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PurposeThis study aims to analyze major concerns facing the Palestinian local governments in order to increase efficiency, effectiveness, and transparency in managing local governments.Design/methodology/approachA special questionnaire was developed to collect the perception of the municipalities' officials; thus qualitative data analysis has been done to analyze the answers.FindingsThe study found that the efficiency of local government is still limited in the Palestinian municipalities, including the absence of an internal auditor, the absence of written job descriptions for municipality functions, the weakness participation of the public. The study pointed out that the major‐managerial problems are similar to other experiences of emerging countries such as the undefined local‐central relation, the low participation and involvement of citizens in municipalities' activities and plans, and the lack of existing transparency aspects.Practical implicationsThere is a need for open public‐official sessions of municipal councils and the need for periodical meetings for senior officials with the Mayer of the municipality; in addition, there is a need to conduct annual periodical evaluation for measuring the performance of municipal employees.Originality/valueThis paper presented the features of the local‐government performance in Palestine in order to enhance the management efficiency of local governments and enhance the contribution of the related groups of communities.

This study explores manifestations of lifeworld crisis among a sample of 362 Syrian refugee male youth in the Za'atari camp in Jordan. It fills a gap in research about the conditions of Syrian refugees in the camps. The findings reveal that the first-rank manifestation of the crisis was psychological stress: participants reported feeling fearful, distrustful, absent-minded, threatened, and worried, and having difficulty falling asleep. Second, the youth suffered a lack of gratification with regard to food, money, comfortable accommodation, water for drinking and cleaning, health care, and clothes. Third, they had a loss of meaning in their lives, including loss of interest in surrounding events, of hope about the future, of motivation to do things, of quality of life, of friendships, and of freedom. Fourth, they suffered from anomie, which implies loss of respect for moral rules, rights, and regulations, and the loss of physical security, social stability, and human dignity. Coping strategies used by participants to overcome these circumstances included religiosity, belief in returning home, accepting the situation as representing God's will, regarding the camp as the best alternative, and controlling their feelings.

Abstract
Background
This case analysis describes dilemmas and challenges of ethical partnering encountered in the process of conducting a research study that explored moral and practical dimensions of palliative care in humanitarian crisis settings. Two contexts are the focus of this case analysis: Jordan, an acute conflict-induced refugee situation, and Rwanda, a protracted conflict-induced refugee setting. The study's main goal was to better understand ways humanitarian organizations and health care providers might best support ethically and contextually appropriate palliative care in humanitarian contexts. An unintended outcome of the research was learning lessons about ethical dimensions of transnational research partnerships, which is the focus of this case analysis.

Discussion
There exist ongoing challenges for international collaborative research in humanitarian conflict-induced settings. Research partnerships were crucial for connecting with key stakeholders associated with the full study (e.g., refugees with life limiting illness, local healthcare providers, aid organization representatives). While important relationships were established, obstacles limited our abilities to fully attain the type of mutual partnership we aimed for. Unique challenges faced during the research included: (a) building, nurturing and sustaining respectful and equitable research partnerships between collaborators in contexts of cultural difference and global inequality; (b) appropriate ethics review and challenges of responding to local decision-maker's research needs; and (c) equity and fairness towards vulnerable populations. Research strategies were adapted and applied to respond to these challenges with a specific focus on (d) research rewards and restitution.

Conclusions
This case analysis sheds light on the importance of understanding cultural norms in all research roles, building relationships with decision makers, and developing teams that include researchers from within humanitarian crisis settings to ensure that mutually beneficial research outcomes are ethical as well as culturally and contextually relevant.