other·public health, epidemiology, family medicine, internal medicine, observational study·PMC10037359
Evolution and lessons from an integrated service delivery network in North West Syria
Conflict and Health · 8 authors, 4 centres
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This mixed-method study evaluated WHO's EHSP facility network in Northwest Syria using document review, group model building workshops, interviews with 81 stakeholders, and surveys of 59 health providers and 447 service users (233 pregnant women, 214 persons with NCDs) across networked, non-networked, and mobile clinic facilities.
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This mixed-method study evaluated WHO's EHSP facility network in Northwest Syria using document review, group model building workshops, interviews with 81 stakeholders, and surveys of 59 health providers and 447 service users (233 pregnant women, 214 persons with NCDs) across networked, non-networked, and mobile clinic facilities. The patient survey found that network facility users reported significantly lower financial barriers (37% vs 51%, p<0.001) and better referral follow-up. Screening for NCD complications was significantly higher in the network group, with approximately 31% of hypertensive and 37% of diabetic patients receiving eye examinations, roughly double the rate outside the network. However, disease control was very low across all facilities, with only 17% of those reporting hypertension readings and 11% of those reporting diabetes readings achieving controlled disease. Study limitations include gaps in routine data, restricted remote access due to geopolitical situation and COVID-19, and the non-random inclusion of facilities.
