Search Results (60)

Climate change represents a complex and multifaceted challenge for health systems, particularly in the African region, where the research has predominantly focused on physical health impacts while overlooking critical mental health dimensions. Our central hypothesis is that integrating culturally adapted mental health and psychosocial support (MHPSS) into climate resilience frameworks and disaster response planning will significantly reduce psychological distress (e.g., anxiety, depression, and trauma) and enhance adaptive capacities among both mainstream and migrant communities in disaster-prone African regions. This rapid review methodology systematically explores the intricate relationships between climate change, mental health, and migration by examining the existing literature and identifying significant information gaps. The key findings underscore the urgent need for targeted research and strategic interventions that specifically address mental health vulnerabilities in the context of climate change. This review highlights how extreme weather events, environmental disruptions, and forced migration create profound psychological stressors that extend beyond immediate physical health concerns. This research emphasizes the importance of developing comprehensive adaptation strategies integrating mental health considerations into broader climate response frameworks. Recommendations emerging from this assessment call for immediate and focused attention on developing specialized research, policies, and interventions that recognize the unique mental health challenges posed by climate change in African contexts. We also note the current limitations in the existing national adaptation plans, which frequently overlook mental health dimensions, thereby underscoring the necessity of a more holistic and nuanced approach to understanding climate change’s psychological impacts. In this exploratory study, we intended to provide a crucial preliminary assessment of the complex intersections between climate change, mental health, and migration, offering valuable insights for policymakers, researchers, and healthcare professionals seeking to develop more comprehensive and responsive strategies in an increasingly challenging environmental landscape. Full article

The Sustainable Development Goals commit states to Universal Health Coverage (UHC) for all; yet displaced populations—including asylum seekers, refugees, internally displaced persons (IDPs), and undocumented migrants—remain systematically excluded from national health systems across southern and eastern Africa. This paper applies a whole-of-route, rights-based framework to examine how legal status, policy implementation, and structural governance shape healthcare access for displaced populations across South Africa, Kenya, Somalia, and the Democratic Republic of Congo (DRC). Drawing on 70 key informant interviews and policy analysis conducted between 2020 and 2025, the study finds that despite formal commitments to health equity, access remains constrained by restrictive legal regimes, administrative discretion, and fragmented service delivery models. Critical gaps persist in migration-sensitive planning, gender-responsive care, and mental health integration. The findings highlight the limitations of rights-based rhetoric in the absence of legal coherence, intersectoral coordination, and political will. To realise UHC in displacement contexts, health systems must move beyond citizen-centric models and embed migration-aware, inclusive, and sustainable approaches across all stages of displacement. Without such structural reforms, displaced populations will remain at the margins of national health agendas—and the promise of health for all will remain unmet. Full article

Background/Objectives: Children that are forcibly displaced are more likely to experience mental health and behavioural challenges than non-displaced populations, including increased risk of anxiety, depression and post-traumatic stress disorder. Building appropriate parenting skills to strengthen the relationships between caregivers and their children in times of war is key to building resilience in children. There is a lack of research on the role of family skill interventions in internally displaced people (IDP). The aim of this study was to assess the potential change in parenting skills, child mental health, and resilience capacity in families living in IDP camps in Kachin State, Myanmar, after taking part in a brief family skill intervention, Strong Families. Methods: An open, multi-site pilot feasibility and acceptability trial was conducted with 100 families. Outcome data were collected prospectively, assessing changes in parenting skills and family adjustment in caregivers, children’s behaviour, and children’s resilience capacities. Families were assessed using three scales, Parenting and Family Adjustment Scales (PAFAS), the Strengths and Difficulties Questionnaire (SDQ), and the Child and Youth Resilience Measure (CYRM-R). Results: Despite being a light intervention, Strong Families produced improvements in the child mental health, parenting practices, and parent and family adjustment skills scales. Improvements were observed in scores particularly for caregivers and children with greater challenges at baseline. Conclusions: The results positively value the importance and feasibility of family skill interventions being integrated into the routine care of IDP families. This advocates for the prioritisation of using such tools for supporting better family functioning and mental health in humanitarian contexts. Full article

