Accessibility to Health Care Services and Treatment for People with Noncommunicable Diseases in Northwest Syria.

0 HEALTH CARE SCIENCES & SERVICES International journal of social determinants of health and health services Pub Date : 2024-10-01 Epub Date: 2024-08-01 DOI:10.1177/27551938241269144
Kassem Ballout, Nimetcan Mehmet Orhun
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Abstract

We assessed the accessibility to health care services and treatment for people with noncommunicable diseases (NCDs) in Northwest Syria after more than eleven years of the worst humanitarian crisis in Syria. Included in this cross-sectional study were people with one or more of cardiovascular diseases, diabetes, cancer, or chronic obstructive pulmonary diseases; people from both Aleppo and Idleb governorates; and residents from both inside and outside the camp. Data were collected in November 2022 via face-to-face interviews. The findings were obtained from 674 respondents (52.8% female). Respondents in Idleb were 6.5 times more likely to access health care services than Aleppo (p = 0000). In-camp residents were 1.5 times more likely to access outreach health services (p = 0.020). Respondents with higher income were three times more likely to access health care services compared to respondents with lower income (p = 0.000). Having any of the surveyed NCDs made the respondents less likely to get the required services. The study findings added more evidence about the inequity in terms of accessing health care services in Northwest Syria and identified the barriers. It was clear that a perceived group of people with NCDs do not have access to the health care services, including outreach health services and free medications.

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叙利亚西北部非传染性疾病患者获得医疗服务和治疗的机会。
在叙利亚最严重的人道主义危机持续了 11 年多之后,我们对叙利亚西北部非传染性疾病 (NCD) 患者获得医疗服务和治疗的可及性进行了评估。这项横断面研究的对象包括患有一种或多种心血管疾病、糖尿病、癌症或慢性阻塞性肺病的患者;来自阿勒颇省和伊德利布省的居民;以及难民营内外的居民。数据于 2022 年 11 月通过面对面访谈收集。调查结果来自 674 名受访者(52.8% 为女性)。伊德利卜的受访者获得医疗保健服务的可能性是阿勒颇的 6.5 倍(p = 0000)。难民营内的居民获得外展医疗服务的可能性是前者的 1.5 倍(p = 0.020)。与收入较低的受访者相比,收入较高的受访者获得医疗保健服务的可能性要高出三倍(p = 0.000)。患上任何一种非传染性疾病都会降低受访者获得所需服务的可能性。研究结果为叙利亚西北部地区在获得医疗服务方面的不公平现象提供了更多证据,并指出了存在的障碍。很明显,被认为患有非传染性疾病的人群无法获得医疗服务,包括外展医疗服务和免费药物。
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