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  1. Article ; Online: Yemen: current peace talks must also prioritise health.

    Attal, Bothaina / Dureab, Fekri / Abbara, Aula

    BMJ (Clinical research ed.)

    2023  Volume 381, Page(s) 1242

    MeSH term(s) Humans ; Yemen ; Social Conditions
    Language English
    Publishing date 2023-06-05
    Publishing country England
    Document type Editorial
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.p1242
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Factors associated with the cholera outbreak in Al-Mahweet-Yemen: Analytic Study.

    Nasr, Hani / Al-Zumair, Marwah / Al-Mahbashi, Taha / Dureab, Fekri

    Journal of infection in developing countries

    2024  Volume 18, Issue 1, Page(s) 66–74

    Abstract: Introduction: The emergence of cholera in 2016 in Yemen, worsened the morbidity and mortality of diarrheal diseases, particularly among children under five. Multiple outbreaks in Yemen are triggered by years of conflict and the collapse of basic ... ...

    Abstract Introduction: The emergence of cholera in 2016 in Yemen, worsened the morbidity and mortality of diarrheal diseases, particularly among children under five. Multiple outbreaks in Yemen are triggered by years of conflict and the collapse of basic infrastructure including water supply and sanitation systems. This study aims to assess factors associated with the cholera outbreak, in a cholera-prone region, in Al-Mahweet, Yemen.
    Methodology: We conducted a multivariate analysis of the data collected through a household survey of 384 households in Al-Mahweet, Yemen.
    Results: Families with children under five years, large households, and those living in Al Mahweet district were associated with a higher incidence of cholera. Water treatment by boiling, filtering, and chlorination as a protective practice against cholera showed a borderline significance, while other WASH practices including regular hand washing, open defection, safe water source, and improved sanitation facilities were statistically insignificant. Community awareness of cholera transmission and prevention measures showed no association with cholera incidence.
    Conclusions: Findings suggest that living conditions, including large households and lack of access to treated water, increase the risk of cholera. Interventions to increase access to treated water and improve the hygienic conditions of large households are of central importance. Affected communities must receive effective educational campaigns that are adjusted to change hygienic practices and improve knowledge of cholera transmission and protection measures.
    MeSH term(s) Child ; Humans ; Child, Preschool ; Cholera/epidemiology ; Cholera/prevention & control ; Yemen/epidemiology ; Disease Outbreaks/prevention & control ; Sanitation ; Water Supply
    Language English
    Publishing date 2024-01-31
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2394024-4
    ISSN 1972-2680 ; 2036-6590
    ISSN (online) 1972-2680
    ISSN 2036-6590
    DOI 10.3855/jidc.17571
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The National Health Cluster in Yemen: assessing the coordination of health response during humanitarian crises.

    Al-Awlaqi, Sameh / Dureab, Fekri / Tambor, Marzena

    Journal of international humanitarian action

    2022  Volume 7, Issue 1, Page(s) 9

    Abstract: Yemen has been facing political, economic and social challenges since 1990. The fragility of Yemen's situation has led to a widespread conflict in 2015, resulting in the world's largest humanitarian crisis. Amid the humanitarian catastrophe and the ... ...

    Abstract Yemen has been facing political, economic and social challenges since 1990. The fragility of Yemen's situation has led to a widespread conflict in 2015, resulting in the world's largest humanitarian crisis. Amid the humanitarian catastrophe and the collapsing health system, a platform for coordinating humanitarian health response, called the National Health Cluster, has expanded its operations across the country. The study aims to evaluate the performance of the National Health Cluster in Yemen between 2015 and 2019. A qualitative research design was employed, and ten semi-structured interviews with key Health Cluster stakeholders were conducted. The study applied the Active Learning Network for Accountability and Performance in Humanitarian Action (ALNAP) guide to evaluating humanitarian action using the Development Assistance Committee (DAC) criteria. Six evaluation criteria were selected: relevance, effectiveness, efficiency, effects, connectedness and participation. Inputs from interviews were manually transcribed and then analysed using NVivo 12 software. The study results indicate that the Health Cluster in Yemen has contributed to saving lives and strengthening the local health capacities in diseases surveillance. In addition, its positive effect was evident in improving the humanitarian health response coordination. Nevertheless, engaging health stakeholders, especially national organisations, was suboptimal. Exit strategies were lacking, while services to address mental health, non-communicable diseases, senior citizens and people with disabilities were not prioritised in the Health Cluster strategic plans and partners' response. To ameliorate Health Cluster performance, revising its objectives and establishing a cluster-specific rapid response funding mechanism are pivotal. Furthermore, preparing the national health system for recovery and actively engaging all stakeholders in the Health Cluster' response and strategic decisions would maximise its positive impact on Yemen's health system and population.
    Language English
    Publishing date 2022-03-24
    Publishing country England
    Document type Journal Article
    ISSN 2364-3404
    ISSN (online) 2364-3404
    DOI 10.1186/s41018-022-00117-y
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  4. Article ; Online: The National Health Cluster in Yemen

    Sameh Al-Awlaqi / Fekri Dureab / Marzena Tambor

    Journal of International Humanitarian Action, Vol 7, Iss 1, Pp 1-

    assessing the coordination of health response during humanitarian crises

    2022  Volume 14

    Abstract: Abstract Yemen has been facing political, economic and social challenges since 1990. The fragility of Yemen’s situation has led to a widespread conflict in 2015, resulting in the world’s largest humanitarian crisis. Amid the humanitarian catastrophe and ... ...

