An assessment of diabetes care in Palestinian refugee camps in Syria

Background: Palestinian refugees have been a displaced group of people since 1948, many of whom are living in refugee camps in the Middle East. They are entitled to free health care from the United Nations Relief and Work Agency (UNRWA). They show a higher prevalence of diabetes than the population...

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Autores principales:	Samer Alabed, Aisha Guul, Claire Crighton, Fares Alahdab, Munes Fares, Mohammad Morad, Mohamad B Sonbol, Mohammed E Madmani, Anas Sasa, Nigel Unwin
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2014
Materias:	diabetes mellitus health clinic healthcare management resource management under‑served populations Medicine R
Acceso en línea:	https://doaj.org/article/b62f573642534c369c115e7105be359e
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spelling	oai:doaj.org-article:b62f573642534c369c115e7105be359e2021-12-02T16:24:52ZAn assessment of diabetes care in Palestinian refugee camps in Syria2231-07702249-446410.4103/2231-0770.133337https://doaj.org/article/b62f573642534c369c115e7105be359e2014-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.133337https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background: Palestinian refugees have been a displaced group of people since 1948, many of whom are living in refugee camps in the Middle East. They are entitled to free health care from the United Nations Relief and Work Agency (UNRWA). They show a higher prevalence of diabetes than the population in their host countries in the Middle East. This study examined the realities of care for diabetic patients in UNRWA health clinics in Damascus, Syria. The aim was three‑fold: To investigate the level of diabetes care, to probe patients′ level of general understanding of their disease and its management, and to search for areas of potential improvement. Methods: Data on patient education and care was gathered over a 1 month period from August 4, 2008 to September 4, 2008 using questionnaires and direct observation of the workflow at the clinics. Clinic‑led care was observed by the study team using checklists during patient visits. All of the clinic staff and sampled patients were interviewed. The main areas of care assessed were: Patient follow‑up; examination of eyes and feet; availability of medications; and patient education. A total of 154 people with diabetes were sampled from three refugee camps situated around Damascus. Results: A total of 154 patients, three doctors and seven nurses composed the sample of the study. Foot examinations were almost always neglected by health staff and eye examinations were not offered by the UNRWA clinics. Interviews with patients showed that: 67% (95% confidence intervals [CI]: 0.59‑0.70) had to buy their medication at their own expense at least once due to medication shortage in the UNRWA clinics, 48% (95% CI: 0.40‑0.55) displayed poor knowledge regarding the cause and exacerbating factors of diabetes, 65% (95% CI: 0.56‑0.72) had not heard of insulin, and 43% (95% CI: 0.35‑0.51) did not know for how long they needed to take their medications.Samer AlabedAisha GuulClaire CrightonFares AlahdabMunes FaresMohammad MoradMohamad B SonbolMohammed E MadmaniAnas SasaNigel UnwinThieme Medical and Scientific Publishers Pvt. Ltd.articlediabetes mellitushealth clinichealthcare managementresource managementunder‑served populationsMedicineRENAvicenna Journal of Medicine, Vol 04, Iss 03, Pp 66-70 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus health clinic healthcare management resource management under‑served populations Medicine R
spellingShingle	diabetes mellitus health clinic healthcare management resource management under‑served populations Medicine R Samer Alabed Aisha Guul Claire Crighton Fares Alahdab Munes Fares Mohammad Morad Mohamad B Sonbol Mohammed E Madmani Anas Sasa Nigel Unwin An assessment of diabetes care in Palestinian refugee camps in Syria
description	Background: Palestinian refugees have been a displaced group of people since 1948, many of whom are living in refugee camps in the Middle East. They are entitled to free health care from the United Nations Relief and Work Agency (UNRWA). They show a higher prevalence of diabetes than the population in their host countries in the Middle East. This study examined the realities of care for diabetic patients in UNRWA health clinics in Damascus, Syria. The aim was three‑fold: To investigate the level of diabetes care, to probe patients′ level of general understanding of their disease and its management, and to search for areas of potential improvement. Methods: Data on patient education and care was gathered over a 1 month period from August 4, 2008 to September 4, 2008 using questionnaires and direct observation of the workflow at the clinics. Clinic‑led care was observed by the study team using checklists during patient visits. All of the clinic staff and sampled patients were interviewed. The main areas of care assessed were: Patient follow‑up; examination of eyes and feet; availability of medications; and patient education. A total of 154 people with diabetes were sampled from three refugee camps situated around Damascus. Results: A total of 154 patients, three doctors and seven nurses composed the sample of the study. Foot examinations were almost always neglected by health staff and eye examinations were not offered by the UNRWA clinics. Interviews with patients showed that: 67% (95% confidence intervals [CI]: 0.59‑0.70) had to buy their medication at their own expense at least once due to medication shortage in the UNRWA clinics, 48% (95% CI: 0.40‑0.55) displayed poor knowledge regarding the cause and exacerbating factors of diabetes, 65% (95% CI: 0.56‑0.72) had not heard of insulin, and 43% (95% CI: 0.35‑0.51) did not know for how long they needed to take their medications.
format	article
author	Samer Alabed Aisha Guul Claire Crighton Fares Alahdab Munes Fares Mohammad Morad Mohamad B Sonbol Mohammed E Madmani Anas Sasa Nigel Unwin
author_facet	Samer Alabed Aisha Guul Claire Crighton Fares Alahdab Munes Fares Mohammad Morad Mohamad B Sonbol Mohammed E Madmani Anas Sasa Nigel Unwin
author_sort	Samer Alabed
title	An assessment of diabetes care in Palestinian refugee camps in Syria
title_short	An assessment of diabetes care in Palestinian refugee camps in Syria
title_full	An assessment of diabetes care in Palestinian refugee camps in Syria
title_fullStr	An assessment of diabetes care in Palestinian refugee camps in Syria
title_full_unstemmed	An assessment of diabetes care in Palestinian refugee camps in Syria
title_sort	assessment of diabetes care in palestinian refugee camps in syria
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2014
url	https://doaj.org/article/b62f573642534c369c115e7105be359e
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An assessment of diabetes care in Palestinian refugee camps in Syria

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