Elyas Hajer Mohamed, Hamid Hind Taj Alser, Arbab Ahmed H, Moukhtar Outhman Alsadiq, Abdelaziz Mohamed Osman
Department of Physiology, Faculty of Medicine, University of Dongola, Dongola, Northern State, Sudan.
Biomedical Research Laboratory, Faculty of Medicine, University of Dongola, Dongola, Northern State, Sudan.
Risk Manag Healthc Policy. 2024 Oct 25;17:2493-2501. doi: 10.2147/RMHP.S484284. eCollection 2024.
Non-communicable diseases emerge as major public health challenges with increasing prevalence and mortality. The armed conflict in Sudan has resulted in the displacement of 6.8 million people, putting a significant strain on the health sector in the displacement areas. This study aimed to explore the prevalence of non-communicable diseases and access to healthcare services among internally displaced people in Northern Sudan.
A cross-sectional study was conducted among randomly selected internally displaced people in accommodation shelters at Dongola locality. Data were collected by face-to-face interviews using a questionnaire adapted from relevant studies. For data analysis descriptive statistics and chi-square tests were utilized using SPSS-27.
374 participated in the study with a 96.1% response rate. 70% of respondents were 18-49 years old. 70.9% of respondents were females, and 92.8% of them had no source of financial income. The prevalence of non-communicable diseases was 42.5%, with hypertension (44.7%), diabetes mellitus (24.7%), and thyroid disorders (15.2%) predominating. About 45.7% of patients interrupted their medication, and 38.6% could not access healthcare services, while 57.2% of respondents received free medical care. The study found a statistically significant association between the type of disease and age, gender, residence before displacement, and the Length of displacement.
42.5% of the internally displaced suffer from non-communicable diseases, with hypertension, diabetes mellitus, and thyroid disorders predominating. About 45.3 and 38.6% of them respectively have interrupted their medications and lost regular follow up. The urgent need for improved healthcare services is recommended.
随着患病率和死亡率的上升，非传染性疾病已成为主要的公共卫生挑战。苏丹的武装冲突导致680万人流离失所，给流离失所地区的卫生部门带来了巨大压力。本研究旨在探讨苏丹北部境内流离失所者中非传染性疾病的患病率以及获得医疗服务的情况。
在栋古拉地区的收容所中，对随机挑选的境内流离失所者进行了一项横断面研究。通过面对面访谈，使用从相关研究改编而来的问卷收集数据。数据分析采用SPSS-27进行描述性统计和卡方检验。
374人参与了研究，应答率为96.1%。70%的受访者年龄在18至49岁之间。70.9%的受访者为女性，其中92.8%没有经济收入来源。非传染性疾病的患病率为42.5%，以高血压（44.7%）、糖尿病（24.7%）和甲状腺疾病（15.2%）为主。约45.7%的患者中断了用药，38.6%无法获得医疗服务，而57.2%的受访者接受了免费医疗。研究发现，疾病类型与年龄、性别、流离失所前的居住地以及流离失所时间之间存在统计学上的显著关联。
42.5%的境内流离失所者患有非传染性疾病，以高血压、糖尿病和甲状腺疾病为主。其中约45.3%和38.6%的人分别中断了用药和失去了定期随访。建议迫切需要改善医疗服务。
