Difficulties faced by older Rohingya (forcibly displaced Myanmar nationals) adults in accessing medical services amid the Covid-19 pandemic in Bangladesh
Bibliographic Data
| ID | 21880106 |
|---|---|
| Authors | Sabuj Kanti Mistry (0000-0001-6100-6076, Daffodil International University, corresponding author), ARM Mehrab Ali (0000-0001-5442-7147, Innovations for Poverty Action), Uday Narayan Yadav (0000-0002-6626-1604, Australian National University), Md Nazmul Huda (0000-0001-7048-1266, Independent University), Ghimire (0000-0002-2662-2006, Scripps (United States)), Saruna Ghimire (Miami University), Amy Bestman (0000-0003-1269-2123, The George Institute for Global Health), Md Belal Hossain (0000-0003-4603-863X, University of British Columbia), Sompa Reza (0000-0003-2851-3599, University of Dhaka), Rubina Qasim (0000-0002-1663-9568, Dow University of Health Sciences), Mark F Harris (0000-0002-0705-8913, UNSW Sydney) |
| Year | 2021 |
| Volume | 6 |
| Issue | 12 |
| Pages | e007051 |
| Publication date | 2021-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2021-007051 |
| PMID | 34903566 |
| OpenAlex | W4200059315 |
| Language | EN |
| Citations received | 11 |
| References cited | 43 |
BACKGROUND: COVID-19 has seriously disrupted health services in many countries including Bangladesh. This research aimed to explore whether Rohingya (forcefully displaced Myanmar nationals) older adults in Bangladesh faced difficulties accessing medicines and routine medical care services amid this pandemic. METHODS: This cross-sectional study was conducted among 416 Rohingya older adults aged 60 years and above residing in Rohingya refugee camps situated in the Cox's Bazar district of Bangladesh and was conducted in October 2020. A purposive sampling technique was followed, and participants' perceived difficulties in accessing medicines and routine medical care were noted through face-to-face interviews. Binary logistic regression models determined the association between outcome and explanatory variables. RESULTS: Overall, one-third of the participants reported difficulties in accessing medicines and routine medical care. Significant factors associated with facing difficulties accessing medicine included feelings of loneliness (adjusted OR (AOR) 3.54, 95% CI 1.93 to 6.48), perceptions that older adults were at the highest risk of COVID-19 (AOR 3.35, 95% CI 1.61 to 6.97) and required additional care during COVID-19 (AOR 6.89, 95% CI 3.62 to 13.13). Also, the notable factors associated with difficulties in receiving routine medical care included living more than 30 min walking distance from the health centre (AOR 3.57, 95% CI 1.95 to 6.56), feelings of loneliness (AOR 2.20, 95% CI 1.25 to 3.87), perception that older adults were at the highest risk of COVID-19 (AOR 2.85, 95% CI 1.36 to 5.99) and perception that they required additional care during the pandemic (AOR 4.55, 95% CI 2.48 to 8.35). CONCLUSION: Many Rohingya older adults faced difficulties in accessing medicines and routine medical care during this pandemic. This call for policy-makers and relevant stakeholders to re-assess emergency preparedness plans including strategies to provide continuing care
Cross-sectional study · Disease · Environmental health · Family medicine · Feeling · Geography · Health care · Logistic regression · Loneliness · Nonprobability sampling · Pandemic · Population · Psychiatry · Refugee · Asian Geopolitics and Ethnography · COVID-19 and Mental Health · Medicine · Migration, Health and Trauma · Psychology
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| Citations per year | 2.75 |
|---|---|
| Citation span | 2022 - 2025 (4) |
| Highly cited | No |