{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T10:41:09Z","timestamp":1781865669164,"version":"3.54.5"},"reference-count":148,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006418","name":"Brown University","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100006418","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006418","name":"Brown University","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100006418","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>The concurrent need for both humanitarian and development assistance in fragile settings and protracted emergencies has been termed the humanitarian-development nexus (HDN) or the humanitarian-development-peace nexus (HDpN). We undertook a scoping review on the operationalization of the HDpN for sexual, reproductive, maternal, newborn, child, and adolescent health interventions in fragile settings. We screened 2,570 publications, of which 36 peer-reviewed and 27 grey literature publications met inclusion criteria. Very few included studies focused on peace aspects within the HDpN and child and adolescent health. Publications by humanitarian authors often classified maternal and newborn health as a component of sexual and reproductive health (SRH). Data extraction and analysis focused on three overarching themes: SRH prioritization across the HDN, the transition between minimum and comprehensive services, and health systems strengthening. This review provides concrete guidance on how to operationalize the HDN for SRH interventions in fragile settings. Expansion of SRH preparedness measures is necessary given the current trajectory of the climate emergency and other destabilizing events. The ability to flexibly transition between minimum and comprehensive services is important for maintaining service continuity in crisis-affected settings. COVID-19 proved to be a significant disruptor of SRH services, and a key inflection point in the collaboration between humanitarian and development practitioners. The use of task-shifting, decentralization, and telemedicine were approaches that may be adopted to maintain service delivery according to different contexts. Lastly, strengthening health systems was identified as essential across the HDN. With more crises extending for years, the wider literature has emphasized the necessity of health systems strengthening for reaching the Sustainable Development Goals, including in fragile settings.<\/jats:p>","DOI":"10.1371\/journal.pgph.0005767","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:22:09Z","timestamp":1770229329000},"page":"e0005767","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["The humanitarian-development nexus and sexual and reproductive health interventions in fragile settings: A scoping review"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4651-8844","authenticated-orcid":true,"given":"Amany","family":"Qaddour","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4289-5418","authenticated-orcid":true,"given":"Hannah","family":"Tappis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9773-1931","authenticated-orcid":true,"given":"Stefany","family":"Lazieh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ava","family":"Ward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Spiegel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"pgph.0005767.ref001","doi-asserted-by":"crossref","unstructured":"Fanning E, Fullwood-Thomas J. The humanitarian-development-peace nexus: What does it mean for multi-mandated organizations?. 2019. https:\/\/policy-practice.oxfam.org\/resources\/the-humanitarian-development-peace-nexus-what-does-it-mean-for-multi-mandated-o-620820\/","DOI":"10.21201\/2019.4436"},{"key":"pgph.0005767.ref002","volume-title":"DAC Recommendation on the Humanitarian-Development-Peace Nexus","author":"Organisation for Economic Co-operation and Development","year":"2019"},{"key":"pgph.0005767.ref003","unstructured":"Organization for Economic Co-operation and Development. What is fragility?. https:\/\/www.oecd.org\/en\/blogs\/2022\/09\/what-is-fragility.html"},{"key":"pgph.0005767.ref004","unstructured":"World Bank G. World Bank Country and Lending Groups. https:\/\/datahelpdesk.worldbank.org\/knowledgebase\/articles\/906519-world-bank-country-and-lending-groups?_gl=1*4m5s3p*_gcl_au*MTQ4NDcyMzE2NC4xNzIyNTk5NzY1"},{"key":"pgph.0005767.ref005","unstructured":"The World Bank. Classification of Fragile and Conflict-Affected Situations. https:\/\/www.worldbank.org\/en\/topic\/fragilityconflictviolence\/brief\/harmonized-list-of-fragile-situations"},{"key":"pgph.0005767.ref006","unstructured":"Inter-Agency Standing Committee. Humanitarian System-Wide Scale-Up Activation. https:\/\/interagencystandingcommittee.org\/humanitarian-system-wide-scale-activation"},{"key":"pgph.0005767.ref007","unstructured":"United Nations Office for the Coordination of Humanitarian Affairs. Coordinated Plans 2024. https:\/\/fts.unocha.org\/plans\/overview\/2024"},{"key":"pgph.0005767.ref008","unstructured":"Global Humanitarian Assistance, Professionals in Humanitarian Assistance P. Defining Humanitarian Assistance. 