scholarly journals Developing the health examination protocol for asylum seekers in Finland: A national development project (TERTTU)

2017 ◽  
Vol 27 (suppl_3) ◽  
Author(s):  
N Skogberg
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A E Castaneda ◽  
E Lilja ◽  
F Garoff ◽  
K L Mustonen ◽  
A Ahmed ◽  
...  

Abstract Background Asylum seekers have major health and well-being burdens, including mental health. However, there is a lack of population-based survey data on the health status and service needs of asylum seekers in Europe. The TERTTU-project was launched to fill these information gaps and to develop the current health examination protocol for assessing the health, well-being and need for health care services, including mental health, of newly arrived asylum seekers. Methods As part of the TERTTU-project, systematic, nationally representative data was collected in 2018 by conducting a health examination and a face-to-face interview survey in reception centers in Finland (n = 1087). The sample was drawn from the Finnish Immigration Services electronic asylum database. Mental health was assessed with the HSCL and PROTECT questionnaires (SDQ among the children), along with questions of potentially traumatic experiences. Results 39% (95% CI 35,6-42,6) of the adults had current severe depressive and anxiety symptoms, 50% (95% CI 46,9-53,9) had an increased risk for PTSD, and 83% (95% CI 80,0-85,3) had experienced at least one potentially traumatic event before arriving to Finland. The most common psychosocial symptoms among 2-6 year-olds were behavioral symptoms (49%) and difficulties in peer relationships (37%). Difficulties in peer relationships were also common among 7-17 year-olds (49%), followed by challenges in the emotional domain (42%). Conclusions Potentially traumatic experiences and mental health problems are common among asylum seekers in Finland. Based on the survey-data, a national health examination protocol will be developed in 2019 to improve assessment and identification and to enable systematic health monitoring and evidence-based development of services for asylum seekers. A common health examination protocol will also unify practices across reception centers all over the country. Key messages Potentially traumatic experiences and mental health problems are common among asylum seekers in Finland. A national health examination protocol allows for the early identification of vulnerable groups and individuals.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Skogberg ◽  
F Garoff ◽  
A Ahmed Haji Omar ◽  
P Koponen ◽  
K-L Klemettilä ◽  
...  

Abstract Issue Initial health assessment is crucial for identification of healthcare needs and screening of acute health problems among new asylum seekers. As in other countries, practices across reception centres in Finland varied and health data was inconsistently recorded, making systematic monitoring through the electronic health record system (EHR) challenging. Description of the issue The main objectives of the national Developing the health examination protocol for asylum seekers in Finland project (TERTTU, 2017-2019) were to unify practices across reception centres through development of health assessment content and the quality of EHR recordings. The project consisted of three phases: 1) baseline evaluation; 2) conduct of a population-based health examination survey among asylum seeking adults and children; 3) development work guided by findings of stages 1 and 2, supplemented with thematic qualitative interviews with end-users (reception centre nurses, asylum seekers and authorities supervising services). Results The project exceeded expectations. Altogether 1087 adults and children participated in the survey (participation rate 76 %). Survey findings were published in a national report, providing the main evidence-base for development work. This was complemented by thematic interviews with 15 reception centre nurses, 19 asylum seekers and 3 authority representatives. Health assessment protocol was piloted and further developed based on feedback from end-users and transferred into the reception centres EHR. A handbook for the health assessment was published, supported with educational short videos. Lessons Successful implementation required close collaboration with authorities responsible for providing services for asylum seekers and involvement of end users at all stages. Results of this project benefit all other countries receiving asylum seekers. The study protocol is available in English, Somali, Kurdish (Sorani), Dari, Arabic, Russian, French and Finnish. Key messages The initial health assessment protocol for asylum seekers and supporting materials developed in the TERTTU project benefits all receiving countries. Systematic recording of health data was also developed, which will be used for planning health system response according to the health care needs of new asylum seekers.


Author(s):  
Hsu Chao Feng ◽  
Lee Bi Ru

The development of green finance is a global trend in the current era. At present, developing the green finance has been included as an important national development project by the Chinese government. With the rapid economic growth, the priorities or trade-offs between the economic development and the natural environment have also aroused different contradictions and problems. With the improvement of people's quality of life, they start to pay more attention to the pollution of the surrounding environment. Therefore, the government should properly intervene and propose effective measures, and green finance is an excellent tool to reconcile social economy and environmental protection and transform the physical investment, thus guiding the social resources towards the environmental protection industry and reaching an optimal interests allocation among the market, society, and government. Consequently, in the face of such a situation, it is necessary to propose a series of models and paths that suit the needs of the Chinese society and promote sustainable development.