    Abstract Abstract Yemen has been facing political, economic and social challenges since 1990. The fragility of Yemen’s situation has led to a widespread conflict in 2015, resulting in the world’s largest humanitarian crisis. Amid the humanitarian catastrophe and the collapsing health system, a platform for coordinating humanitarian health response, called the National Health Cluster, has expanded its operations across the country. The study aims to evaluate the performance of the National Health Cluster in Yemen between 2015 and 2019. A qualitative research design was employed, and ten semi-structured interviews with key Health Cluster stakeholders were conducted. The study applied the Active Learning Network for Accountability and Performance in Humanitarian Action (ALNAP) guide to evaluating humanitarian action using the Development Assistance Committee (DAC) criteria. Six evaluation criteria were selected: relevance, effectiveness, efficiency, effects, connectedness and participation. Inputs from interviews were manually transcribed and then analysed using NVivo 12 software. The study results indicate that the Health Cluster in Yemen has contributed to saving lives and strengthening the local health capacities in diseases surveillance. In addition, its positive effect was evident in improving the humanitarian health response coordination. Nevertheless, engaging health stakeholders, especially national organisations, was suboptimal. Exit strategies were lacking, while services to address mental health, non-communicable diseases, senior citizens and people with disabilities were not prioritised in the Health Cluster strategic plans and partners’ response. To ameliorate Health Cluster performance, revising its objectives and establishing a cluster-specific rapid response funding mechanism are pivotal. Furthermore, preparing the national health system for recovery and actively engaging all stakeholders in the Health Cluster’ response and strategic decisions would maximise its positive impact on Yemen’s health system and ...
    Keywords Health Cluster ; Yemen ; Coordination ; Conflict ; Humanitarian health response ; Evaluation ; Anthropology ; GN1-890 ; International relations ; JZ2-6530
    Subject code 360
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: Community health volunteers' performance in rural areas of Yemen: a community-based satisfaction survey.

    Dureab, Fekri / Al-Mahbashi, Taha / Sheikh, Rashad / Hassan, Ola El Hajj / Safary, Elvis / Al-Qadasi, Yasmin

    Journal of rural medicine : JRM

    2024  Volume 19, Issue 2, Page(s) 66–75

    Abstract: Objectives: Many developing countries utilize the services of community health volunteers (CHVs) to enhance healthcare services in underserved regions. Evaluating client satisfaction with CHVs' performance is crucial for ensuring the effective ... ...

    Abstract Objectives: Many developing countries utilize the services of community health volunteers (CHVs) to enhance healthcare services in underserved regions. Evaluating client satisfaction with CHVs' performance is crucial for ensuring the effective utilization of their services. This study aims to assess clients' satisfaction with the provision of basic reproductive health services by CHVs in the governorates of Ibb and Al Mahweet, Yemen.
    Materials and methods: A cross-sectional study was conducted, collecting data via structured questionnaires administered by trained data collectors to clients of CHVs. A total of 510 households were interviewed, with 255 from each governorate, distributed across 30 clusters (villages). Each governorate comprised 15 clusters in 12 districts (six districts in Ibb and five in Al Mahweet, excluding one district for security reasons). Within each cluster, 17 households were randomly selected for interviews. Descriptive analysis was performed using the SPSS version 22.
    Results: The majority of the clients were female (84.7%), most were aged 20-39 years (55.7%), and more than half of them had received at least primary education (54.2%). The study findings indicate that a significant proportion of respondents were highly satisfied with CHVs' performance (93%). Almost all respondents confirmed that CHVs resided in their villages (94%) and were easily accessible for consultation (99%). Most of the respondents (97%) expressed trust in the CHVs, stating that they were helpful to all villagers and treated them well. Additionally, nearly all the respondents reported easy access to services (98.6%), although a considerable percentage experienced a gap of three months or more since their last interaction with a CHV (39.1%).
    Conclusion: The CHVs contribute to the well-being of the rural populations in Yemen by delivering satisfactory services, particularly regarding family planning. However, ensuring the sustainability of the CHV programs remains a challenge, which requires attention from the program managers and decision makers in the Yemeni healthcare sector.
    Language English
    Publishing date 2024-04-12
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2768933-5
    ISSN 1880-4888 ; 1880-487X
    ISSN (online) 1880-4888
    ISSN 1880-487X
    DOI 10.2185/jrm.2023-027
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  6. Article ; Online: Analyzing Yemen's health system at the governorate level amid the ongoing conflict: a case of Al Hodeida governorate.

