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The Impact of Conflict on Gazan Children with Heart Disease (2024-2025)

This project team examined the impact of the Israel-Hamas conflict on Gazan children with congenital heart disease, their families and the Israeli healthcare providers who previously cared for them. The study sought to measure the number of children in need of urgent cardiac treatment, document the interruption of care caused by the conflict and assess the psychological and social consequences on both families and providers. The work was designed to inform international stakeholders and support the case for emergency reinstatement of travel permissions so children can access lifesaving surgical care.

The team developed a multi-pronged research strategy combining quantitative and qualitative methods. Subgroups conducted archival research on the history of congenital heart disease treatment in Gaza, prepared focus group questionnaires and interview protocols, and designed data analysis plans. They reviewed medical records from NGOs and Israeli hospitals to track trends in care, while simultaneously preparing to conduct focus groups with both Gazan families and Israeli healthcare providers.

In parallel, the team pursued a policy-focused agenda, creating study materials, drafting an Institutional Review Board application and developing a policy brief for key stakeholders. The brief, which highlights the medical and humanitarian urgency of resuming cross-border pediatric cardiac care, is being disseminated amid the ongoing conflict. The project’s outcomes lay the groundwork for future data collection and advocacy efforts, with the ultimate aim of restoring vital care pathways for some of Gaza’s most vulnerable children.

Timing

Fall 2024 – Summer 2025

Team Outputs

The Impact of Conflict on Gazan Children with Heart Disease (Interactive display presented at the Fortin Foundation Bass Connections Showcase, Duke University, April 16, 2025)

Impact of Conflict on Gazan Children with Congenital Heart Disease: Call to Action and Next Steps (Policy Brief, April 2025)

This Team in the News

New Project Teams Will Explore Geopolitical Conflict and Humanitarian Crises in the Middle East and Beyond

Team Leaders

  • Rebekah Boyd, Duke Global Health Institute, School of Medicine: Surgery: Cardiovascular and Thoracic Surgery
  • Henry Rice, Duke Global Health Institute, School of Medicine: Surgery: Pediatric General Surgery

Team Contributors

  • Emily Smith, Duke Global Health Institute, School of Medicine: Neurosurgery
  • Joseph Turek, School of Medicine, School of Medicine: Surgery: Cardiovascular and Thoracic Surgery