Chronic disease medications accessibility among Sudanese patients during war
Rattachement africain : Soudan. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Access to medications for chronic diseases is a major component of effective disease management, particularly in conflict-affected areas. The armed conflict ongoing since April 2023 in Sudan has caused destruction to health infrastructures and thus severely disrupted medication supplies. This study aimed to assess effect of war in Sudan on the medication’s accessibility. A descriptive cross-sectional community-based study was conducted during the period from July to December 2024. Total of 1000 Sudanese patients in conflict-affected areas were surveyed using a pre coded and pretested structured questionnaire. The questionnaire was designed for this study in Arabic for easy understanding by the targeted population. Pilot study was done first, and the questionnaire was modified accordingly. All data was summarized in frequency tables. Chi square and binary logistic regression tests were done to assess the association between demographic characteristics of the participants and medications accessibility. p value less than 0.05 was considered statistically significant. More than half of the surveyed participants (59.7%) reported difficulty accessing medications. As a result, many sought alternatives through private healthcare facilities (35.0%) or local pharmacies (51.5%). The most common chronic conditions among respondents were diabetes (48.5%) and hypertension (33.3%). Inaccessibility to medications led to several adverse outcomes, including psychological distress (19.9%), worsening of symptoms (32.0%), increased hospital visits (16.3%), and reduced ability to work (24.8%). Some individuals resorted to traditional or herbal remedies (22.2%) or reduced their medication doses (12.0%) due to the lack of access. A significant association was found between medication inaccessibility and both the duration of displacement and monthly income ( p < 0.001). Reported barriers to accessing medications included high costs (34.0%), low income (26.7%), insecurity (42.5%), and displacement-related challenges (29.9%). This study reveals that Sudan’s conflict has severely disrupted access to chronic disease medications due to widespread healthcare collapse, facility closures, and supply chain breakdowns. Both displaced and non-displaced populations face major barriers, worsened by economic hardship and the halt in local drug production. Heavy reliance on herbal remedies reflects medication scarcity. Immediate global intervention is essential to restore care and prevent further health deterioration.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Chronic disease medications accessibility among Sudanese patients during war
- Date Crossref
- 16/06/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Alzaiem Alazhari University Community Medicine Department Khartoum, Soudan (code pays fourni par la source)Université ou école supérieure
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University of Khartoum University of Khartoum, Soudan (code pays fourni par la source)Université ou école supérieure
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University of Gezira Soudan (code pays fourni par la source)Université ou école supérieure
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Omdurman Islamic University Omdurman Islamic University, Soudan (code pays fourni par la source)Université ou école supérieure
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Al-Neelain University Soudan (code pays fourni par la source)Université ou école supérieure
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University of Bahri Soudan (code pays fourni par la source)Université ou école supérieure
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Nahda College Soudan (code pays fourni par la source)Université ou école supérieure
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Faculty of Medicine Khartoum, Soudan (pays nommé en fin d’affiliation)Université ou école supérieure
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Faculty of Pharmacy University of Khartoum, Soudan (pays nommé en fin d’affiliation)Université ou école supérieure
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Faculty of Dentistry Soudan (pays nommé en fin d’affiliation)Université ou école supérieure
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Faculty of Medical Laboratory Sciences Khartoum, Soudan (pays nommé en fin d’affiliation)Université ou école supérieure
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Faculty of Nursing Khartoum, Soudan (pays nommé en fin d’affiliation)Université ou école supérieure
Community Medicine Department — Alzaiem Alazhari University (Khartoum, Soudan), University of Khartoum (University of Khartoum, Soudan) et University of Gezira (Soudan), avec 9 autres affiliations. Pays d’affiliation : Soudan.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.