International Journal of Health Services
Volume 46, Issue 3, 2016, Pages 566-589

The perceived barriers of access to health care among a group of non-camp syrian refugees in Jordan (Article)

Ay M. , González P.A. , Delgado R.C.*
  • a Department of Medicine, Unit for Research in Emergency and Disaster, University of Oviedo, Campus Del Cristo, Oviedo, 36006, Spain
  • b Department of Medicine, Unit for Research in Emergency and Disaster, University of Oviedo, Campus Del Cristo, Oviedo, 36006, Spain
  • c Department of Medicine, Unit for Research in Emergency and Disaster, University of Oviedo, Campus Del Cristo, Oviedo, 36006, Spain

Abstract

The aims of this study were to identify the most needed health care services, accessibility of various health care services, and barriers to access as perceived by a group of Syrian refugees living in non-camp settings in Jordan and to compare accessibility among different groups. The study was conducted in the Amman, Irbid, Karak, and Maan governorates of Jordan. This is a cross-sectional, analytical, observational study using convenience and snowball sampling for data collection. A structured questionnaire was included in an ongoing needs assessment of a Jordanian nongovernment organization in April 2014, with a total of 196 surveys conducted. In addition to the prevalent acute and communicable diseases, chronic diseases and dental problems were common. Preventive and primary health care were more accessible than advanced services. Structural and financial barriers hindered access. The specific survey location and governorate were associated with a difference in reported access. Registration status, health provider, duration, and out-of-pocket payment did not affect accessibility. The capacities of health facilities at different levels should be increased. Enhanced information sharing among health providers can improve identification of needs and gaps. ©The Author(s) 2016.

Author Keywords

Health services accessibility Barriers to access Urban refugees Health needs Syria

Index Keywords

urban population questionnaire survey dental health refugee Jordan Syrian Arab Republic infectious disease human Refugees ethnology public access Cross-Sectional Studies Surveys and Questionnaires cross-sectional study Humans male female accessibility questionnaire health services nongovernmental organization disease prevalence Syria Healthcare Disparities health care disparity Health Services Accessibility primary health care health care delivery health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983233328&doi=10.1177%2f0020731416636831&partnerID=40&md5=fdafbcaea148a9fb5bd89becd31cf2e2

DOI: 10.1177/0020731416636831
ISSN: 00207314
Cited by: 14
Original Language: English