Climate data consistently indicate a rising temperature trend and a simultaneous decline in precipitation across Syria. Empirical records confirm projections of intensifying drought conditions throughout the Middle East, including Syria, with an increasing frequency, severity, and duration of drought events. However, a major challenge in assessing climate trends is the significant spatial and temporal gaps in Syria’s meteorological records. These gaps stem from the uneven distribution of weather stations—primarily located in populated areas, often lacking automation—and the widespread destruction of stations due to the ongoing civil war, which has coincided with worsening climate impacts. To address these challenges, in this study, an integrated methodology was developed leveraging remote sensing (RS) and geographic information system (GIS) techniques to identify the regions most affected by rising temperatures. While previous research has primarily analyzed the overall trend of meteorological drought in Syria, this study uniquely focuses on temperature rise at a national scale, systematically identifying the most severely impacted areas. Our analysis reveals 23 highly affected regions covering over 31,000 square kilometers, with significant current and projected consequences. These hotspots currently expose over 2.5 million people to thermal drought and encompass approximately 25% of Syria’s agricultural land, intensifying food security vulnerabilities. Notably, some of these affected pockets are in historically settled areas—previously considered resilient to direct climate change impacts—such as the coastal region. Given that Syria has endured a protracted crisis for thirteen years, the compounded effects of climate change further exacerbate daily hardships for millions, driving both internal displacement and migration, particularly toward Europe. This study underscores the urgent need for climate-responsive policies to mitigate the socio-economic and environmental repercussions of rising temperatures in Syria. Full article

Urban regeneration is often presented by those responsible as an unquestionable success story. Barcelona’s transformation from the mid-1980s, with its great Olympic momentum and successive attempts to maintain its international status, is perhaps one of the most widely publicized and celebrated. Among the operations, the waterfront stands out as one of the most significant regeneration efforts due to their territorial scope, social implications, and economic impact. In this text, we want to challenge this official success story with other untold stories: the stories of the preexisting spaces that have been erased, the people who have been displaced, and the industrial heritage that has been destroyed. There are hardly any memories left, and the regeneration projects seem to be built on a previous emptiness. The discourses of success are often accompanied by maps that conceal the process of change and, at the same time, present the regeneration projects as disconnected from other spaces and processes. Maps appear as artifacts with great limitations in their capacity to represent complex and time-delayed processes and, at the same time, have enough power to legitimize urban regeneration as beneficial to all. However, maps can also be powerful tools for changing the way regeneration processes are told and who tells them, thus revealing what has been hidden. Full article

Public open spaces enhance urban sustainability by promoting social inclusion and supporting the right to the city. Somehow, in fragile contexts, knowledge of the accessibility and inclusiveness of these places, especially in the African context, is scarce. In alignment with the SDGs advocating for equal access to public open spaces, this study investigates how the fragile context impacts the accessibility and inclusiveness of public open spaces in Kaya, Burkina Faso. Employing a mixed-methods approach grounded in urban fragility and spatial justice theories, data were collected through GIS tools, group discussions involving 73 participants, and a questionnaire survey with a quota sample of 515 residents. Thematic and contextual analysis and Key Influencer tools were used to interpret the data in depth. The findings reveal that the fragile condition of Kaya impacts social groups in different ways. People living in informal housing, internally displaced people, women, aged people, people living with disabilities, and young people are more likely to experience spatial injustice and social exclusion from public open spaces. This study concludes that innovative measures to enhance governance, planning, and investments promote spatial justice, thereby reducing fragility. Full article

Background: Internal displacement is a global crisis, with Ethiopia being among the most affected countries due to conflict, violence, and natural disasters. Internally displaced people (IDPs) face multifaceted trauma at the individual, family, and community levels, exacerbating mental health issues such as PTSD and depression. Despite ongoing interventions, many programs lack cultural and contextual adaptations that are suited to Ethiopia’s diverse communities. Aims: This study aimed to explore the cultural and contextual factors influencing trauma-informed interventions for IDPs in Ethiopia and develop a framework for culturally responsive mental health support. Methods: Utilizing Community-Based Participatory Action Research (CBPAR) and interpretative phenomenological research design, data were collected from 42 stakeholders through Focus Group Discussions and in-depth individual interviews, and subsequently analyzed using thematic analysis to identify patterns and themes. Results: Key findings highlighted the ongoing trauma faced by IDPs, the importance of demographic characteristics (e.g., gender and education), and the role of cultural stereotypes in shaping trauma perceptions. Traditional community rituals such as coffee ceremonies have been identified as vital for healing. Effective interventions require cultural alignment, respect for religious values, and integration into community activities. Conclusions: This study underscores the need for culturally and contextually responsive trauma-informed intervention. Incorporating community rituals and engaging local leaders enhances intervention acceptance and effectiveness. The findings provide a framework to address mental health needs while fostering resilience among internally displaced Ethiopian populations. Full article

