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).