Pediatric care during a short-term medical mission to a Syrian refugee camp in Northern Jordan

Abbott, Kenneth L.; Woods, Catherine; Halim, D. Abdul; Qureshi, Henna

doi:10.4103/ajm.ajm_100_17

Cited by 12 publications

(13 citation statements)

References 14 publications

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“…It is important to note that people with PTSD are more than twice as likely to experience non-psychiatric medical conditions as those without PTSD, even when adjusting for other factors such as age, socioeconomic status, and major depression 39. In addition, mental health assessment is not easy, with certain factors preventing accurate assessment, including high patient volume, the presence of multiple family members within the room, and natural hesitancy to discuss extremely sensitive matters 40. Findings indicate that refugees would stand to benefit from long-term contact with mental health and social work teams, thus further interventional research in this area is called for 40…”

Section: Discussionmentioning

confidence: 99%

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The Syrian refugee crisis in Jordan: a cross sectional pharmacist-led study assessing post-traumatic stress disorder

Basheti¹,

Ayasrah²,

Basheti³

et al. 2019

Pharm Pract (Granada)

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Background:The United Nations has declared the Syrian crisis as the worst humanitarian crisis of the twenty-first century. Pharmacists play a vital role in humanitarian aid and in delivering health advices for refugees. Many Syrian refugees are in need of psychosocial assessments.Objective:Objective of this study was to investigate the prevalence of post-traumatic stress disorder (PTSD), assessed by pharmacists among Syrian civilian refugees residing in Amman, Jordan.Methods:A cross-sectional study involving Syrian civilian refugees living in Amman, Jordan, was conducted using the published and validated Arabic version of the Harvard Trauma Questionnaire (HTQ). Pharmacists recruited civilian Syrian refugees and completed the HTQ. The questionnaire included 45 questions, with the first 16 questions (HTQ-16) intended to assess the trauma symptoms felt by refugees. Assessments were done by the pharmacists and refugees were categorized to suffer PTSD if their mean item score for the HTQ-16 scale was > 2.5.Results:Study participants (n=186; mean age 31.5 years; 51.3% males) had a HTQ-16 mean score of 2.35 (SD=0.53), with a range of 1.19 - 3.63. Over a third of participants (38.7%) were categorized as having PTSD. Males reported significantly worse PTSD symptoms (mean=2.42, SD=0.50) compared to females (mean=2.26, SD=0.57). Correlation between the mean item score for the HTQ-16 and characteristics of the study participants showed higher mean item score correlated with being a male, older in age, a smoker, and if trauma was experienced.Conclusions:Many Syrian civilian refugees living in Jordan suffer from PTSD. Male participants were found to be more affected by the severity of the disorder. Pharmacists are suitably situated to identify civilian Syrian refugees suffering from PTSD in dire need of help, paving the way for much needed healthcare resources to be delivered to this particular group of refugees.

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Section: Discussionmentioning

confidence: 99%

“…Many studies have been conducted in the geographical area surrounding Syria, shedding light on the psychological impact of war on the Syrian refugees for adults, women and children 13,40,51. The need for psychological and mental health services was emphasized in all studies.…”

Section: Discussionmentioning

confidence: 99%

The Syrian refugee crisis in Jordan: a cross sectional pharmacist-led study assessing post-traumatic stress disorder

Basheti¹,

Ayasrah²,

Basheti³

et al. 2019

Pharm Pract (Granada)

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“…Refugees and migrants are not a homogenous population, and depending on home countries, personal history, motivation to emigrate, and experiences of violence and neglect, the medical needs of persons on the run may vary considerably [ 22 , 23 , 25 ]. In addition, age is a clear factor influencing an asylum seeker’s medical needs, with children being particularly vulnerable to neglect and insufficient healthcare [ 19 , 26 , 27 ]. Indeed, we found higher healthcare utilization rates in young children below the age of ten years compared to older children, adolescents and young adults and observed the highest rate of medical demand in the oldest refugee group above the age of 60 years.…”

Section: Discussionmentioning

confidence: 99%

Healthcare Utilization in a Large Cohort of Asylum Seekers Entering Western Europe in 2015