Indigenous Peoples in Latin America face a dual challenge of social vulnerability and violations of freedom of religion or belief (FoRB). Representing 8% of the region’s population yet disproportionately affected by poverty, displacement, and health disparities, these communities also endure persistent religious discrimination—a challenge historically overlooked in policy and scholarship. This article advances the understanding of FoRB violations against Indigenous Peoples by distinguishing between external threats, targeting collective religious practices, and internal threats, undermining individual religious rights. Using a cross-case analysis of Paraguay, Mexico, and Colombia, this study illustrates the varied manifestations of these threats, relying on novel data from interviews, open-source platforms, and the Violent Incidents Database of the Observatory of Religious Freedom in Latin America and the International Institute for Religious Freedom. Focusing on Latin America as a “least likely case” for FoRB violations, the article highlights significant disparities in FoRB protections for Indigenous Peoples, challenging the assumption of Latin America as a region of relative religious freedom. By shedding light on these violations, the study underscores their broader implications for political stability and human rights. The findings call for greater attention to the intersections of religious freedom and Indigenous rights, offering a framework applicable to global contexts. This work also highlights the need for sustained data collection and targeted interventions to address these challenges effectively. Full article

Concerns about global food insecurity have been growing, particularly in low- and middle-income countries. This study aimed to assess the determinants of food security among internally displaced persons (IDPs)—people who have been forced to flee their homes due to conflict, natural disasters, or other crises—and their children under five, as well as the influence on their nutritional status. Using random sampling, the caregivers of IDPs and children under five in households were included in the study. The caregivers were interviewed using a validated structured questionnaire, while nutritional assessments of both children and adults were conducted through anthropometric and clinical evaluation methods. The findings revealed a high prevalence of food insecurity, with 97.6% of IDP households experiencing some degree of insecurity. Additionally, 28.3% of the surveyed households had high dietary diversity. Among the children, 50.6% were stunted, over a third were underweight, and 15.8% were wasted, indicating severe nutritional deficiencies. Among adults, 28.4% were overweight or obese, while a significant number were underweight. Multiple linear regression analysis showed that the caregivers’ monthly salary and the average amount spent on food were associated with a decrease in food insecurity. Conversely, large household sizes and coping strategies employed to mitigate food insecurity were linked to increased food insecurity. In conclusion, the study highlights a high prevalence of food insecurity among IDP households, forcing families to adopt coping strategies, mainly through dietary modifications. This, in turn, contributes to low dietary diversity and poor nutritional status, with children suffering from underweight, wasting, and stunting. These findings underscore the urgent need for comprehensive interventions, including the distribution of food vouchers, cash transfers, food banks, and support for home gardening and small-scale farming, as well as education on meal rationing, meal planning, and family planning services. Addressing the root causes of food insecurity—namely low household income and large family sizes—can improve access to nutritious food and ensure the health and well-being of IDPs. Furthermore, addressing food insecurity within this vulnerable group is critical to the broader goals of planetary health, as it highlights the intersection of human health, social equity, and environmental sustainability. By promoting sustainable food systems and supporting vulnerable populations, these interventions can contribute to the resilience of both communities and eco-systems in the face of ongoing global challenges. Full article

