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. 2020 Jan 28;10(1):24–37. doi: 10.15171/hpp.2020.06

Table 1. Characteristics of included studies .

Author Details Country Intervention (PHC Component) Approach Study population/Comparators Study Design/Approach/Duration Study Setting Study Results Quality
Adam 201635 Sudan Reproductive health programme
(Health education, MCH)
- Emergency Reproductive Health program
Women (15–49 years) Community pre- and post-test intervention without control
- 26 months
Clinics (PHC) Increase in women receiving home-based FP counselling (7.3% to 59.8%), current modern FP use (10.9% to 21.6%), and awareness of modern FP (60.2% to 85.0%) Strong
Bøhler et al 200536 Sudan Tuberculosis Programme (Treatment)
-National Tuberculosis Programme
Tuberculosis patients
Comparison: Non-IDPs
Individual retrospective register analysis
- 6 months
Camps and Neighbouring community Improved treatment outcomes: cure; completed; died; failed (defaulted, transferred)]:
- New cases: IDPs [65%; 9.3%; 4.5%; (15%, 5.7%)], Non-IDPs [43.5%; 21%; 3.6%; (21%, 9.4%)].
- Retreatment cases: IDPs [54.2%; 12.5%; 2.1%; (29.2%, 2.1%)], Non-IDPs [64.3%; 7.1%; 0%; (28.6%, 0%)].
Moderate
Bolton et al 200737 Uganda Mental health (Treatment)
-Interpersonal psychotherapy (ITP) and creative play (CP) groups
14 to17 years old (adolescents)
Comparison :IDPs
Group randomized controlled trial
- 8 months
Camps Reduced mean depression symptom scores: ITP (16.5%), CP (19.2%), control (17.0%) Strong
Cunningham 201138 Sudan Reproductive Health (MCH)
- Antenatal (ANC), postnatal (PNC) post-rape care, childbirth care and gynaecology service
Displaced women and residents Group case study triangulation of data (documents review, interviews and observation)
- Duration unclear
Non-camp populations ANC coverage 95%; Increase in delivery uptake (3%), family planning (2%), and PNC (17%). Quality of sexually transmitted infection (STI) case management 58%. NA
Doocy et al 200639 Liberia Water treatment
(Disease Prevention, Water & Sanitation) - Point-of-use water treatment using flocculant–disinfectant technology
<5 children
Comparison :IDPs
Community semi- experimental study with pre- and post-test
- 3 months
Camps Reduced diarrhoea incidence and prevalence by 90% and 83% respectively, compared with control. Strong
Elsanousi et al 200940 Sudan Water treatment
(Disease Prevention, Water & Sanitation)
- Use of LifeStraw water filter in a tube carried around the neck.
All residents >2 years old Community semi-experimental study with pre- and post-test
8 months
Camp Compliance rates: Always used (86.5%), Occasionally used (9.8%) Never used (3.7%)
Reduced diarrhoea incidence (15.3% to 2.3%)
Strong
Garang et al 200941 Uganda HIV Antiretroviral Therapy (ART) (Treatment)
- Provision of free HIV and ART care
Adults (>=18 years) receiving ART
Comparison: Non-IDPs
Individual intervention without pre-test
2 months
Hospital Overall mean 4-day adherence: 99.5%.
No significant difference in adherence between IDPs and non-IDPs (99.6% and 99.5%, p=0.86).
Strong
Goodrich et al 201342 Kenya HIV Care
(Essential Drugs, Treatment)
-Provision of HIV care
 IDPs Case study of individual medical records
- 6 months
Clinic 23 949 patient visit compared to 23 259 previously scheduled (1.03% increase)
1420 HIV patients in IDP camps seen
Basic provisions distributed to >1290 patients and their dependents.
Moderate
Hamze et al 201643 DRC Malaria (Treatment)
- Mass drug administration; and mass screening and treatment
<5 children
Comparison: IDPs
Group cohort intervention
3 months
Clinic Detected 29 malaria cases through active case-finding. Moderate
Huhn et al 200644 Liberia Yellow fever vaccination
(Disease Prevention, Immunization)
-Mass yellow fever immunization
Households Community intervention without pre-test and control
3 months
Camps Coverage rates exceeded 90% by self-report and 80% by vaccination card evidence.
97.6% IDPs informed of vaccination campaign, 91.9% vaccinated during campaign, only 83.5% had vaccination cards.
Strong
Humayun et al 201645 Pakistan Mental health (Essential Drugs, Treatment)
- Psychosocial support and specialist care for child, treat mental disorders and offer medication.
IDP and Residents Individual intervention without pre-test and control group
- 6 months
Not clear Drug prescription were anti-depressant (75%), anti-psychotics (10%) and anti-convulsant (8%)
60% of cases offered both pharmacological and psychological treatments.
