Sakata Taizo, Chimed-Ochir Odgerel, Ibne Hasan Md Omar Sharif, Inaba Mototaka, Kamiya Yasuhiko, Yumiya Yui, Kubo Tatsuhiko
Peace Winds Japan, Jinseki-Kogencho, Hiroshima, Japan.
Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
PLOS Glob Public Health. 2025 Jun 18;5(6):e0004764. doi: 10.1371/journal.pgph.0004764. eCollection 2025.
In 2017, hundreds of thousands of Rohingya fled Myanmar to refugee camps in Cox's Bazar in southeastern Bangladesh. Peace Winds Japan and Dhaka Community Hospital Trust have jointly operated a primary health center (PHC) at Camp 14 in this region since 2018. Our objective was to determine the effect of Ramadan on clinical visits at this PHC during 2020. We conducted a retrospective analysis of patient data, including diagnoses and use of medications, by review of medical records from January to December 2020. We compared the percentage of visits for five health events (acute respiratory infection [ARI], non-communicable disease [NCD], gastritis, female related issues, and injury) for three consecutive 31-day periods: before Ramadan period (BR-period), Ramadan period, and after Ramadan period (AR-period). There were 11,286 PHC visits during 2020. The rate of new patient visits was significantly lower during Ramadan than during the BR-period (aOR: 0.447; 95%CI: 0.356, 0.561; P < 0.001). The three periods had no significant differences in mean patient age, patient sex, or surgical procedures. The most noteworthy differences were fewer visits for NCD during Ramadan than during the BR-period (OR: 0.461; 95%CI: 0.307, 0.693; P < 0.0004); more visits for gastritis during Ramadan than during the BR-period (OR: 1.246; 95%CI: 1.106,1.404; P = 0.0019); and more visits for ARI during Ramadan than during the AR-period (aOR: 1.842; 95%CI: 1.567, 2.164, P < 0.0001). The overall decrease in PHC visits during Ramadan relative to the BR-period may be because these refugees devoted more time to prayer and associated religious practices during Ramadan, and therefore had less time available for visiting the PHC. The sharp decline in PHC visits for NCD and several other health events during Ramadan relative to the BR-period highlights the need to provide improved care for refugees during this period.
2017年，数十万罗兴亚人逃离缅甸，前往孟加拉国东南部科克斯巴扎尔的难民营。自2018年以来，日本平和之风组织与达卡社区医院信托基金在该地区的14号营地联合运营了一家初级卫生保健中心（PHC）。我们的目标是确定2020年斋月对该初级卫生保健中心临床就诊的影响。我们通过回顾2020年1月至12月的病历，对患者数据（包括诊断和药物使用情况）进行了回顾性分析。我们比较了连续三个31天期间内五项健康事件（急性呼吸道感染[ARI]、非传染性疾病[NCD]、胃炎、女性相关问题和受伤）的就诊百分比：斋月前时期（BR时期）、斋月时期和斋月后时期（AR时期）。2020年期间共有11286人次到初级卫生保健中心就诊。斋月期间新患者就诊率显著低于BR时期（调整后比值比：0.447；95%置信区间：0.356，0.561；P < 0.001）。这三个时期在患者平均年龄、患者性别或外科手术方面没有显著差异。最值得注意的差异是，斋月期间非传染性疾病的就诊次数少于BR时期（比值比：0.461；95%置信区间：0.307，0.693；P < 0.0004）；斋月期间胃炎的就诊次数多于BR时期（比值比：1.246；95%置信区间：1.106，1.404；P = 0.0019）；斋月期间急性呼吸道感染的就诊次数多于AR时期（调整后比值比：1.842；95%置信区间：1.567，2.164，P < 0.0001）。与BR时期相比，斋月期间初级卫生保健中心就诊人数总体下降，可能是因为这些难民在斋月期间将更多时间用于祈祷和相关宗教活动，因此可用于前往初级卫生保健中心的时间较少。斋月期间相对于BR时期，初级卫生保健中心非传染性疾病及其他一些健康事件的就诊人数急剧下降，凸显了在此期间为难民提供更好护理的必要性。