2017. https:\/\/web.archive.org\/web\/20171102215158\/http:\/\/www.globalhumanitarianassistance.org\/data-guides\/defining-humanitarian-aid"},{"key":"pgph.0005767.ref009","unstructured":"Organization for Economic Co-operation and Development. Official development assistance (ODA). https:\/\/www.oecd.org\/dac\/financing-sustainable-development\/development-finance-standards\/official-development-assistance.htm"},{"key":"pgph.0005767.ref010","unstructured":"United Nations. The 17 Goals | Sustainable Development. https:\/\/sdgs.un.org\/goals"},{"issue":"2","key":"pgph.0005767.ref011","first-page":"451","article-title":"The relief-development continuum: some notes on rethinking assistance for civilian victims of conflict","volume":"47","author":"P Sollis","year":"1994","journal-title":"J Int Aff"},{"issue":"833","key":"pgph.0005767.ref012","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1017\/S1560775500092385","article-title":"The humanitarian-development gap","volume":"81","author":"J Moore","year":"1999","journal-title":"International Review of the Red Cross"},{"key":"pgph.0005767.ref013","volume-title":"Linking relief, rehabilitation and development: Towards more effective aid","author":"V Ramet","year":"2012"},{"key":"pgph.0005767.ref014","unstructured":"United Nations Office for Coordination of Humanitarian Affairs. New Way of Working. 2017. http:\/\/agendaforhumanity.org\/sites\/default\/files\/20170228%20NWoW%2013%20high%20res.pdf"},{"key":"pgph.0005767.ref015","unstructured":"World Bank Group. Classification of Fragile and Conflict-Affected Situations. 2024. https:\/\/www.worldbank.org\/en\/topic\/fragilityconflictviolence\/brief\/classification-of-fragile-and-conflict-affected-situations"},{"key":"pgph.0005767.ref016","volume-title":"States of Fragility 2022","year":"2022"},{"key":"pgph.0005767.ref017","unstructured":"Hall N. The New Forever Wars. 2024. https:\/\/csis-website-prod.s3.amazonaws.com\/s3fs-public\/2024-01\/240201_GlobalForecast_2024_ConflictZones.pdf"},{"key":"pgph.0005767.ref018","volume-title":"What are frozen wars and forever wars?"},{"key":"pgph.0005767.ref019","volume-title":"Global Humanitarian Assistance Report 2023","author":"A Urquhart","year":"2023"},{"key":"pgph.0005767.ref020","volume-title":"The ultimate election year: All the elections around the world in 2024","author":"K Ewe","year":"2023"},{"key":"pgph.0005767.ref021","volume-title":"10 conflicts to watch in 2024","author":"C Ero","year":"2024"},{"issue":"2","key":"pgph.0005767.ref022","first-page":"1662616","article-title":"Politics, power, and sexual and reproductive health and rights: impacts and opportunities","volume":"27","author":"S Pugh","year":"2019","journal-title":"Sex Reprod Health Matters"},{"key":"pgph.0005767.ref023","unstructured":"More countries are including refugees in national health systems, and development partnerships are key to the process. https:\/\/www.unhcr.org\/blogs\/more-countries-are-including-refugees-in-national-health-systems-development-partnerships-are-key\/"},{"key":"pgph.0005767.ref024","unstructured":"World Bank Group. COVID-19 to add as many as 150 million extreme poor by 2021. 2020. https:\/\/www.worldbank.org\/en\/news\/press-release\/2020\/10\/07\/covid-19-to-add-as-many-as-150-million-extreme-poor-by-2021"},{"key":"pgph.0005767.ref025","unstructured":"World Economic Forum. Climate crisis may cause 14.5 million deaths by 2050. 2024. https:\/\/www.weforum.org\/press\/2024\/01\/wef24-climate-crisis-health"},{"key":"pgph.0005767.ref026","unstructured":"Institute for Economics & Peace. Over one billion people at threat of being displaced by 2050 due to environmental change, conflict and civil unrest. 2020. https:\/\/www.economicsandpeace.org\/wp-content\/uploads\/2020\/09\/Ecological-Threat-Register-Press-Release-27.08-FINAL.pdf"},{"key":"pgph.0005767.ref027","volume-title":"Quantifying the impact of climate change on human health","author":"World Economic Forum","year":"2024"},{"key":"pgph.0005767.ref028","unstructured":"United Nations Office for Disaster Risk Reduction. Sendai Framework for Disaster Risk Reduction 2015-2030. 2015. https:\/\/www.undrr.org\/publication\/sendai-framework-disaster-risk-reduction-2015-2030"},{"key":"pgph.0005767.ref029","unstructured":"United Nations Office for the Coordination of Humanitarian Affairs. Anticipatory Action. https:\/\/www.unocha.org\/anticipatory-action"},{"key":"pgph.0005767.ref030","unstructured":"Red Cross Red Crescent Climate Centre. Anticipatory Action. https:\/\/www.climatecentre.org\/priority_areas\/fbf-ibf\/"},{"issue":"1","key":"pgph.0005767.ref031","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1186\/s12913-021-06753-1","article-title":"Health system strengthening in fragile and conflict-affected states: a call to action","volume":"21","author":"MD Landry","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"pgph.0005767.ref032","volume-title":"Health systems resilience toolkit: a WHO global public health good to support building and strengthening of sustainable health systems resilience in countries with various contexts","author":"World Health Organization","year":"2022"},{"key":"pgph.0005767.ref033","volume-title":"Global Appeal 2023","author":"United Nations High Commissioner for Refugees","year":"2023"},{"key":"pgph.0005767.ref034","unstructured":"Humanitarian Action. Global humanitarian overview 2024: Forced displacement at record levels as a cause and consequence of increased need. 2023. https:\/\/humanitarianaction.info\/document\/global-humanitarian-overview-2024\/article\/forced-displacement-record-levels-cause-and-consequence-increased-need"},{"key":"pgph.0005767.ref035","unstructured":"United Nations High Commissioner for Refugees. Refugee Data Finder. https:\/\/www.unhcr.org\/refugee-statistics\/"},{"key":"pgph.0005767.ref036","unstructured":"European Civil Protection and Humanitarian Aid Operations EC. Forced displacement: Refugees, asylum-seekers, and internally displaced persons (IDPs). https:\/\/civil-protection-humanitarian-aid.ec.europa.eu\/what\/humanitarian-aid\/forced-displacement_en"},{"key":"pgph.0005767.ref037","unstructured":"United Nations High Commissioner for Refugees. Durable Solutions: Preliminary Operational Guide. 