dr Abeer Rabaiah, KHCC) and Tunisia (Dr Mouna Jameleddine, INEAS), as well as insights from the English experience of financing anti-cancer drugs (Prof John Cairns, LSHTM).

In the ensuing open discussion, roundtable participants brought to the fore a number of transversal issues, both conceptual and applied. One such issue related to the difficulty of making value for money judgements for cancer treatments in a setting with limited experience and data. What emerged from the discussion was the importance of using available support tools (e.g. guides, toolkits, country case-studies) and starting somewhere, however modestly, as only the practice of conducting and communicating such value assessments can generate awareness and stimulate local capacity.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2020/01/21/using-economic-evidence-for-improved-cancer-spending-decisions-in-t...
 
Description Conducting Health Research in Complex Environments 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact On Tuesday 25th June, the Conflict and Health Research Group at King's College London (KCL), in collaboration with R4HC-MENA and RECAP hosted a one-day conference on Health Research in Conflict and Complex Environments. The event focused on research capacity strengthening in conflict affected areas, mental health and trauma in conflict, ethical challenges of conducting health research in complex environments, and the challenges of translating research into policy and practice. Throughout the day, speakers relayed both personal experiences from working in conflict-affected areas and findings from their research and offered substantive recommendations for improving health research in conflict with the ultimate goal of benefitting populations affected by conflict.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2019/07/23/conducting-health-research-in-complex-environments-translating-rese...
 
Description Conducting health research in complex environments: ethical and gender related challenges 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact The event brought together a group of exceptional women and men from a range of organisations, including the King Hussein Foundation (KHF), International Medical Corps Jordan, Royal Health Awareness Society, German Jordanian University, King's College London, Hacettepe University, University of Cambridge, Imperial College London, and representatives from the Jordanian Ministry of Health. The seminar was moderated by R4HC-MENA Co-Director, Professor Rita Giacaman, whose extensive research experience in complex environments with vulnerable populations enriched the discussions.The diverse experiences of the speakers and attendees - clinicians, academics, programme managers and directors - resulted in a highly constructive discussion on the importance of collaboratively strengthening ethical guidelines of conducting health research with vulnerable populations in complex conflict impacted-environments. The seminar raised two important points: the impact of inequitable relations between Global North and Global South on ethical frameworks; and, how research is influenced by patriarchal relations and gender dynamics particularly in situations of conflicts.

Through this insightful discussion, it was concluded that there is a growing urgency to meet the current challenges of implementing appropriate ethical guidelines in complex environments that meet the needs of vulnerable populations, maintain the dignity of participants, and challenge the current status quo driven by a Global North agenda. There was also a clear need for further mixed methods research in this space to inform policymakers in both global North and South
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2020/01/23/conducting-health-research-in-complex-environments-ethical-and-gend...
 
Description Ecancer R4HC Videos 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact Videos created to engage wider audience and understanding of the R4HC Programme
Year(s) Of Engagement Activity 2018
URL https://r4hc-mena.org
 
Description Executive Board Meeting - December 2019 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Executive Board meeting of all R4HC members in Amman, Jordan. This provided an opportunity for members to further engage with the programme, defining work streams and partnerships and focusing on communications strategies. In addition to the core activities of the Executive Board, presentations were given on proposals for new and emerging areas of work.
Year(s) Of Engagement Activity 2019
URL https://mailchi.mp/d3ffd071bc52/r4hc-mena-newsletter-january-2020
 
Description Executive Board Meeting - March 2019 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Executive Board meeting of all R4HC members in Amman, Jordan. This provided an opportunity for members to further engage with the programme, defining work streams and partnerships and focusing on communications strategies. In addition to the core activities of the Executive Board, presentations were given on proposals for new and emerging areas of work.
Year(s) Of Engagement Activity 2019
URL https://mailchi.mp/3917c85e5f6d/r4hc-mena-april-newsletter
 
Description Executive Board Meeting - September 2019 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Executive Board meeting of all R4HC members in Cambridge, UK. This provided an opportunity for members to further engage with the programme, defining work streams and partnerships and focusing on communications strategies. In addition to the core activities of the Executive Board, presentations were given on proposals for new and emerging areas of work.
Year(s) Of Engagement Activity 2019
URL https://mailchi.mp/8098dc236a77/r4hc-mena-newsletter-september-2019
 
Description Executive Board Meeting December 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Executive Board meeting of all R4HC members in Turkey. This provided an opportunity for members to further engage with the programme, defining work streams and partnerships and focusing on communications strategies. In addition to the core activities of the Executive Board, presentations were given on proposals for new and emerging areas of work.
Year(s) Of Engagement Activity 2018
URL https://r4hc-mena.org/2018/12/21/1967/
 
