scholarly journals Access to Non-Communicable Disease (NCD) Services Among Urban Refugees and Asylum Seekers, Relative to the Thai Population, 2019: A Case Study in Bangkok, Thailand

2021 ◽  
Vol Volume 14 ◽  
pp. 3423-3433 ◽  
Author(s):  
Mathudara Phaiyarom ◽  
Hathairat Kosiyaporn ◽  
Nareerut Pudpong ◽  
Pigunkaew Sinam ◽  
Rapeepong Suphanchaimat ◽  
...  
Keyword(s):  
Asylum Seekers ◽  
Communicable Disease ◽  
Thai Population ◽  
Urban Refugees ◽  
Refugees And Asylum Seekers ◽  
Non Communicable Disease

scholarly journals A cross sectional study of unmet need for health services amongst urban refugees and asylum seekers in Thailand in comparison with Thai population, 2019

2020 ◽  
Author(s):  
RAPEEPONG SUPHANCHAIMAT ◽  
Pigunkaew Sinam ◽  
Mathudara Phaiyarom ◽  
Nareerut Pudpong ◽  
Sataporn Julchoo ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Services ◽  
Asylum Seekers ◽  
Unmet Need ◽  
Thai Population ◽  
Cross Sectional ◽  
Urban Refugees ◽  
Multivariable Logistic Regression ◽  
Refugees And Asylum Seekers ◽  
Self Reporting Questionnaire

Abstract BackgroundAlthough the Thai government has introduced policies to promote the health of migrants, it is still the case that urban refugees and asylum seekers (URAS) seem to be neglected. This study aimed to explore the degree of healthcare access through the perspective of unmet need in URAS, relative to the Thai population.MethodsA cross-sectional survey, using a self-reporting questionnaire adapted from the Thai Health and Welfare Survey (HWS), was performed in late 2019, with 181 URAS completing the survey. The respondents were were randomly selected from the roster of the Bangkok Refugee Center. The data of the URAS survey were combined with data of the Thai population (n=2,941) from the HWS. Unmet need for health services was defined as the status of needing healthcare in the past twelve months but failing to receive it. Bivariate analysis was conducted to explore the demographic and unmet need difference between URAS and Thais. Multivariable logistic regression and mixed-effects (ME) model were performed to determine factors associated with unmet need.ResultsOverall, URAS were young, less educated and living in more economically deprived households, compared with Thais. About 98% of URAS were uninsured by any of the existing health insurance schemes. The prevalence of unmet need among URAS was significantly higher than among Thais in both outpatient (OP) and inpatient (IP) services (54.1% versus 2.1% and 28.0% versus 2.1%, respectively). Being uninsured showed the strongest association with unmet need, especially for OP care. The association between insurance status and unmet need was more pronounced in the ME model, relative to multivariable logistic regression. URAS migrating from Arab nations suffered from unmet need to a greater extent, compared with those originating from non-Arab nations.ConclusionThe prevalence of unmet need in URAS was drastically high, relative to the prevalence in Thais. Factors correlated with unmet need included advanced age, lower educational achievement, and, most evidently, being uninsured. Policy makers should consider a policy option to enrol URAS in the nationwide public insurance scheme to create health security for Thai society.

scholarly journals A cross sectional study of unmet need for health services amongst urban refugees and asylum seekers in Thailand in comparison with Thai population, 2019

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Rapeepong Suphanchaimat ◽  
Pigunkaew Sinam ◽  
Mathudara Phaiyarom ◽  
Nareerut Pudpong ◽  
Sataporn Julchoo ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Services ◽  
Asylum Seekers ◽  
Unmet Need ◽  
Thai Population ◽  
Cross Sectional ◽  
Urban Refugees ◽  
Multivariable Logistic Regression ◽  
Refugees And Asylum Seekers ◽  
Self Reporting Questionnaire

