Civil society and perilous medicine in Africa: a systematic review

Background Conflict has not been a public health priority for governmental organisations, and evidence on civil society organisation (CSO) contributions to the issue is limited. The present study synthesised the available evidence on the role of CSOs in conflict and health in Africa.Methods We emplo...

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Main Authors: Hailay Gesesew, Fran Baum, Hafte Kahsay Kebede, Connie Musolino, Paul Ward
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:BMJ Global Health
Online Access:https://gh.bmj.com/content/10/6/e018541.full
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author Hailay Gesesew
Fran Baum
Hafte Kahsay Kebede
Connie Musolino
Paul Ward
author_facet Hailay Gesesew
Fran Baum
Hafte Kahsay Kebede
Connie Musolino
Paul Ward
author_sort Hailay Gesesew
collection DOAJ
description Background Conflict has not been a public health priority for governmental organisations, and evidence on civil society organisation (CSO) contributions to the issue is limited. The present study synthesised the available evidence on the role of CSOs in conflict and health in Africa.Methods We employed a systematic review using a systematic search of MEDLINE, PubMed, CINHAL, Web of Science and Scopus for English written articles between 1 January 2000 to 31 December 2023. The four concepts for the search included CSO or non-governmental organisation (NGO), conflict, health and Africa.Results 14 documents are included in the review. We found that CSOs were engaged in (a) advocacy—CSOs have been advocating to local and national governments, international bodies, and for fund raising; (b) social and medical provision—CSOs have been filling services gaps through delivering medical, health and psychological care and outreach services; (c) material support—CSOs have been providing shelter, food, clothing, and building public infrastructure such as health facilities, roads and water; (d) health diplomacy—CSOs act as Global health diplomats as health is also a key factor in foreign affairs, security and trade policy and (e) accountability—CSOs have been examining the broader role of NGOs or governance.Conclusions The present systematic review highlights potential areas for future research, emphasising the importance of prioritising key areas for further investigation and suggesting the need for special attention to rarely addressed activities such as health diplomacy given that civil society engagement around healthcare is an important driver of Health For All.
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spelling doaj-art-0c239964dc9d46c3a709c046fea44f5a2025-08-20T03:09:49ZengBMJ Publishing GroupBMJ Global Health2059-79082025-06-0110610.1136/bmjgh-2024-018541Civil society and perilous medicine in Africa: a systematic reviewHailay Gesesew0Fran Baum1Hafte Kahsay Kebede2Connie Musolino3Paul Ward4Research Centre for Public Health, Equity and Human Flourishing (PHEHF), Torrens University Australia, Adelaide, South Australia, AustraliaStretton Institute, The University of Adelaide, Adelaide, South Australia, AustraliaResearch Centre for Public Health, Equity and Human Flourishing (PHEHF), Torrens University Australia, Adelaide, South Australia, AustraliaStretton Institute, The University of Adelaide, Adelaide, South Australia, AustraliaResearch Centre for Public Health, Equity and Human Flourishing (PHEHF), Torrens University Australia, Adelaide, South Australia, AustraliaBackground Conflict has not been a public health priority for governmental organisations, and evidence on civil society organisation (CSO) contributions to the issue is limited. The present study synthesised the available evidence on the role of CSOs in conflict and health in Africa.Methods We employed a systematic review using a systematic search of MEDLINE, PubMed, CINHAL, Web of Science and Scopus for English written articles between 1 January 2000 to 31 December 2023. The four concepts for the search included CSO or non-governmental organisation (NGO), conflict, health and Africa.Results 14 documents are included in the review. We found that CSOs were engaged in (a) advocacy—CSOs have been advocating to local and national governments, international bodies, and for fund raising; (b) social and medical provision—CSOs have been filling services gaps through delivering medical, health and psychological care and outreach services; (c) material support—CSOs have been providing shelter, food, clothing, and building public infrastructure such as health facilities, roads and water; (d) health diplomacy—CSOs act as Global health diplomats as health is also a key factor in foreign affairs, security and trade policy and (e) accountability—CSOs have been examining the broader role of NGOs or governance.Conclusions The present systematic review highlights potential areas for future research, emphasising the importance of prioritising key areas for further investigation and suggesting the need for special attention to rarely addressed activities such as health diplomacy given that civil society engagement around healthcare is an important driver of Health For All.https://gh.bmj.com/content/10/6/e018541.full
spellingShingle Hailay Gesesew
Fran Baum
Hafte Kahsay Kebede
Connie Musolino
Paul Ward
Civil society and perilous medicine in Africa: a systematic review
BMJ Global Health
title Civil society and perilous medicine in Africa: a systematic review
title_full Civil society and perilous medicine in Africa: a systematic review
title_fullStr Civil society and perilous medicine in Africa: a systematic review
title_full_unstemmed Civil society and perilous medicine in Africa: a systematic review
title_short Civil society and perilous medicine in Africa: a systematic review
title_sort civil society and perilous medicine in africa a systematic review
url https://gh.bmj.com/content/10/6/e018541.full
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