Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Child Health and Development Center, Makerere University, Kampala, Uganda; Faculty of Health Sciences, Department of Public Health, Muni University, Arua, Uganda.
Res Social Adm Pharm. 2023 Jun;19(6):913-920. doi: 10.1016/j.sapharm.2023.02.017. Epub 2023 Mar 2.
Non-communicable diseases in humanitarian settings are generally under-researched, particularly in Africa and have been called a neglected crisis. Little is known about factors affecting access to and (dis)continuity of care for chronic conditions, such as hypertension (HTN) and type 2 diabetes among forcibly displaced persons (FDPs) in Uganda.
To investigate factors affecting access to and (dis)continuity of HTN and/or type 2 diabetes care among FDPs in the Bidibidi refugee settlement, Uganda.
A sequential explanatory mixed-methods design incorporating methodological and investigator triangulation will be conducted. The study aims to employ a community-based participatory research approach to equitably engage community members, researchers, and other stakeholders in the research process, recognising and maximising their diverse contributions. In phase 1, the quantitative arm of the study, 960 FDPs with HTN and/or type 2 diabetes will be interviewed about their sociodemographic characteristics, health status, migration experiences, social capital, and awareness, treatment, and control of these diseases. Participants will be purposively recruited from phase 1 as well as village health teams, healthcare providers, and policymakers to participate in phase 2, the qualitative study, in order to gain more insight into how mobility and social factors affect (dis)continuity of care among FDPs with HTN and/or type 2 diabetes.
The findings from phase 1 and phase 2 of the study will be integrated through a triangulation process to provide a more holistic and comprehensive insight into the factors affecting access to and (dis)continuity for HTN and/or type 2 diabetes care among FDPs. Understanding these factors is expected to pave the way for conceptualizing health-enabling environments and strengthening health systems for FDPs with chronic conditions. It is anticipated that the study will generate baseline evidence that might be beneficial in developing and implementing HTN and diabetes care models for FDPs in the region.
在人道主义环境中，非传染性疾病的研究通常不够充分，尤其是在非洲，这些疾病被称为被忽视的危机。在乌干达，人们对影响被迫流离失所者（FDP）获得和（不）持续接受高血压（HTN）和 2 型糖尿病等慢性疾病护理的因素知之甚少。
调查乌干达比迪比迪难民营中 FDP 获得和（不）持续接受 HTN 和/或 2 型糖尿病护理的因素。
将采用顺序解释性混合方法设计，结合方法学和调查员三角测量。该研究旨在采用社区参与式研究方法，公平地让社区成员、研究人员和其他利益攸关方参与研究过程，承认并最大限度地发挥他们的多样化贡献。在第 1 阶段，即研究的定量部分，将对 960 名患有 HTN 和/或 2 型糖尿病的 FDP 进行访谈，了解他们的社会人口特征、健康状况、移民经历、社会资本以及对这些疾病的认识、治疗和控制情况。参与者将从第 1 阶段以及村卫生队、医疗保健提供者和政策制定者中有意招募，参与第 2 阶段，即定性研究，以更深入地了解流动性和社会因素如何影响 FDP 中 HTN 和/或 2 型糖尿病患者护理的连续性。
将通过三角测量过程整合第 1 阶段和第 2 阶段的研究结果，更全面地了解影响 FDP 获得和（不）持续 HTN 和/或 2 型糖尿病护理的因素。预计了解这些因素将为构思有利于 FDP 慢性疾病的健康使能环境和加强卫生系统铺平道路。预计该研究将产生基线证据，这可能有助于为该地区的 FDP 制定和实施 HTN 和糖尿病护理模式。
