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    Jan 23, 2021
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    Effects of a refugee-assistance programme on host population in Guinea as measured by obstetric interventions.

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    Van Damme Refugee OBS 1998.pdf
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    Authors
    Van Damme, W
    De Brouwere, V
    Boelaert, M
    Van Lerberghe, W
    Affiliation
    Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium. wvdamme@itg.be
    Issue Date
    1998-05-30
    
    Metadata
    Show full item record
    Journal
    Lancet
    Abstract
    BACKGROUND: Since 1990, 500000 people have fled from Liberia and Sierra Leone to Guinea, west Africa, where the government allowed them to settle freely, and provided medical assistance. We assessed whether the host population gained better access to hospital care during 1988-96. METHODS: In Guéckédou prefecture, we used data on major obstetric interventions performed in the district hospital between January, 1988, and August, 1996, and estimated the expected number of births to calculate the rate of major obstetric interventions for the host population. We calculated rates for 1988-90, 1991-93, and 1994-96 for three rural areas with different numbers of refugees. FINDINGS: Rates of major obstetric interventions for the host population increased from 0.03% (95% CI 0-0.09) to 1.06% (0.74-1.38) in the area with high numbers of refugees, from 0.34% (0.22-0.45) to 0.92% (0.74-1.11) in the area with medium numbers, and from 0.07% (0-0.17) to 0.27% (0.08-0.46) in the area with low numbers. The rate ratio over time was 4.35 (2.64-7.15), 1.70 (1.40-2.07), and 1.94 (0.97-3.87) for these areas, respectively. The rates of major obstetric interventions increased significantly more in the area with high numbers of refugees than in the other two areas. INTERPRETATION: In areas with high numbers of refugees, the refugee-assistance programme improved the health system and transport infrastructure. The presence of refugees also led to economic changes and a "refugee-induced demand". The non-directive refugee policy in Guinea made such changes possible and may be a cost-effective alternative to camps.
    Publisher
    Elsevier
    URI
    http://hdl.handle.net/10144/28614
    DOI
    10.1016/S0140-6736(97)10348-8
    PubMed ID
    9620714
    Language
    en
    ISSN
    0140-6736
    ae974a485f413a2113503eed53cd6c53
    10.1016/S0140-6736(97)10348-8
    Scopus Count
    Collections
    Womens/Reproductive Health
    Emergencies/refugees
    Research Methods

    entitlement

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