Prevalence of non-communicable diseases and access to health care and medications among Yazidis and other minority groups displaced by ISIS into the Kurdistan Region of IraqReportar como inadecuado




Prevalence of non-communicable diseases and access to health care and medications among Yazidis and other minority groups displaced by ISIS into the Kurdistan Region of Iraq - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Conflict and Health

, 11:4

Non-communicable diseases

Abstract

BackgroundThe increasing caseload of non-communicable diseases NCDs in displaced populations poses new challenges for humanitarian agencies and host country governments in the provision of health care, diagnostics and medications. This study aimed to characterise the prevalence of NCDs and better understand issues related to accessing care among Yazidis and other minority groups displaced by ISIS and currently residing in camps in the Kurdistan Region of Iraq.

MethodsThe study covered 13 camps managed by the Kurdish Board of Relief and Humanitarian Affairs. A systematic random sample of 1300 households with a total of 8360 members were interviewed between November and December 2015. Respondents were asked whether any household members had been previously diagnosed by a health provider with one or more of four common NCDs: hypertension, diabetes, cardiovascular disease and musculoskeletal conditions. For each household member with an NCD diagnosis, access to health care and medications were queried.

ResultsNearly one-third of households had at least one member who had been previously diagnosed with one or more of the four NCDs included in this study. Hypertension had the highest prevalence 19.4%; CI: 17.0–22.0, followed by musculoskeletal conditions 13.5%; CI: 11.4–15.8, diabetes 9.7%; CI: 8.0–11.7 and cardiovascular disease 6.3%; CI: 4.8–8.1. Individual NCD prevalence and multimorbidity increased significantly with age. Of those with an NCD diagnosis, 92.9% CI: 88.9–95.5 had seen a health provider for this condition in the 3 months preceding the survey. In the majority of cases, care was sought from private clinics or hospitals rather than from the camp primary health care clinics. Despite the frequent access to health providers, 40.0% CI: 34.4–46.0 were not taking prescribed medications, costs being the primary reason cited.

ConclusionNew strategies are needed to strengthen health care provision for displaced persons with NCDs and ensure access to affordable medications.

KeywordsIraq Kurdistan Region Displacement Yazidis Non-communicable diseases Access to health care AbbreviationsBRHABoard of Relief and Humanitarian Affairs

IDPInternally Displaced Person

ISISIslamic State of Iraq and Syria

NCDNon-Communicable Disease

PHCCPrimary Health Care Clinic





Autor: Valeria Cetorelli - Gilbert Burnham - Nazar Shabila

Fuente: https://link.springer.com/







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