scholarly journals Safety, Health and Trauma among Newly Arrived Refugees in Greece

2019 ◽  
Vol 32 (Special_Issue_1) ◽  
pp. i22-i35 ◽  
Author(s):  
Theoni Stathopoulou ◽  
Lydia Avrami ◽  
Anastasia Kostaki ◽  
Jennifer Cavounidis ◽  
Terje Andreas Eikemo
Keyword(s):  
Asylum Seekers ◽  
Access To Health Care ◽  
Health Care Services ◽  
Multiple Linear Regression Model ◽  
Binary Logistic Regression ◽  
Population Based ◽  
Host Countries ◽  
Logistic Regression Models ◽  
Care Services ◽  
Refugees And Asylum Seekers

Abstract This study identifies factors that affect safety, health and trauma among refugees and asylum seekers newly arrived and accommodated in Greece. The data of this study was collected from the REHEAL (Refugees’ Healing) project—a population-based survey conducted in six Greek refugee camps during the summer of 2016. We specified two binary logistic-regression models—one for safety and a second for health—as well as a multiple linear-regression model for the trauma score. Safety, health and trauma among refugees appear to be attributable to both pre- and post-displacement factors. The analysis shows that the mental and physical wellbeing of refugees and asylum seekers is strongly affected by post-displacement factors and, more specifically, by exposure to stressors in host countries, such as poor living conditions, limited access to health-care services and uncertainty about the future.

scholarly journals Use of health care services by Afghan, Iranian, and Somali refugees and asylum seekers living in The Netherlands

2006 ◽  
Vol 16 (4) ◽  
pp. 394-399 ◽  
Author(s):  
Annette A. M. Gerritsen ◽  
Inge Bramsen ◽  
Walter Devillé ◽  
Loes H. M. van Willigen ◽  
Johannes E. Hovens ◽  
...  
Keyword(s):  
Health Care ◽  
The Netherlands ◽  
Asylum Seekers ◽  
Health Care Services ◽  
Somali Refugees ◽  
Care Services ◽  
Refugees And Asylum Seekers ◽  
Use Of Health Care

scholarly journals Sex-specific differences in prevalence and in the factors associated to the search for health services in a population based epidemiological study

2014 ◽  
Vol 17 (2) ◽  
pp. 323-340 ◽  
Author(s):  
Suzana Alves de Moraes ◽  
Daniele Almeida Lopes ◽  
Isabel Cristina Martins de Freitas
Keyword(s):  
Epidemiological Study ◽  
Associated Factors ◽  
Access To Health Care ◽  
Health Care Services ◽  
Economic Indicator ◽  
Population Based ◽  
Cross Sectional ◽  
Women Health ◽  
Care Services ◽  
Health Related

Objectives: To identify the access to health care services and associated factors in adults living in the city of Ribeirão Preto, São Paulo, Brazil, in 2007. Methods: A cross-sectional population-based epidemiological study with a sample developed in three stages. The variability introduced in the third sampling fraction was corrected by the attribution of weights, resulting in a sample of 2,471 participants. The outcome prevalence was estimated according to socio-demographic, behavioral and health-related variables. In order to identify associated factors, the regression of Poisson was used, obtaining crude and adjusted prevalence ratios. All estimates were calculated taking into account the effect of the sampling design. Results: The outcome prevalence increased according to the age, being higher in female individuals. A different set of variables remained in the final models, considering each gender separately. Among men, the monthly income > R$ 1,400.00; scores > 823.6 to the Economic Indicator of Ribeirão Preto (IERP) and daily average of sitting down time (154.4 - 240 min/day) constituted themselves into protective factors, whereas the increase of age and scholarship, hospitalization, diabetes and hypertension constituted risk factors for the use of the services. Among women, health self-reported as regular, hospitalization, diabetes and hypertension characterized factors positively associated to the outcome at matter. Conclusions: The results indicate the need for planning actions aimed at capturing male individuals, as well as the revaluation of detection and control of diabetes and hypertension programs, aimed at the primary prevention of terminal cardiovascular events.

scholarly journals Effects of Coronavirus Pandemic on Young Adults’ Ability to Access Health Services and Practice Recommended Preventive Measures

