دورية أكاديمية
Health Care and Care-Seeking in Mosul 1 Year After Defeat of ISIS.
| العنوان: | Health Care and Care-Seeking in Mosul 1 Year After Defeat of ISIS. |
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| المؤلفون: | Lafta R; Department of Family and Community Medicine, Al Mustansiriya University, Baghdad, Iraq., Al-Nuaimib MA; Department of Family and Community Medicine, Al Mustansiriya University, Baghdad, Iraq., Sultan LR; Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205USA., Rihawa H; Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205USA., Burnham G; Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205USA. |
| المصدر: | Disaster medicine and public health preparedness [Disaster Med Public Health Prep] 2022 Aug; Vol. 16 (4), pp. 1524-1531. Date of Electronic Publication: 2021 Jul 21. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: United States NLM ID: 101297401 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-744X (Electronic) Linking ISSN: 19357893 NLM ISO Abbreviation: Disaster Med Public Health Prep Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2013>- : New York : Cambridge University Press Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins |
| مواضيع طبية MeSH: | Noncommunicable Diseases*, Adult ; Child ; Female ; Humans ; Pregnancy ; Delivery of Health Care ; Family Characteristics ; Health Facilities ; Patient Acceptance of Health Care |
| مستخلص: | Objective: Our objective was to compare care-seeking patterns in Mosul, Iraq, in 2018, 1 y after Islamic State of Iraq and Syria (ISIS) control, with findings from neighborhoods that had been sampled in 2017. Methods: For this multi-stage randomized cluster household survey, we created one cluster in each of 20 neighborhoods randomly selected from the 40 neighborhoods in the 2016/17 survey; 12 in east Mosul, 8 in west Mosul. In each, 30 households were interviewed beginning at a randomly selected start house. Questions were derived from the 2016/2017 post-ISIS survey. Results: We interviewed the head of household or senior female in 600 households containing 3375 persons. One year after ISIS, some household demographic shifts had occurred. Diarrhea in children during the past 2 wk decreased from 50.1% to 7.5% ( P < 0.001); however, cough/difficulty breathing increased from 15.5% to 33.6% ( P < 0.01). Among adults, care-seeking for noncommunicable diseases increased from 22.3% to 43.5% ( P < 0.001). Emotional and psychological complaints common in the previous survey were now nearly absent. Pregnancy complications diminished from 65.2% to 15.4% ( P < 0.001). Conclusions: Communicable diseases predominated among children and noncommunicable diseases among adults. Access to health care substantially improved, although barriers remained. Satisfaction with services was mixed, with dissatisfaction expressed about testing, medicine access, and costs, but the work of health providers was rated highly. |
| فهرسة مساهمة: | Keywords: ISIS; Iraq; Mosul; care-seeking behavior; war |
| تواريخ الأحداث: | Date Created: 20210721 Date Completed: 20221130 Latest Revision: 20221130 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1017/dmp.2021.112 |
| PMID: | 34284845 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1938-744X |
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| DOI: | 10.1017/dmp.2021.112 |