Figures & Tables
Figures
A community health promoter trains refugee outreach volunteers to facilitate health promotion and noncommunicable disease control in their communities.
Tables
- TABLE 1.
Mobile Clinic Noncommunicable Disesase Patient Survey of Syrian Refugees in Lebanon, 2015 (N=320)
% 95% CI Demographics Age, years, mean (SD) 54.6 (11.4) Female 59.4 (53.8, 64.8) Disease control among all patients Adhere to medications “all of the time” 79.9 (74.95, 84.1) Follow a diet to control their hypertension or diabetes 70.7 (64.8, 76.2) Currently smoking 34.4 (29.2, 40.1) Have reduced or quit smoking 13.0 (9.5, 17.4) Patients with hypertension (n=227) Check their blood pressure monthly 97.4 (94.3, 99.0) Add salt to food most or all of the time 21.2 (16.0, 27.0) Eat salty processed food daily 10.9 (7.0, 15.9) Eat salty processed food weekly 24.6 (19.0, 31.0) Patients with diabetes (n=114) Get at least 1 glucose check monthly 95.6 (90.1, 98.6) State that taking medication will help to control their disease 72.8 (63.7, 80.7) State that eating fewer sweets, candies, and pastries will help to control their disease 64.0 (54.5, 72.8) State that avoiding sugar in tea or coffee will help to control their disease 70.2 (60.9, 78.4) State that weight loss could improve their disease control 0.0 (0.0, 0.0) Patients with chronic lung disease (n=56) Have heard messages about their condition 85.7 (73.8, 93.6) Know that one type of asthma/COPD medication is for prevention 55.4 (41.5, 68.7) Know that one type of asthma/COPD medication is for rescue 64.3 (50.4, 76.6) Abbreviations: CI, confidence interval; COPD, chronic obstructive pulmonary disease; SD, standard deviation.
All data reported as % (95% CI) unless otherwise specified.
- TABLE 2.
Knowledge, Practice, and Coverage Survey of Adult Syrian Refugees in Lebanon, 2016 (N=300)
% 95% CI Age, years, mean (SD) 36.5 (12.9) Have diabetes, high blood pressure, heart disease, asthma, or emphysema 22.8 (17.87, 27.20) Access to a PHC facility Have been to a PHC facility 76.8 (71.60, 81.10) Have been to a PHC facility within the last month 25.0 (19.74, 31.35) Barriers to seeking care at a PHC facility Medical costs 17.0 (9.18, 28.03) Lack of transport 11.0 (5.07, 21.28) Legal reasons 4.0 (0.89, 12.02) Lack of time 4.0 (0.89, 12.02) Did not have a medical need to go to a PHC facility 47.0 (35.09, 59.45) Transportation to a PHC facilitya Transportation method Taxi 44.0 (37.57, 50.97) Walking 36.0 (30.01, 42.84) Bus 13.0 (9.02, 18.17) Cost of transport, LBP, mean (SD) 2,000 (282) Time to get to the PHC facility, minutes, mean (SD) 21.9 (17.2) Services and costs at a PHC facility Medical cost of a PHC visit, LBP, mean (SD) 3,000 (833) Diagnostic tests ordered 25.0 (19.26, 30.76) Cost of tests ordered, LBP, mean (SD) 20,000 (4,386) Received a prescription 78.0 (71.89, 83.30) Able to get the medication at the time of their visit 34.5 (27.41, 42.14) Cost of medical care including medications, LBP, mean (SD) 7,000 (2,886) Reasons for visiting PHC facility Acute disease 45.0 (38.42, 51.67) Chronic disease 14.0 (9.76, 19.15) Antenatal care 14.0 (9.76, 19.15) Well-child visit 10.0 (9.76, 19.15) Dental care 23.0 (17.45, 28.69) Satisfaction with services at PHC facility Describe the care as either good or very good 67.8 (61.37, 73.82) Feel the care could be improved 73.0 (66.54, 78.47) Main concerns Respect 26.5 (19.97, 33.9) Wait times 33.0 (26.03, 40.05) Drug availability 58.0 (50.54, 66.02) Cost 16.0 (11.00, 22.78) NCD risk factors and knowledge Smoke tobacco 32.0 (26.88, 37.36) Use extra salt for most/all meals 61.0 (55.32, 66.26) Know how to prevent or control diabetes 33.0 (28.05, 38.60) Have heard a message about asthma or emphysema 63.0 (57.20, 68.06) Abbreviations: CI, confidence interval; LBP, Lebanese Pound; NCD, noncommunicable disease; PHC, primary health care; SD, standard deviation.
