caa a22 4500 606222219 CHVBK 20210128101132.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00038-014-0594-2 doi (NATIONALLICENCE)springer-10.1007/s00038-014-0594-2 Health system challenges for the management of cardiovascular disease and diabetes: an empirical qualitative study from Syria [Elektronische Daten] [Balsam Ahmad, Fouad Fouad, Madonna Elias, Shahaduz Zaman, Peter Phillimore, Wasim Maziak] Objectives: To explore through empirical qualitative data health system barriers to effective management of cardiovascular disease and diabetes in Syria before the crisis, and how such analysis can inform the building of a post-crisis system. Methods: Data were collected through document review, semi-structured key informant interviews, and fieldwork in clinics. Results: Institutional commitment to address the increasing burden of CVD and diabetes in Syria was limited and uncoordinated. Challenges included an increasingly split healthcare system, with private provision for those who could afford it, and a residual state health sector for the majority. Public trust in the system had been declining. Conclusions: We conclude that lack of effective management of CVD and diabetes indicated weaknesses of the state and its retracting role in providing effective healthcare. Such weaknesses that existed before the crisis are now compounded by new challenges resulting from wide destruction of the health system due to the ongoing war. The rebuilding of post-conflict heath care system may benefit from insights into the structural problems of the pre-crisis system. Swiss School of Public Health, 2014 Health system nationallicence Syria nationallicence Aleppo nationallicence Cardiovascular disease nationallicence Diabetes nationallicence Qualitative study nationallicence Ahmad Balsam Institute of Health and Society, Newcastle University, Richardson Road, NE2 4AX, Newcastle upon Tyne, UK aut Fouad Fouad Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon aut Elias Madonna Syrian Centre for Tobacco Studies, Aleppo, Syria aut Zaman Shahaduz Institute of Health and Society, Newcastle University, Richardson Road, NE2 4AX, Newcastle upon Tyne, UK aut Phillimore Peter Institute of Health and Society, Newcastle University, Richardson Road, NE2 4AX, Newcastle upon Tyne, UK aut Maziak Wasim Robert Stempel College of Public Health and Social Work, Florida International University, FL, Miami, USA aut International Journal of Public Health Springer Basel 60(2015-01-01), 55-62 1661-8556 60<55 2015 60 38 https://doi.org/10.1007/s00038-014-0594-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-014-0594-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ahmad Balsam Institute of Health and Society, Newcastle University, Richardson Road, NE2 4AX, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Fouad Fouad Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon aut NATIONALLICENCE 700 1- Elias Madonna Syrian Centre for Tobacco Studies, Aleppo, Syria aut NATIONALLICENCE 700 1- Zaman Shahaduz Institute of Health and Society, Newcastle University, Richardson Road, NE2 4AX, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Phillimore Peter Institute of Health and Society, Newcastle University, Richardson Road, NE2 4AX, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Maziak Wasim Robert Stempel College of Public Health and Social Work, Florida International University, FL, Miami, USA aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60(2015-01-01), 55-62 1661-8556 60<55 2015 60 38