Abstract Background Although the Thai government has introduced policies to promote the health of migrants, it is still the case that urban refugees and asylum seekers (URAS) seem to be neglected. This study aimed to explore the degree of healthcare access through the perspective of unmet need in URAS, relative to the Thai population. Methods A cross-sectional survey, using a self-reporting questionnaire adapted from the Thai Health and Welfare Survey (HWS), was performed in late 2019, with 181 URAS completing the survey. The respondents were were randomly selected from the roster of the Bangkok Refugee Center. The data of the URAS survey were combined with data of the Thai population (n = 2941) from the HWS. Unmet need for health services was defined as the status of needing healthcare in the past 12 months but failing to receive it. Bivariate analysis was conducted to explore the demographic and unmet need difference between URAS and Thais. Multivariable logistic regression and mixed-effects (ME) model were performed to determine factors associated with unmet need. Results Overall, URAS were young, less educated and living in more economically deprived households, compared with Thais. About 98% of URAS were uninsured by any of the existing health insurance schemes. The prevalence of unmet need among URAS was significantly higher than among Thais in both outpatient (OP) and inpatient (IP) services (54.1% versus 2.1 and 28.0% versus 2.1%, respectively). Being uninsured showed the strongest association with unmet need, especially for OP care. The association between insurance status and unmet need was more pronounced in the ME model, relative to multivariable logistic regression. URAS migrating from Arab nations suffered from unmet need to a greater extent, compared with those originating from non-Arab nations. Conclusion The prevalence of unmet need in URAS was drastically high, relative to the prevalence in Thais. Factors correlated with unmet need included advanced age, lower educational achievement, and, most evidently, being uninsured. Policy makers should consider a policy option to enrol URAS in the nationwide public insurance scheme to create health security for Thai society.

scholarly journals A cross sectional study of unmet need for health services amongst urban refugees and asylum seekers in Thailand in comparison with Thai population, 2019

2020 ◽  
Author(s):  
RAPEEPONG SUPHANCHAIMAT ◽  
Pigunkaew Sinam ◽  
Mathudara Phaiyarom ◽  
Nareerut Pudpong ◽  
Sataporn Julchoo ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Services ◽  
Asylum Seekers ◽  
Unmet Need ◽  
Thai Population ◽  
Cross Sectional ◽  
Urban Refugees ◽  
Multivariable Logistic Regression ◽  
Refugees And Asylum Seekers ◽  
Self Reporting Questionnaire

Abstract BackgroundAlthough the Thai government has introduced policies to promote health of migrants, it is still the case that urban refugees and asylum seekers (URAS) seem to be neglected. This study aimed to explore the degree of healthcare access through the perspective of unmet need in URASs, relative to the Thai population.MethodsA cross-sectional survey, using a self-reporting questionnaire adapted from the Thai Health and Welfare Survey (HWS), was performed in late 2019, with 181 URASs attending the survey. The samples were randomly selected from the roster of the Bangkok Refugee Center. The data of the URAS survey were combined with data of the Thai population (n=2,941) from the HWS. Unmet need for health services was defined as the status of when a respondent needed healthcare in the past twelve months but failed to receive it. Bivariate analysis was conducted to explore the demographic and unmet need difference between URASs and Thais. Multivariable logistic regression and mixed-effects (ME) model were performed to determine factors associated with unmet need. ResultsOverall, URASs were of lower age, less educated and living in more economically deprived households, compared with Thais. About 98% of URASs were uninsured by any of the existing health insurance schemes. The prevalence of unmet need among URASs was significantly higher than Thais in both outpatient (OP) and inpatient (IP) services (54.1% versus 2.1% and 28.0% versus 2.1%, respectively). Being uninsured demonstrated the greatest degree of association with unmet need, especially for OP care. The association between insurance status and unmet need was more pronounced in ME model, relative to multivariable logistic regression. URASs migrating from Arab nations suffered from unmet need to a greater extent, compared with those originating from non-Arab nations. ConclusionThe prevalence of unmet need in URASs was drastically high, relative to the prevalence in Thais. Factors suggesting a positive relationship with unmet need included advanced age, lower education achievement, and, most evidently, being unsinured. Policy makers should consider a policy option to enrol URASs in the nationwide public insurance scheme to create health security for the entire Thai society.