2021 ◽  
Vol 13 (11) ◽  
pp. 14
Author(s):  
Judith Nalukwago ◽  
Bolanle Olapeju ◽  
Anna Passaniti ◽  
Musa Kimbowa ◽  
Arzum Ciloglu ◽  
...  
Keyword(s):  
Young Adults ◽  
Health Services ◽  
Access To Health Care ◽  
Health Care Services ◽  
Preventive Measures ◽  
Population Based ◽  
Northern Region ◽  
Limited Attention ◽  
Care Services ◽  
Phone Survey

Given the limited attention to young adults as key contributors to the spread of COVID-19 in Uganda, this study examines the effects of the outbreak on the ability of young adults aged 18-29 to access health services and practice preventive measures. A national population-based mobile phone survey was conducted in December 2020. Multivariable regression analyses were used to explore the effect of the COVID-19 pandemic on access to health care services. Control variables included region, education level, parity, and source of health information. The majority (98%) perceived COVID-19 as a serious threat to Ugandans. Although the majority reported handwashing (97%) and masking (92%), fewer respondents avoided shaking hands (39%), ensured physical distancing (57%), avoided groups of more than four people (43%), stayed home most days (30%), avoided touching eyes, nose, and mouth (14%), and practiced sneezing/coughing into their elbow (7%). Participants noted that the COVID-19 pandemic affected their ability to access family planning (40%), HIV (49%), maternal health (55%), child health (56%), and malaria (63%) services. The perceived effect of the COVID-19 pandemic on services was higher for those in the Northern region (OR= 2.00, 95% CI 1.00-4.02), those with higher education OR= 2.26, 95% CI 1.28-3.99), those with five plus children (OR= 2.05, 95% CI 0.92-4.56), and those who trust radio for COVID-19 information (OR= 1.65, 95% CI 1.01-2.67). The findings show the pragmatic importance of understanding the dynamic characteristics and behavioral patterns of young adults in the context of COVID-19 to inform targeted programming.

Access to health-care policies for refugees and asylum-seekers

2020 ◽  
Vol 16 (1) ◽  
pp. 22-45
Author(s):  
Salma El-Gamal ◽  
Johanna Hanefeld
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Asylum Seekers ◽  
Access To Health Care ◽  
Host Countries ◽  
Content Type ◽  
Poor General Health ◽  
Access To Health ◽  
The Uk ◽  
Refugees And Asylum Seekers

Purpose The influx of refugees and asylum-seekers over the past decade into the European Union creates challenges to the health systems of receiving countries in the preparedness and requisite adjustments to policy addressing the new needs of the migrant population. This study aims to examine and compare policies for access to health care and the related health outcomes for refugees and asylum-seekers settling both in the UK and Germany as host countries. Design/methodology/approach The paper conducted a scoping review of academic databases and grey literature for studies within the period 2010-2017, seeking to identify evidence from current policies and service provision for refugees and asylum-seekers in Germany and the UK, distilling the best practice and clarifying gaps in knowledge, to determine implications for policy. Findings Analysis reveals that legal entitlements for refugees and asylum-seekers allow access to primary and secondary health care free of charge in the UK versus a more restrictive policy of access limited to acute and emergency care during the first 15 months of resettlements in Germany. In both countries, many factors hinder the access of this group to normal health care from legal status, procedural hurdles and lingual and cultural barriers. Refugees and asylum-seeker populations were reported with poor general health condition, lower rates of utilization of health services and noticeable reliance on non-governmental organizations. Originality/value This paper helps to fulfill the need for an extensive research required to help decision makers in host countries to adjust health systems towards reducing health disparities and inequalities among refugees and asylum-seekers.

scholarly journals Problems After Flight: Understanding and Comparing Syrians’ Perspectives in the Middle East and Europe

2020 ◽  
Author(s):  
Andrea Drescher ◽  
Nikolai Kiselev ◽  
Aemal Akhtar ◽  
Ceren Acarturk ◽  
Richard Bryant ◽  
...  
Keyword(s):  
Health Care Services ◽  
Social Issues ◽  
Multiple Stressors ◽  
Outcome Measurement ◽  
Past Research ◽  
Host Countries ◽  
Care Services ◽  
Country Study ◽  
Refugees And Asylum Seekers ◽  
The Impact

