![]() Using an integrative community-based approach to health service delivery in CAR and South Sudan is feasible for humanitarian organizations operating in conflict-affected areas. Community engagement, collaboration and negotiating safe passage, comprehensive delivery of services and continued training were key strategies identified for agile programming in conflict settings. Empowering women and adolescents and providing context-specific resources can mitigate some barriers. ![]() Security and knowledge gaps, including language barriers and gaps in literacy negatively impacted service delivery. The feasibility of service delivery in armed conflict settings depends on well-defined and clear messaging, community inclusiveness and a localized plan for delivery of services. ![]() In total, 15 focus groups and 16 key informant interviews were conducted, and a total of 169 people participated in the study. Data were analyzed by two independent researchers using a content analysis approach. Focus groups with community health workers/volunteers, community elders, men, women, and adolescents in the community and key informant interviews with program implementers were conducted in CAR and South Sudan. MethodsĪ qualitative study design with key informant interviews and focus group discussions using purposive sampling was used for this study. This study explored the feasibility, barriers, and strategies for context-specific agile programming in armed conflict affected settings. The International Committee of the Red Cross (ICRC) and the Canadian Red Cross (CRC) used an integrated public health approach to pilot a program for delivering community-based health services in the Central African Republic (CAR) and South Sudan in partnership with National Red Cross Societies in both countries. ![]() ![]() The delivery of quality healthcare for women and children in conflict-affected settings remains a challenge that cannot be mitigated unless global health policymakers and implementers find an effective modality in these contexts. ![]()
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