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An analysis of paediatric clinical presentations in Northwest Syria and the effect of forced displacement, 2018-2022

Vinay Kampalath1, Ms Maia C Tarnas2, Ms Vaibhavee Patel3

  • 1Perelman School of Medicine, University of Pennsylvania, USA.

Global Epidemiology
|July 1, 2024
PubMed

Insights

Forced displacement in northwest Syria significantly alters child health needs, increasing consultations for nutrition, trauma, and mental health while decreasing those for communicable diseases. These effects persist for at least six months post-displacement.

Area of Science:

  • Pediatric Health
  • Global Health
  • Conflict Medicine

Background:

  • Children in conflict zones face heightened health risks.
  • Armed conflict affects over one in six children globally.
  • Understanding child morbidity and healthcare access in conflict is crucial.

Purpose of the Study:

  • To analyze trends in child and adolescent morbidity in northwest Syria (NWS).
  • To investigate the impact of forced displacement on clinical service utilization during the Syrian conflict.

Main Methods:

  • Retrospective analysis of 2,687,807 clinical consultations from January 2018 to December 2022.
  • Utilized seasonal-trend decomposition and multivariate regression models.
  • Accounted for age, gender, residency status, season, and district-level random intercepts.

Main Results:

  • Seasonality observed across all clinical consultation categories.
  • Forced displacement correlated with increased consultations for nutrition, trauma, NCDs, and mental health.
  • Internally displaced persons (IDPs) showed higher odds of clinical consultation than host populations, except for traumatic injuries.

Conclusions:

  • Forced displacement significantly impacts child clinical utilization in NWS, with effects lasting over six months.
  • Clinical needs are influenced by displacement status, sex, age, and season.
  • Findings aid policymakers in predicting and addressing the health needs of children in conflict-affected regions.
Abstract

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