Abstract Background: Syrian refugees and asylum seekers (SRAs) face multiple stressors after flight, which may vary due to different geographic, economic, cultural and socio-political contexts in the host countries. Past research has recognized the importance of participants’ own perspectives. The aims of this multi-country study were to identify and compare self-reported problems of SRAs between various settings. Methods: A semi-structured client-generated outcome measurement was used to collect data among adult SRAs in Jordan (N=61), Turkey (N=46) and Switzerland (N=57) between September 2018 and November 2019. Answers were analysed following thematic analysis. Results: Over half of the participants reported practical problems with an emphasis on camp-related problems (Jordan), finances (Turkey), employment (Jordan and Switzerland) and government regulations (Switzerland), followed by psychological, and social issues. Conclusion: This study highlights the impact of local contextual factors on wellbeing. The findings emphasise that planning preventative procedures and mental health care services for SRAs need to consider local challenges affecting the population in specific countries.

scholarly journals Problems after flight: understanding and comparing Syrians’ perspectives in the Middle East and Europe

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea Drescher ◽  
Nikolai Kiselev ◽  
Aemal Akhtar ◽  
Ceren Acarturk ◽  
Richard A. Bryant ◽  
...  
Keyword(s):  
Health Care Services ◽  
Social Issues ◽  
Multiple Stressors ◽  
Outcome Measurement ◽  
Past Research ◽  
Host Countries ◽  
Care Services ◽  
Country Study ◽  
Refugees And Asylum Seekers ◽  
The Impact

Abstract Background Syrian refugees and asylum seekers (SRAs) face multiple stressors after flight, which may vary due to different geographic, economic, cultural and socio-political contexts in the host countries. Past research has recognised the importance of participants’ own perspectives. The aims of this multi-country study were to identify and compare self-reported problems of SRAs between various settings. Methods A semi-structured client-generated outcome measurement was used to collect data among adult SRAs in Jordan (N = 61), Turkey (N = 46) and Switzerland (N = 57) between September 2018 and November 2019. Answers were analysed following thematic analysis. Results Over half of the participants reported practical problems with an emphasis on camp-related problems (Jordan), finances (Turkey), employment (Jordan and Switzerland) and government regulations (Switzerland), followed by psychological, and social issues. Conclusion This study highlights the impact of local contextual factors on wellbeing. The findings emphasise that planning preventative procedures and mental health care services for SRAs need to consider local challenges affecting the population in specific countries.

scholarly journals Using Prospective Methods to Identify Fieldwork Locations Favourable to Understanding Divergences in Health Care Accessibility

2021 ◽  
Vol 10 (8) ◽  
pp. 506
Author(s):  
Jan Ketil Rød ◽  
Arne H. Eide ◽  
Thomas Halvorsen ◽  
Alister Munthali
Keyword(s):  
Health Care ◽  
Low Income ◽  
Access To Health Care ◽  
Health Care Services ◽  
Good Health ◽  
Low Income Countries ◽  
Care Services ◽  
Health Care Accessibility ◽  
Barriers To Health ◽  
Walking Time

Central to this article is the issue of choosing sites for where a fieldwork could provide a better understanding of divergences in health care accessibility. Access to health care is critical to good health, but inhabitants may experience barriers to health care limiting their ability to obtain the care they need. Most inhabitants of low-income countries need to walk long distances along meandering paths to get to health care services. Individuals in Malawi responded to a survey with a battery of questions on perceived difficulties in accessing health care services. Using both vertical and horizontal impedance, we modelled walking time between household locations for the individuals in our sample and the health care centres they were using. The digital elevation model and Tobler’s hiking function were used to represent vertical impedance, while OpenStreetMap integrated with land cover map were used to represent horizontal impedance. Combining measures of walking time and perceived accessibility in Malawi, we used spatial statistics and found spatial clusters with substantial discrepancies in health care accessibility, which represented fieldwork locations favourable for providing a better understanding of barriers to health access.

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