Evangelidou Stella, Seedat Farah, Deal Anna, Ouahchi Anissa, Maatoug Taha, Elafef Eman, Edries Hassan, Bouaddi Oumnia, Abdellatifi Moudrick, Arias Sara, Khelifi Abdedayem, Chrifi Hassan, Douagi Mohamed, Abdelkhalek Adel, Mtiraoui Ali, Mansour Wejdene, Khalis Mohamed, Hilali Mahmoud, Bani Ibrahim Ahmed, Hassouni Kenza, Assarag Bouchra, Wickramage Kolitha, Zenner Dominik, Hargreaves Sally, Requena-Mendez Ana
Migrant Health, Barcelona Institute for Global Health, Barcelona, Spain.
The Migrant Health Research Group, St George's University of London Institute for Infection and Immunity, London, UK.
BMJ Open. 2025 Jan 21;15(1):e085455. doi: 10.1136/bmjopen-2024-085455.
The Middle East and North Africa (MENA) region is characterised by major health disparities and complex migration flows. Yet, because of a lack of epidemiological data, there is an urgent need to strengthen routine data collection around migrant health and to define key indicators towards migrant health monitoring. To address this problem, we aim to design and pilot test the Migrant Health Country Profile tool (MHCP-t) which can collate country-level data collection around migration health data, policies and healthcare provision.
The MHCP-t development is a stepwise process that will integrate a process evaluation model with active involvement and engagement of multilevel stakeholders. First, towards the generation of indicators, qualitative field activities will be conducted in different regions in Morocco, Tunisia and Egypt with migrants (n=50 per region), migrant community leaders (n=20 per region) and professionals working with them (n=20 per region). Deductive-inductive thematic analysis will be applied to the data collected. Results from the national qualitative studies and a series of systematic reviews in the MENA region will conclude with a first draft of tool indicators which will be reviewed by national and international experts using the Nominal Group Technique. The revised indicators will be entered into an electronic data capture system and the tool will be pilot-tested by applying a mixed-methods process evaluation to examine its relevance, comprehensiveness, comprehensibility and other practical issues, such as completion time and ease of responding. Mechanisms of change will be assessed on how the participative interactions towards the tool development can trigger change at national and regional levels.
The study protocol has been approved by the institutional review boards at the Hospital Clinic in Barcelona, Spain, the University of Sousse in Sousse, Tunisia, the University Hospital of Tanger, Morocco and Badr University of Cairo in Egypt. Findings will be disseminated in peer-reviewed journals and communications to national and regional congresses.
中东和北非（MENA）地区存在重大的健康差距和复杂的移民流动情况。然而，由于缺乏流行病学数据，迫切需要加强围绕移民健康的常规数据收集，并确定用于监测移民健康的关键指标。为解决这一问题，我们旨在设计并试点测试移民健康国家概况工具（MHCP-t），该工具可整理有关移民健康数据、政策和医疗保健服务的国家级数据收集情况。
MHCP-t的开发是一个逐步推进的过程，将把过程评估模型与多层次利益相关者的积极参与相结合。首先，为生成指标，将在摩洛哥、突尼斯和埃及的不同地区，与移民（每个地区50人）、移民社区领袖（每个地区20人）以及与他们合作的专业人员（每个地区20人）开展定性实地活动。将对收集到的数据应用演绎-归纳主题分析。国家定性研究的结果以及中东和北非地区的一系列系统评价将得出工具指标的初稿，这些初稿将由国家和国际专家使用名义小组技术进行审查。修订后的指标将输入电子数据采集系统，并通过应用混合方法过程评估对该工具进行试点测试，以检查其相关性、全面性、可理解性以及其他实际问题，如完成时间和回答的难易程度。将评估变革机制，即围绕工具开发的参与性互动如何在国家和地区层面引发变革。
该研究方案已获得西班牙巴塞罗那医院诊所、突尼斯苏塞大学、摩洛哥丹吉尔大学医院以及埃及开罗巴德尔大学的机构审查委员会批准。研究结果将在同行评审期刊上发表，并在国家和地区代表大会上进行交流。
