打破障碍:解决针对流离失所人口的慢性疾病护理方面的系统性不平等问题
Joseph Opeolu Ashaolu1,2, Retshak Ezra Gunen3, Kehinde R Isaac4
1Institute for Global Health Innovations, Duy Tan University, Da Nang, 550000, Vietnam.
Conflict and health
|February 10, 2026
概括
患有非传染性疾病 (NCD) 的国内流离失所者 (IDPs) 面临着严重的,歧视性的医疗保健接入障碍. 解决这些问题需要分散的护理,财政援助和安全的运输来减少差距.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 强迫移民研究 强迫移民研究
背景情况:
- 冲突地区的国内流离失所者 (IDPs) 经历了不成比例的非传染性疾病 (NCDs) 的高率.
- 对于患有非传染性疾病的境内流离失所者获得医疗保健的系统层面障碍仍未得到充分研究.
- 本研究探讨了影响尼日利亚境内流离失所者获得医疗保健的结构性,社会经济和非传染性疾病相关障碍.
研究的目的:
- 检查尼日利亚国内流离失所者 (IDPs) 患有非传染性疾病 (NCDs) 的医疗保健获取的多方面的障碍.
- 识别和分析这些弱势群体在获得医疗保健方面的差异.
- 为旨在改善国内流离失所者NCD护理的政策干预提供信息.
主要方法:
- 采用了一种混合方法方法,将定量调查和定性访谈结合起来.
- 在尼日利亚贝努埃州的三个境内流离失所者营地进行的横截面研究 (2024年3月至8月).
- 招募了345名患有高血压,糖尿病,喘或癌症的成年人;通过回归和专题分析分析了障碍 (距离,成本,不安全) 和访问延迟.
主要成果:
- 距离和不安全等结构性障碍显著增加了进入困难 (OR=3.17).
- 癌症和糖尿病患者的成本障碍最高. 低教育程度和女性性别与增加的进入障碍相关.
- 治疗延迟的中位数从14天 (高血压) 到42天 (癌症) 之间. 国内流离失所者优先考虑食物而不是护理,并认为诊所不安全.
结论:
- 患有非传染性疾病的境内流离失所者面临着根植于结构和社会经济不平等的复杂,歧视性障碍.
- 分散的NCD护理,财务保护和安全的运输是关键的政策行动.
- 针对疾病的具体规划和健康素养倡议对于缓解长期流离失所期间的获取差异至关重要.
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