Séminaire scientifique organisé par l'Institut de recherche en santé publique de l'Université de Montréal – IRSPUM
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Conférencier :
Ruwan Ratnayake has been the Senior Epidemiologist (now consultant) with the International Rescue Committee since 2011, and with deployments for outbreak response to WHO. He focuses on epidemic control, large-scale child health program evaluations, and operational research for decision-making, all within humanitarian crises (armed conflict, epidemics). He has published extensively and was Editor-in-Chief of Conflict and Health. His current research focuses on non-communicable disease care in the Democratic Republic of Congo and Syria and the cholera outbreak response in Yemen (with Johns Hopkins University). Finally, Ruwan trained with the Canadian Field Epidemiology Program here with the Montréal Public Health Department.
Résumé :
Despite tremendous success with 30% of countries reducing child mortality by two thirds between 1990 and 2015 (Millennium Development Goal 4), fragile and conflict-affected situations lag behind. Challenges in health system development endure long after the conflict has ceased. Sierra Leone, for example is considered a post-conflict state. At 120.4 deaths per 1,000 live births in 2015, its under-five mortality rate ranks under only Angola, Chad, Somalia, and Central African Republic. This analysis will first focus on the enduring determinants of high under-five mortality rates in fragile states, as well as promising interventions and strategies, to address insecurity, under-investment in health systems, and limited human resources for health. Second, developments in epidemiological methods used in large-scale child health program evaluations in fragile and conflict-affected situations will be discussed.
Animation :
Kate Zinszer, chercheuse régulière à l’IRSPUM et professeure adjointe au Département de médecine sociale et préventive de l’ESPUM.
