Resources- Scoping, Assessment and Design

In this strand, Scoping, Assessment and Design, researchers have appraised key challenges in the delivery of NCD and mental health interventions, within the contexts of Lebanon and Sierra Leone.

Research has focused on:

  • Identifying health systems and community factors that contribute to fragility of the health system delivery
  • Uptake of these interventions

This phase has featured:

  • Structured reviews of relevant published and grey literatures
  • Preliminary field research mapping challenges related to fragility, utilizing a range of cutting-edge quantitative and qualitative methodologies
  • Synthesis of findings
  • Consultation with policymakers, providers and service users



Protocols have been developed for a number of the proposed methodologies, to be used in the course of the fieldwork. These are used to facilitate research team training and research ethics submissions.
Versions of these protocols were piloted in supplementary fieldwork in El Salvador (April to June 2018), conducted at the request of the Ministry of Health (MoH). They are regarding health systems capacity, for support for persons with NCDs.

View the Clinic Ethnography protocol, for the assessment of patient experience and service provision culture:

A Guide to Clinic Ethnography (March 2019)

View the Participatory Assessment Tool for Mapping Social Connections:

Social Connections Tool - A Users’ Guide

Research briefs

The RUHF research teams at QMU, COMAHS and AUB are working together on a range of research studies. These are designed to prevent and manage NCDs, and improve access to quality mental health care in fragile settings.
These briefs offer a summary of key findings and recommendations for policy makers, health practitioners, NGOs and academics.

View the research briefs on NCDs:

Non-Communicable Diseases in Fragile Settings: The Case of Syrian Refugees in Lebanon

Addressing the silent epidemic in Sierra Leone: preventing and managing non-communicable diseases

View the research briefs on mental health:

Mental Health and Psychosocial Support in Fragile Settings: The Case of Syrian Refugees in Lebanon

Improving understanding of and access to quality mental health care in Sierra Leone


Scoping studies

A rigorous review of literature was undergone, concerning mental health and psychosocial support (MHPSS) and non-communicable diseases (NCDs) in Sierra Leone.
QMU and COMAHS research teams have completed these open access scoping studies, providing insights into barriers and opportunities regarding the improvement of health service provision in this fragile setting.           

View the scoping studies:

A Scoping Study on Mental Health and Psychosocial Support (MHPSS) in Sierra Leone

A Scoping Study on Non-Communicable Diseases (NCDs) in Sierra Leone



'Health Systems in Situations of Fragility'.

This presentation was given by Professor Sophie Witter on 17th May 2018 for the American University of Beirut - Global Health Institute's Webinar series: "Global Health and Conflict".

View the slides used in the webinar:

Health Systems in Situations of Fragility

View Sophie Witter's staff profile:

Professor Sophie Witter 


‘Analysing NCDs care in public health services in El Salvador. Is stronger communityengagement part of the solution?’
Researchers from RUHF - Marta Jimenez and Montse Leon - conducted research fieldwork in El Salvador between March and June 2018, in collaboration with QMU researcher, Nicole Vidal.
The preliminary findings were presented at QMU, Edinburgh in May and El Salvador and Madrid (Spain) in June

View the slides used in the presentations:
NCDs in El Salvador