"Ten years of war! You expect people to fear a 'germ'?": A qualitative study of initial perceptions and responses to the COVID-19 pandemic among displaced communities in opposition-controlled northwest Syria.
"Ten years of war! You expect people to fear a 'germ'?": A qualitative study of initial perceptions and responses to the COVID-19 pandemic among displaced communities in opposition-controlled northwest Syria.
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DOI：
10.1016/j.jmh.2020.100021
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发表时间：
2020
影响因子：
4.6
通讯作者：
Howard N
中科院分区：
文献类型：
--
作者：
Douedari Y;Alhaffar M;Al-Twaish M;Mkhallalati H;Alwany R;Ibrahim NBM;Zaseela A;Horanieh N;Abbara A;Howard N
应对COVID-19疫情对高收入国家稳健的医疗体系构成挑战。叙利亚是一个经历长期冲突的国家，拥有全球最大的国内流离失所人口，大多数流离失所者定居点位于由当地和国际非政府组织管理的反对派控制地区。这项研究旨在探讨社区对减少反对派控制的叙利亚西北部流离失所社区中COVID-19传播的挑战和潜在解决方案的看法。我们采用了定性研究设计，在2020年4月至5月期间对叙利亚西北部反对派控制的难民营中的流离失所叙利亚人进行了20次采访，并确保一半以上的受访者是女性。我们按主题分析数据。与会者描述了已经困难的营地条件，这些条件将不利于有效应对COVID-19，包括家庭拥挤，污水和废物管理不足，水不足和质量差，以及缺乏清洁用品。参与者最常提到互联网作为他们的COVID-19信息来源，其次是非政府组织的宣传活动。男性比女性能够获得更准确、更全面的COVID-19信息。在家庭中隔离（屏蔽）高风险人群似乎不可行，但参与者建议“换房”方法可能有效。虽然大多数参与者对COVID-19有足够的了解，但他们缺乏预防传播的实用工具。这项研究是第一个探索叙利亚西北部COVID-19疫情爆发前几周国内流离失所的叙利亚人的观点和生活经历的研究。叙利亚境内流离失所者艰难的生活条件受到COVID-19蔓延的进一步威胁。迫切需要量身定制的控制措施，以减少营地中的COVID-19传播。
Response to the COVID-19 pandemic has challenged even robust healthcare systems in high-income countries. Syria, a country experiencing protracted conflict, has the largest internally-displaced population globally with most displaced settlements in opposition-controlled areas governed by local and international NGOs. This study aimed to explore community perspectives on challenges and potential solutions to reduce COVID-19 transmission among displaced communities in opposition-controlled Northwest Syria. We used a qualitative study design, conducting 20 interviews with displaced Syrians in opposition-controlled camps in Northwest Syria between April-May 2020 and ensuring over half our interviewees were women. We analysed data thematically. Participants described already difficult camp conditions that would be detrimental to an effective COVID-19 response, including household crowding, inadequate sewerage and waste management, insufficient and poor-quality water, and lack of cleaning supplies. Participants most frequently mentioned internet as their COVID-19 information source, followed by NGO awareness campaigns. Men had access to more accurate and comprehensive COVID-19 information than women did. Isolating (shielding) high-risk people within households did not appear feasible, but participants suggested ‘house-swapping’ approaches might work. While most participants had sufficient knowledge about COVID-19, they lacked practical tools to prevent transmission. This study is the first to explore perspectives and lived experiences of internally-displaced Syrians in the weeks prior to the COVID-19 epidemic in Northwest Syria. The challenging living conditions of internally-displaced people in Syria are further threatened by the spread of COVID-19. Tailored control measures are urgently needed to reduce COVID-19 transmission in camps.
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DOI：
10.15171/ijhpm.2018.132
发表时间：
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影响因子：
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