University of Health Sciences, Faculty of Medicine.
Ann Glob Health. 2019 Mar 20;85(1):42. doi: 10.5334/aogh.2353.
Background Aim: Many Syrian civil war refugees are housed in carefully designed camps, however 60% of all refugees in host countries reside outside of specifically designated camps. Turkey hosts the largest number of refugees displaced in the civil war of Syria. In the present study, we aimed to illustrate healthcare services provided to Syrian refugees in Turkey.
Data presented in this retrospective observational registry study was obtained from multiple sources including official websites and written communications contributed by Turkish Disaster and Emergency Management Agency(AFAD), Turkish Ministry of Health and Turkish Red Crescent as well as the United Nations High Commissioner for Refugees(UNHCR). The number of refugee camps, total number of refugees housed in these camps, the demographic characteristics of the refugees and a breakdown of social and healthcare services provided in the camps including the number of healthcare professionals serving in the refugee camps were analyzed.
According to data from UNHCR as of January 12, 2017, there are 4,904,021 registered refugees from Syria of which 2,854,968 (58.2%) are residing in Turkey. Organized health care services specifically for Syrian refugees in Turkey was first established in April 29, 2011 in Hatay. Preventative health services are also provided for Syrian refugees. Among refugees living in the camps 25% and 33% were not vaccinated for polio and measles respectively. The percentage of unvaccinated refugees living outside the camps were even higher for these viruses (45% for polio and 41% for measles). This poses a public health threat for the population where these refugees reside.
One of the major concerns for countries hosting refugees from Syria is the introduction of infectious diseases. Of the major deficiencies in refugee health care has been preventative services. Within refugee camps, preventative services for pregnant woman, newborns and young children as well as family planning services are not at optimal levels. These services are even more restricted for refugees living outside of established camps. There have also been shortcomings in the care of the elderly and those with chronic health problems.
许多叙利亚内战难民居住在精心设计的难民营中，但在东道国的所有难民中，有 60%居住在专门指定的难民营之外。土耳其收容了最多因叙利亚内战而流离失所的难民。在本研究中，我们旨在说明在土耳其向叙利亚难民提供的医疗保健服务。
本回顾性观察性登记研究中提供的数据来自多个来源，包括官方网站和土耳其灾害和应急管理署（AFAD）、土耳其卫生部和土耳其红新月会以及联合国难民事务高级专员公署（UNHCR）的书面通讯。分析了难民营的数量、居住在这些难民营中的难民总数、难民的人口统计学特征以及难民营中提供的社会和医疗保健服务的细分，包括在难民营中服务的医疗保健专业人员的数量。
根据截至 2017 年 1 月 12 日的难民署数据，有 4904021 名来自叙利亚的登记难民，其中 2854968 人（58.2%）居住在土耳其。专门为土耳其境内的叙利亚难民设立有组织的医疗保健服务始于 2011 年 4 月 29 日在哈塔伊。还为叙利亚难民提供预防保健服务。在居住在难民营中的难民中，分别有 25%和 33%的人未接种小儿麻痹症和麻疹疫苗。居住在难民营外的未接种疫苗的难民中，这两种病毒的比例更高（小儿麻痹症为 45%，麻疹为 41%）。这对这些难民居住的人群构成了公共卫生威胁。
收容叙利亚难民的国家主要关注的问题之一是传染病的传入。难民保健服务的主要缺陷之一是预防服务。在难民营内，针对孕妇、新生儿和幼儿以及计划生育服务的预防服务并非处于最佳水平。对于居住在已建立的难民营之外的难民，这些服务受到更多限制。老年人和患有慢性健康问题的人的护理也存在不足。
