Cited by 62Child Nutrition and Water AccessMigration, Health and TraumaMental Health Treatment and Access

What works in psychosocial programming in humanitarian contexts in low- and middle-income countries: a systematic review of the evidence

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Haroz, EmilyE, Nguyen, AmandaJ, Lee, CatherineI, Tol, WietseA, Fine, ShoshannaL, Bolton, Paul·2020·Intervention

Abstract

While there is growing evidence for the effectiveness of mental health interventions in low- and middle-income countries and humanitarian contexts, this is lacking for psychosocial programming. We aimed to summarise the evidence for psychosocial programming in these contexts through a systematic review (PROSPERO: CRD42017069066) of peer-reviewed and grey literature of programme evaluations. A total of n = 42,435 unique records were initially identified, with n = 211 records meeting full inclusion criteria. We identified 51 randomised controlled trials of 47 different interventions. The remaining studies used different evaluation methodology. Only three interventions had more than one experimental/quasi-experimental evaluation: Brief Intervention and Contact, Problem Management Plus and Child Friendly Spaces. While there are many studies of interventions, it was challenging to identify the same intervention across studies, leaving almost no interventions with more than one rigorous study supporting their use and many interventions that are poorly described. This makes it difficult to choose between them or even to implement them. Future research should focus on replication of well-described interventions in multiple different sites, to place future intervention selection on a more scientific basis. There is also a need to better understand the impact of psychosocial programmes in sectors other than health and protection, such as nutrition. These sectors may provide critical delivery mechanisms for psychosocial programming to broaden the reach of such interventions.

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  • There is growing acknowledgement of a lack of evidence base for the vast majority of commonly implemented MHPSS programmes, such as short-term psychological interventions.

    “there is a growing acknowledgement of the lack of an evidence base for the vast majority of commonly implemented MHPSS programmes, such as short-term psychological interventions (IASC 2014;Haroz et al. 2020;Chiumento et al. 2017;Summerfield 2008;Bangpan 2019).”

    From Throwing therapy at the problem mental health and humanitarian intervention in Palabek refugee settlement, northern Uganda (2023) · cites this paper as Haroz et al. 2020

    The Introduction says commonly implemented psychosocial support interventions have been evaluated less rigorously than mental-health treatments, and the Discussion reports that almost no psychosocial interventions have been studied multiple times. This supports the concern about a weak evidence base, but the paper does not establish that short-term psychological interventions are an example of programmes lacking evidence; it describes a growing evidence base for mental-health interventions. (LLM, conf=0.85)

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Cited by

Sorted by citations

Authors
Haroz, E., Nguyen, A., Lee, C., Tol, W., Fine, S., & Bolton, P.
Affiliations
Johns Hopkins University (US)
Corresponding author
Haroz, EmilyE
Venue
Intervention
Published
2020
Volume
18
Issue
1
Pages
3
ISSN
1571-8883 (ISSN-L)
OpenAlex
W3042651666
Cited by
61
References
0
Citations by year
2026: 3 · 2025: 6 · 2024: 8 · 2023: 20 · 2022: 16 · 2021: 7 · 2020: 1
FWCI
1.35
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Intervention (publishedVersion, cc-by-nc-sa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
humanitarian settings, low- and middle-income countries, mental health interventions, program evaluation, intervention effectiveness, Problem Management Plus, child-friendly spaces, intervention replication

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