Moderate
Jayatissa et al 201246 Sri Lanka Food distribution (Food & Nutrition)
-Nutrition Rehabilitation Program offering therapeutic & supplementary food supply and blanket feeding
Children (<5 years) Community intervention with pre- and post-test
- 16 months
Camps Reduction in prevalence of GAM (47%), SAM (80%) and MAM (39%).
Anaemia prevalence remained high at 34% compared to national prevalence of 25%.
Moderate
Kim et al 200947 DRC HIV treatment (MCH, Treatment)
- HIV and syphilis testing and HIV counselling and testing services
Women (15–49 years)
Comparison:Non-IDP women
Random household group intervention without pre-test
- 3 months
Camp and surrounding resident populations HIV prevalence higher among IDP compared to the non-IDPs women (7.6% to 3.1%) Strong
Kolaczinski et al 200648 Uganda Malaria treatment and management
(Essential Drugs, Treatment)
- Home-based management of fever
Caretakers of <5 children Community intervention without pre-test and control
- 1 week
Camps 95.0% children received correct dose and 96.3% overall adherence. Moderate
Lee et al 200949 Myanmar Human resources for health (Disease Prevention, Health Education, Treatment)
- Village Health Worker (VHW) partnerships malaria control
IDP-VHW and General population Community intervention case study
- 5 years
Not clear 3-fold increase in health worker density from 22 per 10 000 persons to 90 per 10 000
Increased integrated malaria control reach from 3000 to 40 000 IDPs.
Weak
Morris et al 201250 Uganda Mental health - MCH Feeding
(Food & Nutrition, MCH, Treatment)
-Community-based feeding program with psychosocial intervention
Mother-baby pair
Comparison: IDP
Group semi-experimental study with pre- and post-test
- 9 months
Community-based Greater involvement with babies’ emotional responsibility and less sadness and worry among the intervention group compared to the contrast group. Strong
Mullany et al 201051 Myanmar Maternal health care (MCH)
- Mobile Obstetric Medics Project 3-tiered community-based maternal health workers network
Ever-married women (15–45 years) Community-based pre- and post-test intervention without control
- 3 years
General Community Most recent pregnancy more likely to receive ANC (71.8% vs 39.3%) and other interventions.
Increased PNC uptake (33.7% to 69.8%), use of modern methods to avoid pregnancy (23.9% to 45.0%) and birth taken by trained emergency obstetric care staff (5.1% to 48.7%)
Reduced unmet contraception need (61.7% to 40.5%)
Strong
Nakimuli-Mpungu et al 201352 Uganda Mental health (Treatment)
-Provision of routine psychological treatments including group counselling (GC)
Adults with war trauma history
Comparison: IDP
Group quasi-experiment cohort study
- 6 months
Clinic Faster reduction in depression at 6-month and post-traumatic stress at 3-month among GC participants;
Attendance to two or more sessions increased function scores
Higher depression symptom scores if residing in IDP camps
Strong
Oladeji et al 201953 South Sudan Immunization (Disease Prevention, MCH, Food & Nutrition)
- Integration of immunization into nutrition services
Children Community and health facility intervention with pre- and post; without control
- 12 months
Clinic Increased number immunized children between 2016 and 2017: BCG (2706 vs 3411), OPV (2,449 vs 3784), Penta (2,105 vs 3700), Measles (5,680 vs 7273)
Lower dropout rate in intervention than PHC centres: In Sector 2 (OR: 0.45; 95% CI: 0.36- 0.55), P <0.05), In sector 5 (OR: 0.27; 95% CI: 0.20 -0.35) P <0.05).
Moderate
Peprah et al 201654 South Sudan Cholera vaccination (Disease Prevention, Health Education, Immunization)
- Oral cholera vaccination (OCV) campaigns and education
Adults Individual qualitative semi-structured interviews without control
- 3 months
Camps OVC reached 85–96% of the target population.
Heightened fear of disease and political danger contributed to camp residents’ perception of cholera
More trust in the United Nations and NGO staff providing vaccine not the national government
Strong
Pinto et al 200555 Sudan Surveillance (Disease Prevention)
- Early Warning System using national communicable disease surveillance system
IDP Camps Community intervention without pre-test and control
- 3 months
Camps 76% of camps reported data regularly after 10 weeks of implementation
179,795 consultations reported included ARI (18.7%), malaria (15%), bloody diarrhoea (8.4%); and SAM (1%).
More than 1,000 cases of acute watery diarrhoea reported.
Two outbreaks of Shigella dysenteriae detected
868 deaths reported
Moderate
Richards et al 200956 Myanmar Malaria control
(Disease Prevention, Health Education, Treatment)
-Integrated malaria control
All IDPs Community intervention with pre- and post-test
- 27 months
Clinics Reduction in P. falciparum prevalence (8.4% to 1.1%); annual incidence (232 to 70 per cases/1000/year)
Improvement in household members sleeping under an LLITN (0% to 89%) and malaria knowledge in all areas.
