ArticlePloS one2020
Voices of the vulnerable: Exploring the livelihood strategies, coping mechanisms and their impact on food insecurity, health and access to health care among Syrian refugees in the Beqaa region of Lebanon.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 32 citations in OpenAlex.
- The health outcomes of shelter and settlements interventions in humanitarian crises: a systematic review.Conflict and health · 2026Review
- Navigating access barriers: Strategies for Syrian refugees confronting healthcare challenges in Jordan - A qualitative approach.PLOS global public health · 2026Article
- Assessment of Food Insecurity, Diet Quality, and Mental Health Status Among Syrian Refugee Mothers with Young Children.Healthcare (Basel, Switzerland) · 2025Article
- Exploring factors that shaped Syrian refugees integration into Lebanon's national health system using Kingdon's Multiple Streams Framework.Conflict and health · 2025Article
- The Relationship Between Food Insecurity and Mental Health Among Syrians and Syrian Refugees Working in Agriculture During COVID-19.International journal of environmental research and public health · 2025Article
- Determinants of food insecurity among Syrian refugee women and their coping strategies.BMC women's health · 2024Article
- Prevalence and risk factors of food insecurity among Syrian refugees in Türkiye.BMC public health · 2024Article
- Intersecting social-ecological vulnerabilities to and lived experiences of sexually transmitted infections among Syrian refugee women in Lebanon: A qualitative study.PLOS global public health · 2024Article
- Article
- Effect of food insecurity on depression, anxiety, and stress among resettled Syrian refugees in Ontario.PLOS global public health · 2024Article
- The Presence and Profile of Neurological Conditions and Associated Psychiatric Comorbidities in U.S. Resettled Refugees: A Retrospective Single Center Study.Journal of immigrant and minority health · 2023Article
- Community-based participatory design of a psychosocial intervention for migrant women in Ecuador and Panama.SSM. Mental health · 2022Article
- Crisis upon crisis: a qualitative study exploring the joint effect of the political, economic, and pandemic challenges in Lebanon on Syrian refugee women's fertility preferences and behaviour.Conflict and health · 2022Article
- Noncommunicable Disease and Health Care-Seeking Behavior Among Urban Camp-Dwelling Syrian Refugees in Lebanon: A Preliminary Investigation.Health equity · 2021Article
- A Generation at Risk: The Impacts of Lebanon's Escalating Humanitarian Crisis on Children.Frontiers in public healthArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Lebanon has approximately one million Syrian refugees (SR) registered with the United Nations High Commission on Refugees (UNHCR) and an unknown number of unregistered SR, who cannot benefit from formal assistance. This study aimed to examine the livelihoods, coping strategies, and access to healthcare among SR based on registration status and accompanying formal assistance. A mixed-method approach with more emphasis on the qualitative design was adopted. A purposive convenient sampling approach was used to recruit SR from informal tented settlements (ITS) in the Beqaa region in Lebanon. Data collection included 19 focus group discussions (FGDs) that were conducted with participants, who were further divided into three groups: registered refugees with assistance, registered without assistance and unregistered. Twelve in-depth interviews were conducted with key informants from humanitarian organizations. All interviews and FGDs were audio recorded, transcribed, and thematically analyzed. SR were highly dependent on formal assistance when received, albeit being insufficient. Regardless of registration status, refugees resorted to informal livelihood strategies, including informal employment, child labor, early marriage, and accruing debt. Poor living conditions and food insecurity were reported among all SR. Limited healthcare access and high out-of-pocket costs led to limited use of antenatal care services, prioritizing life-threatening conditions, and resorting to alternative sources of healthcare. Severity of these conditions and their adverse health consequences were especially pronounced among unregistered refugees. Our findings shed light on the economic and health disparities among marginalized SR, with the lack of registration and formal assistance increasing their vulnerability. More tailored and sustainable humanitarian programs are needed to target the most vulnerable and hard-to-reach groups.
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