2016. https:\/\/www.unhcr.org\/media\/durable-solutions-preliminary-operational-guide"},{"key":"pgph.0005767.ref038","unstructured":"Bennett C, Foley M, Pantuliano S, Sturridge S, Archer M, Barbelet V. Time to let go: remaking humanitarian action for the modern era. 2016. https:\/\/odi.org\/en\/publications\/time-to-let-go-remaking-humanitarian-action-for-the-modern-era\/"},{"key":"pgph.0005767.ref039","unstructured":"Paige S, Kotsiras D. Time to decolonise aid: insights and lessons from a global consultation. 2021. https:\/\/www.peacedirect.org\/time-to-decolonise-aid\/"},{"key":"pgph.0005767.ref040","unstructured":"International Federation of the Red Cross. The Grand Bargain: Workstream 2: Localisation. https:\/\/gblocalisation.ifrc.org\/"},{"key":"pgph.0005767.ref041","volume-title":"Is racism part of our reluctance to localise humanitarian action?","author":"H Slim","year":"2020"},{"key":"pgph.0005767.ref042","unstructured":"Development Initiatives. Characteristics of crisis: Need and funding. 2023. https:\/\/devinit.org\/resources\/global-humanitarian-assistance-report-2023\/characteristics-of-crisis-need-and-funding\/#downloads"},{"key":"pgph.0005767.ref043","unstructured":"World Health Organization. Global strategy on human resources for health: Workforce 2030. 2020. https:\/\/www.who.int\/publications\/i\/item\/9789241511131"},{"key":"pgph.0005767.ref044","unstructured":"Safeguarding Health in Conflict Coalition, Insecurity Insight. Critical condition: violence against health care in conflict. 2023. https:\/\/insecurityinsight.org\/wp-content\/uploads\/2024\/05\/2023-SHCC-Critical-Conditions.pdf"},{"key":"pgph.0005767.ref045","unstructured":"United Nations. Transforming our world: the 2030 Agenda for Sustainable Development. 2021. https:\/\/sdgs.un.org\/2030agenda"},{"key":"pgph.0005767.ref046","volume-title":"High-Impact Practices in Family Planning","year":"2020"},{"key":"pgph.0005767.ref047","unstructured":"United Nations Population Fund. Contraceptives Save Lives. 2012. https:\/\/www.unfpa.org\/resources\/contraceptives-save-lives"},{"key":"pgph.0005767.ref048","unstructured":"Qaddour A, Hoaglund H, Spiegel P. The humanitarian-development nexus: A framework for maternal, newborn, and child health, voluntary family planning, and reproductive health in fragile settings. 2022. https:\/\/usaidmomentum.org\/resource\/landscape-analysis-the-humanitarian-development-nexus-a-framework-for-mnch-fp-rh\/"},{"key":"pgph.0005767.ref049","article-title":"PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation","author":"A Tricco","year":"2018","journal-title":"Ann Intern Med"},{"key":"pgph.0005767.ref050","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1186\/1748-5908-5-69","article-title":"Scoping studies: advancing the methodology","volume":"5","author":"D Levac","year":"2010","journal-title":"Implement Sci"},{"key":"pgph.0005767.ref051","volume-title":"The Joanna Briggs Institute reviewers\u2019 manual 2015: methodology for JBI scoping reviews","author":"M Peters","year":"2015"},{"key":"pgph.0005767.ref052","volume-title":"Qualitative inquiry & research design","author":"J Creswell","year":"2013","edition":"3"},{"key":"pgph.0005767.ref053","unstructured":"World Health Organization. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. 2010. https:\/\/apps.who.int\/iris\/handle\/10665\/258734"},{"issue":"2","key":"pgph.0005767.ref054","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2019-001414","article-title":"Private sector engagement and contributions to immunisation service delivery and coverage in Sudan","volume":"4","author":"N Ahmed","year":"2019","journal-title":"BMJ Glob Health"},{"issue":"1","key":"pgph.0005767.ref055","doi-asserted-by":"crossref","DOI":"10.1186\/s12982-025-00395-y","article-title":"Stakeholder perspectives of maternal and newborn health prioritization in South Sudan: a policy analysis","volume":"22","author":"K Alier","year":"2025","journal-title":"Discov Public Health"},{"issue":"1","key":"pgph.0005767.ref056","first-page":"1","article-title":"Actions and adaptations implemented for maternal, newborn and child health service provision during the early phase of the COVID-19 pandemic in Lagos, Nigeria: qualitative study of health facility leaders","volume":"88","author":"M Balogun","year":"2022","journal-title":"Ann Glob Health"},{"issue":"1","key":"pgph.0005767.ref057","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1186\/s12978-021-01236-2","article-title":"Preparing for and responding to sexual and reproductive health in disaster settings: evidence from Fiji and Tonga","volume":"18","author":"K Beek","year":"2021","journal-title":"Reprod Health"},{"issue":"5","key":"pgph.0005767.ref058","doi-asserted-by":"crossref","DOI":"10.9745\/GHSP-D-23-00081","article-title":"Health system strengthening through professional midwives in Bangladesh: best practices, challenges, and successes","volume":"11","author":"F Begum","year":"2023","journal-title":"Glob Health Sci Pract"},{"issue":"1","key":"pgph.0005767.ref059","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s13031-022-00454-0","article-title":"Rebuilding child health in South Kivu, Democratic Republic of Congo (DRC): evaluating the Asili social enterprise program","volume":"16","author":"R Behl","year":"2022","journal-title":"Confl Health"},{"issue":"1","key":"pgph.0005767.ref060","first-page":"181","article-title":"Universal Health Coverage Policy and Progress towards the Attainment of Universal Sexual and Reproductive Health and Rights Services in Ethiopia","volume":"32","author":"Y Berhan","year":"2022","journal-title":"Ethiop J Health Sci"},{"key":"pgph.0005767.ref061","article-title":"Vouchers in Fragile States: Reducing Barriers to Long-Acting