Ahmed Sohaib Mohammed Mokhtar, Gasmalha Moram Elfadel Abdelrhaman, M Ahmed Ahmed Balla, Alrawa Salma, Mohammed Khalid Abusofyan Eljezoli, Ahmed Muhannad Bushra Masaad
Faculty of Medicine and Health Sciences, University of Gadarif, Gadarif, Sudan.
Faulty of Medicine and Health Sciences, Omdurman Islamic University, Omdurman, Sudan.
Confl Health. 2025 Aug 11;19(1):61. doi: 10.1186/s13031-025-00703-y.
The ongoing conflict in Sudan has severely disrupted the healthcare system, leaving millions without access to essential services. Chronic disease patients are among the most affected due to their heightened reliance on consistent and specialized healthcare. This study aimed to assess the level of access to healthcare services and the satisfaction of chronic disease patients during the current war in Sudan.
A cross-sectional study was conducted among chronic disease patients residing in the safest states of Sudan during the ongoing conflict. Access to healthcare services and patient satisfaction were measured using a structured questionnaire that was specially designed and piloted for the purpose of this study. Descriptive statistics, including median, interquartile range, and percentages, were used to summarize the data. Inferential statistical methods, such as chi-square tests, were then applied to examine associations between socio-demographic factors and healthcare access. Statistical significance was defined as p < 0.05 for all analyses.
Among 1116 chronic disease patients, 13.3% never visited a health facility for regular check-ups during the current war, 20.1% reported facilities were over 5 km away by walking distance, 15.9% rarely or never accessed healthcare services during the war, and 22.0% reported a very large effect of the war on their healthcare access. Additionally, 22.3% noted excellent availability of healthcare personnel during the current war, while 18.1% were dissatisfied with the quality of care. Significant associations (p < 0.01) were found between the frequency of health facility visits and factors such as income level, ease of access, availability of personnel, satisfaction with care, confidence in providers, and the war's impact on access.
Chronic disease patients experienced suboptimal follow-up for their conditions, limited access to healthcare services, and a significant proportion expressed dissatisfaction with the quality of care during the current Sudan war. To mitigate these challenges, coordinated efforts are urgently needed to strengthen Sudan's healthcare system, improve geographic access, and support healthcare providers.
苏丹持续的冲突严重扰乱了医疗系统，致使数百万人无法获得基本服务。慢性病患者因其对持续和专业医疗保健的高度依赖，成为受影响最严重的群体之一。本研究旨在评估苏丹当前战争期间慢性病患者获得医疗服务的水平以及满意度。
对冲突期间居住在苏丹最安全州的慢性病患者进行了一项横断面研究。使用专门为本研究设计并预先测试的结构化问卷来衡量获得医疗服务的情况和患者满意度。描述性统计，包括中位数、四分位间距和百分比，用于汇总数据。然后应用推断性统计方法，如卡方检验，来检验社会人口学因素与医疗服务可及性之间的关联。所有分析的统计学显著性定义为p < 0.05。
在1116名慢性病患者中，13.3%在当前战争期间从未前往医疗机构进行定期检查，20.1%报告医疗机构步行距离超过5公里，15.9%在战争期间很少或从未获得医疗服务，22.0%报告战争对其医疗服务可及性有非常大的影响。此外，22.3%指出当前战争期间医护人员配备充足，而18.1%对护理质量不满意。在医疗机构就诊频率与收入水平、就医便利性、人员配备、护理满意度、对提供者的信心以及战争对就医的影响等因素之间发现了显著关联（p < 0.01）。
在当前苏丹战争期间，慢性病患者的病情随访欠佳，获得医疗服务的机会有限，且很大一部分患者对护理质量表示不满。为应对这些挑战，迫切需要协调各方努力，加强苏丹的医疗系统，改善地理可及性，并支持医疗服务提供者。