The Importance of Convention Status: A Case Study of the UK

2001 ◽  
Vol 6 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Alice Bloch
Keyword(s):  
Asylum Seekers ◽  
Economic Rights ◽  
The United Kingdom ◽  
The Social ◽  
The Status ◽  
The Uk ◽  
Refugees And Asylum Seekers ◽  
Social And Economic Rights

Convention status accords refugees social and economic rights and security of residence in European countries of asylum. However, the trend in Europe has been to prevent asylum seekers reaching its borders, to reduce the rights of asylum seekers in countries of asylum and to use temporary protection as a means of circumventing the responsibility of long-term resettlement. This paper will provide a case study of the United Kingdom. It will examine the social and economic rights afforded to different statuses in the areas of social security, housing, employment and family reunion. It will explore the interaction of social and economic rights and security of residence on the experiences of those seeking protection. Drawing on responses to the crisis in Kosovo and on data from a survey of 180 refugees and asylum seekers in London it will show the importance of Convention status and the rights and security the status brings.

Penerapan Fungsi Keluarga Dalam Kemampuan Merawat Anggota Keluarga Dengan Stroke

2021 ◽  
Vol 1 (4) ◽  
pp. 359-369
Author(s):  
Putri Ananda Salsabilla ◽  
Ricky Riyanto Iksan ◽  
Sri Atun Wahyuningsih
Keyword(s):  
World Health Organization ◽  
Communicable Disease ◽  
Family Members ◽  
World Health ◽  
Middle Income ◽  
Family Function ◽  
Study Results ◽  
Health Organization ◽  
Non Communicable Disease

ABSTRACT : APPLICATION OF FAMILY FUNCTIONS IN ABILITY TO CARE FOR MEMBERS FAMILIES WITH STROKES Background: Stroke is a non-communicable disease that is one of the leading causes of death and disability rates in the world. Stroke becomes a health threat due to impaired cerebral function, both focal and global, which lasts quickly and lasts more than 24 hours or ends in death without the discovery of the disease other than vascular disorders (World Health, 2017). World Health Organization (2018) stroke sufferers are increasing every year.. It shows that every year there are 13.7 million new cases of stroke, and about 5.5 million deaths occur from stroke. About 70% of strokes and 87% of stroke deaths and disabilities occur in low- and middle-income countries.Objective: Identified Application of Family Function Intervention in the Ability to Care for Family Members With Stroke in the Puskesmas Area of North Meruya Village of West JakartaMethod: This type of research is case studydesign research that according to Basuki Case Study is a form of research on a problem that has the nature of specificity with individual or group targets, even the wider community. In this study, researchers conducted family function interventions in four families with strokes, namely the same four sufferers were given family function interventions.Results: The results of research conducted the influence of affective function, socialization function, economic function, and health care function with the application of nursing care in stroke patients.Conclusion: The conclusion of this study results in the application of family functions in the ability to care for family members with stroke experienced significant changes to intervention. Keywords: Family Function, Caring Ability, Stroke INTISARI : PENERAPAN FUNGSI KELUARGA DALAM KEMAMPUAN MERAWAT ANGGOTA KELUARGA DENGAN STROKE Latar Belakang: Stroke merupakan penyakit tidak menular yang menjadi salah satu penyebab utama angka kematian dan kecacatan di dunia. Stroke menjadi ancaman kesehatan karena gangguan fungsi serebral, baik fokal maupun global, yang berlangsung dengan cepat dan lebih dari 24 jam atau berakhir dengan kematian tanpa ditemukannya penyakit selain dari pada gangguan vaskular (World Health Organization, 2017). World Health Organization (2018) penderita stroke semakin meningkat setiap tahunnya. Menunjukkan bahwa setiap tahunnya ada 13,7 juta kasus baru stroke, dan sekitar 5,5 juta kematian terjadi akibat penyakit stroke. Sekitar 70% penyakit stroke dan 87% kematian dan disabilitas akibat stroke terjadi pada negara berpendapatan rendah dan menengah.Tujuan: Teridentifikasi Penerapan Intervensi Fungsi Keluarga Dalam Kemampuan Merawat Anggota Keluarga Dengan Stroke di Wilayah Puskesmas Kelurahan Meruya Utara Jakarta BaratMetode: Jenis penelitian ini adalah penelitian case studydesign yaitu menurut Basuki Case Study adalah bentuk penelitian suatu masalah yang memiliki sifat kekhususan dengan sasaran perorangan ataupun kelompok, bahkan masyarakat luas.Pada penelitian ini Peneliti melakukan Intervensi Fungsi keluarga pada empat keluarga dengan stroke yaitu keempat penderita sama – sama diberikan Intervensi Fungsi Keluarga.Hasil: Hasil penelitian yang dilakukan adanya pengaruh fungsi afektif, fungsi sosialisasi, fungsi ekonomi, dan fungsi perawatan kesehatan dengan penerapan asuhan keperawatan pada pasien stroke.Kesimpulan: Kesimpulan dari penelitian ini hasil penerapan fungsi keluarga dalam kemampuan merawat anggota keluarga dengan stroke mengalami perubahan yang signifikan terhadap intervensi. Kata Kunci : Fungsi Keluarga, Kemampuan Merawat, Stroke

