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Prevalence of non-communicable diseases and access to health care and medications among Yazidis and other minority groups displaced by ISIS into the Kurdistan Region of Iraq

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ABSTRACT

Background: The increasing caseload of non-communicable diseases (NCDs) in displaced populations poses new challenges for humanitarian agencies and host country governments in the provision of health care, diagnostics and medications. This study aimed to characterise the prevalence of NCDs and better understand issues related to accessing care among Yazidis and other minority groups displaced by ISIS and currently residing in camps in the Kurdistan Region of Iraq.

Methods: The study covered 13 camps managed by the Kurdish Board of Relief and Humanitarian Affairs. A systematic random sample of 1300 households with a total of 8360 members were interviewed between November and December 2015. Respondents were asked whether any household members had been previously diagnosed by a health provider with one or more of four common NCDs: hypertension, diabetes, cardiovascular disease and musculoskeletal conditions. For each household member with an NCD diagnosis, access to health care and medications were queried.

Results: Nearly one-third of households had at least one member who had been previously diagnosed with one or more of the four NCDs included in this study. Hypertension had the highest prevalence (19.4%; CI: 17.0–22.0), followed by musculoskeletal conditions (13.5%; CI: 11.4–15.8), diabetes (9.7%; CI: 8.0–11.7) and cardiovascular disease (6.3%; CI: 4.8–8.1). Individual NCD prevalence and multimorbidity increased significantly with age. Of those with an NCD diagnosis, 92.9% (CI: 88.9–95.5) had seen a health provider for this condition in the 3 months preceding the survey. In the majority of cases, care was sought from private clinics or hospitals rather than from the camp primary health care clinics. Despite the frequent access to health providers, 40.0% (CI: 34.4–46.0) were not taking prescribed medications, costs being the primary reason cited.

Conclusion: New strategies are needed to strengthen health care provision for displaced persons with NCDs and ensure access to affordable medications.

No MeSH data available.


Access to NCD care and currently taking NCD medications (with 95% CIs)
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Fig3: Access to NCD care and currently taking NCD medications (with 95% CIs)

Mentions: The reported access to health care was high for all conditions. Among persons with hypertension 97.1% (CI: 93.5–98.7) had seen a health provider for this condition in the 3 months preceding the survey. For diabetes it was 97.9% (CI: 94.1–99.3), and for cardiovascular disease it was 94.7% (CI: 85.8–98.2). The frequency of having seen a health provider in the past 3 months was significantly less among those with musculoskeletal conditions (p < 0.001): 88.3% (CI: 80.3–93.4) (Fig. 3). For all four NCDs, the majority of patients sought care outside the camp, either in hospitals or private clinics. The number of visits to the camp PHCC in the past 3 months varied significantly by condition (p < 0.001), ranging from 39.5% (CI: 33.0–46.4) of persons with hypertension to 7.7% (CI: 2.7–20.0) of those with cardiovascular disease.Fig. 3


Prevalence of non-communicable diseases and access to health care and medications among Yazidis and other minority groups displaced by ISIS into the Kurdistan Region of Iraq
Access to NCD care and currently taking NCD medications (with 95% CIs)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5382370&req=5

Fig3: Access to NCD care and currently taking NCD medications (with 95% CIs)
Mentions: The reported access to health care was high for all conditions. Among persons with hypertension 97.1% (CI: 93.5–98.7) had seen a health provider for this condition in the 3 months preceding the survey. For diabetes it was 97.9% (CI: 94.1–99.3), and for cardiovascular disease it was 94.7% (CI: 85.8–98.2). The frequency of having seen a health provider in the past 3 months was significantly less among those with musculoskeletal conditions (p < 0.001): 88.3% (CI: 80.3–93.4) (Fig. 3). For all four NCDs, the majority of patients sought care outside the camp, either in hospitals or private clinics. The number of visits to the camp PHCC in the past 3 months varied significantly by condition (p < 0.001), ranging from 39.5% (CI: 33.0–46.4) of persons with hypertension to 7.7% (CI: 2.7–20.0) of those with cardiovascular disease.Fig. 3

View Article: PubMed Central - PubMed

ABSTRACT

Background: The increasing caseload of non-communicable diseases (NCDs) in displaced populations poses new challenges for humanitarian agencies and host country governments in the provision of health care, diagnostics and medications. This study aimed to characterise the prevalence of NCDs and better understand issues related to accessing care among Yazidis and other minority groups displaced by ISIS and currently residing in camps in the Kurdistan Region of Iraq.

Methods: The study covered 13 camps managed by the Kurdish Board of Relief and Humanitarian Affairs. A systematic random sample of 1300 households with a total of 8360 members were interviewed between November and December 2015. Respondents were asked whether any household members had been previously diagnosed by a health provider with one or more of four common NCDs: hypertension, diabetes, cardiovascular disease and musculoskeletal conditions. For each household member with an NCD diagnosis, access to health care and medications were queried.

Results: Nearly one-third of households had at least one member who had been previously diagnosed with one or more of the four NCDs included in this study. Hypertension had the highest prevalence (19.4%; CI: 17.0&ndash;22.0), followed by musculoskeletal conditions (13.5%; CI: 11.4&ndash;15.8), diabetes (9.7%; CI: 8.0&ndash;11.7) and cardiovascular disease (6.3%; CI: 4.8&ndash;8.1). Individual NCD prevalence and multimorbidity increased significantly with age. Of those with an NCD diagnosis, 92.9% (CI: 88.9&ndash;95.5) had seen a health provider for this condition in the 3&nbsp;months preceding the survey. In the majority of cases, care was sought from private clinics or hospitals rather than from the camp primary health care clinics. Despite the frequent access to health providers, 40.0% (CI: 34.4&ndash;46.0) were not taking prescribed medications, costs being the primary reason cited.

Conclusion: New strategies are needed to strengthen health care provision for displaced persons with NCDs and ensure access to affordable medications.

No MeSH data available.