Conflict, Collapse and Covid-19

Cole, Jennifer; Alsabri, Mohammed; Alsakkaf, Luai M.; Alhadheri, Ayman; Amin, Mody; Nightingale, Brandon

doi:10.1080/03071847.2021.1952106

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…The sparsity of medical professionals is evident across Yemen; around 18% of the country’s 333 districts do not have any physicians. 24 The country’s instability and deaths among the medical community have resulted in an increasing exodus of medical personnel, and the ongoing instability has also led to disruptions in higher education, resulting in a decline in skilled medical professionals as few new ones come through the system. 5 The COVID-19 pandemic has only exacerbated this already existing problem.…”

Section: Methods and Discussionmentioning

confidence: 99%

Chronic Health Crises and Emergency Medicine in War-torn Yemen, Exacerbated by the COVID-19 Pandemic

Alsabri

Alsakkaf

Alhadheri

et al. 2022

WestJEM

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Introduction: Much of Yemen’s infrastructure and healthcare system has been destroyed by the ongoing civil war that began in late 2014. This has created a dire situation that has led to food insecurity, water shortages, uncontrolled outbreaks of infectious disease and further failings within the healthcare system. This has greatly impacted the practice of emergency medicine (EM), and is now compounded by the coronavirus disease 2019 (COVID-19) global pandemic. Methods: We conducted a systematic review of the current state of emergency and disaster medicine in Yemen, followed by unstructured qualitative interviews with EM workers, performed by either direct discussion or via phone calls, to capture their lived experience, observations on and perceptions of the challenges facing EM in Yemen. We summarize and present our findings in this paper. Results: Emergency medical services (EMS) in Yemen are severely depleted. Across the country as a whole, there are only 10 healthcare workers for every 10,000 people – less than half of the WHO benchmark for basic health coverage – and only five physicians, less than one third the world average; 18% of the country’s 333 districts have no qualified physicians at all. Ambulances and basic medical equipment are in short supply. As a result of the ongoing war, only 50% of the 5056 pre-war hospitals and health facilities are functional. In June 2020, Yemen recorded a 27% mortality rate of Yemenis who were confirmed to have COVID-19, more than five times the global average and among the highest in the world at that time. Conclusion: In recent years, serious efforts to develop an advanced EM presence in Yemen and cultivate improvements in EMS have been stymied or have failed outright due to the ongoing challenges. Yemen’s chronically under-resourced healthcare sector is ill-equipped to deal with the additional strain of COVID-19.

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Section: Methods and Discussionmentioning

confidence: 99%

Chronic Health Crises and Emergency Medicine in War-torn Yemen, Exacerbated by the COVID-19 Pandemic

Alsabri

Alsakkaf

Alhadheri

et al. 2022

WestJEM

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View full text Add to dashboard Cite

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Basic life support knowledge in a war-torn country: a survey of nurses in Yemen

Alkubati

McClean

et al. 2022

BMC Nurs

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Background Successful implementation of Basic life support (BLS) is critical to improving survival rates and outcomes, especially among healthcare workers. To our knowledge, there is no available literature pertaining to the level of BLS knowledge of health care professionals in Yemen. Methods Data was collected for this cross-sectional descriptive study from June to August 2020, using a 10-item questionnaire related to cardiopulmonary resuscitation (CPR) and BLS, along with questions on socio-demographic characteristics. Participants were nurses in public and private hospitals located in Al-Rahida and Al-dimna cities, Taiz governance and Hodeidah city, Hodeidah governance in Yemen. Results Out of 220 distributed questionnaires, 200 were returned with a response rate of 90.9%. More than a half (53.65%) of answer choices for BLS knowledge were correct. There was a significant difference in knowledge score based on level of education where those who had Bachelor degree had more knowledge (P = 0.000). Those who said they had received training in CPR or received information about CPR had significantly higher scores than those who did not receive (P = 0.000). Conclusions BLS knowledge among nurses in Yemen is below an acceptable level to ensure maximum survival in the event of cardiac arrest. Disseminating BLS information and training in a cost effective and efficient manner will provide a large benefit in terms of lives saved with minimal costs.

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Conflict, Collapse and Covid-19

Cited by 2 publications

References 6 publications

Chronic Health Crises and Emergency Medicine in War-torn Yemen, Exacerbated by the COVID-19 Pandemic

Chronic Health Crises and Emergency Medicine in War-torn Yemen, Exacerbated by the COVID-19 Pandemic

Basic life support knowledge in a war-torn country: a survey of nurses in Yemen

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