Background: Non-communicable diseases (NCDs) pose a serious global health challenge, accounting for 74% of all deaths worldwide, with low- and middle-income countries (LMICs) disproportionately affected. These challenges are further exacerbated in humanitarian settings, particularly among forcibly displaced people (FDP). Despite the critical need for NCD management in these populations, their epidemiology remains poorly understood. This highlights an urgent research priority to address knowledge gaps and improve their health outcomes. Methods: In this research, we conducted a systematic mapping review to aggregate and categorize existing publications on NCDs among FDP. Literature searches were performed across five electronic databases, namely PubMed, Cochrane Library, Embase, Global Index Medicus, and Google Scholar, using predefined criteria related to target populations, research domains, and study design. The evidence was systematically coded and analyzed to assess the current research status on NCDs among FDP. Results: A total of 310 publications were included in the review. The findings indicate an increasing trend in publications on NCDs among FDP since 2014. In contrast, most studies revealed low evidence levels. Disease-specific research primarily focused on diabetes mellitus (DM) (26.4%) and hypertension (19.8%), addressing health status (43.1%) and health policy (32.0%). Studies mainly concentrated on Syrian (45.5%) and Palestinian (18.9%) refugees, with limited research on other countries and types of FDP. Funding sources were mostly governmental (23.1%) and philanthropic foundations (17.6%), although many studies were unfunded (26.2%). Conclusions: This is the first systematic mapping review on NCDs among FDP. The findings revealed both current knowledge areas of focus and gaps. Although the research quantity has increased, the evidence quality remains low. The retrieved studies predominantly focused on DM and hypertension among Syrian and Palestinian refugees, causing significant knowledge gaps regarding other geographical areas and types of FDP. Future research should prioritize higher-quality studies, expand the geographical scope, and include diverse types of FDP. Full article

Dams play a pivotal role in providing essential services such as energy generation, water supply, and flood control. However, their stability is crucial, and continuous monitoring is vital to mitigate potential risks. The Mosul Dam is one of the most interesting infrastructures in Iraq because it was constructed on alternating beds of karstified and gypsum which required continuous grouting due to water seepage. Therefore, the ongoing maintenance issues raised international concerns about its stability. For several years the dam indicated a potential for disastrous failure that could cause massive flooding downstream and pose a serious threat to millions of people. This research focuses on comprehensive statistical assessments of the dam geodetic network points across multiple epochs of long duration. Through the systematic application of three statistical tests and the predictive capabilities of the Kalman filter, safety and long-term stability are aimed to be enhanced. The analysis of the dam’s geodetic network points shows a consistent trend of upstream-to-downstream movement. The Kalman filter demonstrates promising outcomes for displacement prediction compared to least squares adjustment. This research provides valuable insights into dam stability assessment, aligns with established procedures, and contributes to the resilience and safety of critical infrastructure. The outcome of this paper can encourage future studies to build upon the foundation presented. Full article

Indigenous Peoples throughout the world have been displaced from their ancestral territories through colonial land use management. Indigenous Peoples have pushed settler-colonial governments to shift their policy frameworks to better support Indigenous rights and leadership across land management, but particularly in conservation. In Canada, this has recently involved the development of Indigenous Protected and Conserved Areas. Combined with pressure from international organizations, Canada’s Federal Government has dedicated substantial funds to support the establishment of these areas and to achieve conservation and reconciliatory goals. In Aotearoa New Zealand, Māori groups have shaped new legislation that recognizes legal personality status for natural features, which contrasts with Western understandings of land ownership. Indigenous-led conservation in Canada faces many interrelated barriers grounded in colonial histories that complicate land jurisdictions, reconciliation, and protected area networks. This research reveals some of this complexity by examining how Indigenous-led conservation can contribute to more equitable and consensus-based decision-making frameworks in land use management. Policy and legal analyses of Canadian, Aotearoa New Zealand, and international conservation and human rights documents inform our results. We affirm that Indigenous-led conservation can foster relationships between Indigenous Nations and Crown governments. They can also provide steps towards reconciling colonial injustices, supporting Indigenous self-determination, and advancing more sustainable land use systems. Full article

