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 2 Medication access among Syrian refugees and host community children in Lebanon

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

	Survey total		By region
	Survey total		Beirut/Mt. Lebanon		Bekaa		North		Regional comparison p value
	%	[95 CI]	%	[95 CI]	%	[95 CI]	%	[95 CI]
Prescribed medication during most recent health facility visit
Syrian refugees	n = 833		n = 234		n = 267		n = 332
	95.2	[93.5,96.5]	94.9	[91.7,96.9]	95.5	[91.4,97.7]	95.2	[92.3,97.0]	0.974
Host community	n = 315		n = 86		n = 98		n = 131
	94.6	[91.6,96.6]	94.2	[87.8,97.3]	94.9	[87.0,98.1]	94.7	[89.7,97.3]	0.962
Population comparison p value	0.691		0.772		0.845		0.825
By facility type^a
Primary health care center
Syrian refugees	96.4	[94.1,97.8]	96.3	[91.1,98.5]	96.8	[91.3,98.8]	96.0	[92.3,98.0]	0.932
Host community	97.3	[89.7,99.3]	93.3	[66.7,99.0]	100		97.2	[82.6,99.6]	0.465
Population comparison p value	0.685		0.510		0.443		0.738
Private clinic
Syrian refugees	93.2	[87.7,96.4]	93.6	[83.0,97.8]	100		86.8	[75.3,93.4]	0.025
Host community	92.7	[87.6,95.8]	93.6	[82.7,97.8]	90.9	[79.1,96.3]	93.2	[84.1,97.3]	0.849
Population comparison p value	0.848		1.000		0.029		0.252
Hospital
Syrian refugees	83	[70.3,90.9]	66.7	[38.3,86.6]	82.4	[59.3,93.7]	94.4	[72.8,99.1]	0.113
Host community	97.5	[84.4,99.6]	100		94.1	[69.4,99.1]	100		0.529
Population comparison p value	0.031		0.037		0.307		0.358
Able to obtain all medications prescribed at most recent visit^b
Syrian refugees	n = 784		n = 220		n = 252		n = 312
	92.7	[90.4,94.5]	92.3	[86.9,95.5]	92.9	[88.3,95.7]	92.9	[89.2,95.5]	0.962
Host community	n = 297		n = 81		n = 252		n = 124
	97.3	[94.8,98.6]	100		95.7	[89.2,98.3]	96.8	[92.2,98.7]	0.183
Population comparison p value	0.007		0.043		0.378		0.140
Reason for not obtaining medications^c
Syrian refugees	n = 57		n = 17		n = 18		n = 22
Could not afford the medication	86.0	[73.1,93.3]	94.1	[69.2,99.1]	77.8	[57.1,90.2]	86.4	[56.2,96.9]	0.589
Medication out of stock at facility	12.3	[5.5,25.3]	5.9	[0.9,30.8]	16.7	[5.9,38.9]	13.6	[3.1,43.8]
Symptoms improved	1.8	[0.2,11.5]	0		5.6	[0.8,29.5]	0
Other	0		0		0		0
Host community	n = 8		n = 0		n = 4		n = 4
Could not afford the medication	87.5	[45.3,98.3]	Insufficient sample size for regional and population comparison
Medication out of stock at facility	0
Symptoms improved	0
Other	12.5	[1.7,54.7]

^aAs percent of household index cases that received care at this facility type
^bAs percent of household index cases prescribed medication
^cAs percent of household index cases that did not obtain prescribed medication

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