Author(s):  
Esa Stenberg

This chapter analyzes the development of a business model for exploiting geothermal energy. There are a number of small and large firms operating in these markets, but the main challenge facing renewable energy is its commercialization. Developing new types of business models would help in meeting such challenges. The focus is on the Finnish national development project for exploiting geothermal energy. There is obviously growth potential for this energy form in Finland, given that the share of geo-energy of all energy consumption is one percent compared to 10 percent in Sweden, and that the geological environment in the two countries is quite similar. The chapter begins with a discussion of the geo-energy business in general. The empirical part describes the business models of various operators in this field, based on Osterwalder’s (2007) business-model configuration. The product concepts, partnership networks, added value, target groups, customer relationships and costs and revenues are analyzed through these pilot case studies.


BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e027917 ◽  
Author(s):  
Natalia Skogberg ◽  
Päivikki Koponen ◽  
Paula Tiittala ◽  
Katri-Leena Mustonen ◽  
Eero Lilja ◽  
...  

IntroductionHealth, well-being and health service needs of asylum seekers have emerged as urgent topics following the arrival of 2.5 million asylum seekers to the European Union (EU) between 2015 and 2016. However, representative information on the health, well-being and service needs of asylum seekers is scarce. The Asylum Seekers Health and Wellbeing (TERTTU) Survey aims to: (1) gather population-based representative information; (2) identify key indicators for systematic monitoring; (3) produce the evidence base for development of systematic screening of asylum seekers’ health, well-being and health service needs.Methods and analysisTERTTU Survey is a population-based prospective study with a total population sample of newly arrived asylum seekers to Finland, including adults and children. Baseline data collection is carried out in reception centres in 2018 and consists of a face-to-face interview, self-administered questionnaire and a health examination following a standardised protocol. Altogether 1000 asylum seekers will be included into the study. Baseline data will be followed up with national electronic health record data encompassing the entire asylum process and later with national register data among persons who receive residency permits.Ethics and disseminationEthical approval has been granted by the Coordinating Ethics Committee of the Helsinki and Uusimaa Hospital District. Participation is voluntary and based on written informed consent. Results will be widely disseminated on a national and international level to inform health and welfare policy as well as development of services for asylum seekers. Results of the study will constitute the evidence base for development and implementation of the initial health assessment for asylum seekers on a national level.


2014 ◽  
Vol 14 (2) ◽  
pp. 137-147 ◽  
Author(s):  
A. Hoppe ◽  
L. Marques Vieira ◽  
M. Dutra de Barcellos ◽  
G. Rodrigues Oliveira

The objective of this research is to analyse the motivations and barriers to develop an innovative food product from the perspective of the two main participants in a development project. The perceptions of a Brazilian food co-operative and a Technological Centre were analysed throughout a case study. The results indicate the existence of a complex dyadic relationship between them and also that the food innovation network is still in its early stages in south of Brazil. The main motivation for the Technological Centre is to contribute to the national development policy. On the other hand, for the company there is the possibility to obtain partial funding for products development. The company is venturing while bringing to the food market an innovative product. Yet, it is clear that these kinds of inter-organizational collaborative efforts can bring benefits to food networks in general.


2020 ◽  
Vol 1 (1) ◽  
pp. 45-56
Author(s):  
Satya Laksana ◽  
Fityan Aonillah ◽  
Rubi Azhara

The sixth of nine Indonesian national development agendas under the President Joko Widodo administration is to increase productivity and competitiveness, one of which is by the establishment of Techno Parks. The projects will be terminated in 2019; however, exit strategies that contribute to sustainable development have been rarely considered throughout the history of development studies and practice. This paper examines the concept of exit strategies within the context of a case study of the Indonesian Institute of Sciences (LIPI)-assisted project of the Tasikmalaya Techno Park (TP) from 2015-2019. It addresses two questions: (1) How has LIPI executed the TP project in Tasikmalaya throughout the period? (2) What is the recommended exit strategy for regional policymakers after project termination? To overview the implementation of TP activities, an internal- external analysis was conducted, and to formulate exit strategies, SWOT and QSPM were employed. Data were collected from July-September 2018, consisting of primary data collected from competent respondents by semi-structured and in-depth interviews selected by the purposive sampling method as well as secondary data compiled from relevant institutions. The conclusion is that the Tasikmalaya TP has five core businesses and its mission is to become a center for dissemination, technology transfer, and agribusiness incubator. The TP was present in quadrant I, meaning that aggressive strategies were recommended. There were four future management options and independent management was considered as the most appropriate. Its role should be more supported by middle- to long-term strategies and a well prepared legal system. Policy implications are discussed.