    Al Waziza, Raof / Sheikh, Rashad / Ahmed, Iman / Al-Masbhi, Ghassan / Dureab, Fekri

    Discover health systems

    2023  Volume 2, Issue 1, Page(s) 15

    Abstract: Background: Yemen is regarded as one of the Middle East's poorest countries. Decades of political, economic, and social difficulties have culminated in the current protracted conflict. As a result, the globe experienced its worst humanitarian ... ...

    Abstract Background: Yemen is regarded as one of the Middle East's poorest countries. Decades of political, economic, and social difficulties have culminated in the current protracted conflict. As a result, the globe experienced its worst humanitarian catastrophe. The ongoing war has affected several public services, notably the health sector, which is operating at less than half its capacity. This study aims to examine Yemen's health system at the governorate level (Al Hodeida) amidst the current conflict. It analyzes current challenges and produces suggestions for enhancement.
    Methods: The study used qualitative research methods such as Key Informant Interviews (KIIs) and document analysis. The study used WHO's health systems framework to measure health system performance. Twelve KIIs were conducted via Skype with several health stakeholders. In addition, documents were analyzed to inform the subject guide, generate themes, and aid in the triangulation of results.
    Results: According to the study findings, the governorate health system managed to offer a minimum level of healthcare services while making some advances in outbreak control jointly with other partners. One of the main difficulties confronting the governorate's health system is a severe lack of financial resources forcing it to rely entirely on external aid. Furthermore, other significant deficiencies include inadequate health system organogram, low reporting capacities, insufficient funding, and scarcity of health professionals.
    Conclusion: Yemen's frail health system has been weakened by almost eight years of insecurity and conflict. If the current scenario continues, most of Yemen's health system's operations and indicators will likely deteriorate. On the other hand, progress in some areas, such as primary healthcare (PHC) services and disease management, is remarkable. However, for better performance, Yemen's health system leadership and stakeholders should seek a holistic strategy to improve the entire dimensions of the health system.
    Language English
    Publishing date 2023-05-10
    Publishing country Switzerland
    Document type Journal Article ; Review
    ISSN 2731-7501
    ISSN (online) 2731-7501
    DOI 10.1007/s44250-023-00026-w
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  7. Article ; Online: COVID-19 in Yemen: preparedness measures in a fragile state.

    Dureab, Fekri / Al-Awlaqi, Sameh / Jahn, Albrecht

    The Lancet. Public health

    2020  Volume 5, Issue 6, Page(s) e311

    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Yemen/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-04-23
    Publishing country England
    Document type Letter
    ISSN 2468-2667
    ISSN (online) 2468-2667
    DOI 10.1016/S2468-2667(20)30101-8
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  8. Article ; Online: Correction to: Mind the gap: an analysis of core capacities of the international health regulations (2005) to respond to outbreaks in Yemen.

    Noman, Hanan / Dureab, Fekri / Ahmed, Iman / Al Serouri, Abdulwahed / Hussein, Taha / Jahn, Albrecht

    BMC health services research

    2021  Volume 21, Issue 1, Page(s) 677

    Language English
    Publishing date 2021-07-09
    Publishing country England
    Document type Published Erratum
    ISSN 1472-6963
    ISSN (online) 1472-6963
    DOI 10.1186/s12913-021-06666-z
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  9. Article: Exploring the Role of Infodemics in People's Incompliance with Preventive Measures during the COVID-19 in Conflict Settings (Mixed Method Study).

    Al-Aghbari, Ahmed Asa'ad / Hassan, Ola El Hajj / Dar Iang, Maureen / Jahn, Albrecht / Horstick, Olaf / Dureab, Fekri

    Healthcare (Basel, Switzerland)

    2023  Volume 11, Issue 7

    Abstract: The evolving availability of health information on social media, regardless of its credibility, raises several questions about its impact on our health decisions and social behaviors, especially during health crises and in conflict settings where ... ...

    Abstract The evolving availability of health information on social media, regardless of its credibility, raises several questions about its impact on our health decisions and social behaviors, especially during health crises and in conflict settings where compliance with preventive measures and health guidelines is already a challenge due to socioeconomic factors. For these reasons, we assessed compliance with preventive measures and investigated the role of infodemic in people's non-compliance with COVID-19 containment measures in Yemen. To this purpose and to triangulate our data collection, we executed a mixed method approach in which raw aggregated data were taken and analyzed from multiple sources (COVID-19 Government Response Tracker and Google COVID-19 Community Mobility Reports), then complemented and verified with In-depth interviews. Our results showed that the population in Yemen had relatively complied with the governmental containment measures at the beginning of the pandemic. However, containment measures were not supported by daily COVID-19 reports due to low transparency, which, together with misinformation and lack of access to reliable sources, has caused the population not to believe in COVID-19 and even practice social pressure on those who showed some compliance with the WHO guidelines. Those results indicate the importance of adopting an infodemic management approach in response to future outbreaks, particularly in conflict settings.
    Language English
    Publishing date 2023-03-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11070952
    Database MEDical Literature Analysis and Retrieval System OnLINE

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