Evaluating the Provision of Health Services and Barriers to Treatment for Chronic Diseases among Syrian Refugees in Turkey: A Review of Literature and Stakeholder Interviews

Alawa, Jude; Zarei, Parmida; Khoshnood, Kaveh

doi:10.3390/ijerph16152660

Cited by 49 publications

(58 citation statements)

References 34 publications

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“…Qualitative research on Syrian refugees in Jordan found emotional distress to be the most frequently highlighted trigger for the incidence or exacerbation of non-communicable disease [51]. While Syrians registered for temporary protection have the right to free primary and secondary health care in Turkey, language barriers and a limited understanding of the health system limit access to these services [52]. Integrating evidence-based mental health interventions, such as cognitive behavioural therapy, into primary and community care could increase the recognition of psychological symptoms, reduce stigma, and improve the availability of services.…”

Section: Discussionmentioning

confidence: 99%

Somatic distress among Syrian refugees in Istanbul, Turkey: A cross-sectional study

McGrath

Acartürk

Roberts

et al. 2020

Journal of Psychosomatic Research

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Section: Discussionmentioning

confidence: 99%

Somatic distress among Syrian refugees in Istanbul, Turkey: A cross-sectional study

McGrath

Acartürk

Roberts

et al. 2020

Journal of Psychosomatic Research

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“…The majority ( n = 37, 82%) involved populations living in or fleeing from conflict-affected countries while only eight were of populations affected by natural disasters ( Ramachandran, 2005 ; Chan and Kim, 2011 , 2010 ; Hung et al , 2013 ; Sun et al , 2013 ; Martinez et al , 2015 ; Mobula et al , 2016 ; Adrega et al , 2018 ). Among the studies from conflict-affected contexts, almost half ( n = 18, 49%) concerned the protracted displacement of Palestinian populations served by UNRWA in their five fields of operation within the MENA region ( Yusef, 2000 ; Mousa et al , 2010 ; Khader et al , 2012a,b, 2013 , 2014a,b ,c; Alabed et al , 2014 ; Saadeh et al , 2015 ; Shahin et al , 2015 ; Santoro et al , 2016 ; Radwan et al , 2017 ; Damiri et al , 2018 ; Saleh et al , 2018a,b ,c; Abu Kishk et al , 2019 ); 10 concerned Syrian refugees in the host countries Jordan, Lebanon, and Turkey ( Kallab, 2015 ; Collins et al , 2017 ; Doocy et al , 2017 ; Hyatt, 2017 ; Sethi et al , 2017 ; Elliott et al , 2018 ; Alawa et al , 2019 ; Kayali et al , 2019 ; McNatt et al , 2019 ; Boulle et al , 2019b ); three described forcibly displaced Iraqis in Iraq and Jordan ( Mateen et al , 2012 ; Istepanian et al , 2014 ; Baxter et al , 2018 ); five concerned protracted conflicts in Mali, Democratic Republic of Congo (DRC), or Myanmar (Burma) and one described an acute conflict setting in the Philippines ( Besancon et al , 2015 ; Murphy et al , 2017 ; Naing and Bakker, 2018 ; <...>…”

Section: Resultsmentioning

confidence: 99%

“…Seven papers (15%) presented research intervention studies, including two implementation studies measuring the impact of an NCD intervention, and three others using mixed methods for evaluation. Three studies used a qualitative approach of semi-structured interviews with patients or key stakeholders that focused on barriers to NCD care ( Baxter et al , 2018 ; Alawa et al , 2019 ; McNatt et al , 2019 ). Baxter et al (2018) and McNatt et al (2019) specifically elicited the patient perception of NCD care.…”

Section: Resultsmentioning

confidence: 99%

Models of care for patients with hypertension and diabetes in humanitarian crises: a systematic review

Jaung

Willis

Sharma

et al. 2021

Health Policy and Planning

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Care for non-communicable diseases, including hypertension and diabetes (HTN/DM), is recognized as a growing challenge in humanitarian crises, particularly in low- and middle-income countries (LMICs) where most crises occur. There is little evidence to support humanitarian actors and governments in designing efficient, effective, and context-adapted models of care for HTN/DM in such settings. This article aimed to systematically review the evidence on models of care targeting people with HTN/DM affected by humanitarian crises in LMICs. A search of the MEDLINE, Embase, Global Health, Global Indexus Medicus, Web of Science, and EconLit bibliographic databases and grey literature sources was performed. Studies were selected that described models of care for HTN/DM in humanitarian crises in LMICs. We descriptively analysed and compared models of care using a conceptual framework and evaluated study quality using the Mixed Methods Appraisal Tool. We report our findings according to PRISMA guidelines. The search yielded 10 645 citations, of which 45 were eligible for this review. Quantitative methods were most commonly used (n = 34), with four qualitative, three mixed methods, and four descriptive reviews of specific care models were also included. Most studies detailed primary care facility-based services for HTN/DM, focusing on health system inputs. More limited references were made to community-based services. Health care workforce and treatment protocols were commonly described framework components, whereas few studies described patient centredness, quality of care, financing and governance, broader health policy, and sociocultural contexts. There were few programme evaluations or effectiveness studies, and only one study reported costs. Most studies were of low quality. We concluded that an increasing body of literature describing models of care for patients with HTN/DM in humanitarian crises demonstrated the development of context-adapted services but showed little evidence of impact. Our conceptual framework could be used for further research and development of NCD models of care.

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“…e interviewed administrators in our study complemented the perspective of health care professionals. Bureaucratic aspects and having to navigate a different health care system represent barriers to ensuring continuity of health care and were also observed outside Germany [43,49].…”

Section: Discussionmentioning

confidence: 99%

Equity in Health Care: A Qualitative Study with Refugees, Health Care Professionals, and Administrators in One Region in Germany

Hahn

Steinhäuser

Goetz

2020

BioMed Research International

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Introduction. Equity in health is an essential issue and it would appear that it is not guaranteed for all human beings, especially refugee groups. The aim of this qualitative descriptive study was to explore the experiences of refugees, health care professionals, and administrators of refugee health care in a host country. Methods. The study used qualitative methods which consisted of a convenience sample of stakeholders directly and indirectly involved in care for refugees and refugees themselves. The study participants were located in a rural area in the federal state of Schleswig-Holstein, Germany. Focus groups and interviews were conducted with 25 participants. A semistructured interview guideline was used for the focus groups and interviews. The data were evaluated using qualitative content analysis. Results. Four main categories were identified which are important for equity in health care: legal aspects, sociocultural aspects, environmental aspects, and communication aspects. Legal frameworks and language barriers were perceived as strong barriers for accessing health care. Conclusions. The findings suggest that the host countries should address the specific needs of this population group at a systemic and individual level. Based on the views of the participants interviewed it can be concluded that the refugee population group is particularly affected by limited access to health care services. Bureaucratic barriers, unfamiliarity with a new health system, and language issues all contribute to limiting access to health care services.

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Evaluating the Provision of Health Services and Barriers to Treatment for Chronic Diseases among Syrian Refugees in Turkey: A Review of Literature and Stakeholder Interviews

Cited by 49 publications

References 34 publications

Somatic distress among Syrian refugees in Istanbul, Turkey: A cross-sectional study

Somatic distress among Syrian refugees in Istanbul, Turkey: A cross-sectional study

Models of care for patients with hypertension and diabetes in humanitarian crises: a systematic review

Equity in Health Care: A Qualitative Study with Refugees, Health Care Professionals, and Administrators in One Region in Germany

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