دورية أكاديمية
Perceived facilitators and barriers to the provision of sexual and reproductive health services in response to the Syrian refugee crisis in Lebanon.
| العنوان: | Perceived facilitators and barriers to the provision of sexual and reproductive health services in response to the Syrian refugee crisis in Lebanon. |
|---|---|
| المؤلفون: | Fouad FM; Refugee Health Program, Global Health Institute, American University of Beirut, Beirut, Lebanon.; Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Hashoush M; Refugee Health Program, Global Health Institute, American University of Beirut, Beirut, Lebanon., Diab JL; Refugee Health Program, Global Health Institute, American University of Beirut, Beirut, Lebanon., Nabulsi D; Refugee Health Program, Global Health Institute, American University of Beirut, Beirut, Lebanon., Bahr S; Refugee Health Program, Global Health Institute, American University of Beirut, Beirut, Lebanon., Ibrahim S; Refugee Health Program, Global Health Institute, American University of Beirut, Beirut, Lebanon., Farhat T; Refugee Health Program, Global Health Institute, American University of Beirut, Beirut, Lebanon., Kobeissi L; Department of Sexual and Reproductive Health and Research (SRH), World Health Organization (WHO), Geneva, Switzerland. |
| المصدر: | Women's health (London, England) [Womens Health (Lond)] 2023 Jan-Dec; Vol. 19, pp. 17455057231171486. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publishing Country of Publication: United States NLM ID: 101271249 Publication Model: Print Cited Medium: Internet ISSN: 1745-5065 (Electronic) Linking ISSN: 17455057 NLM ISO Abbreviation: Womens Health (Lond) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July 2016- : Thousand Oaks, CA : SAGE Publishing Original Publication: London, UK : Future Medicine Ltd. |
| مواضيع طبية MeSH: | Refugees* , Reproductive Health Services*, Adolescent ; Humans ; Female ; Lebanon ; Syria ; Cross-Sectional Studies ; Reproductive Health |
| مستخلص: | Background: The Syrian crisis has resulted in one of the worst humanitarian disasters in modern history. Inadequate access to and use of sexual and reproductive health services is a prevailing issue among adolescent girls and young refugee women in humanitarian settings. Objectives: This article aimed to explore and describe the perceived extent of implementation of the different objectives and activities outlined within the minimum initial service package for reproductive health in crisis services in Lebanon, from the perspectives of a diverse set of stakeholders from leading organizations (public, private, primary health centers, nongovernmental organizations) that were directly engaged with the Syrian refugee crisis response. Design: This study is a cross-sectional survey conducted using a standardized and validated questionnaire. Methods: Centers that provided sexual and reproductive health services to Syrian refugees in Lebanon were mapped. The study was based on a purposive sampling approach, retrieving 52 eligible organizations to cover most areas in the country. A total of 43 centers accepted to take part in the study. The head of the center was then asked to identify one person in their center who holds adequate knowledge of the explained objectives of the survey. Accordingly, the identified person was asked to fill out the survey. Results: A considerable portion of the respondents had limited knowledge about the specific minimum initial service package objectives and related sexual and reproductive health services. The study found the presence of a leading reproductive health agency, the Lebanese MoPH, as an essential facilitating factor for sexual and reproductive health service provision in Lebanon and has helped in overseeing the overall sexual and reproductive health coordination response for Syrian refugees (76.74% of all respondents). The identified challenges impeding adequate sexual and reproductive health services provision for Syrian refugees included (1) insufficient supplies (46.51%); (2) insufficient funds (39.53%); and (3) shortage of staff (39.53%). Conclusion: The recommendations for improved sexual and reproductive health service provision include the need for (1) enforcing the lead minimum initial service package agency for adequate and effective coordination, reporting, and accountability and (2) increasing funding for training staff and healthcare workers, as well as improving the overall quality of services available with the inclusion of family planning services, purchasing the necessary commodities, supplies and equipment, and covering fees associated with the different sexual and reproductive health services. |
| References: | Yale J Biol Med. 2014 Sep 03;87(3):269-88. (PMID: 25191143) Confl Health. 2015 Feb 02;9(Suppl 1 Taking Stock of Reproductive Health in Humanitarian):S4. (PMID: 25798190) World Med Health Policy. 2017 Jun;9(2):255-274. (PMID: 29051840) Confl Health. 2019 Aug 28;13:40. (PMID: 31485263) BMC Public Health. 2021 Jan 26;21(1):217. (PMID: 33499834) Reprod Health. 2021 Mar 8;18(1):58. (PMID: 33685476) Confl Health. 2015 Feb 26;9:8. (PMID: 25741381) Glob Public Health. 2013;8(3):342-56. (PMID: 23394618) J Glob Health. 2016 Dec;6(2):020704. (PMID: 28154758) Soc Sci Med. 2015 Dec;146:324-31. (PMID: 26477853) Lancet. 2021 Dec 4;398(10316):2109-2124. (PMID: 34762857) |
| معلومات مُعتمدة: | 001 International WHO_ World Health Organization |
| فهرسة مساهمة: | Keywords: Lebanon; Syrian refugees; health services; minimum initial service package; sexual reproductive health |
| تواريخ الأحداث: | Date Created: 20230520 Date Completed: 20230522 Latest Revision: 20230903 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10201148 |
| DOI: | 10.1177/17455057231171486 |
| PMID: | 37209110 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1745-5065 |
|---|---|
| DOI: | 10.1177/17455057231171486 |