Cholera outbreak and debilitated health facilities in Syria: urgent need for support and action DOI Creative Commons
Maher Almousa,

Mohammad Aljomaa

International Journal of Surgery Global Health, Год журнала: 2023, Номер 6(4)

Опубликована: Июль 1, 2023

At present, the world is still grappling with impact of COVID-19 pandemic on health facilities. However, Syrian facilities are now facing a new challenge as dozens cases cholera have been documented, indicating outbreak in region. The ongoing conflict, which has lasted for over decade, significantly impacted all aspects sector, ranging from buildings and equipment to medical personnel1. Consequently, there significant decline quality care services provided. prolonged concentrated urban areas, exacerbated consequences2. further tested ability these provide while also draining their resources3. In addition, sector Syria suffering economic sanctions imposed country, severely limited its resources availability basic supplies. During pandemic, largest public hospital had only 11 available beds intensive unit, yet nearly 1 million people depended services. Approximately 50 patients needed be admitted ICU but were subsequently treated various departments due lack ICU. This clear example weakness system Syria. Moreover, lost many staff, including physicians, graduates, nurses. physician-to-patient ratio ~1:25, nurse-to-patient no more than 3:25, poses system. Syria, not reported any since 2009, declared an September 10, after Ministry Health recorded 15 laboratory-confirmed cases, one death. Since then, number confirmed suspected steadily increased4. According WHO report issued October 23, 2022 (Report No. 4), exceeded 20,000, 75 related deaths. Country Director International Rescue Committee stated that “Now it’s cholera, few weeks or months, it could something else because this complex crisis multiple factors fragile system”5. UN making efforts help official contain control outbreak. given severe fragility shortage resources, seems likely will spread affect neighboring countries such Lebanon. situation calls immediate attention action. light sanctions, urgent need increase support institutions international community must work together sufficient supplies alleviate burden should include financial assistance recruit train personnel, well reconstruction damaged By taking action, we can prevent improve overall thus providing much-needed relief people. Ethical approval None. Sources funding Author contribution There author, he did work. Conflict interests disclosures authors declare they conflict interest regard content report. Research registration unique identifying (UIN) Guarantor Maher Almousa guarantor. Consent publication author gives journal consent publication. Availability data materials Provenance peer review Not commissioned, externally peer-reviewed.

Язык: Английский

Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review DOI Creative Commons
Genet Tadese Aboye,

Martijn Vande Walle,

Gizeaddis Lamesgin Simegn

и другие.

Health Policy and Technology, Год журнала: 2023, Номер 12(4), С. 100806 - 100806

Опубликована: Сен. 16, 2023

Mobile health (mHealth) approaches are especially beneficial to Sub-Saharan Africa (SSA), which has a disproportionate disease burden and scarcity of healthcare workers. This study aims assess the availability, stage, targeted issues mHealth interventions in SSA identify gaps. The employed scoping review guided by Arksey O'Malley's framework explore use SSA. Preferred Reporting Items for Systematic Reviews Meta-Analyses extension Scoping (PRISMA-ScR) was used report transparent comprehensive manner. Articles published from 2000 2021 were searched PUBMED, IEEE, SCOPUS, Web Science evaluated with set inclusion criteria. Data included publications retrieved synthesized. A total 1020 articles found. 59 these have met criteria inclusion. results show implementation 21 nations. Only 1 (2%) wearable sensor-based approach. 13 (22%) SMS text-based interventions, 17 (29%) app-based approaches, 18 (30%) telemedicine-based 10 (17%) mixed approaches. HIV, cancer, maternal child problems most commonly discussed issues. Proof concept, design development, pilot test frequently documented stages interventions. Less than half countries incorporate platforms, highlighting need further development. Integrating based platforms real-time monitoring physiological parameters demands careful consideration. technology is believed be very (SSA) nations where there high but inadequate system. Evidence-based data on systems needed trace fill existing We performed determine current use, stage services made (few) attempts designing implementing systems. some among others. Though few large-scale implementations reported, at an early stage. solution should designed both economical simple increase its uptake wearables parameters.

Язык: Английский

Процитировано

22
A study on siting of emergency shelters for dam failure floods considering population distribution and weather effects DOI
Yutie Jiao, Zongkun Li, Wei Ge

и другие.

The Science of The Total Environment, Год журнала: 2024, Номер 914, С. 169901 - 169901

Опубликована: Янв. 4, 2024

Язык: Английский

Процитировано

8
Lessons learnt from the first wave of COVID-19 in Damascus, Syria: a multicentre retrospective cohort study DOI Creative Commons
Ibrahem Hanafi,

Lyana Alzamel,

Ola Alnabelsi

и другие.