Description Executive Board Meeting February 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Executive Board meeting of all R4HC members in Lebanon. This provided an opportunity for members to further engage with the programme, defining work streams and partnerships and focusing on communications strategies.
Year(s) Of Engagement Activity 2018
 
Description Executive Board Meeting June 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Executive Board meeting of all R4HC members in Lebanon. This provided an opportunity for members to further engage with the programme, overview of work streams current activities and partnerships.
Year(s) Of Engagement Activity 2018
 
Description Health Economics Training 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact A 3-day Introduction to Health Economics training workshop, facilitated by Dr Adrian Gheorghe (Imperial College London) and hosted by King Hussein Cancer Center (KHCC) was delivered. Workshop participants came from a range of Jordanian organizations, including KHCC, the High Health Council, Royal Medical Services and the Jordanian Food and Drug Agency; as also included Early Career Researchers from R4HC partner institutions. The participants' learning journey started with an overview of key health economics concepts and then focused on measuring costs and outcomes in healthcare, culminating with the foundation of the economic evaluation of health interventions. Theoretical sessions were interspersed with practical activities, either as small group discussions or using spreadsheet-based exercises. The group was thoroughly engaged throughout the three days, constantly challenging the material and asking questions pertaining to their day-to-day professional practice. The responses collected in the feedback forms suggest the workshop was very well received and the PEOH workstream has started planning follow-up activities, in Jordan and elsewhere in the R4HC space, to build on it.
Year(s) Of Engagement Activity 2019
URL https://mailchi.mp/d3ffd071bc52/r4hc-mena-newsletter-january-2020
 
Description Inaugural Lecture 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Postgraduate students
Results and Impact On Tuesday 15 October 2019 the Women Leaders in Conflict and Health Initiative held its inaugural lecture at King's College London, at the Department of War Studies delivered by Professor Rita Giacaman from the Institute of Community and Public Health (ICPH) at Birzeit University in the Occupied Palestinian Territories and was attended by approximately 40participants.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2019/10/21/a-shared-story/
 
Description International Advisory Board and Executive Board Meeting September 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Executive Board meeting of all R4HC members in Lebanon. This provided an opportunity for members to further engage with the programme, defining work streams and partnerships and focusing on communications strategies. This meeting also included the recently appointed International Advisory Board and group of Research Affiliated. Short videos were created during this meeting with partners eCancer.
Year(s) Of Engagement Activity 2018
 
Description Managing Cancer and Living Meaningfully (CALM) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact The Center for Palliative and Cancer Care in Conflict (CPCCC) at King Hussein Cancer Center (KHCC), Jordan, conducted an introductory workshop on Managing Cancer and Living Meaningfully (CALM) on March 11th, 2019. 48 Clinicians, nurses, psychologists, social workers and researchers, attended the workshop.
The training was a part of the research capacity building of activities of the R4HC-MENA project, within the cancer and palliative care work stream as well as mental health stream Dr. Gary Rodin delivered the workshop in collaboration with KHCC DR Rodin is the Head of the Department of Supportive Care at Princess Margaret Cancer Centre and the Director of Global Institute of Psychosocial, Palliative and End of Life Care (GIPPEC) in Toronto, Canada.
Year(s) Of Engagement Activity 2019
 
Description Migration and Mental Health: A Training Workshop for Early Career Researchers 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact The workshop aimed to increase the research capacity of postgraduate students and early career researchers from health, psychology, social work and social science fields on mental health research with migrants. It will also worked to build a network of students and early career professionals working on migrants' mental health in Ankara.
Year(s) Of Engagement Activity 2020
 
Description Monthly Newsletter 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact Newsletter created to engage wider audience and increase understanding of R4HC programme and possible engagement activities.
Year(s) Of Engagement Activity 2018
 
Description No Place Like Home - Refugee Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Approximately 50 attendees, this interdisciplinary workshop brought together scholars, policy-makers, and representatives from the UN and NGOs to examine the limits of the current refugee regime and explore alternative solutions. More specifically, this event was used as a starting point for a discussion on the suitability and durability of current solutions to refugee crises, and will help bridge the divide between those who formulate international policies, those who implement them, and the refugees who are ultimately affected.
Year(s) Of Engagement Activity 2019
URL https://www.refugeesworkshop.com/
 
Description Paediatric Qualitative Research Training at King Hussein Cancer Center 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact The Center for Palliative and Cancer Care in Conflict (CPCCC) at King Hussein Cancer Center (KHCC), Jordan, conducted a workshop on Paediatric Qualitative Research Training for research and support staff. The workshop was attended by clinicians, nurses, psychologists and researchers. The training was part of the research capacity building activities of R4HC-MENA within the cancer and palliative care work stream. This will also influence a further study protocol, Understanding Palliative Care Outcomes of Children and Young People with Advanced Cancer in Jordan and Turkey, to be undertaken by the team that delivered this training.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2019/03/01/paediatric-qualitative-research-training-at-king-hussein-cancer-cen...
 
