Defining best practice in care and protection of children in crisis-affected settings: a Delphi study.
Thirty specialists in humanitarian work supporting the care and protection of children in crisis settings completed a 3-phase Delphi consultation. Proposals of best practice were elicited, reviewed, and rated by participants. A high level of consensus support was reached for 55 statements. These statements emphasized utilization of existing resources, participation, and inclusivity. The influences of resilience theory, social ecology, and cultural sensitivity were clearly evident. The utilization of developmental theory could be strengthened in relation to more differentiated understanding of the operation of protective influences and conceptualization of such influences in terms of "adaptive systems." Wider research engagement by development scientists in diverse cultural settings and clear formulation of findings for practitioners and policy makers would further support evidence-based humanitarian practice.
Ager
Alastair
A
Program on Forced Migration and Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue, B-4, New York, NY 10027, USA. aa2468@columbia.edu
Stark
Lindsay
L
Akesson
Bree
B
Boothby
Neil
N
D002648:Child; D032921:Consensus; D003245:Consensus Statements as Topic; D003697:Delphi Technique; D004189:Disaster Planning / Q000379:methods*; D034742:Electronic Mail; D004632:Emergency Medical Services / Q000458:organization & administration; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007391:International Cooperation; D008297:Male; D006113:United Kingdom