scholarly journals Education and the ethics of refugee health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Worthington

Abstract Background While meeting the health needs of refugees is defensible as a human right, asserting this right is insufficient to ensure that health care needs of refugees are actually met. In addition to political will and social commitment, a well-trained workforce is needed. Problems faced by refugees mean taking a range of public health and other measures, requiring a mix of skills to help health care professionals [HCPs] meet the needs of this vulnerable population. Objectives In taking an overview of global health problems associated with the health care needs of refugees, ethics and human rights are assessed to see what practical steps can be taken by public health leaders to better enable HPCs address unmet needs. Results Given the scale of the problem and the moral implications, there is a case for making refugee health a core topic in global health education. Ethical analysis is used to devise learning outcomes that could be included in programmes for continuing education and professional development. Twelve indicative learning objectives are offered, including to ‘demonstrate leadership when trying to affect change and address health problems faced by refugees' and to ‘demonstrate sensitivity to social customs without necessarily acceding to unlawful or unethical practices'. Conclusions When focusing on the health needs of refugees, practical and ethical considerations should be taken into account in support of efforts at finding educational solutions. Making refugee health a core topic in postgraduate global health education could help HCPs acquire new skills. Key messages The right to health is insufficient to ensure that refugees receive the care they need. There is an ethical case for building refugee health into education programmes for global (public) health.

2007 ◽  
Vol 12 (2) ◽  
Author(s):  
George K John ◽  
Martie S Lubbe ◽  
Jan HP Serfontein

In South Africa, 70% of the country’s population is dependent on the public health care sector (especially the primary health care structure) for their basic health care needs. Opsomming In Suid-Afrika is 70% van die land se bevolking van die openbare gesondheidsorgsektor (veral die primêre gesondheidsorgstruktuur) afhanklik vir hulle basiese behoeftes aan gesondheidsorg. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Polic-Vizintin ◽  
M Marić Bajs ◽  
I Portolan Pajić ◽  
J Tucak ◽  
Z Šostar

Abstract Background The purpose of any health system is to guarantee access to care for the entire population served. Zagreb population is 'very old', with 17.3% older than 65. The aim is to assess health care needs for elderly in primary health care (PHC). Methods Data on morbidity and visits are recorded in PHC facilities Variation in the mortality rate in 1971-2014 period is analyzing, using descriptive method. Results The highest index of PHC utilization (88.1%) is recorded for the +65 age, with 14.3 visits per capita (vs 7.7 for general population). Acute respiratory infections ranked first in all age groups; the rate per 100 was considerably lower in the ≥65 group than in the 0-19 group (27.82/100 vs 111.20/100). Hypertensive diseases ranked second most common (23.09 per 100) in the age group ≥65, followed by intervertebral disk diseases and other dorsopathies (15.10/100), and neuroses and affective disorders (6.63/100). The prevalence of hypertensive diseases and of intervertebral disk diseases and other dorsopathies was significantly higher in the ≥65 group (χ2=27.3 and χ2=13.43, respectively; p < 0.05 both). Among mortality causes circulatory diseases and neoplasms showes a constant rise during the period 1971-2014 (circulatory diseases 26.4%; neoplasms 83.9%). The highest rise is recorded in group of endocrine and metabolic disease owing diabetes mellitus(159%). Conclusions Many of older people although independent, have multiple chronic conditions and meet criteria for fraility. The number of PHC visits is high, twice in comparison with general population. Health needs are very related to coping with appropriate organization and management of public health services, esspecially of senior- friendly primary care concept. Key messages The aging of the general population influences the type of morbidity and health care needs. The concept of senior-friendly primary care has to be promoted.


2021 ◽  
Vol 8 (4) ◽  
pp. 193-197
Author(s):  
Eirini Kotsalou ◽  
Evanthia Sakellari ◽  
Areti Lagiou ◽  
Evaggelia Kotsalou

Objective: The university medical services vary around the world (even within each university), but there are only a few publications on the utilization of these services by the students. The available on-campus services of public health care might include general health care, women’s centers, mental health care, disability services, wellness resource centers, career counseling, and alcohol and other drug education programs. Evidence Acquisition: This paper reviews the current literature on the overtime and current (due to Covid-19 pandemic) public health needs of college students based on studies that report the commonest specific diagnostic reasons for using the on-campus health care services. Results: Special reference is done on mental health problems among students generally and the students of health professions fields (a specific category themselves). Besides, other issues of interest are the substance-related problems among students and their perceptions about mental health problems and on- campus help- seeking services. Conclusions: It is unanimous that we need further educational and promotional campaigns to enhance the students; help-seeking behaviors, reduce stigmatizing behaviors and create more preventive public health services on campus, but also out-campus due to the Covid-19 pandemic. 


2011 ◽  
Vol 101 (2) ◽  
pp. 224-231 ◽  
Author(s):  
Bonnie B. Strickland ◽  
Peter C. van Dyck ◽  
Michael D. Kogan ◽  
Cassie Lauver ◽  
Stephen J. Blumberg ◽  
...  

10.1038/73104 ◽  
2000 ◽  
Vol 6 (3) ◽  
pp. 261-262 ◽  
Author(s):  
G.P. Garnett ◽  
L.M. Bartley ◽  
D.W. Cameron ◽  
R.M. Anderson

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