Higher mean number of IDPs per net owned compared to non-IDPs (3.1 vs 2.7)
Moderate
Sami et al 201757 South Sudan Newborn health services
(MCH)
- Facility-based newborn health services
Mothers Clinical observation and qualitative interview without pre-test and control
- 3 months
Camp clinics Minimal time is spent on PNC by staff (6.2%), PNC less consistently monitored (27.7%) and deliveries by skilled attendants more likely to receive PNC monitoring
Selected components commonly practised: thermal care (62.5%), infection prevention (74.8%), and feeding support (63.6%)
Poor availability of essential drugs compared to requirements at primary care level (9 of 25) and hospital (20 of 37)
Poor mothers’ knowledge of danger signs: fever (44.8%), not feeding well (41.0%), difficulty breathing (28.9%), reduced activity (27.7%), feeling cold (18.0%) and convulsions (11.2%).
Strong
Sonderegger et al 201158 Uganda Mental health (Treatment)
-Culturally sensitive and cognitive behaviour therapy
War-affected IDPs
Comparison: IDPs
Group randomized intervention with pre- and post-test
- 1 month
Camps No significant differences between groups at pre-assessment, but significant differences found at post-assessment and 3-month follow-up.
Treatment group had lower scores on the depression-like syndromes and the anxiety-like syndrome; and more prosocial behaviours.
Moderate
Spencer et al 200459 Uganda Malaria prevention
(Disease Prevention)
- Mass distribution of ITNs
All IDPs Community intervention with pre- and post-test
- 1 month
Camps 75.6% households had ITNs, but only 56.5% slept under ITNs
Prevalence of malaria parasitaemia (11.2%) significantly lower in ITN users compared to non-users (9.2% vs 3.8%)
Fever higher in <5 years by 7.2%
Strong
Steele et al 200860 Uganda Water treatment
(Water & Sanitation)
- Disinfection of jerry cans using high strength sodium hypochlorite
Households

Comparison: IDPs
Group intervention with pre- and post-test
- 1 month
Camps Jerry can contamination not come from water source.
Source consistently tested 0cfu/100ml microbiological contamination, but jerry can could not reduce to 0 cfu/100 mL
Chlorine strength depleted after repetitive cleaning
Moderate
Walden et al 200561 Sudan Water treatment
(Disease Prevention, Water & Sanitation)
-Mass disinfection of water containers
All IDPs Community intervention without pre-test
- 3 months
Camp Reduction in diarrhoea cases after cleaning campaign.
88% of containers in the camp disinfected
Random residual chlorine in 172 containers showed chlorine level of about, 0.22 mg/L
Weak
Watson et al 201962 Iraq Handwashing
(Water & Sanitation)
- Toy-in-soap intervention
Children
Comparison: IDPs
Group randomized controlled intervention with pre- and post-test
- 1 month
Camp Baseline intervention vs control (24% vs 32%)
Endline intervention vs control (40% vs 13%)
Intervention 4 times more likely to handwash (adjusted RR=3.94, 95% CI: 1.59–9.79)
Strong
Wayte et al 200863 Timor-Leste Sexual and Reproductive Health
(MCH)
- Comprehensive Reproductive Health Strategy with key focus on Safe Motherhood.
General IDP review Hospital-based intervention without pre-test
- 6 months
Community Mobile ANC services provided to 29 of 56 camps but ceased after two months.
16 of 399 women seen for ANC during mobile clinics
Two dozen tents on the grounds of national hospital to improve hospital-based births and emergency obstetric care
261 pregnant women transferred
Moderate
Zhou et al 201664 Myanmar Malaria control
(Disease Prevention, Treatment)
- Malaria and vector surveillance
All IDP
Comparison: Non-IDP
Community intervention without pre-test
- 40 months
Camps/ Community Clinics Annual clinical malaria incidence rates lower among IDPs compared to non-IDPs (38.8 vs 127.0 cases/1000 person-year)
Seasonal malaria outbreaks unchanged in local villages but increased about 10-fold in IDP camps
Over 99% of households in both communities owned bed nets, but more IDPs used LLITNs (60.9% vs 0.4%).
Strong

Note: Antenatal care (ANC), Antiretroviral Therapy (ART), Confidence Interval (CI), Family Planning (FP), Global-, Severe- and Moderate- Acute Malnutrition (GAM, SAM, MAM), Human Immunodeficiency Virus (HIV), Internally Displaced Person (IDP), Long Lasting Insecticide Treated Net (LL- ITN), Maternal and Child Health (MCH), Primary Health Care (PHC), Postnatal care (PNC), Relative Risk (RR).