@article{fdi:010084501,
  title = {{H}ealthcare system resilience in {B}angladesh and {H}aiti in times of global changes (climate-related events, migration and {C}ovid-19) : an interdisciplinary mixed method research protocol},
  author = {{C}lech, {L}ucie and {M}eister, {S}ofia and {B}elloiseau, {M}. and {B}enmarhnia, {T}. and {B}onnet, {E}mmanuel and {C}asseus, {A}. and {C}loos, {P}. and {D}agenais, {C}. and {D}e {A}llegri, {M}. and {D}esgr{\'e}es du {L}oû, {A}nnabel and {F}ranceschin, {L}ucas and {G}oudet, {J}. {M}. and {H}enrys, {D}. and {M}athon, {D}. and {M}atin, {M}. and {Q}ueuille, {L}. and {S}arker, {M}. and {T}urenne, {C}. {P}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {S}ince climate change, pandemics and population mobility are challenging healthcare systems, an empirical and integrative research to studying and help improving the health systems resilience is needed. {W}e present an interdisciplinary and mixed-methods research protocol, {C}lim{HB}, focusing on vulnerable localities in {B}angladesh and {H}aiti, two countries highly sensitive to global changes. {W}e develop a protocol studying the resilience of the healthcare system at multiple levels in the context of climate change and variability, population mobility and the {C}ovid-19 pandemic, both from an institutional and community perspective. {M}ethods {T}he conceptual framework designed is based on a combination of {L}evesque's {H}ealth {A}ccess {F}ramework and the {F}oreign, {C}ommonwealth and {D}evelopment {O}ffice's {R}esilience {F}ramework to address both outputs and the processes of resilience of healthcare systems. {I}t uses a mixed-method sequential exploratory research design combining multi-sites and longitudinal approaches. {F}orty clusters spread over four sites will be studied to understand the importance of context, involving more than 40 healthcare service providers and 2000 households to be surveyed. {W}e will collect primary data through questionnaires, in-depth and semi-structured interviews, focus groups and participatory filming. {W}e will also use secondary data on environmental events sensitive to climate change and potential health risks, healthcare providers' functioning and organisation. {S}tatistical analyses will include event-history analyses, development of composite indices, multilevel modelling and spatial analyses. {D}iscussion {T}his research will generate inter-disciplinary evidence and thus, through knowledge transfer activities, contribute to research on low and middle-income countries ({LMIC}) health systems and global changes and will better inform decision-makers and populations.},
  keywords = {{H}ealthcare systems resilience ; {G}lobal change ; {C}limate change ; {M}igration ; {C}ovid-19 ; {M}ixed-methods ; {BANGLADESH} ; {HAITI}},
  booktitle = {},
  journal = {{BMC} {H}ealth {S}ervices {R}esearch},
  volume = {22},
  numero = {1},
  pages = {340 [14 ]},
  year = {2022},
  DOI = {10.1186/s12913-021-07294-3},
  URL = {https://www.documentation.ird.fr/hor/fdi:010084501},
}