Evidence map›Paper›PMID 34903566›Full record

ArticleBMJ global health2021

Difficulties faced by older Rohingya (forcibly displaced Myanmar nationals) adults in accessing medical services amid the COVID-19 pandemic in Bangladesh.

Sabuj Kanti Mistry, Arm Mehrab Ali, Uday Narayan Yadav, Md Nazmul Huda, Saruna Ghimire, Amy Bestman, Md Belal Hossain, Sompa Reza, Rubina Qasim, Mark F Harris

Abstract read
In one paragraph

Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sabuj Kanti MistryARCED Foundation, Dhaka, Bangladesh smitra411@gmail.com.ORCID 0000-0001-6100-6076
Arm Mehrab AliARCED Foundation, Dhaka, Bangladesh.ORCID 0000-0001-5442-7147
Uday Narayan YadavCentre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia.
Md Nazmul HudaSchool of Health Sciences, Western Sydney University, Campbeltown, New South Wales, Australia.
Saruna GhimireDepartment of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, Ohio, USA.
Amy BestmanThe George Institute for Global Health, Sydney, New South Wales, Australia.
Md Belal HossainBRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.ORCID 0000-0003-4603-863X
Sompa RezaInstitute of Nutrition and Food Science, University of Dhaka, Dhaka, Bangladesh.
Rubina QasimDow Institute of Nursing and Midwifery, Dow University of Health Sciences, Karachi, Pakistan.
Mark F HarrisCentre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has seriously disrupted health services in many countries including Bangladesh. This research aimed to explore whether Rohingya (forcefully displaced Myanmar nationals) older adults in Bangladesh faced difficulties accessing medicines and routine medical care services amid this pandemic.

methodsThis cross-sectional study was conducted among 416 Rohingya older adults aged 60 years and above residing in Rohingya refugee camps situated in the Cox's Bazar district of Bangladesh and was conducted in October 2020. A purposive sampling technique was followed, and participants' perceived difficulties in accessing medicines and routine medical care were noted through face-to-face interviews. Binary logistic regression models determined the association between outcome and explanatory variables.

resultsOverall, one-third of the participants reported difficulties in accessing medicines and routine medical care. Significant factors associated with facing difficulties accessing medicine included feelings of loneliness (adjusted OR (AOR) 3.54, 95% CI 1.93 to 6.48), perceptions that older adults were at the highest risk of COVID-19 (AOR 3.35, 95% CI 1.61 to 6.97) and required additional care during COVID-19 (AOR 6.89, 95% CI 3.62 to 13.13). Also, the notable factors associated with difficulties in receiving routine medical care included living more than 30 min walking distance from the health centre (AOR 3.57, 95% CI 1.95 to 6.56), feelings of loneliness (AOR 2.20, 95% CI 1.25 to 3.87), perception that older adults were at the highest risk of COVID-19 (AOR 2.85, 95% CI 1.36 to 5.99) and perception that they required additional care during the pandemic (AOR 4.55, 95% CI 2.48 to 8.35).

conclusionMany Rohingya older adults faced difficulties in accessing medicines and routine medical care during this pandemic. This call for policy-makers and relevant stakeholders to re-assess emergency preparedness plans including strategies to provide continuing care.

Indexed as

COVID-19AgedBangladeshCross-Sectional StudiesHumansMyanmarPandemicsSARS-CoV-2COVID-19cross-sectional surveyepidemiologyhealth services researchpublic health

Identifiers

PMID34903566
PMCPMC8671847

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.