Belt Rachel Victoria, Jacques Nadege, Pierre Larry, Greig Elizabeth, Rahimi Kazem
Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, OX1 2BQ, UK.
Center for Haitian Studies, 8260 NE 2nd Avenue, Miami, FL, 33138, USA.
Confl Health. 2024 Aug 23;18(1):53. doi: 10.1186/s13031-024-00612-6.
In addition to having some of the worst health outcomes in the region, Haiti faces a political and economic crisis. The most recent humanitarian crisis includes an increase in homicides and kidnappings in the capital Port-au-Prince. This study is a cross-sectional, mixed methods online survey of health workers and medical students in Port-au-Prince from May 20 - September 15, 2023. It provides evidence of the kidnapping risk healthcare workers face and shares the perspective of a medical community operating in a challenging context to provide a continuity of care under the threat of violence. The survey of Haitian health workers and students show a significant risk of kidnapping with 44% of respondents reporting that they had a colleague kidnapped in the previous 2 years. 5 of the 249 respondents had been kidnapped and all were young, female health workers. 74% of health workers and students surveyed reported they plan to continue their profession abroad. Although teletraining was viewed as a positive opportunity to continue training cadres of medical professionals, health workers shared numerous limitations present for the expansion of telemedicine in the Haitian context. In addition to describing the experience of the Haitian healthcare professional during this crisis and documenting barriers to teletraining and telemedicine, this survey documents design considerations for mobile phone surveys with healthcare providers working in areas affected by conflict.
除了在该地区有着一些最差的健康状况外，海地还面临着政治和经济危机。最近的人道主义危机包括首都太子港凶杀案和绑架案的增加。本研究是一项于2023年5月20日至9月15日对太子港的卫生工作者和医学生进行的横断面混合方法在线调查。它提供了医护人员面临的绑架风险的证据，并分享了在充满挑战的环境中运作的医疗界在暴力威胁下提供持续护理的观点。对海地卫生工作者和学生的调查显示绑架风险很高，44%的受访者报告称他们有同事在过去两年中被绑架。249名受访者中有5人被绑架，且都是年轻的女性卫生工作者。74%接受调查的卫生工作者和学生报告称他们计划在国外继续从事自己的职业。尽管远程培训被视为继续培训医学专业干部的一个积极机会，但卫生工作者也分享了海地背景下远程医疗扩展存在的诸多限制。除了描述海地医疗专业人员在这场危机中的经历并记录远程培训和远程医疗的障碍外，这项调查还记录了针对在受冲突影响地区工作的医疗服务提供者进行手机调查的设计考量。