Reversible Contraception in Yemen and Pakistan","volume":"4","author":"L Boddam-Whetham","year":"2016","journal-title":"Global Health: Science and Practice"},{"issue":"7","key":"pgph.0005767.ref062","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0219990","article-title":"Meeting the demand of women affected by ongoing crisis: Increasing contraceptive prevalence in North and South Kivu, Democratic Republic of the Congo","volume":"14","author":"SE Casey","year":"2019","journal-title":"PLoS One"},{"key":"pgph.0005767.ref063","article-title":"The evolving role of traditional birth attendants in maternal health in post-conflict Africa: A qualitative study of Burundi and northern Uganda","author":"PC Chi","year":"2018","journal-title":"SAGE Open Med"},{"issue":"1","key":"pgph.0005767.ref064","doi-asserted-by":"crossref","first-page":"1517931","DOI":"10.1080\/16549716.2018.1517931","article-title":"Health system reforms in five sub-Saharan African countries that experienced major armed conflicts (wars) during 1990-2015: a literature review","volume":"11","author":"C Chol","year":"2018","journal-title":"Glob Health Action"},{"issue":"1","key":"pgph.0005767.ref065","doi-asserted-by":"crossref","first-page":"14","DOI":"10.9745\/GHSP-D-14-00164","article-title":"Delivering high-quality family planning services in crisis-affected settings I: program implementation","volume":"3","author":"DW Curry","year":"2015","journal-title":"Glob Health Sci Pract"},{"issue":"1","key":"pgph.0005767.ref066","doi-asserted-by":"crossref","first-page":"25","DOI":"10.9745\/GHSP-D-14-00112","article-title":"Delivering high-quality family planning services in crisis-affected settings II: results","volume":"3","author":"DW Curry","year":"2015","journal-title":"Glob Health Sci Pract"},{"issue":"7","key":"pgph.0005767.ref067","article-title":"Reproductive, maternal, newborn, child and adolescent health services in humanitarian and fragile settings: A mixed methods study of midwives\u2019 and women\u2019s experiences","volume":"4","author":"T Dey","year":"2024","journal-title":"PLOS Glob Public Health"},{"key":"pgph.0005767.ref068","article-title":"Perceived facilitators and barriers to the provision of sexual and reproductive health services in response to the Syrian refugee crisis in Lebanon","volume":"19","author":"FM Fouad","year":"2023","journal-title":"Women\u2019s Health"},{"key":"pgph.0005767.ref069","volume-title":"Ready to save lives: SRH preparedness toolkit","year":"2020"},{"issue":"6","key":"pgph.0005767.ref070","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1017\/S1049023X1700680X","article-title":"Community health workers and disasters: lessons learned from the 2015 earthquake in Nepal","volume":"32","author":"K Fredricks","year":"2017","journal-title":"Prehosp Disaster Med"},{"key":"pgph.0005767.ref071","article-title":"Immediate postpartum long-acting reversible contraception: a comparison across six humanitarian country contexts","author":"MC Gallagher","year":"2021","journal-title":"Front Glob Womens Health"},{"key":"pgph.0005767.ref072","unstructured":"Inter-Agency Working Group on Reproduction Health in Crises. Inter-Agency Field Manual on Reproductive Health in Humanitarian Settings. 2018. https:\/\/iawgfieldmanual.com\/manual"},{"key":"pgph.0005767.ref073","unstructured":"Inter-Agency Working Group on Reproductive Health in Crises. Programmatic Guidance for Sexual and Reproductive Health in Humanitarian and Fragile Settings during COVID-19 Pandemic. 2020. https:\/\/www.healthynewbornnetwork.org\/resource\/programatic-guidance-for-sexual-and-reproductive-health-in-humanitarian-and-fragile-settings-during-covid-19-pandemic\/"},{"key":"pgph.0005767.ref074","unstructured":"Inter-Agency Working Group on Reproductive Health in Crises, United Nations Population Fund, World Health Organization, Global Health Cluster. Planning for Comprehensive Sexual and Reproductive Health (SRH) in Crisis-Affected Settings. 2021. https:\/\/iawg.net\/resources\/planning-for-comprehensive-sexual-and-reproductive-health-srh-in-crisis-affected-settings"},{"key":"pgph.0005767.ref075","unstructured":"International Development Research Centre, United Nations Population Fund, University of London. Taking stock: Sexual and reproductive health and rights in climate commitments\u2014an East and Southern Africa review. 2024. https:\/\/reliefweb.int\/report\/democratic-republic-congo\/taking-stock-sexual-and-reproductive-health-and-rights-climate-commitments-east-and-southern-africa-review"},{"key":"pgph.0005767.ref076","unstructured":"International Development Research Centre, United Nations Population Fund, University of London. Taking stock: Sexual and reproductive health and rights in climate commitments - an Arab states review. 2024. https:\/\/reliefweb.int\/report\/jordan\/taking-stock-sexual-and-reproductive-health-and-rights-climate-commitments-arab-states-review"},{"key":"pgph.0005767.ref077","unstructured":"International Development Research Centre, United Nations Population Fund, University of London. Taking stock: Sexual and reproductive health and rights in climate commitments\u2014an Asia and the Pacific review. 2024. https:\/\/reliefweb.int\/report\/pakistan\/taking-stock-sexual-and-reproductive-health-and-rights-climate-commitments-asia-and-pacific-review"},{"key":"pgph.0005767.ref078","unstructured":"International Development Research Centre, United Nations Population Fund, University of London. Taking stock: Sexual and reproductive health and rights in climate commitments\u2014a Latin America and the Caribbean review. 