CC BY-NC-ND 4.0 · Avicenna J Med 2020; 10(03): 106-110
DOI: 10.4103/ajm.ajm_33_20
Original Article

Syrian refugee mothers’ knowledge levels of childhood wellness: a program evaluation

Ali Güngör
Department of Pediatric Emergency Medicine, Dr. Sami Ulus Maternity and Children’s Health and Diseases Training and Research Hospital
,
Bahar Çuhacı Çakır
Department of Social Pediatrics, Gazi University Faculty of Medicine
,
Sema Ateş
Department of Pediatrics, Ankara City Hospital, Ankara
,
Arzu D Dönmez
Department of Pediatrics, Ankara City Hospital, Ankara
,
Halil İ Yakut
Department of Pediatrics, Ankara City Hospital, Ankara
,
Abdullah Atou
Department of Interpreting Service, Kırıkkale Yuksek Ihtisas Hospital, Kırıkkale, Turkey
› Author Affiliations

Subject Editor: Financial support and sponsorship Nil.

Abstract

Background: Children are most affected by migration and wars. The health of child asylum seekers is adversely affected due to poor nutrition, malnutrition, insufficient vaccinations, and a lack of preventive health-care services (PHCS). The aim of this study was to determine the knowledge levels of the refugee mothers of child wellness monitoring, child vaccinations, and the importance of breastfeeding before and after implementation of an educational program. Materials and Methods: A questionnaire consisting of 12 statements about the importance of child wellness monitoring, child vaccinations, and breastfeeding was prepared and translated into Arabic. Refugee mothers were asked to complete the questionnaire before and after the education program. Results: Thirty-one (72.1%) of the 43 participating mothers had their children vaccinated regularly. Vitamin D supplementation was given to 58.1%, and 23.1% were started on iron supplementation. The rate of vitamin D supplementation was higher in the literate mothers (P = 0.010). The least correctly answered statement before the education program was related to iron supplementation (n = 24, 55.8%). The mean (standard deviation) number of correct answers given by the participating mothers to the 12 statements before the seminar was 9.16 (±2.05), this increased to 11.16 (±0.99) after the seminar. Conclusion: The results of this study show that refugee mothers’ knowledge levels about vitamin D and iron supplementation are quite low. Their knowledge levels can be increased in the short term by providing information in the mothers’ native languages.



Publication History

Article published online:
04 August 2021

© 2020. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 El-Khatib Z, Scales D, Vearey J, Forsberg BC. Syrian refugees, between rocky crisis in Syria and hard inaccessibility to healthcare services in Lebanon and Jordan. Confl Health 2013; 7: 18
  • 2 Blanchet K, Fouad FM, Pherali T. Syrian refugees in Lebanon: The search for universal health coverage. Confl Health 2016; 10: 12
  • 3 Inter-agency Information Sharing Portal. Syria Regional Refugee Response. Available from: http://data.unhcr.org/syrianrefugees/regional.php. [Last accessed on 2019 Apr 15]
  • 4 Zencir M, Davas A. Suriyeli Sığınmacılar Ve Sağlık Hizmetleri Raporu. Türk Tabipler Birliği; Web sitesi. Available from: https://www.ttb.org.tr/kutuphane/siginmacirpr.pdf. [Last accessed on 2019 Apr 10]
  • 5 Slone M, Mann S. Effects of war, terrorism and armed conflict on young children: A systematic review. Child Psychiatry Hum Dev 2016; 47: 950-65
  • 6 Orhan O. Suriyeli Sığınmacıların Türkiye’ye Etkileri. Türkiye Ekonomikve Sosyal Etüdler Vakfı; Web sitesi. Available from: https://www.tesev.org.tr/wp-content/uploads/rapor_Suriyeli_Siginmacilarin_Turkiyeye_Etkileri.pdf. [Last accessed 2019 Apr 1]
  • 7 Williams B, Cassar C, Siggers G, Taylor S. Medical and social issues of child refugees in Europe. Arch Dis Child 2016; 101: 839-42
  • 8 Agadjanian V, Prata N. Civil war and child health: Regional and ethnic dimensions of child immunization and malnutrition in Angola. Soc Sci Med 2003; 56: 2515-27
  • 9 Meiqari L, Hoetjes M, Baxter L, Lenglet A. Impact of war on child health in northern Syria: The experience of Médecins Sans Frontières. Eur J Pediatr 2018; 177: 371-80
  • 10 Aygün O, Gökdemir Ö, Bulut Ü, Yaprak S, Güldal D. Bir Toplum Sağlığı Merkezi Örneğinde Sığınmacı ve Mültecilere Verilen Birinci Basamak Sağlık Hizmetlerinin Değerlendirilmesi. Turk J Family Med Prim Care 2016; 10: 6-12
  • 11 Wu Z, Penning MJ, Schimmele CM. Immigrant status and unmet health care needs. Can J Public Health 2005; 96: 369-73
  • 12 Kalkan O, Gülay MŞ, Vatan İ, Engindeniz FT, Bakış B, Özyürek MM. et al. Bursa İli Osmangazi İlçesinde İkamet Eden Suriyeli Göçmenlerin Temel Sağlık Durumlarının Değerlendirilmesi. 17. Nat Public Health Congress Book 2014; 457-8
  • 13 Rungan S, Reeve AM, Reed PW, Voss L. Health needs of refugee children younger than 5 years arriving in New Zealand. Pediatr Infect Dis J 2013; 32: e432-6
  • 14 Watts DJ, Friedman JF, Vivier PM, Tompkins CE, Alario AJ. Immunization status of refugee children after resettlement. Med Health R I 2011; 94: 290-3
  • 15 Elsafti AM, van Berlaer G, Al Safadi M, Debacker M, Buyl R, Redwan A. et al. Children in the Syrian civil war: The familial, educational, and public health impact of ongoing violence. Disaster Med Public Health Prep 2016; 10: 874-82
  • 16 Thacher TD, Pludowski P, Shaw NJ, Mughal MZ, Munns CF, Högler W. Nutritional rickets in immigrant and refugee children. Public Health Rev 2016; 37: 3
  • 17 Munns CF, Simm PJ, Rodda CP, Garnett SP, Zacharin MR, Ward LM. et al APSU Vitamin D Study Group. Incidence of vitamin D deficiency rickets among Australian children: An Australian Paediatric Surveillance Unit Study. Med J Aust 2012; 196: 466-8
  • 18 Beck-Nielsen SS, Brock-Jacobsen B, Gram J, Brixen K, Jensen TK. Incidence and prevalence of nutritional and hereditary rickets in southern Denmark. Eur J Endocrinol 2009; 160: 491-7
  • 19 Kowal SP, Jardine CG, Bubela TM. “If they tell me to get it, I’ll get it. If they don’t”: Immunization decision-making processes of immigrant mothers. Can J Public Health 2015; 106: e230-5