ArticleConflict and health2025
Access and satisfaction with healthcare services among chronic disease patients during the Sudan armed conflict: a cross-sectional study.
Article in Conflict and health, 2025. 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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2 citing papers in PubMed.
- Health-related quality of life pre-war and during-war in cardiac patients: evidence from a multicenter prospective study - West Bank.Health and quality of life outcomes · 2026Article
- Time trend prediction of multidrug-resistant/rifampicin-resistant tuberculosis in treatment initiation centers of North East Ethiopia (2015-2023).BMC infectious diseases · 2025Article
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6 authors.
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Abstract
backgroundThe ongoing conflict in Sudan has severely disrupted the healthcare system, leaving millions without access to essential services. Chronic disease patients are among the most affected due to their heightened reliance on consistent and specialized healthcare. This study aimed to assess the level of access to healthcare services and the satisfaction of chronic disease patients during the current war in Sudan.
methodsA cross-sectional study was conducted among chronic disease patients residing in the safest states of Sudan during the ongoing conflict. Access to healthcare services and patient satisfaction were measured using a structured questionnaire that was specially designed and piloted for the purpose of this study. Descriptive statistics, including median, interquartile range, and percentages, were used to summarize the data. Inferential statistical methods, such as chi-square tests, were then applied to examine associations between socio-demographic factors and healthcare access. Statistical significance was defined as p < 0.05 for all analyses.
resultsAmong 1116 chronic disease patients, 13.3% never visited a health facility for regular check-ups during the current war, 20.1% reported facilities were over 5 km away by walking distance, 15.9% rarely or never accessed healthcare services during the war, and 22.0% reported a very large effect of the war on their healthcare access. Additionally, 22.3% noted excellent availability of healthcare personnel during the current war, while 18.1% were dissatisfied with the quality of care. Significant associations (p < 0.01) were found between the frequency of health facility visits and factors such as income level, ease of access, availability of personnel, satisfaction with care, confidence in providers, and the war's impact on access.
conclusionChronic disease patients experienced suboptimal follow-up for their conditions, limited access to healthcare services, and a significant proportion expressed dissatisfaction with the quality of care during the current Sudan war. To mitigate these challenges, coordinated efforts are urgently needed to strengthen Sudan's healthcare system, improve geographic access, and support healthcare providers.
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