Author(s):  
Carlos Antônio Brandão ◽  
Fábio Lucas Pimentel de Oliveira ◽  
Leonardo Guimarães Neto ◽  
Valdeci Monteiro dos Santos

This article is a tribute by representatives from four generations of researchers, who were taught and supervised by Professor Wilson Cano (1937-2020). The text follows an academic trajectory that bequeathed a fundamental contribution towards the understanding of regional and urban issues in Brazil. The aim is to highlight the most distinctive aspects of his studies, based on a dynamic-historical and contradictory conception of capitalist development and the regional and urban repercussions that have resulted from such a process. Under the aegis of the historical-structural method, we identify, within his analyses, a rigorous investigation into the formation of regional complexes, of the movements of spatial concentration and deconcentration driven by industrialization, and of the determinations of the land issue for urbanization. He sought to situate the regional and urban debate within the context of the need to push forward a national development project, without which, the regions and cities of Brazil would become subjugated to the determinants of neoliberalism and to the loss of the nation’s sovereignty.


2020 ◽  
Vol 40 (4) ◽  
pp. 205-212
Author(s):  
Olivia Bolinas Obtinario ◽  
Kari Marie Thorkildsen

For newly arrived asylum seekers, a health examination is common practice in many countries. For asylum seekers, this part of the asylum-seeking process can be experienced as a burden due to communication barriers, feelings of mistrust and insecurity and the experience of being an object rather than an individual. The aim of this study was to explore asylum seekers’ lived experiences of dignity while undergoing a health examination. Eight asylum seekers participated in individual in-depth interviews. A phenomenological hermeneutical approach was used to analyse the collected data. The study is reported in accordance with COREQ guidelines. The lived experience of dignity was linked to dignity violation as well as to dignity safeguarded. The participants experienced anxiety about how they would be received. Some were met with kindness and care, but there were also many incidents of demeaning behaviour. With an interpreter present, the participants experienced that they could not speak freely. Numerous healthcare personnel and frequent transfers caused confusion and insecurity. Well-organised health centres made participants experience a sense of safety and respect. The results can be understood as a pattern consisting of four categories: rights-related, care-related, communication-related and system-related. This small study, which limits the conclusions that can be drawn, conveys that ethical awareness and professional expertise may contribute to safeguarding asylum seekers’ dignity in the above categories during a health examination.


2020 ◽  
Vol 9 (2) ◽  
pp. 237-246
Author(s):  
Kazi Fahmida Farzana ◽  
Siti Darwinda Mohamed Pero ◽  
Muhammad Fuad Othman

In Malaysia, refugees remain mostly invisible and face various challenges in terms of protection, healthcare and education. They are often preserved as ‘illegal immigrants’, therefore always at risk of arrest, detention, punishment and deportation. The worse sufferers of these are the children and youth, who are also considered to be illegitimate and deprived of rights including the right to education. This is a case study of a young Rohingya refugee man whose dedication and struggles, despite his problematic identity imposed by various authorities, continue to find a way out and serve fellow refugees through a community organization. However, the dream to have an education and flourish as a full-fledged human being remains a far cry for those marginalized, underprivileged Rohingya refugees and their children. Their experience in Malaysia is far from exceptional, of the sufferings that refugees are forced to bear in many countries in South and Southeast Asia. Nonetheless, this case aims to facilitate the basic understanding of displacement, the refugee situation, international law and particularly refugee children’s rights to education. It provides a deeper understanding of the root causes of Rohingya’s current ‘stateless’ situation in Malaysia, identifies the challenges faced by a refugee community organization, refugee children’s struggles and rights to education. It initiates thoughts to examine the government policies and look for alternative strategies that may benefit the refugee children as well as the national development in the long run. Dilemma: Are Rohingya in Malaysia ‘refugees’ or ‘economic migrants’? Should the children of Rohingya be given access to education? Should Malaysia sign the 1951 Refugee Convention? Theory: Statelessness theory Type of the Case: Experience-based applied single case study Protagonist: Present Options Malaysia can take the stand that being nonsignatory to the 1951 Refugee Convention and its 1967 protocol, it is not bound to come up with policies for refugees. By providing ‘temporary’ shelter to a significant number of refugees and asylum-seekers, Malaysia has done enough for the refugees. At the international level, Malaysia is considered to be sympathetic towards refugees. Refugee and asylum seekers’ presence has been exerting pressure on Malaysian culture and society. In contrast, refugee and migration issues are receiving attention from the government and civil society in Malaysia. Former government has tried to adopt some policies like providing short-term work permit for a small number of registered Rohingya refugees in certain plantations and manufacturing sectors on an experimental basis to avoid social and economic risks posed by unemployed refugees. Malaysia should sign the 1951 Refugee Convention and its 1967 protocol because it is a member of the United Nations (UN) and party to many other major international human rights documents such as Convention against Torture and Other Cruel Inhuman or Degrading Treatment or Punishment (CAT) and Convention on the Rights of the Child (CRC) to name a few. Discussions and Case Questions What are the root causes of Rohingyas’ current statelessness situation and how should the Malaysian government tackle the issue? What are the challenges faced by Rohingya community organizations in integrating with the society? Should Malaysia look at improving the Rohingya children’s access to education or the community should take on the responsibility?


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