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Table 5 Services for individuals with musculoskeletal impairment: need, access, unmet need and barriers

From: Musculoskeletal impairment among Syrian refugees living in Sultanbeyli, Turkey: prevalence, cause, diagnosis and need for related services and assistive products

 

Medication

N (%)

Surgery

N (%)

Physiotherapy

N (%)

Information/exercises

N (%)

Other rehabilitation+

N (%)

Environmental modifications

N (%)

Other services

N (%)

Overall service need*

(MSI population n = 373)

260 (69.7%)

77 (20.6%)

322 (86.3%)

148 (39.7%)

53 (14.2%)

44 (11.8%)

47 (12.6%)

Ever received service

184 (49.3%)

66 (17.7%)

75 (20.1%)

25 (6.7%)

4 (1.1%)

6 (1.6%)

3 (0.8%)

Ever received service in Turkey

164 (44.0%)

29 (7.8%)

61 (16.4%)

21 (5.6%)

1 (0.3%)

2 (0.5%)

1 (0.3%)

Currently receiving++

121 (34.4%)

5 (1.3%)

14 (3.8%)

5 (1.3%)

2 (0.5%)

1 (0.3%)

Unmet service need**

(MSI population n = 373)

139 (37.3%)

72 (19.3%)

308 (82.6%)

143 (38.3%)

53 (14.2%)

42 (11.3%)

47 (12.6%)

Coverage***

47%

6%

4%

3%

0%

5%

2%

Reason not seeking service

 Need not felt by participant

57.6%

38.9%

47.7%

62.9%

32%

23.8%

19.1%

 Unaware of available services

15.8%

9.7%

38%

53.1%

25%

23.8%

31.9%

 Could not afford

17.3%

26.3%

16.2%

16.8%

26.4%

41.9%

51%

 Service not available

16.5%

31.9%

24%

30.8%

41.5%

40.5%

40.4%

 Transport not accessible

2.2%

3.6%

1.4%

1.9%

2.4%

4.3%

 Transport too expensive

3.6%

5.6%

11.4%

14.7%

7.5%

11.9%

10.6%

 Service too far away

2.9%

2.8%

4.5%

6.3%

2.1%

 Negative attitude of service providers

3.6%

8.3%

2.6%

0.7%

3.8%

6.4%

 No translator

4.3%

8.3%

2.6%

1.4%

1.9%

2.1%

 No one to accompany me

0.7%

0.6%

1.9%

2.4%

 Other, please specify:

6.5%

11.1%

8.8%

1.4%

5.7%

4.2%

  1. Abbreviations: +Other rehabilitation included occupational therapy, speech and language therapy and psychosocial support; *Overall need = Need but not receiving + currently receiving/awaiting service; ++For surgery only, participants were asked ‘Currently seeing a surgeon or awaiting a surgical intervention?’; **Unmet service need = need but not receiving service; ***Coverage = (currently receiving/awaiting) / (Need but not receiving + currently receiving/awaiting)