Description Palliative Care Work Stream Research Meeting 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact the R4HC-MENA Palliative Care work stream ran an "Advanced Qualitative Research Workshop" at King Hussein Cancer Center (KHCC) in Amman. The workshop is part of the collaboration between the Cicely Saunders Institute at King's College London and the Center for Palliative & Cancer Care in Conflict (CPCCC) at KHCC. Guest speakers included Prof Richard Harding & Dr Ping Guo from KCL.

More than 50 multidisciplinary healthcare professionals and medical students were invited from KHCC, Al-Basheer Hospital and Jordan University. The workshop was very intensive and discussed paper writing, outcome measures, qualitative data analysis, the item generation and Integrated Palliative Care Outcome Scale (IPOS) adaptation and validation.

The training was followed by a meeting with the NCD Unit, cancer registry and death registry at Jordan Ministry of Health to discuss current and future research projects.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2019/07/29/palliative-care-work-stream-research-meeting-july-2019/
 
Description Palliative Care in 2020 and Beyond Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Some 60 attendees including Turkish Ministry of Health representatives and the World Health Organisation EMRO. Discussions focussed on palliative care through the lens of global cancer control, universal health care and conflict health.
Year(s) Of Engagement Activity 2020
 
Description Palliative Care in Humanitarian Crises 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact the Palliative Care team at the Center for Palliative and Cancer Care in Conflict (CPCC) at the King Hussein Cancer Centre held its first workshop for 'Palliative Care in Humanitarian Crises'. The participants were from multiple disciplines including physicians, nurses, psychologists and physiotherapists and all work for a medical humanitarian organization in northern Jordan. The workshop included training sessions on pain assessment, basic symptom management, communication skills, care of the dying patient and ethical and cultural issues in palliative and end of life care. The introductory lecture addressed the global need for palliative care with a particular focus on the more recent recognition of the need for integration of palliative care and symptom relief into the response to humanitarian emergencies and crises.
Year(s) Of Engagement Activity 2020
URL https://r4hc-mena.org/2020/02/21/palliative-care-in-humanitarian-crises-workshop-in-jordan/
 
Description Palliative and Home Care Training 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact the Center for Palliative and Cancer Care in Conflict (CPCCC) conducted an extensive five day Palliative and Home Care Training for three Iranian Nurses from different hospitals at the King Hussein Cancr Center (KHCC). The training included didactic lectures, clinical training, pain and symptom management, Home Care training and research education. Participants also had the opportunity to participate in clinical rounds, family meetings, clinical encounters on a daily basis, and interdisciplinary team rounds and meetings. The course covered various domains from the physical, social, psychological and spiritual aspects of care in addition to cultural and ethical aspects, communication skills, end of life care and special session on research in palliative care and areas of conflict.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2020/01/23/palliative-and-home-care-training/
 
Description Partnership Strategy Meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact King's College London hosted staff from Fenix Insight and FOI to discuss research approaches to research capacity building in biosecurity, bioweapons and CBRN; medical and health intelligence, and; toxic and explosive remnants of war. FOI, based in Sweden, is one of Europe's leading research institutes in the areas of defence and security. Fenix Insight focuses on understanding and managing the consequences of explosive ordnance across the world.

The meeting covered the following strategic themes: Biosecurity, Bioweapons and CBRN; OSINT; Health Intelligence; Toxic and Explosive Remnants of War.
Year(s) Of Engagement Activity 2018
 
Description Political Economy of Health in Gaza (Video-1): An Introduction 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Video created to disseminate research focus in the Political Economy of Health workstream on Gaza
Year(s) Of Engagement Activity 2020
URL https://www.youtube.com/watch?v=FbPAgrqzMN0
 
Description Qualitative Research Methods for Mental Health in War and Conflicts 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The R4HC-Turkey "Health and Conflict" work stream organised and hosted the certified 'Qualitative Research Methods for Mental Health in War and Conflict' course. The course has been developed by researchers from Birzeit University (BZU) in Palestine and King's College London (KCL) in the UK who came to teach it at Hacettepe University over four days from 15-18 April 2019. The teaching was delivered by Dr. Hanna Kienzler and Dr. Nancy Tamimi from KCL; and Dr. Weeam Hammoudeh from BZU; with assistance from Dr. Gamze Aktuna and Dr. Fahad Ahmed from Hacettepe University and Mathias Regent from KCL.