2024. https:\/\/reliefweb.int\/report\/venezuela-bolivarian-republic\/taking-stock-sexual-and-reproductive-health-and-rights-climate-commitments-latin-america-and-caribbean-review"},{"key":"pgph.0005767.ref079","unstructured":"International Development Research Centre, United Nations Population Fund, University of London. Taking stock: Sexual and reproductive health and rights in climate commitments\u2014a West and Central Africa review. 2024. https:\/\/reliefweb.int\/report\/guinea\/taking-stock-sexual-and-reproductive-health-and-rights-climate-commitments-west-and-central-africa-review"},{"key":"pgph.0005767.ref080","unstructured":"International Rescue Committee, Inter-Agency Working Group on RH in C. Safe Abortion Care During Infectious Disease Outbreaks: Supplemental Guidance for Humanitarian and Fragile Settings. 2023. https:\/\/www.rescue.org\/sites\/default\/files\/2023-03\/Safe%20abortion%20care%20during%20infectious%20disease%20outbreaks%20%28English%29.pdf"},{"issue":"1","key":"pgph.0005767.ref081","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s13031-024-00628-y","article-title":"Maternal and newborn health prioritization in Yobe State, Nigeria: analysis of stakeholders\u2019 perspective","volume":"18","author":"EN Iwu","year":"2024","journal-title":"Confl Health"},{"issue":"2","key":"pgph.0005767.ref082","first-page":"101","article-title":"Covid-19\u2019s effects on contraceptive services across the humanitarian\u2013development nexus","volume":"53","author":"L Jacobi","year":"2022","journal-title":"Institute of Development Studies Bulletin"},{"key":"pgph.0005767.ref083","unstructured":"Kavle J. Increasing global capacity for coordinating, integrating and transitioning community health and nutrition in response to protracted crisis and in transition to recovery: experience and lessons learned. 2019. https:\/\/coregroup.org\/wp-content\/uploads\/2020\/01\/OFDA-HDTF-Experience-and-Lessons-Learned-Report_FINAL.pdf"},{"key":"pgph.0005767.ref084","volume-title":"Systems effects of Save the Children emergency health & nutrition project: Sudan","author":"S Khalsa","year":"2019"},{"key":"pgph.0005767.ref085","doi-asserted-by":"crossref","DOI":"10.1016\/j.midw.2024.104065","article-title":"Midwives\u2019 adaptation of their practice, role, and scope to ensure access to sexual and reproductive services during humanitarian crises: A scoping review","volume":"136","author":"SE Ku Carbonell","year":"2024","journal-title":"Midwifery"},{"issue":"2","key":"pgph.0005767.ref086","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.inhe.2011.03.005","article-title":"Strengths and weaknesses of the humanitarian Cluster Approach in relation to sexual and reproductive health services in northern Uganda","volume":"3","author":"J Landegger","year":"2011","journal-title":"Int Health"},{"issue":"4","key":"pgph.0005767.ref087","article-title":"Tracking development assistance for reproductive, maternal, newborn, child and adolescent health in conflict-affected countries","volume":"4","author":"Z Li","year":"2019","journal-title":"BMJ Glob Health"},{"issue":"1","key":"pgph.0005767.ref088","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1093\/heapol\/czw093","article-title":"Community midwifery initiatives in fragile and conflict-affected countries: a scoping review of approaches from recruitment to retention","volume":"32","author":"S Miyake","year":"2017","journal-title":"Health Policy Plan"},{"key":"pgph.0005767.ref089","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijdrr.2023.103561","article-title":"Safeguarding youth sexual and reproductive health and rights in the context of increasing climate-related disasters in the Pacific: A scoping review of policies and responses","volume":"86","author":"N Murphy","year":"2023","journal-title":"International Journal of Disaster Risk Reduction"},{"key":"pgph.0005767.ref090","volume-title":"The spaces in between: Providing contraception across the arc of crisis","author":"R Nehme","year":"2018"},{"issue":"3","key":"pgph.0005767.ref091","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1093\/heapol\/czz160","article-title":"Measuring health system resilience in a highly fragile nation during protracted conflict: South Sudan 2011-15","volume":"35","author":"J Odhiambo","year":"2020","journal-title":"Health Policy Plan"},{"issue":"1","key":"pgph.0005767.ref092","doi-asserted-by":"crossref","DOI":"10.1186\/s13031-023-00530-z","article-title":"Effectiveness of the Gratuit\u00e9 user fee exemption policy on utilization and outcomes of maternal, newborn and child health services in conflict-affected districts of Burkina Faso from 2013 to 2018: a pre-post analysis","volume":"17","author":"MJ Offosse","year":"2023","journal-title":"Confl Health"},{"key":"pgph.0005767.ref093","unstructured":"Qaddour A, Yan L, Spiegel P. The Humanitarian-Development-Peace Nexus (HDPN) and Applications to Family Planning, Reproductive Health, and Maternal, Newborn, and Child Health Interventions in Fragile Settings: A Case Study from South Sudan. 