Maternal mortality and health in the Arab World: A 25‐year epidemiological study

Khachfe, Hussein H.; Sammouri, Julie; Salhab, Hamza A.; Fares, Mohamad Y.; El‐Najjar, Roula

doi:10.1111/jog.14119

Cited by 11 publications

(12 citation statements)

References 35 publications

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“…The papers which mention MMR draw on similar data sources including the Global Burden of Disease 17 19 or secondary analyses from the UN MMEIG (United Nations Maternal Mortality Estimation Inter-agency Group). 18 30 36 Data reported by some authors as World Bank estimates use data from the UN MMEIG. All studies present a similar trend with an initial decline in MMR between 1990 and 2010, preconflict, followed by an overall increase in MMR during the years of the conflict until 2017.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 21 included articles, 13 were peer-reviewed studies [15][16][17][18][19][20][21][22][23][24][25][26][27] and 8 grey literature reports. [28][29][30][31][32][33][34][35] Of the 13 peer-reviewed studies, 6 were secondary data analysis, 15-19 27 3 were cross-sectional studies, 21 25 28 1 clinical audit, 23 1 literature review, 22 1 case study, 24 1 prospective data registry study 26 and 1 mixed-method study that included a literature review and country-level data reporting.…”

Section: Scoping Literature Reviewmentioning

confidence: 99%

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Protracted armed conflict and maternal health: a scoping review of literature and a retrospective analysis of primary data from northwest Syria

et al. 2022

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IntroductionSyria’s protracted conflict has devastated the health system reversing progress made on maternal health preconflict. Our aim is to understand the state of maternal health in Syria focused on underage pregnancy and caesarean sections using a scoping review and quantitative analysis; the latter draws on data from the Syrian American Medical Society’s (SAMS) maternal health facilities in northwest Syria.MethodsWe performed a scoping review of academic and grey literature on the state of maternal health across Syria since the onset of conflict (taken as March 2011). Identified articles were screened using pre-established criteria and themes identified. We also performed a retrospective quantitative analysis of maternal health data from SAMS’ facilities in a microcontext in north-west Syria between March 2017 and July 2020, analysing the trends in the proportion of births by caesarean section and age at pregnancy.ResultsScoping review: of 2824 articles, 21 remained after screening. Main themes related to maternal mortality rates, caesarean sections, maternal age and perinatal care. 12 studies reported caesarean section rates; these varied from 16% to 64% of all births: northern Syria (19%–45%,) Damascus (16%–54%,) Lattakia (64%) and Tartous (59%.) Quantitative analysis: Of 77 746 births across 17 facilities, trend data for caesarean sections showed a decrease from 35% in March 2017 to 23% in July 2020 across SAMS facilities. Girls under 18 years accounted for 10% of births and had a lower proportion of caesarean section births. There was notable geographical and interfacility variation in the findings.ConclusionThe quality of available literature was poor with country-level generalisations. Research which explores microcontexts in Syria is important given the different effects of conflict across the country and the fragmented health system. Our quantitative analysis provides some evidence around the changes to caesarean section rates in northwest Syria. Despite limitations, this study adds to sparse literature on this important topic.

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Section: Resultsmentioning

confidence: 99%

Section: Scoping Literature Reviewmentioning

confidence: 99%

Protracted armed conflict and maternal health: a scoping review of literature and a retrospective analysis of primary data from northwest Syria

et al. 2022

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“…More efforts must be put into prevention among the younger age groups by attempting increased screening and increased vaccination and immunity boosters to help this vulnerable population. Increased research is also key to develop prevention techniques and therapies for such diseases in the Arab world in general and Lebanon in specific [35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Effect of Leishmaniasis on the Performance of Elementary School Students: A Case Study among Syrian Refugees in Some Bekaa (Lebanon) Area Schools

Khachfe¹,

Zayyoun²,

Sharif-Askari³

et al. 2019

JEGH

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Since the Syrian conflict started, Lebanon became a common destination receiving a huge number of Syrian refugees that are living in camps spread all over the country, with the largest concentration in the Bekaa Valley. Generous steps are being taken to increase the access to formal education, such as offering free public education and opening second shifts in the public schools in the afternoon. Yet barriers, such as child labor and health-related factors like the spreading of some communicable diseases, like Leishmania, are keeping children out of classroom. The present study was done with the aim of investigating the effect of leishmaniasis on the performance and the academic achievement of Syrian refugee children. The results showed varying degrees of knowledge and dealing with the case of leishmaniasis. The disease clearly had an effect on the students' attendance in schools, and by proxy on their academic performance.

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“…Increased research and more efforts put into the study of diseases in Lebanon, especially cancer is required to better improve both the NCR and prognosis of patients affected by the disease. [38][39][40]…”

Section: Colorectal Cancermentioning

confidence: 99%

Cancer in Lebanon: A Review of Incidence Rates from 2008 to 2015 and Projections Till 2025

Khachfe

Rahal

Sammouri

et al. 2020

South Asian J Cancer

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Background and Objectives Cancer carries one of the heaviest burdens globally in terms of mortality. Lebanon is a middle-income Middle East country also plagued with cancer, as such a study and analysis of cancer trends and projections would serve a great benefit in the fight against the disease. Materials and Methods All data pertaining to cancers in Lebanon were extracted from the National Cancer Registry of Lebanon Web site. Data were analyzed to produce trends over the years of our study (2008–2015). Ten-year projections were further calculated for the top cancers by the primary site using logarithmic models. Results The top cancers in Lebanon are the breast, lung, colorectal, bladder, and prostate. The top cancers affecting females are the breast, lung, and colorectal. The top cancers affecting males are the prostate, lung, and bladder. Cancer cases are projected to increase in Lebanon over the next 10 years. Conclusion Lebanon had a steady incidence rate of cancer cases during the time of our study. A more complete understanding of cancer trends and their ultimate reduction will require further research into the origins of specific cancers and the means of prevention and control.

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Maternal mortality and health in the Arab World: A 25‐year epidemiological study

Cited by 11 publications

References 35 publications

Protracted armed conflict and maternal health: a scoping review of literature and a retrospective analysis of primary data from northwest Syria

Protracted armed conflict and maternal health: a scoping review of literature and a retrospective analysis of primary data from northwest Syria

Effect of Leishmaniasis on the Performance of Elementary School Students: A Case Study among Syrian Refugees in Some Bekaa (Lebanon) Area Schools

Cancer in Lebanon: A Review of Incidence Rates from 2008 to 2015 and Projections Till 2025

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