孟加拉国被迫流离失所的缅甸国民的健康状况及提供医疗服务的障碍

Mohammad Nurunnabi, Md Amdadul Haque, Sadia Khanam, T. T. Tabassum, Farzana Akhter, Anm Shamsul Islam
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摘要

背景:被迫流离失所的缅甸国民(FDMNs)是受迫害最严重的少数民族群体之一,他们面临着大量的健康问题。他们面临着各种与不良健康后果相关的压力事件,由于发病率和死亡率上升,导致预期寿命缩短。调查方法对方便选出的 203 名医护人员(HCWs)进行描述性横断面调查,以评估科克斯巴扎尔乌基亚乡库图帕隆(Kutupalong)和巴鲁克哈里(Balukhali)难民营中女性多民族流亡者的健康状况以及为其提供医疗服务的障碍。数据收集采用了半结构化问卷,通过面对面访谈的方式进行。结果显示医护人员的平均年龄为(29.2±3.6)岁,平均服务时间为(5.8±4.1)个月。大多数医疗机构提供 CD(62.5%)和非传染性疾病(80.0%)的治疗。约三分之一的医疗机构没有诊断 CD(32.2%)和非传染性疾病(40.0%)的实验室设施。半数以上的母婴保健中心(55.0%)采用煮沸(90.9%)、化学成分(45.5%)和高压灭菌器(13.6%)等消毒程序。四分之一的医护人员(25.6%)在入职时接受培训,超过三分之二的医护人员(69.5%)在入职后接受培训。在提供医疗服务的过程中,最常提到的挑战是交通障碍(96.4%)、语言障碍(87.2%)、药物短缺(67.5%)、病史模糊(60.9%)、不利天气(59.4%)和电力问题(44.7%)。结论这项研究表明,有必要提供有组织的初级医疗保健服务,专门用于传染性和非传染性疾病的预防和管理,以改善 FDMNs 的健康状况:33-39
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health State and Barriers to the Provision of Health Services among Forcibly Displaced Myanmar Nationals in Bangladesh
Background: Forcibly displaced Myanmar nationals (FDMNs) are one of the most persecuted minorities groups, suffering from an abundance of health issues. They are exposed to a wide range of stressful events that are associated with adverse health consequences, which leads to decreased life expectancy due to increased morbidity and mortality. Methodology: A descriptive cross-sectional survey among conveniently selected 203 healthcare workers (HCWs) to assess the health state and barriers to the provision of health services to FDMNs in the Kutupalong and Balukhali camps at Ukhiya Upazilla, Cox's Bazar. Data were collected by face-to-face interviews by using a semi-structured questionnaire. Results: The mean age of the HCW was 29.2±3.6 years and mean service duration was 5.8±4.1 months. Most of the health facilities provided treatment for CDs (62.5%) and NCDs (80.0%). About one-third of the facilities had no laboratory facilities for diagnosing CDs (32.2%) and NCDs (40.0%). More than half of HCCs (55.0%) were maintain sterilization processes, such as boiling (90.9%), chemical components (45.5%) and an autoclave machine (13.6%). One-fourth of the HCWs (25.6%) get training during their joining times and above two-thirds of the HCWs (69.5%) received training after joining their service. The most frequently cited challenges faced during the provision of health services were transportation barriers (96.4%), language barriers (87.2%), scarcity of drugs (67.5%), vague disease histories (60.9%), unfavorable weather (59.4%) and electricity problems (44.7%). Conclusion: This study suggests that an organized primary healthcare service, specially designed for communicable and non-communicable disease prevention and management is necessary to improve health condition of FDMNs. Eastern Med Coll J. July 2023; 8 (2): 33-39
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