Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern Ethiopia

Abstract Background Most wars are fought in poor countries and result in significant proportions of disabilities and mortalities. The consequences of wars and political instability on health workers and access to healthcare remain under-studied. This study aimed to explore the lived experience of he...

Full description

Bibliographic Details
Main Authors: Awol Yemane Legesse, Znabu Hadush, Hale Teka, Ephrem Berhe, Bisrat Tesfay Abera, Fasika Amdeselassie, Hiluf Ebuy Abraha, Daniel Gebre, Alessandra N Bazzano
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-024-10655-3
_version_ 1827321502520836096
author Awol Yemane Legesse
Znabu Hadush
Hale Teka
Ephrem Berhe
Bisrat Tesfay Abera
Fasika Amdeselassie
Hiluf Ebuy Abraha
Daniel Gebre
Alessandra N Bazzano
author_facet Awol Yemane Legesse
Znabu Hadush
Hale Teka
Ephrem Berhe
Bisrat Tesfay Abera
Fasika Amdeselassie
Hiluf Ebuy Abraha
Daniel Gebre
Alessandra N Bazzano
author_sort Awol Yemane Legesse
collection DOAJ
description Abstract Background Most wars are fought in poor countries and result in significant proportions of disabilities and mortalities. The consequences of wars and political instability on health workers and access to healthcare remain under-studied. This study aimed to explore the lived experience of healthcare providers amidst war and siege, in a teaching hospital in northern Ethiopia. Methods The study was conducted between February 2022 to March 2022. A qualitative phenomenological study was conducted between February to March 2022 with 20 healthcare providers working in Ayder Comprehensive and Specialized Hospital (ACSH), Tigray, Ethiopia, during the Tigray War. The study employed in-depth interviews. Results The main themes identified included the consequences of the siege on health service delivery at ACSH, personal survival threats posed by the siege, immediate health consequences of the siege among care providers, and consequences of the siege on the motivation and energy of health professionals. Conclusions Health workers are exposed to a range of direct and indirect impacts of war, emphasizing the need to amend the conditions in which they live and work.
first_indexed 2024-04-25T01:07:17Z
format Article
id doaj.art-96f0e484ddb6426fbe205a643bff2cc6
institution Directory Open Access Journal
issn 1472-6963
language English
last_indexed 2024-04-25T01:07:17Z
publishDate 2024-03-01
publisher BMC
record_format Article
series BMC Health Services Research
spelling doaj.art-96f0e484ddb6426fbe205a643bff2cc62024-03-10T12:08:55ZengBMCBMC Health Services Research1472-69632024-03-0124111410.1186/s12913-024-10655-3Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern EthiopiaAwol Yemane Legesse0Znabu Hadush1Hale Teka2Ephrem Berhe3Bisrat Tesfay Abera4Fasika Amdeselassie5Hiluf Ebuy Abraha6Daniel Gebre7Alessandra N Bazzano8College of Health Sciences, Department of Obstetrics and Gynecology, Mekelle UniversityCollege of Health Sciences, School of Public Health, Mekelle UniversityCollege of Health Sciences, Department of Obstetrics and Gynecology, Mekelle UniversityCollege of Health Sciences, Department of Internal Medicine, Mekelle UniversityCollege of Health Sciences, Department of Internal Medicine, Mekelle UniversityCollege of Health Sciences, Department of Surgery, Mekelle UniversityAyder Comprehensive Specialized Hospital, Mekelle UniversityAyder Comprehensive Specialized Hospital, Mekelle UniversityTulane University School of Public Health and Tropical MedicineAbstract Background Most wars are fought in poor countries and result in significant proportions of disabilities and mortalities. The consequences of wars and political instability on health workers and access to healthcare remain under-studied. This study aimed to explore the lived experience of healthcare providers amidst war and siege, in a teaching hospital in northern Ethiopia. Methods The study was conducted between February 2022 to March 2022. A qualitative phenomenological study was conducted between February to March 2022 with 20 healthcare providers working in Ayder Comprehensive and Specialized Hospital (ACSH), Tigray, Ethiopia, during the Tigray War. The study employed in-depth interviews. Results The main themes identified included the consequences of the siege on health service delivery at ACSH, personal survival threats posed by the siege, immediate health consequences of the siege among care providers, and consequences of the siege on the motivation and energy of health professionals. Conclusions Health workers are exposed to a range of direct and indirect impacts of war, emphasizing the need to amend the conditions in which they live and work.https://doi.org/10.1186/s12913-024-10655-3Tigray warEthiopiaSiegeHealth professionalsLived experience
spellingShingle Awol Yemane Legesse
Znabu Hadush
Hale Teka
Ephrem Berhe
Bisrat Tesfay Abera
Fasika Amdeselassie
Hiluf Ebuy Abraha
Daniel Gebre
Alessandra N Bazzano
Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern Ethiopia
BMC Health Services Research
Tigray war
Ethiopia
Siege
Health professionals
Lived experience
title Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern Ethiopia
title_full Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern Ethiopia
title_fullStr Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern Ethiopia
title_full_unstemmed Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern Ethiopia
title_short Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern Ethiopia
title_sort lived experience of healthcare providers amidst war and siege a phenomenological study of ayder comprehensive specialized hospital of tigray northern ethiopia
topic Tigray war
Ethiopia
Siege
Health professionals
Lived experience
url https://doi.org/10.1186/s12913-024-10655-3
work_keys_str_mv AT awolyemanelegesse livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia
AT znabuhadush livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia
AT haleteka livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia
AT ephremberhe livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia
AT bisrattesfayabera livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia
AT fasikaamdeselassie livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia
AT hilufebuyabraha livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia
AT danielgebre livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia
AT alessandranbazzano livedexperienceofhealthcareprovidersamidstwarandsiegeaphenomenologicalstudyofaydercomprehensivespecializedhospitaloftigraynorthernethiopia