A comparative Study of Syrian Refugees in Turkey, Lebanon, and Jordan: Healthcare Access and Delivery

Yıl 2018, Cilt: 8 Sayı: 14, 448 - 464, 25.04.2018

Ayman Saleh Serdar Aydin Orhan Koçak

https://doi.org/10.26466/opus.376351

Cited By: 10

Öz

Refugees are usually a disadvantaged group
who is vulnerable to many disparities. They have many problems ranging from
education and health to employment, foreign language, exclusion in daily
economic and social life and more. One of the important problems is health
services which refugees urgently need. Their access to healthcare services
varies significantly, depending on the country of asylum. There are about 3,222,000 Syrian refugees living in
camps in Turkey (Districts or Satellite Cities) along the Turkish-Syrian
border, enrolled in the Turkish General Health Insurance Program, and
therefore they can be able to access free healthcare services. In Lebanon, the
numbers of Syrian refugees are about 1,001,051 and they are living in urban areas and informal tent
camps, with access to the primary care services. In Jordan, 79% of the
654,582 refugees are living in urban
areas or informal settlements with the access to the public healthcare
services. Given that most Syrians are of lower-middle income, 93% of the
primary care services with acute illnesses, and infectious diseases are offered
to the refugees - reflecting the challenges of displacement, crowding, and poor
living conditions and sanitation. The objective of this study is to compare the
healthcare access of Syrian refugees in Turkey, Lebanon, and Jordan -
neighboring countries affected by fleeing refugees. The study's ultimate goal
is to provide the appropriate framework and directions for governments,
clinicians, and public health providers about the necessary medical screening,
interventions and services for those refugees.

Anahtar Kelimeler

Syrian Refugees, Refugees' Health Issues, Jordan, Lebanon, Turkey

Türkiye, Lübnan ve Ürdün'de Bulunan Suriyeli Göçmenlerin Sağlık Hizmetlerine Erişimleri ve Hizmetlerin Sağlanması ile İlgili Karşılaştırmalı Bir Değerlendirme

Öz

Mülteciler genellikle birçok sıkıntılar ve sorunlara maruz kalan
dezavantajlı gruptur. Mülteciler, eğitim, sağlık, istihdam, yabancı dil,
ekonomik ve sosyal yaşamdan dışlanma ve birçok yönden sıkıntılarla karşı karşıya
kalmaktadırlar. Bunların en önemlisi ve acil olanı ise sağlık hizmetleridir.
Mülteciler sığındıkları ülkelerin farklı olan sağlık sistemlerine göre sağlığa
erişim imkânlarına sahip olmaktadırlar. Türkiye'de genel sağlık sigortası
sistemine kayıt yaptırmış olan hem kamplarda hem de kamp dışında toplam
3.222.000 Suriyeli mülteci yaşamaktadır. Kayıt yaptıran bu sayıdaki Suriyeli
mülteciler ücretsiz sağlık hizmetlerinden faydalanabilmektedirler. Lübnan'da,
Suriyeli mültecilerin sayısı aşağı yukarı 1.001.051 civarındadır. Lübnan'daki
Suriyeli mülteciler hem şehirlerde hem de kayıt dışı kurulan çadır kamplarda
birincil sağlık hizmetlerini ücretsiz alarak yaşamaktadırlar. Ürdün'de,
şehirlerde ve kayıt dışı yerleşim yerlerinde yaşayan 654.582 Suriyeli mültecinin
%79'u genel halk sağlığı hizmetlerine erişebilmektedirler. Suriyeli
mültecilerin çoğunun yer değiştirme sıkıntıları, kalabalık olmaları, kötü yaşam
ve sağlık koşullarında yaşamaları ve orta-alt seviyede gelire sahip oldukları
göz önünde bulundurulursa, akut şiddetli ve bulaşıcı hastalıklar da dâhil
birincil bakım hizmetlerinin %93'ünü almaktadırlar. Bu çalışma ile Suriyeli
göçmenlerin Suriye'nin komşu ülkeleri olan ve mülteci olarak gittikleri
Türkiye, Lübnan ve Ürdün'de almış oldukları sağlık hizmetlerinin
değerlendirilmesi ve karşılaştırılması yapılacaktır.  Bu çalışmanın nihai amacı, 3 ülkedeki
verilerden yola çıkarak mülteciler için gerekli tıbbi araştırma, müdahaleler ve
hizmetler hakkında hükümetler, klinikler ve kamu sağlığı hizmetlerini sağlayanlar
yönelik uygun bir çerçeve çıkarmak ve önerilerde bulunmak olacaktır.

Anahtar Kelimeler

Suriyeli Mülteciler, Suriyelilerin Sağlık Sorunları, Ürdün, Lübnan, Türkiye

Kaynakça

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