2024. https:\/\/usaidmomentum.org\/resource\/the-humanitarian-development-peace-nexus-hdpn-and-applications-to-family-planning-reproductive-health-and-maternal-newborn-and-child-health-interventions-in-fragile-settings\/"},{"key":"pgph.0005767.ref094","unstructured":"Qaddour A, Prager G, Spiegel P. The Humanitarian-Development-Peace Nexus and Applications to Family Planning, Reproductive Health, and Maternal, Newborn, and Child Health Interventions in Fragile Settings: A Case Study from Mali. 2024. https:\/\/usaidmomentum.org\/resource\/the-humanitarian-development-peace-nexus-hdpn-and-applications-to-family-planning-reproductive-health-and-maternal-newborn-and-child-health-fp-rh-mnch-interventions-in-fragile-settings-a-case\/"},{"issue":"1","key":"pgph.0005767.ref095","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s13031-022-00465-x","article-title":"A mixed methods study to assess the impact of COVID-19 on maternal, newborn, child health and nutrition in fragile and conflict-affected settings","volume":"16","author":"M Rodo","year":"2022","journal-title":"Confl Health"},{"issue":"5","key":"pgph.0005767.ref096","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1177\/10105395211015575","article-title":"Meeting Maternal and Reproductive Health Needs in a Post-Disaster Setting: A Qualitative Case Study From Indonesia","volume":"33","author":"HS Sajow","year":"2021","journal-title":"Asia Pac J Public Health"},{"key":"pgph.0005767.ref097","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s13031-020-00272-2","article-title":"Maternal and child health service delivery in conflict-affected settings: a case study example from Upper Nile and Unity states, South Sudan","volume":"14","author":"S Sami","year":"2020","journal-title":"Confl Health"},{"key":"pgph.0005767.ref098","unstructured":"Sarriot E, Khalsa S, Hinds G. Systems effects of Save the Children emergency health & nutrition projects country report 2 of 2: Pakistan. 2019. https:\/\/resourcecentre.savethechildren.net\/document\/systems-effects-save-children-emergency-health-nutrition-projects-pakistan\/"},{"key":"pgph.0005767.ref099","unstructured":"Save the Children, United Nations PF. Adolescent sexual and reproductive health toolkit for humanitarian settings. 2009. https:\/\/www.unfpa.org\/publications\/adolescent-sexual-and-reproductive-health-toolkit-humanitarian-settings"},{"key":"pgph.0005767.ref100","unstructured":"Save the Children, World Health Organization, United Nations High Commissioner for Refugees, United Nations Children\u2019s Fund. Roadmap to accelerate progress for every newborn in humanitarian settings 2020-2024. 2020. https:\/\/www.healthynewbornnetwork.org\/resource\/newbornroadmap\/"},{"issue":"1","key":"pgph.0005767.ref101","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1186\/s12889-018-5311-2","article-title":"Reproductive health in the recent disasters of Iran: a management perspective","volume":"18","author":"S Sohrabizadeh","year":"2018","journal-title":"BMC Public Health"},{"issue":"9","key":"pgph.0005767.ref102","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2022-009251","article-title":"Building resilience for sexual and reproductive health at the community level: learning from three crisis-affected provinces in Pakistan","volume":"7","author":"M Tanabe","year":"2022","journal-title":"BMJ Glob Health"},{"issue":"9","key":"pgph.0005767.ref103","article-title":"Developing Institutional Capacity for Reproductive Health in Humanitarian Settings: A Descriptive Study","volume":"10","author":"Inter-Agency Working Group (IAWG) on Reproductive Health in Crisis","year":"2015","journal-title":"PLoS One"},{"issue":"51","key":"pgph.0005767.ref104","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1080\/09688080.2017.1405678","volume":"25","author":"NT Tran","year":"2017","journal-title":"Reprod Health Matters"},{"key":"pgph.0005767.ref105","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1186\/s13031-020-00326-5","article-title":"Integrating sexual and reproductive health into health system strengthening in humanitarian settings: a planning workshop toolkit to transition from minimum to comprehensive services in the Democratic Republic of Congo, Bangladesh, and Yemen","volume":"14","author":"NT Tran","year":"2020","journal-title":"Confl Health"},{"key":"pgph.0005767.ref106","doi-asserted-by":"crossref","first-page":"671058","DOI":"10.3389\/fgwh.2021.671058","article-title":"Strengthening Health Systems in Humanitarian Settings: Multi-Stakeholder Insights on Contraception and Postabortion Care Programs in the Democratic Republic of Congo and Somalia","volume":"2","author":"NT Tran","year":"2021","journal-title":"Front Glob Womens Health"},{"key":"pgph.0005767.ref107","unstructured":"United Nations Population Fund Myanmar. Assessment of the Availability, Accessibility, Acceptability, and Quality of Sexual and Reproductive Health and Rights, Gender-Based Violence, and Mental Health and Psychosocial Support Services for Persons with Disabilities in Selected States in Myanmar. 2023. https:\/\/reliefweb.int\/report\/myanmar\/assessment-availability-accessibility-acceptability-and-quality-sexual-and-reproductive-health-and-rights-gender-based-violence-and-mental-health-and-psychosocial-support-services-persons-disabilities-selected-states-myanmar"},{"key":"pgph.0005767.ref108","unstructured":"United Nations Population Fund West and Central Africa Regional Office. Roadmap for Better Fit-For-Purpose for Humanitarian Preparedness and Response 2023-2025. 2024. https:\/\/reliefweb.int\/report\/chad\/roadmap-better-fit-purpose-humanitarian-preparedness-and-response-2023-2025"},{"key":"pgph.0005767.ref109","volume-title":"Taking stock: Sexual and reproductive and health and rights in climate commitments: A global review","author":"United Nations Population Fund, Queen Mary University of London","year":"2023"},{"key":"pgph.0005767.ref110","unstructured":"United Nations Population Fund. Start with Her: UNFPA Strategy for Reproductive, Maternal and Newborn Health and Well-Being 2025\u20132030. 2025. https:\/\/www.unfpa.org\/publications\/start-her-unfpa-strategy-reproductive-maternal-and-newborn-health-and-well-being-2025#:~:text=strengthening%20data%20systems.