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10.1016/j.jmh.2020.100021

http://scihub22266oqcxt.onion/10.1016/j.jmh.2020.100021
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suck abstract from ncbi


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pmid33458715      J+Migr+Health 2020 ; 1-2 (ä): 100021
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  • "Ten years of war! You expect people to fear a germ ?": A qualitative study of initial perceptions and responses to the COVID-19 pandemic among displaced communities in opposition-controlled northwest Syria #MMPMID33458715
  • Douedari Y; Alhaffar M; Al-Twaish M; Mkhallalati H; Alwany R; Ibrahim NBM; Zaseela A; Horanieh N; Abbara A; Howard N
  • J Migr Health 2020[]; 1-2 (ä): 100021 PMID33458715show ga
  • BACKGROUND: Response to the COVID-19 pandemic has challenged even robust healthcare systems in high-income countries. Syria, a country experiencing protracted conflict, has the largest internally-displaced population globally with most displaced settlements in opposition-controlled areas governed by local and international NGOs. This study aimed to explore community perspectives on challenges and potential solutions to reduce COVID-19 transmission among displaced communities in opposition-controlled Northwest Syria. METHODS: We used a qualitative study design, conducting 20 interviews with displaced Syrians in opposition-controlled camps in Northwest Syria between April-May 2020 and ensuring over half our interviewees were women. We analysed data thematically. RESULTS: Participants described already difficult camp conditions that would be detrimental to an effective COVID-19 response, including household crowding, inadequate sewerage and waste management, insufficient and poor-quality water, and lack of cleaning supplies. Participants most frequently mentioned internet as their COVID-19 information source, followed by NGO awareness campaigns. Men had access to more accurate and comprehensive COVID-19 information than women did. Isolating (shielding) high-risk people within households did not appear feasible, but participants suggested 'house-swapping' approaches might work. While most participants had sufficient knowledge about COVID-19, they lacked practical tools to prevent transmission. CONCLUSION: This study is the first to explore perspectives and lived experiences of internally-displaced Syrians in the weeks prior to the COVID-19 epidemic in Northwest Syria. The challenging living conditions of internally-displaced people in Syria are further threatened by the spread of COVID-19. Tailored control measures are urgently needed to reduce COVID-19 transmission in camps.
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