All data reported as % (95% CI) unless otherwise specified.
↵a Among respondents who have been to a PHC facility.
- TABLE 3.
Knowledge, Practice, and Coverage Survey of Syrian Refugee Mothers of Children Under 2 Years of Age in Lebanon, 2016 (N=300)
% 95% CI Demographics Mothers over 25 years old 55.5 (49.83, 60.99) Mothers who have no education 40.3 (36.65, 46.08) Mothers who completed primary school 20.5 (16.03, 25.50) Mothers who completed secondary school 6.04 (3.62, 9.38) Breastfeeding Children under 2 ever breastfed 90.0 (85.71, 92.98) Infants 0–5 months exclusively breastfed 3.0 (1.20, 6.40) Mothers of infants 0–5 months who gave their infant water 92.0 (87.49, 95.12) Mothers of infants 0–5 months who gave their infant formula 44.0 (37.07, 50.49) Mothers of infants 6–9 months who gave their infant breast milk and complementary foods 81.0 (69.09, 89.75) Mothers of children 0–23 months who continue to breastfeed their infant aged 6–11 months 81.5 (71.30, 89.25) Mothers of children 0–23 months who continue to breastfeed their child aged 12–17 months 54.0 (40.75, 67.28) Mothers of children 0–23 months who continue to breastfeed their child aged 18–23 months 27.0 (17.20, 39.10) Child vaccination Children 0–23 months who currently have a vaccination card (Child Health Card) (verified) 50.0 (41.45, 59.31) Children 12–23 months who received a DPT1, DPT3, and measles vaccine, as verified by a vaccination card 100.0 (100.00, 100.00) Children 12–23 months who received a DPT3 vaccine, as verified by a vaccination card, by 12 months of age 24.0 (16.95, 32.34) Water and sanitation Households with an improved source for drinking water 90.0 (86.51, 93.21) Households using an improved toilet facility 93.0 (89.51, 95.39) Households with soap at a place for washing hands 100.0 (100.0, 100.0) Mothers of children 0–23 months who washed their hands with soap at ≥2 of the appropriate times 65.0 (59.23, 69.96) Diarrhea Mothers of children 0–23 months who report that their child had a diarrhea episode in the 2 weeks prior to the survey 55.0 (49.34, 60.53) Children with a diarrhea episode treated with ORS 57.6 (49.65, 65.22) Children with a diarrhea episode treated with more fluids 56.0 (47.83, 63.47) Children with a diarrhea episode offered the same amount or more food 39.0 (31.31, 46.67) ARI Mothers of children 0–23 months who report that their child had a cough and difficulty breathing/fast breaths in the 2 weeks prior to the survey 30.0 (25.32, 35.64) Children 0–23 months with ARI in the last 2 weeks who were taken to an appropriate health care provider 37.0 (27.44, 48.13) Children 0–23 months with ARI in the last 2 weeks who were taken to an appropriate health care provider within 2 days 19.0 (11.28, 28.22) Abbreviations: ARI, acute respiratory infections; CI, confidence interval; DPT1, first diphtheria, pertussis, and tetanus (DPT) vaccine dose; DPT2, second DPT vaccine dose; DPT3, third DPT vaccine dose; ORS, oral rehydration solution; SD, standard deviation.
- TABLE 4.
Refugee Outreach Volunteer Activities in Lebanon During Initial 2 Months of New Outreach Phase, 2016
Blood Pressure Monitoring Visits Capillary GlucoseMonitoring Visits NCD Patient Medication Monitoring Visits Refugees Referred to PHC Facility Home Visits for Health Education Total number 753 657 387 293 346 Monthly number per IS, mean (SD) 7.5 (2.9) 6.4 (3.1) 3.7 (1.8) 2.2 (1.1) 2.9 (1.6) Abbreviations: IS, informal settlements; NCD, noncommunicable disease; PHC, primary health care; SD, standard deviation.