-,The%20UNFPA%20Strategy%20for%20Reproductive%2C%20Maternal%2C%20and%20Newborn%20Health%20and,causes%20of%20these%20preventable%20tragedies"},{"key":"pgph.0005767.ref111","unstructured":"United States Agency for International Development, International Rescue Committee, The David and Lucile Packard Foundation, Inter-Agency Working Group on Reproductive Health in Crises. Sexual and Reproductive Health and Rights during Infectious Disease Outbreaks: Operational Guidance for Humanitarian and Fragile Settings. 2022. https:\/\/www.healthynewbornnetwork.org\/resource\/sexual-reproductive-health-rights-during-infectious-disease-outbreaks-operational-guidance\/"},{"issue":"4","key":"pgph.0005767.ref112","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2019-002093","article-title":"Is development aid to strengthen health systems during protracted conflict a useful investment? The case of South Sudan, 2011-2015","volume":"5","author":"JJ Valadez","year":"2020","journal-title":"BMJ Glob Health"},{"key":"pgph.0005767.ref113","unstructured":"World Health Organization Regional Office for Southeast Asia, United Nations Population Fund, United Nations Children\u2019s Fund. Continuing essential sexual, reproductive, maternal, neonatal, child and adolescent health services during the COVID-19 pandemic. 2020. https:\/\/www.healthynewbornnetwork.org\/resource\/continuing-essential-sexual-reproductive-maternal-neonatal-child-and-adolescent-health-services-during-covid-19-pandemic-operational-guidance-for-south-and-south-east-asia-and-pacific-regions\/"},{"key":"pgph.0005767.ref114","unstructured":"De Clerck V. Evaluation report: Evaluation of the global health cluster and WHO sexual reproductive health project in Bangladesh (Cox\u2019s Bazaar), Yemen, and Democratic Republic of Congo (Kasai). 2021. https:\/\/healthcluster.who.int\/publications\/m\/item\/evaluation-of-the-global-health-cluster-and-who-sexual-reproductive-health-project"},{"key":"pgph.0005767.ref115","unstructured":"Women\u2019s Refugee Commission. Facilitator\u2019s Kit: Community Preparedness for Reproductive Health and Gender. 2021. https:\/\/www.womensrefugeecommission.org\/research-resources\/drr-community-preparedness-curriculum\/"},{"key":"pgph.0005767.ref116","unstructured":"Rich S, Jacobi L. Contraceptive services in humanitarian settings and in the humanitarian-development nexus: summary of gaps and recommendations from a state-of-the-field landscaping assessment. 2021. https:\/\/www.womensrefugeecommission.org\/wp-content\/uploads\/2021\/03\/Contraceptive-Services-in-Humanitarian-Settings-Summary-Gaps-Recommendations-Final.pdf"},{"key":"pgph.0005767.ref117","doi-asserted-by":"crossref","DOI":"10.1016\/j.midw.2024.104065","article-title":"Midwives\u2019 adaptation of their practice, role, and scope to ensure access to sexual and reproductive services during humanitarian crises: A scoping review","volume":"136","author":"SE Ku Carbonell","year":"2024","journal-title":"Midwifery"},{"key":"pgph.0005767.ref118","volume-title":"Nexus thinking in humanitarian policy: How does everything fit together on the ground?","author":"H Slim"},{"key":"pgph.0005767.ref119","unstructured":"United Nations Development Program, United Nations High Commissioner for Refugees, United Nations Research Institute for Social Development. Responding to protracted displacement using the humanitarian-development-peace nexus approach: UNDP and UNHCR theory of change. 2020. https:\/\/reliefweb.int\/sites\/reliefweb.int\/files\/resources\/Responding-Protracted-Displacement-HDP-Nexus---Theory-of-Change---UNDP-UNHCR-UNRISD.pdf"},{"key":"pgph.0005767.ref120","unstructured":"DuBois M. The triple nexus - threat or opportunity for the humanitarian principles? 2020. https:\/\/www.chaberlin.org\/en\/publications\/triple-nexus-threat-or-opportunity-for-the-humanitarian-principles-2\/"},{"key":"pgph.0005767.ref121","unstructured":"United Nations Office for the Coordination of Humanitarian Affairs. What are humanitarian principles?. 2022. https:\/\/www.unocha.org\/sites\/unocha\/files\/OOM_Humanitarian%20Principles_Eng.pdf"},{"issue":"912","key":"pgph.0005767.ref122","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1017\/S1816383120000399","article-title":"Protracted conflicts: The enduring legacy of endless ear","volume":"101","author":"E Policinski","year":"2019","journal-title":"International Review of the Red Cross"},{"key":"pgph.0005767.ref123","unstructured":"United Nations Department of Economic and Social Affairs. Health and population. https:\/\/sdgs.un.org\/topics\/health-and-population"},{"key":"pgph.0005767.ref124","doi-asserted-by":"crossref","DOI":"10.1093\/acrefore\/9780190632366.013.334","volume-title":"The investment case for strengthening primary healthcare and community health worker programs in low- and lower-middle-income countries","author":"HB Perry","year":"2024"},{"key":"pgph.0005767.ref125","unstructured":"United Nations Population Fund. Module 1: Adolescent Sexual and Reproductive Health and Rights. 2022. https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/UNFPA-MBMLMW_MOD1-EN.pdf"},{"key":"pgph.0005767.ref126","unstructured":"United Nations Population Fund. World Population Dashboard. https:\/\/www.unfpa.org\/data\/world-population-dashboard"},{"key":"pgph.0005767.ref127","unstructured":"United Nations Office for Disaster Risk Reduction. Towards a Post-2015 Framework for Disaster Risk Reduction. 2012. http:\/\/www.unisdr.org\/files\/25129_towardsapost2015frameworkfordisaste.pdf"},{"key":"pgph.0005767.ref128","unstructured":"United Nations Office for Disaster Risk Reduction. Disaster risk management for health: sexual and reproductive health. 2011. https:\/\/www.undrr.org\/publication\/disaster-risk-management-health-sexual-and-reproductive-health"},{"key":"pgph.0005767.ref129","unstructured":"United Nations Development Program. Disaster risk reduction in West Africa and the Sahelian Region: a review of progress. 