Manuela Rehr|Muhammad Shoaib|Sara Ellithy|Suhib Okour|Cono Ariti|Idriss Ait-Bouziad|Paul Bosch|Anais Deprade|Mohammad Altarawneh|Ahmad Al Shafei|Sadeq Gabashneh|Annick Lenglet
Prevalence of non-communicable diseases and access to care among non-camp Syrian refugees in northern Jordan
Médecins Sans Frontières|Médecins Sans Frontières|Médecins Sans Frontières|Médecins Sans Frontières|Cardiff University|Médecins Sans Frontières?|Médecins Sans Frontières|Médecins Sans Frontières|Ministry of Health|Ministry of Health|Ministry of Health|Médecins Sans Frontières
tackling high noncommunicable disease ncd burden among syrian refugees poses challenge humanitarian actors host countries current response priorities identification integration key interventions ncd care humanitarian programs well sustainable financing provide evidence effective ncd intervention planning conducted crosssectional survey among noncamp syrian refugees northern jordan investigate burden determinants high ncds prevalence ncd multimorbidities assess access ncd care used twostage cluster design 329 randomly selected clusters eight households identified snowball sampling consenting households interviewed selfreported ncds ncd service utilization barriers care estimated adult prevalence hypertension diabetes type iii cardiovascular chronic respiratory conditions thyroid disease cancer analysed pattern ncd multimorbidities used cox proportional hazard model calculate prevalence ratios pr analyse determinants ncd prevalence logistic regression determine risk factors ncd multimorbidities calculating odds ratios ors among 8041 adults 218 95 ci 209228 suffered least one ncd hypertension 140 95 ci 132148 diabetes 92 95 ci 8599 prevalent ncds ncd multimorbidities reported 447 95 ci 424470 patients higher age associated higher ncd prevalence risk ncdmultimorbidities education inversely associated patients needed ncd care 230 95 ci 205256 seek 615 95 ci 547679 cited provider cost main barrier ncd medication interruption reported 231 95 ci 204261 patients regular medication needs predominant reason unaffordability 634 95 ci 567696 burden ncds multimorbidities high among syrian refugees northern jordan elderly lower education key target groups ncd prevention care informs ncd service planning developing patientcentred approaches important unmet needs ncd care exist removing main barriers care could include costreduction medications humanitarian pricing models nevertheless still essential international donors agencies countries fulfill commitment support syriancrisis response