Regimes of voice and visibility in the refugeescape

2019 ◽  
Vol 5 (2) ◽  
pp. 142-159 ◽  
Author(s):  
Máiréad Moriarty
Keyword(s):  
Social Exclusion ◽  
Host Country ◽  
Asylum Seekers ◽  
Semiotic Mediation ◽  
Landscape Studies ◽  
Refugees And Asylum Seekers

Abstract This paper proposes refugeescapes as a framework for expanding the focus of semiotic landscape studies by centering migration, inequality, and social exclusion. In so doing, the article adds to the work of Mpendukana and Stroud (2018) and Kerfoot and Hytlenstam (2017) in uncovering how place is structured by issues of affect, voice, and visibility. In my paper, I turn to a case study of the spatializing practices of refugees and asylum seekers in Ireland, and the ways they counteract the mainstream semiotic mediation of their experiences. In particular, I focus on the semiotic landscapes of transgressive intent where asylum seekers address mistreatment in their host country. By examining material produced by refugees and asylum seekers themselves, my paper demonstrates how enclosed spaces are a methodological venue for the field, while arguing also for a more thorough engagement with the theory and politics of visibility/voice.

scholarly journals EVALUATION ON GREEN OPEN SPACE AS HEALTH PROMOTER WITH SALUTOGENIC APPROACH: CITY FOREST BSD I AS CASE STUDY

2019 ◽  
Vol 6 (2) ◽  
pp. 121
Author(s):  
Ayu Larasati ◽  
Rosdiana Pakpahan
Keyword(s):  
Open Space ◽  
Communicable Disease ◽  
Vital Signs ◽  
Design Quality ◽  
Active Lifestyle ◽  
Passive Behavior ◽  
Transportation Modes ◽  
Non Communicable Disease ◽  
Selection Of