2022. https:\/\/www.undp.org\/africa\/waca\/publications\/disaster-risk-reduction-west-africa-and-sahelian-region-review-progress"},{"key":"pgph.0005767.ref130","unstructured":"United Nations Office for Disaster Risk Reduction. Asia-Pacific Action Plan 2021-2024 for the Implementation of the Sendai Framework for Disaster Risk Reduction 2015-2030. 2021. https:\/\/www.undrr.org\/publication\/asia-pacific-action-plan-2021-2024-implementation-sendai-framework-disaster-risk"},{"key":"pgph.0005767.ref131","unstructured":"World Health Organization, United Nations Population Fund, Andalusian School of Public Health. Sexual and reproductive health during protracted crises and recovery. 2011. https:\/\/www.who.int\/reproductivehealth\/publications\/emergencies\/hac_bro_2011\/en\/"},{"key":"pgph.0005767.ref132","unstructured":"Inter-Agency Working Group for Reproductive Health in Crises. Minimum Initial Service Package for Reproductive Health. 2020. https:\/\/www.unfpa.org\/resources\/minimum-initial-service-package-misp-srh-crisis-situations"},{"key":"pgph.0005767.ref133","unstructured":"United States Department of the Treasury Office of Foreign Assets Control. Sanctions Programs and Country Information. https:\/\/ofac.treasury.gov\/sanctions-programs-and-country-information"},{"key":"pgph.0005767.ref134","unstructured":"United Nations Population Fund. Guidance Note: Integrating the Gender and Social Norms Output into Country Programme Documents. 2022. https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/Guidance%20Note%20on%20Integrating%20the%20Gender%20and%20Social%20Norms%20Output%20into%20Country%20Programme%20Documents%20EN.pdf"},{"key":"pgph.0005767.ref135","unstructured":"UN Women. The shadow pandemic: Violence against women during COVID-19. https:\/\/www.unwomen.org\/en\/news\/in-focus\/in-focus-gender-equality-in-covid-19-response\/violence-against-women-during-covid-19"},{"issue":"4","key":"pgph.0005767.ref136","article-title":"WHO recommendations for resilient health systems","volume":"100","author":"TA Ghebreyesus","year":"2022","journal-title":"Bull World Health Organ"},{"issue":"1","key":"pgph.0005767.ref137","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s13031-023-00560-7","article-title":"Health systems resilience in fragile and conflict-affected settings: a systematic scoping review","volume":"18","author":"C Truppa","year":"2024","journal-title":"Confl Health"},{"key":"pgph.0005767.ref138","unstructured":"World Health Organization. WHO health workforce support and safeguards list 2023. 2023. https:\/\/www.who.int\/publications\/i\/item\/9789240069787"},{"issue":"1","key":"pgph.0005767.ref139","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/s12939-021-01615-y","article-title":"Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice","volume":"21","author":"S Ahmed","year":"2022","journal-title":"Int J Equity Health"},{"issue":"1","key":"pgph.0005767.ref140","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/tmi.13498","article-title":"Maintaining population health in low- and middle-income countries during the COVID-19 pandemic: Why we should be investing in Community Health Workers","volume":"26","author":"B Palafox","year":"2021","journal-title":"Trop Med Int Health"},{"key":"pgph.0005767.ref141","article-title":"The importance of community health workers as frontline responders during the COVID-19 pandemic, Somalia, 2020\u20132021","author":"LM Nyagah","year":"2023","journal-title":"Front Public Health"},{"issue":"5","key":"pgph.0005767.ref142","article-title":"Calculating the costs of implementing integrated packages of community health services: methods, experiences, and results from 6 sub-Saharan African countries","volume":"11","author":"D Collins","year":"2023","journal-title":"Global Health: Science and Practice"},{"key":"pgph.0005767.ref143","author":"C Gilmartin","year":"2019"},{"key":"pgph.0005767.ref144","unstructured":"Dahn B, Woldemariam AT, Perry H, Maeda A, von Glahn D, Panjabi R. Strengthening Primary Health Care through Community Health Workers: Investment Case and Financing Recommendations. 2015. https:\/\/www.researchgate.net\/publication\/280716747_Strengthening_Primary_Health_Care_through_Community_Health_Workers_Investment_Case_and_Financing_Recommendations"},{"key":"pgph.0005767.ref145","unstructured":"United Nations Population Fund, International Confederation of Midwives, World Health Organization. The State of the World\u2019s Midwifery 2021. 2021. https:\/\/www.unfpa.org\/publications\/sowmy-2021"},{"key":"pgph.0005767.ref146","unstructured":"United States Agency for International Development. Operational Strategy for Shock Response for the RISE Portfolio. 2020. https:\/\/reliefweb.int\/report\/burkina-faso\/operational-strategy-shock-response-rise-portfolio"},{"key":"pgph.0005767.ref147","unstructured":"European Commission. EU Resilience Compendium: Saving lives and livelihoods. 2014. https:\/\/ec.europa.eu\/echo\/files\/policies\/resilience\/eu_resilience_compendium_en.pdf"},{"key":"pgph.0005767.ref148","volume-title":"Donors Delivering for SRHR Report 2024","author":"Deutsche Stiftung Weltbev\u00f6lkerung DSW","year":"2024"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0005767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:23:02Z","timestamp":1770229382000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0005767"}},"subtitle":[],"editor":[{"given":"Ruwan","family":"Ratnayake","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":148,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,4]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0005767","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]}}}