The objective of this study was to assess the effect of sustained reading on the temporal changes in the wavefront error in the presbyopic eye. The wavefront aberration of the eyes was measured using an IRX3 Shack–Hartmann aberrometer before and after (immediately, 5 min, and 10 min after) a reading task. Temporal changes in ${\mathrm{C}}_2^0$, ${\mathrm{C}}_4^0$, and ${\mathrm{C}}_3^{-1}$ coefficient values of the eyes were plotted, showing a predominant number of V-shaped patterns (for ${\mathrm{C}}_4^0$ and ${\mathrm{C}}_3^{-1}$) and inverse V-shaped patterns (for ${\mathrm{C}}_2^0$) among the study group, and the percentages (between 27 and 73%) were reported. The median of the total RMS of aberrations and the RMS of HOA (higher-order aberrations), which included comatic (3rd order) and spherical-like aberrations (4th and 6th order), increased immediately after finishing the near-vision reading task and then decreased. The median of RMS of comatic aberrations had a similar pattern of variations, while the median of RMS of spherical-like aberrations displayed an opposite pattern. Simulating the aberration changes due to lens decentration caused by relaxed zonules during 4 D accommodation in an eye model demonstrated that the expected range of changes for the vertical coma and spherical aberrations are in the order of 0.001 and 0.01 μm, respectively, which could justify why the observed changes were not statistically significant. The observed dynamic changes in HOA might be linked to the biomechanical characteristics and alterations in the displacement of the crystalline lens following prolonged near-vision tasks in presbyopic people. Although some predominant patterns under some conditions were shown, they exhibit considerable inter-subject and inter-ocular variability. This might be due to slight misalignments while fixating on the internal extended object in the aberrometer. Full article

The occurrence and development of a landslide is a gradual process of destruction, causing huge losses to people’s lives and property. The shear strength of the shear zone gradually decreases to the residual state during the sliding process but it can recover to a certain extent during a relatively stable period. In a landslide, more than one slide usually occurs; however, after the first slide stops, it can enter a dormant period. The sliding surface can then experience a self-healing strength recovery phenomenon; this self-healing phenomenon has a significant impact on the reactivation of the landslide. Relevant studies have shown that the strength of the sliding surface is slightly greater than the residual strength when a landslide is reactivated; however, the explanations provided by these studies have not been sufficiently systematic. In this study, focusing on the undisturbed slide zone soil of the Huaipa landslide in Sanmenxia City, the “shear–pause–shear–pause–shear” test scheme is adopted. The soil is subjected to 3 h, 6 h, 12 h, 24 h, and 72 h healing shear tests, and combined with the SEM microstructure characteristics of the shear surface, to explore the internal mechanism of self-healing. The results show that the landslide soil exhibits strong self-healing strength recovery characteristics; however, these strength recovery characteristics decrease rapidly after experiencing a very small displacement. The strength recovery was strongly correlated with the vertical stress and healing time. With increasing vertical stress, the strength recovery value of the soil increases. Under low pressure, the strength recovery is small, and under high pressure, the strength recovery is obvious. With increasing healing time, the strength recovery increases; however, the increase in the amplitude diminishes and ultimately approaches zero with increasing healing time. A “healing phenomenon” occurs in the shear surface of slide zone soil after a short period of time. A shear strength value greater than the residual strength can be used to check the landslide design, which can effectively reduce costs. Full article

Armed conflicts and resulting displacement disrupt people’s sense of place, leading to an imbalance in the people–place relationship, exaggerated by rehabilitation efforts that overlook the sense of place among conflict- and displacement-impacted communities. A continuous landscape narrative that extends from pre- to post-conflict times contributes to recreating the essence of lost landscapes and therefore reconnecting their sense of place. Focusing on a Syrian city that hosted internally displaced persons (IDPs) in the aftermath of the Syrian conflict, this study aims to structure a virtual landscape and narrative depiction of conflict-impacted landscapes. This study proposes a storytelling approach for narrative construction and an AI-powered visualisation approach to revive the image of the elusive landscapes. This study utilised qualitative research methods through in-depth, semi-structured interviews for data collection and an online survey for exploring the perception of virtual landscape images generated with AI text-to-image models (DALL.E 2 and Bing Image Creator). This study indicates that narratives, supported by AI visualisation, are reliable for comprehending landscape transformation and changes in the sense of place. The two approaches can serve as rehabilitation initiatives in post-crisis settings to recall images of elusive landscapes to save them from being lost forever. Full article