Towards understanding the impact of armed conflict on cardiovascular disease risk and quality of care among Palestine refugees in the Gaza Strip

Lead Research Organisation: Imperial College London
Department Name: School of Public Health


The Middle East has a substantial humanitarian refugee crisis caused by ongoing armed conflict in over half its countries. As conflicts become more protracted healthcare providers are pressured to extend provision of care beyond immediate aid to address non-communicable diseases such as cardiovascular disease. However, little is known about the management of cardiovascular diseases in these settings.

To improve understanding of the epidemiology and quality of care for cardiovascular disease among Palestinians exposed to armed conflict in the Gaza Strip


1. Examine the impact of armed conflict on behavioural and clinical risk factors for cardiovascular disease among Palestinian refugees

2. Examine the impact of armed conflict on the quality of hypertension and diabetes management in primary health care settings among Palestinian refugees

Armed conflict in the Gaza Strip (2008-09 and 2014 Israel-Gaza wars) will be evaluated for their impact on Palestinian refugees registered with the United Nations Relief and Works Agency (UNRWA) in Jordan, Lebanon, the State of Palestine, and Syria. Interrupted time series analyses of longitudinal data from electronic primary care records will be undertaken to assess the impact of armed conflict on risk factors and on the quality of diabetes and cardiovascular disease management.