BMJ Open, Год журнала: 2023, Номер 13(7), С. e065280 - e065280

Опубликована: Июль 1, 2023

The decade-long Syrian war led to fragile health infrastructures lacking in personal and physical resources. public of the population was, therefore, vulnerable COVID-19 pandemic, which devastated even well-resourced healthcare systems. Nevertheless, officially reported incidence fatality rates were significantly lower than forecasted numbers.

Язык: Английский

Процитировано

7
“They cannot afford to feed their children and the advice is to stay home. How‥?”: A qualitative study of community experiences of COVID-19 response efforts across Syria DOI Creative Commons
Mervat Alhaffar, Hala Mkhallalati, Omar Alrashid Alhiraki

и другие.

PLoS ONE, Год журнала: 2022, Номер 17(11), С. e0277215 - e0277215

Опубликована: Ноя. 4, 2022

Introduction COVID-19 highlighted the importance of meaningful engagement between communities and health authorities. This is particularly challenging in conflict-affected countries such as Syria, where social protection food security needs can hinder adherence to non-pharmaceutical interventions (NPIs) vaccine uptake. study explored community perspectives authority responses across three main areas control i.e. Syrian government-controlled (GCA), autonomous administration-controlled (AACA), opposition-controlled (OCA). Methods We conducted a qualitative study, interviewing 22 purposively-sampled Syrians accessing services AACA, GCA, or OCA 2021 provide approximately equal representation by governance area gender. analysed data thematically using deductive inductive coding. Findings Interviewees all described how their fears willingness adhere NPIs decreased local epidemics progressed disrupted access household essentials work food. Community-level were minimal ad hoc, so most people focused on personal protective efforts many mentioned relying faith for comfort. Misinformation hesitancy common areas, linked lack transparency from mistrust authorities information sources. Conclusions The pandemic has increased actors’ need engage with disease spread, yet implemented Syria inappropriate progressed. was exemplified lockdowns requirements self-isolate, despite precarious reliance daily wages, no subsidies lost income, individual self-reliance, mistrust/weak communication found efforts, consisting entirely informing consult, involve, collaborate, empower. contributed failures actors contextualise ways that respected understandings needs.

Язык: Английский

Процитировано

11
Predictors of antibiogram performance and antibiotic resistance patterns in the northern Syrian region: A cross-sectional investigation DOI Creative Commons

Nour Bourgi,

Abd Alrahman Olaby,

Ali Najdi

и другие.

Exploratory Research in Clinical and Social Pharmacy, Год журнала: 2024, Номер 13, С. 100416 - 100416

Опубликована: Янв. 30, 2024

Antibiogram use is crucial in the fight against antibiotic resistance Syria, helping to guide treatment decisions, monitor trends, and implement measures mitigate this global health threat. This study explores predictors of antibiogram performance patterns hospital settings Northern Syrian region.

Язык: Английский

Процитировано

2
Translation, cultural adaptation and linguistic validation of the postgraduate hospital educational environment measure into Arabic DOI Creative Commons
Ghaith Alfakhry, Khattab Mustafa, Rawan Khwanda

и другие.

BMC Medical Education, Год журнала: 2024, Номер 24(1)

Опубликована: Июнь 5, 2024

Abstract Background Assessment of the clinical learning environment (CLE) is an essential step that teaching hospitals routinely undertake to ensure conducive, learning-oriented and supportive junior doctors’ education. The Postgraduate Hospital Educational Environment Measure (PHEEM) internationally recognized tool for assessing CLE with evidence high reliability validity. Translation PHEEM into other languages such as Spanish, Japanese Persian enabled wider adoption instrument in world. However, Syria Arabic countries, a validated translation still not available, making it difficult adopt use contexts. This study aims translate culturally adapt from English Arabic. Methods followed structured validation process guideline proposed by Sousa & Rojjanasrirat 2010. First, went through forward three translators, then reconciled aid fourth translator. Afterwards, two professional bicultural bilingual translators conducted back compared original version. formed Pre-final Version (PFV) which was pretested clarity on sample medical residents Damascus, Syria. Following appropriate modifications, PFV sent panel experts comprehensive review language assess content Results A total thirty-five were recruited. Ten items issues identified modified according elicited suggestions. Thereafter, presented ten subject who need revision. item-content Validity Index (CVI) over 0.78 all 40 items; calculated scale-CVI 0.945. Discussion provided first linguistically valid widely used inventory. next conduct full psychometric analysis provide further validity reliability.

