Evidence map›Paper›PMID 39434165›Full record

ArticleConflict and health2024

Changes in healthcare seeking behaviors among caretakers of children in the previously occupied ISIS territory: Hadeetha, Anbar, Iraq: a cross-sectional survey of 415 households.

Sara Al-Dahir, Tahseen Abdulateef Hasan, Alaa Khalil, William J Moss, Kawsar R Talaat, Maria Deloria Knoll, Gilbert Burnham

Abstract read
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In one paragraph

Article in Conflict and health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sara Al-DahirBloomberg School of Public Health, Department of International Health, Johns Hopkins University, 615 N. Wolfe St., Baltimore, MD, 21205, USA. saaldah@xula.edu.
Tahseen Abdulateef HasanMinistry of Health, Hadeetha District, Iraq.
Alaa KhalilNunez Community College, 3710 Paris Rd., Chalmette, Louisiana, 70043, USA.
William J MossBloomberg School of Public Health, Department of International Health, Johns Hopkins University, 615 N. Wolfe St., Baltimore, MD, 21205, USA.
Kawsar R TalaatBloomberg School of Public Health, Department of International Health, Johns Hopkins University, 615 N. Wolfe St., Baltimore, MD, 21205, USA.
Maria Deloria KnollBloomberg School of Public Health, Department of International Health, Johns Hopkins University, 615 N. Wolfe St., Baltimore, MD, 21205, USA.
Gilbert BurnhamBloomberg School of Public Health, Department of International Health, Johns Hopkins University, 615 N. Wolfe St., Baltimore, MD, 21205, USA.

Funding

Xavier RCMI Renewal Application-Research Infrastructure CoreU54MD007595 · NIMHD · XAVIER UNIVERSITY OF LOUISIANA · PI Thomas Wiese · 2019 to 2026
$41.9M
Gulf Medical Relief Fund , Inc 003NIMHD NIH HHS U54 MD007595
6 · The paper itself

Abstract

backgroundThe western province of Anbar, and the district of Hadeetha, have suffered direct impacts from the second United States led invasion (2003) through the ISIS invasion (2014-2017). With the primary health care centers being closed or inaccessible, the remaining population experienced changes in health seeking. The area of Anbar, Iraq remains largely remote from the discourse of health system recovery post-conflict. The objective of this study was to describe changes in health seeking behaviors of caregivers of children ages 12-72 months of age in Hadeetha, Anbar, Iraq from the conflict period of ISIS (Islamic State of Syria and Iraq), 2014-2017, to the post-conflict period, 2021.

methodsThis was a mixed-methods study composed of a cross-sectional 415 household survey and focus groups in Hadeetha, Anbar, Iraq. Caretakers of children were interviewed from February to April 2021. Children were sampled from a list of children who missed at least one vaccination appointment without a return for follow-up from the birth cohorts of 2014 to 2020. Healthcare workers focus groups and key informant interviews occurred from 2019 to 2021 centered around experiences from the 2014 to 2021 period.

resultsIn the post-conflict period, there were no differences in health seeking based upon provider type between respondents. Physicians were primary healthcare providers in the post-conflict period for 79% of respondents versus only 47% in the conflict period. Healthcare workers described major barriers to delivering services in Hadeetha during the ISIS occupation due to infrastructure damage, threats of violence, decreased medical personnel, lack of compensation and disruptions in medical supplies from 2014 to 2017.

conclusionThis study provides insight into health seeking challenges among the many individuals who remained in Hadeetha during the ISIS occupation. Health use patterns by provider type mirror the concerns the healthcare providers shared: limited availability, efflux of professional workers, limited resources and security challenges to providing care. Positive trends toward increased access to physicians during periods of peace are an encouraging marker for continued population resilience during the post-conflict period. Recovery efforts continue to be hampered by internal sectarian discord within Iraq as well as insufficient resources to maintain health services as well as provide catch-up health services, such as immunizations.

Indexed as

Child healthConflictHealth seekingIraqISIS (Islamic State of Iraq and Syria)Maternal health

Identifiers

PMID39434165
PMCPMC11495094

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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.