This intensive course focused on qualitative research skills and introduced participants to (mental) health in war and conflict, the value and process of qualitative research, and ethical procedures and challenges; how to design research projects, formulate research questions, and recruit participants; different data collection methods such as observations, semi-structured interviews and focus group discussions; and data analysis and dissemination including conference posters, infographics and oral presentations.

An interdisciplinary and international group of 29 highly motivated students attended the course. They included students from different universities including Hacettepe, Ankara, Baskent, Gazi, Mersin and Mustafa Kemal University, and Hatay as well as various institutions with a focus on public health, psychiatry, demography, social work, medical ethics and pediatrics, and oncology. Students were exposed to theory while also having ample opportunity to apply the learned concepts via practical and interactive activities throughout the course. Upon successful completion of the course, participants received a certificate jointly issued by Hacettepe University, Birzeit University and King's College London.
Year(s) Of Engagement Activity 2019
URL https://r4hc-mena.org/2019/05/13/qualitative-research-methods-for-mental-health-in-war-and-conflicts...
 
Description R4HC Twitter 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact Twitter account established to promote R4HC activities and further develop engagement and understanding of the programme.
Year(s) Of Engagement Activity 2018
 
Description R4HC Website 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact Website created to reach a wide audience to enhance understanding of and engagement with the R4HC programme.
Year(s) Of Engagement Activity 2018
URL https://r4hc-mena.org
 
Description R4HC country launch Jordan 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Country launch for Jordan at King Hussein Cancer Centre, Amman.
Year(s) Of Engagement Activity 2017
 
Description R4HC country launch Lebanon 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact The country launch of R4HC with Lebanon. Decision to do the major launch here at AUB in Q4 2018 following Oct review.
Year(s) Of Engagement Activity 2018
 
Description R4HC country launch Turkey 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Initial substantive engagement between KCL, Haccettepe and other research / practitioners in Ankara - including acdemic staff from other universities. The 2 day long meeting involved also a field visit to engage with practitioners working in a refugee care centre to exchange ideas and learn about the particular context. A number of new dimensions have been added to the R4HC work programme as a result of this meeting.
Year(s) Of Engagement Activity 2018
 
Description Research for Health in the Syrian Conflict Conference 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This one day conference hosted by the Conflict and Health workstream of R4HC-MENA in collaboration with the Union of Medical and Relief Organisation (UOSSM) at King's College London, bought together experts from academia, front-line health actors and NGOs to showcase original research on current health issues in Syria, spanning from health system governance to epidemiology to many other disciplines within global health.

The event came at a critical time as the Syrian conflict is entering its ninth year with severe impacts on the health of Syrians, both inside Syria and those who fled the country seeking refuge in neighbouring countries and Europe. The call for abstracts preceding the event attracted some 30 submissions, of which 14 were selected for oral presentations during the conference. The speakers came from a variety of backgrounds including academic researchers, humanitarian professionals and clinical doctors, with 10 Syrian researchers based in Syria, Turkey, Lebanon and the UK. The presentations covered the following themes: health system governance and adaptation in the Syrian conflict; health research and medical education and training; health of Syrian Refugees in neighbouring countries and elsewhere; and, the conflict impact on morbidities.

The event was a great opportunity for productive interaction and collaboration between academic institutions, NGOs and local actors involved in the Syrian response. R4HC aims to invest in further similar events in paving the way for more collaborations of this kind to encourage equal and effective partnerships between different actors to advance health research in conflict settings.
Year(s) Of Engagement Activity 2019
URL https://mailchi.mp/a55b0b6bcffe/r4hc-mena-newsletter-november-2019
 
Description Women & Health and their role in Lebanon's current political crisis and Intifada 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact As part of the Women Leaders in Conflict Health Initiative (WLCH) global seminar series, Dr Nassim El Achi (R4HC Research Associated) discussed two key critical themes in the ongoing protests since 17 October 2019 in Lebanon: Women & Health. First, the nature of the multi-fragmented and highly privatized Lebanese health system and how "Health for all" has become one of the major demands of the protestors including women who are at the frontline of the "Lebanese intifada." The second theme looked into the role that Lebanese women are playing in leading the protests in confronting the deeply embedded patriarchal system that includes sexualization of women, harassment, and inequitable civil rights and nationality laws. There were approximately 30 attendees.
Year(s) Of Engagement Activity 2020
URL https://www.lshtm.ac.uk/newsevents/events/women-health-and-their-role-lebanons-current-political-cri...