Table 2

WHO guidelines that refer to camp settings and propose a course of action

GuidelineType of statementSpecific text
Inter-agency field manual on reproductive health in humanitarian settings20 Several guidance statementsFor example, ‘Every maternal death that occurs within a refugee camp should be recorded’; or ‘Provide context for all reported data. If known, and safe to do so, provide information on the camps/clinics/districts from where the cases are reported. Be specific, for example, ‘reported cases from X number of health facilities’’.
Manual for healthcare of children in humanitarian emergencies21 One guidance statement‘Vulnerable groups of children should be located in a safe place in the camp’ (a recommendation for the prevention of HIV infection after the acute phase of an emergency).
Systematic screening of active TB22 Recommendations based on evidence summaries (uses GRADE)‘Migrants including refugees and immigrants from high burden settings are considered as part of community screening. Community screening can be done by systematically screening individuals in shelters, refugee camps and other specific locations’.
TB infection control in healthcare facilities, congregate settings and households23 Recommendations based on evidence summaries (uses GRADE)‘To decrease TB transmission in congregate settings, cough etiquette and respiratory hygiene, and early identification, followed by separation and proper treatment of infectious cases should be implemented’ (Strong recommendation, low quality of evidence).
One recommendation taken from another WHO guideline published prior to the establishment of the GRC‘Directly observed therapy (DOT) while a patient is on treatment is also recommended’ linked to The Stop TB Strategy: building on and enhancing DOTS to meet the TB-related millennium development goals. 24
One recommendation based on a single studyRecommendation to screen people for TB prior to entering a congregate setting, based on a study in a correctional facility in Singapore.25
Numerous guidance statementsFor example, ‘In any congregate settings, overcrowding should be avoided’.
Pocket book of hospital care for children26 One recommendation with no supporting evidence summary‘The extra measles dose is also recommended for groups at high risk of death from measles, such as infants in refugee camps, infants admitted to hospitals, HIV positive infants and infants affected by disasters and during outbreaks of measles’.
 Infant and young child feeding27 Several guidance statementsFor example, ‘Shelters for families should be provided in preference to communal shelters. Breastfeeding women need private areas (as culturally appropriate) at distribution or registration points, and rest areas in transit sites’.
Community based rehabilitation guidelines28 Several other guidance statementsFor example, ‘Provide advice and assistance to humanitarian stakeholders to make temporary shelters accessible to people with disabilities’.
  • A "recommendation based on evidence summaries" is defined as a statement supported by a formal appraisal of the evidence

  • Other "guidance statements" make recommendations with no link to evidence appraisal (statements about good practice, or in line with ethical principles and human rights, or notes on how to deliver care).

  • GRADE, Grading of Recommendations, Assessment, Development and Evaluation; TB, tuberculosis.