Health service utilization and access to medicines among Syrian refugee and host community children in Lebanon

Lyles, Emily; Hanquart, Baptiste; Woodman, Michael; Doocy, Shannon

doi:10.1186/s41018-016-0010-z

Journal of International Humanitarian Action

Table 1 Health care seeking in Lebanon among Syrian refugees and Lebanese host community children

From: Health service utilization and access to medicines among Syrian refugee and host community children in Lebanon

	Syrian refugees		Host community		Population comparison p value
	%	[95 CI]	%	[95 CI]	Population comparison p value
Last time care was needed^a	n = 1144		n = 378
Less than 2 weeks ago	45.5	[41.9,49.1]	35.2	[29.9,40.8]	<0.001
2 weeks to <1 month ago	29.5	[26.4,32.7]	32.8	[28.5,37.5]
1 month to <3 months ago	17.3	[14.9,20.0]	19.6	[15.4,24.5]
3 months to <6 months ago	4.4	[3.3,5.8]	4.5	[2.8,7.1]
6 months to <1 year ago	1.6	[1.0,2.4]	1.6	[0.6,4.0]
More than 1 year ago	1.8	[1.1,3.0]	6.3	[4.1,9.7]
Reason for most recent care needed^a	n = 1123		n = 354
Respiratory problem	61.1	[58.1,64.0]	60.5	[55.9,64.9]	0.371
Fever	8.1	[6.6,10.0]	7.6	[5.2,11.1]
Diarrhea	5.0	[3.8,6.6]	8.5	[6.2,11.6]
Skin problem	3.9	[2.9,5.2]	2.3	[1.1,4.4]
Injury	3.7	[2.7,4.9]	4.0	[2.2,7.0]
Ear problem	3.2	[2.3,4.4]	3.7	[2.2,6.2]
Asthma	3.3	[2.4,4.6]	1.1	[0.4,3.0]
Dental care	2.6	[1.8,3.7]	4.2	[2.6,6.9]
Eye problem	1.5	[0.9,2.4]	2.0	[1.0,4.0]
Behavioral/emotional problem	0.8	[0.4,1.6]	0.3	[0.0,2.0]
Worms	0.3	[0.1,0.8]	0
Other	6.6	[5.2,8.3]	5.9	[3.9,8.9]
Received attention last time care was needed^a	n = 1123		n = 354
Yes, sought and received care	74.2	[70.2,77.8]	89.0	[84.9,92.0]	<0.001
Did not seek care	18.6	[15.8,21.8]	8.5	[5.9,11.9]
Sought, but did not receive care	7.1	[5.4,9.4]	2.5	[1.2,5.4]
Location of most recent care in Lebanon^b
Primary health care center	52.7	[48.1,57.2]	23.2	[18.1,29.1]	<0.001
Private clinic (cabinet)	17.8	[15.0,21.0]	47.6	[41.8,53.5]
Hospital	5.6	[4.1,7.6]	12.7	[9.3,17.1]
Pharmacy	22.2	[18.7,26.2]	14.9	[11.3,19.5]
Other	1.7	[0.8,3.6]	1.6	[0.6,4.5]
Facility type of most recent care^b
Primary/secondary/private provider	70.8	[66.7,74.7]	71.1	[65.7,76.0]	<0.001
Hospital	5.6	[4.1,7.6]	12.7	[9.3,17.1]
Pharmacy or shop	23.5	[19.8,27.7]	16.2	[12.3,21.0]
Reason for not receiving needed care^c	n = 289		n = 39
Could not afford provider costs	92.0	[87.1,95.2]	69.2	[54.5,80.9]	<0.001
Family decided care should not be sought	2.4	[1.1,5.5]	17.9	[9.0,32.6]
No transportation/difficult to access	1.0	[0.1,7.2]	2.6	[0.4,16.0]
Could not afford transportation costs	1.0	[0.3,3.2]	0
Disliked long wait time on previous visit(s)	1.0	[0.3,3.3]	0
Did not know where to go	0.7	[0.2,2.7]	0
Appointment scheduled/still waiting	0.3	[0.0,2.5]	2.6	[0.4,16.0]
Provider’s equipment or drugs are inadequate	0.3	[0.0,2.5]	0
Could not take time off work/other commitments	0		2.6	[0.3,16.7]
Security	0.3	[0.0,2.5]	0
Other

^aAs percent of all household index cases that needed care in Lebanon
^bAs percent of all household index cases that received care in Lebanon
^cAs percent of all household index cases that did not receive needed care in Lebanon

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