Wetzke

Happle

Vakilzadeh

et al. 2018

IJERPH

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During the current period of immigration to Western Europe, national healthcare systems are confronted with high numbers of asylum seekers with largely unknown health status. To improve care taking strategies, we assessed healthcare utilization in a large, representative cohort of newly arriving migrants consisting of n = 1533 residents of a reception center in Northern Germany in 2015. Most asylum seekers were young, male adults, and the majority came from the Eastern Mediterranean region. Overall, we observed a frequency of 0.03 visits to the onsite primary healthcare ward per asylum seeker and day of camp residence (IQR 0.0–0.07, median duration of residence 38.0 days, IQR 30.0–54.25). Female asylum seekers showed higher healthcare utilization rates than their male counterparts, and healthcare utilization was particularly low in asylum seekers in their second decade of life. Furthermore, a significant correlation between time after camp entrance and healthcare utilization behavior occurred: During the first week of camp residence, 37.1 visits/100 asylum seekers were observed, opposed to only 9.5 visits/100 asylum seekers during the sixth week of camp residence. This first data on healthcare utilization in a large, representative asylum seeker cohort entering Western Europe during the current crisis shows that primary care is most needed in the first period directly after arrival. Our dataset may help to raise awareness for refugee and migrant healthcare needs and to adapt care taking strategies accordingly.

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“…The Zaatari camp was hosting nearly 80 000 displaced Syrians, and 27% were children under 18 years of age. 18 These refugees received medical care from a variety of NGOs operating within the Zaatari refugee camp, but they sometimes received referrals for healthcare in Jordanian communities outside the camp. During the two days of data collection, the physician diagnosed an average of 69 paediatric patients per day.…”

Section: Inpatient Facility-based Interventionsmentioning

confidence: 99%

“…With a primary diagnosis of upper respiratory infection (n=57), 42 patients (73.6%) received a prescription for paracetamol and 19 patients (33.3%) received a prescription for dextromethorphan; only two of these patients (3.5%) received a prescription for amoxicillin. 18 In sub-Saharan Africa, studies reported clinic-based interventions in Democratic Republic of Congo (DRC) 35 and Sudan. 20 A qualitative study reported a new model of diabetes healthcare (Integrated Diabetic Clinic within an Outpatient Department (IDC-OPD)) implemented by MSF in Mweso Hospital in eastern DRC.…”

Section: Inpatient Facility-based Interventionsmentioning

confidence: 99%

Delivering non-communicable disease interventions to women and children in conflict settings: a systematic review

et al. 2020

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BackgroundNon-communicable diseases (NCDs) are the leading cause of death worldwide. In the context of conflict settings, population displacement, disrupted treatment, infrastructure damage and other factors impose serious NCD intervention delivery challenges, but relatively little attention has been paid to addressing these challenges. Here we synthesise the available indexed and grey literature reporting on the delivery of NCD interventions to conflict-affected women and children in low- and middle-income countries (LMICs).MethodsA systematic search in MEDLINE, Embase, CINAHL and PsycINFO databases for indexed articles published between 1 January 1990 and 31 March 2018 was conducted, and publications reporting on NCD intervention delivery to conflict-affected women or children in LMICs were included. A grey literature search of 10 major humanitarian organisation websites for publications dated between 1 January 2013 and 30 November 2018 was also conducted. We extracted and synthesised information on intervention delivery characteristics and delivery barriers and facilitators.ResultsOf 27 included publications, most reported on observational research studies, half reported on studies in the Middle East and North Africa region and 80% reported on interventions targeted to refugees. Screening and medication for cardiovascular disease and diabetes were the most commonly reported interventions, with most publications reporting facility-based delivery and very few reporting outreach or community approaches. Doctors were the most frequently reported delivery personnel. No publications reported on intervention coverage or on the effectiveness of interventions among women or children. Limited population access and logistical constraints were key delivery barriers reported, while innovative technology use, training of workforce and multidisciplinary care were reported to have facilitated NCD intervention delivery.ConclusionLarge and persistent gaps in information and evidence make it difficult to recommend effective strategies for improving the reach of quality NCD care among conflict-affected women and children. More rigorous research and reporting on effective strategies for delivering NCD care in conflict contexts is urgently needed.PROSPERO registration numberCRD42019125221

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Pediatric care during a short-term medical mission to a Syrian refugee camp in Northern Jordan

Cited by 12 publications

References 14 publications

The Syrian refugee crisis in Jordan: a cross sectional pharmacist-led study assessing post-traumatic stress disorder

The Syrian refugee crisis in Jordan: a cross sectional pharmacist-led study assessing post-traumatic stress disorder

Healthcare Utilization in a Large Cohort of Asylum Seekers Entering Western Europe in 2015

Delivering non-communicable disease interventions to women and children in conflict settings: a systematic review

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