Язык: Английский

Процитировано

2
Health-care provider burnout in Syria during COVID-19 pandemic’s Omicron wave DOI Creative Commons
Sarya Swed, Haidara Bohsas, Ismail Ibrahim

и другие.

Medicine, Год журнала: 2022, Номер 101(50), С. e32308 - e32308

Опубликована: Дек. 16, 2022

Health-care workers (HCWs) have dealt with various psychological problems during the COVID-19 epidemic, including sadness, mental discomfort, anxiety, and poor sleep. Burnout is a state of prolonged work-related psychological, emotional, physical stress brought on by emotional weariness, depersonalization, decreased professional success. This study aimed to determine how many HCWs burned out Omicron wave pandemic what factors put them at risk for this effect. cross-sectional research was performed in Syria current evaluate burnout experienced Syrian physicians who treat patients. The inclusion criteria were all treated patients COVID-19. data collected between April 3 March 20, 2022. We investigated whether questionnaire used valid understandable participants. A total 729 health-care providers inquired our study; however, 30 participants disqualified because their answers not fully completed. overall age 31 ± 9, ratio males females almost equal. majority (47.5%) sample study's are residents, 72.8% cared prevalence high levels 41.6%. Compared men (22.3%), women much more likely (27.9%) report experiencing degree exhaustion; also, (30.1%) exhaustion compared others, which individuals COVID19 1.76 times than did care experience severe (odds ratio: 1.766, 95% confidence interval:1.2-2.4, P value < .001). Our found among omicron COVID-19, clinicians caring being considerably express others.

Язык: Английский

Процитировано

7
Editorial: Does healthcare financing explain different healthcare system performances and responses to COVID-19? DOI Creative Commons

Mihajlo Jakovljević,

Sulaiman Mouselli, Sanaa Al Ahdab

и другие.

Frontiers in Public Health, Год журнала: 2022, Номер 10

Опубликована: Ноя. 3, 2022

EDITORIAL article Front. Public Health, 03 November 2022Sec. Health Economics Volume 10 - 2022 | https://doi.org/10.3389/fpubh.2022.1062425

Язык: Английский

Процитировано

5
Could home management of COVID-19 cases alleviate strain on the fragile healthcare system in Damascus, Syria: a prospective cohort study DOI Creative Commons
Marah Alsalkini, Ibrahem Hanafi, Ahmad Alkhaledi

и другие.

Research Square (Research Square), Год журнала: 2023, Номер unknown

Опубликована: Сен. 19, 2023

Abstract The global impact of COVID-19 was devastating, particularly in low-income countries. Conflict zones like Syria, already plagued by political and socioeconomic instability, faced additional hardships, resulting a fast collapse the healthcare system. overwhelmed system necessitated implementation home-based management as practical solution to alleviate strain on hospitals. This study documents efforts volunteer team during initial wave Damascus, Syria (August-September 2020) implementing through home visits evaluates its outcomes terms recovery, hospitalization, mortality. Out managed 770 moderate severe cases, approximately 80% reported full or partial recovery from COVID-19, with only 6.6% experiencing persistently low peripheral blood oxygen levels at follow-up. Nonetheless, 28.6% patients 14.5% were admitted intensive care units, 15.3% died. Age, masculinity, cardiac comorbidities associated higher need for support led hospitalization mortality rates. approach effectively steered most toward facilitated timely identification critical cases until their transition hospital when capacities allowed, proving be pivotal asset face such challenging circumstances.

Язык: Английский

Процитировано

1
The quality of e-payment services offered by mobile companies: the Syrian evidence DOI Creative Commons

Batoul Alsayed Suliman,

Sulaiman Mouselli

Cogent Business & Management, Год журнала: 2024, Номер 11(1)

Опубликована: Июнь 22, 2024

The recent introductory of e-payment services in Syria and the overwhelming interest such new call for thorough investigation their quality venues improvement to unleash full potential. This study investigates offered by mobile network operators adopting E-SERVQUAL metric based on four dimensions: ease use, reliability, security privacy, responsiveness. presents responses 133 users these from October December 2023. results indicate that were high terms responsiveness dimensions. However, they are lower use. It is recommended companies increase flexibility widening top-up options offering more payment categories as well relaxing ceiling set any single transaction. These also encouraged number kiosk machines credit customer balances improve distribution into selective locations. Furthermore, may share market rewards cash discounts transactions conducted through platforms.

Язык: Английский

Процитировано

0