A new primary health-care system in the Syrian opposition territories: Good effort but far from being perfect

Objectives: The primary health-care system in Syria has suffered a great deal of damage over the past 6 years. A large number of physicians and health-care providers have left the country. The objectives of this study are to describe our experience in establishing a primary health-care system in the...

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Main Authors: Tarek Alsaied, Abdullah Mawas, Fatima Al Sayah, Abdulrazzak Kental, Maher Saqqur
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2017-10-01
Series:Avicenna Journal of Medicine
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_67_17
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author Tarek Alsaied
Abdullah Mawas
Fatima Al Sayah
Abdulrazzak Kental
Maher Saqqur
author_facet Tarek Alsaied
Abdullah Mawas
Fatima Al Sayah
Abdulrazzak Kental
Maher Saqqur
author_sort Tarek Alsaied
collection DOAJ
description Objectives: The primary health-care system in Syria has suffered a great deal of damage over the past 6 years. A large number of physicians and health-care providers have left the country. The objectives of this study are to describe our experience in establishing a primary health-care system in the opposition territories (OTs) in Syria and report the most common treated diseases. Methods: The administrative databases of ten primary care centers in the OT from January 2014 to December 2015 were reviewed. All patients' encounters, including children and adults, in these centers were included in the study. Results: Within the study period, the ten centers served 46,039 patients encounter per month (and average of 4600 patients encounters per center per month). A high number of communicable diseases were noted. Cutaneous leishmaniasis was the most common communicable disease (1170 cases a month). Tuberculosis was treated in 14 patients a month. Other infectious diseases that were almost eradicated before the crises were seen increasingly (29 mumps cases/month, 6 measles cases/month, and 34 cases of typhoid fever/month). Conclusion: The primary health-care system in Syria has been greatly damaged, and tremendous efforts are ongoing to provide access to various basic health-care services including primary care services. Despite these efforts, the current system is very vulnerable and not sustainable. This study summarizes basic health services provided by primary health-care centers in Syrian OTs.
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spelling doaj.art-88c3a6307a324cf48f6b5ddac11ba5c52022-12-21T19:26:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Avicenna Journal of Medicine2231-07702249-44642017-10-01070418919210.4103/ajm.AJM_67_17A new primary health-care system in the Syrian opposition territories: Good effort but far from being perfectTarek Alsaied0Abdullah Mawas1Fatima Al Sayah2Abdulrazzak Kental3Maher Saqqur4Department of Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati Children's Heart Institute, Cincinnati, OH, USADepartment of Neurology, West Suffolk Hospital, Bury St Edmunds IP33 2QZ, UKDepartment of Epidemiology, School of Public Health, University of Alberta, DohaUnion of Medical Care and Relief Organizations, TurkeyDepartment of Neurology, Clinical Associate Professor, University of Alberta, Senior consultant Hamad Medical Corporation, Doha, QatarObjectives: The primary health-care system in Syria has suffered a great deal of damage over the past 6 years. A large number of physicians and health-care providers have left the country. The objectives of this study are to describe our experience in establishing a primary health-care system in the opposition territories (OTs) in Syria and report the most common treated diseases. Methods: The administrative databases of ten primary care centers in the OT from January 2014 to December 2015 were reviewed. All patients' encounters, including children and adults, in these centers were included in the study. Results: Within the study period, the ten centers served 46,039 patients encounter per month (and average of 4600 patients encounters per center per month). A high number of communicable diseases were noted. Cutaneous leishmaniasis was the most common communicable disease (1170 cases a month). Tuberculosis was treated in 14 patients a month. Other infectious diseases that were almost eradicated before the crises were seen increasingly (29 mumps cases/month, 6 measles cases/month, and 34 cases of typhoid fever/month). Conclusion: The primary health-care system in Syria has been greatly damaged, and tremendous efforts are ongoing to provide access to various basic health-care services including primary care services. Despite these efforts, the current system is very vulnerable and not sustainable. This study summarizes basic health services provided by primary health-care centers in Syrian OTs.http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_67_17medical reliefprimary caresyrian conflict
spellingShingle Tarek Alsaied
Abdullah Mawas
Fatima Al Sayah
Abdulrazzak Kental
Maher Saqqur
A new primary health-care system in the Syrian opposition territories: Good effort but far from being perfect
Avicenna Journal of Medicine
medical relief
primary care
syrian conflict
title A new primary health-care system in the Syrian opposition territories: Good effort but far from being perfect
title_full A new primary health-care system in the Syrian opposition territories: Good effort but far from being perfect
title_fullStr A new primary health-care system in the Syrian opposition territories: Good effort but far from being perfect
title_full_unstemmed A new primary health-care system in the Syrian opposition territories: Good effort but far from being perfect
title_short A new primary health-care system in the Syrian opposition territories: Good effort but far from being perfect
title_sort new primary health care system in the syrian opposition territories good effort but far from being perfect
topic medical relief
primary care
syrian conflict
url http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_67_17
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