Sedentary/passive behavior has increased the risk of non-communicable disease, which incites the need to promote an active lifestyle through outdoor physical activities. However, green open space (GOS) amount and design that focus as health promoter have not yet been sufficient. Therefore, design evaluation is conducted to acknowledge recent issues and potential solutions as design considerations for next GOS that focuses on health. Evaluation of GOS design quality uses design indicators that are extracted from Salutogenic Five Vital Signs to identify and assess design quality at selected GOS as a case study.  The data for this study is gathered through site surveys, two months observations, and user interviews: 25 visitors, two staff, and three entrepreneurs. Evaluation at selected GOS highlights the importance of forest setting as major attractions because it provides comfortable shades of trees. Also, GOS should be located at a strategic point to be easily accessed by different kind of transportation modes and routes. Moreover, legibility is achieved highly by movement network: path and clear main entrance, and permeability are achieved through the selection of more than five meters height of trees that clear the visual obstacles, clear spots of activities (pods), and transparent fences.EVALUASI RUANG TERBUKA HIJAU SEBAGAI PROMOTOR KESEHATAN DENGAN PENDEKATAN SALUTOGENIC: TAMAN KOTA BSD I SEBAGAI STUDI KASUSPerilaku sedentary/pasif telah meningkatkan resiko terkena non-communicable disease yang menimbulkan munculnya kebutuhan untuk mendorong aktivitas fisik aktif yang dilakukan di ruang terbuka. Akan tetapi, kuantitas ruang terbuka hijau (RTH) belum memenuhi proporsi minimum 30% dari total luas area dan kualitas desain RTH sebagai promotor aktivitas fisik aktif (kesehatan) belum memiliki referensi desain. Oleh karena itu, evaluasi desain dilakukan untuk mengetahui permasalahan, potensi solusi, dan strategi yang terdapat pada RTH sekarang ini sebagai panduan rancang yang mendorong kegiatan fisik aktif. Metode penelitian yang digunakan adalah metode kualitatif yang dilakukan melalui empat tahap, yaitu: 1. studi pustaka mengenai lima tanda vital salutogenic (diversity, vitality, nature, authenticity, dan legacy) untuk mengidentifikasi parameter evaluasi (kriteria perancangan dan indikator desain), 2. pemilihan objek studi, 3. pengumpulan data melalui survey, observasi dan wawancara, dan 4. identifikasi dan evaluasi kualitas desain RTH. Objek studi terpilih merupakan RTH yang berpotensi memenuhi lima tanda vital salutogenic, yaitu Taman Kota BSD I (TK I), Tangerang Selatan. Hasil evaluasi RTH adalah pentingnya mengintegrasikan unsur alam sebagai setting RTH karena karakteristiknya yang spesifik menjadi daya tarik utama untuk beraktivitas aktif. Selain itu, RTH perlu menyediakan fasilitas lengkap dan pemeliharaannya untuk seluruh kategori usia dan skala aktivitas dari personal hingga komunitas. Secara keseluruhan, RTH perlu mengembangkan program dan strategi implementasi untuk mengembangkan aktivitas edukasi dan preservasi yang melibatkan komunitas secara aktif.

Penerapan Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi

2021 ◽  
Vol 1 ◽  
pp. 799-805
Author(s):  
Ella Listiana ◽  
Firman Faradisi
Keyword(s):  
Blood Pressure ◽  
Communicable Disease ◽  
Muscle Relaxation ◽  
Pain Scale ◽  
Progressive Muscle Relaxation ◽  
Relaxation Therapy ◽  
Pharmacological Treatments ◽  
Hypertensive Patients ◽  
Non Communicable Disease

AbstractHypertension is a non-communicable disease and is the most consistent risk factor for stroke.Most people with hypertension do not know that they suffer from hypertension so they do not get good treatment. Handling hypertension can be done pharmacological and non-pharmacological.One of the non-pharmacological treatments to reduce high blood pressure is progressive muscle relaxation therapy. The subjects in this case study were two patients who had high blood pressure.This study aims to apply progressive muscle relaxation therapy and its effect on reducing blood pressure in hypertensive patients.The research design is a case study on 2 hypertensive patients. The intervention is by applying progressive muscle relaxation for 3 consecutive days with one relaxation time of 15-30 minutes.The results show that Progressive Muscle Relaxation Therapy can decreases in blood pressure and pain scale in both patients.Accordance with this, nurses are suggested to apply Progressive Muscle Relaxation as a non-pharmacologic intervention to decrease blood pressure in hypertensive patients.Keywords: Hypertension; pain; progressive muscle relaxation AbstrakHipertensi merupakan salah satu penyakit yang tidak menular dan merupakan faktor resiko yang paling konsisten pemicu stroke.Sebagian besar penderita Hipertensi tidak mengetahui bahwa dirinya menderita Hipertensi sehingga tidak mendapatkan penanganan dengan baik. Penanganan hipertensi ini dapat dilakukan secara farmakologi maupun non farmakologi.Salah satu penanganan nonfarmakologi untuk menurunkan tekanan darah tinggi adalah terapi relaaksasi otot progresif.Subyek dalam studi kasus ini adalah dua pasien yang mengalami tekanan darah tinggi. Penelitian ini bertujuan untuk mengaplikasikan terapi relaksasi otot progresif dan pengaruhnya terhadap penurunan tekanan darah pada pasien hipertensi. Desain penelitian berupa studi kasus pada 2 pasien hipertensi.Intervensi dengan ngaplikasikan relaksasi otot progresif selama 3 hari berturut-turut dengan sekali relaksasi 15-30 menit. Hasil yang didapatkan pada pasien I maupun II mengalami penurunan tekanan darah dan skala nyeri. Kesimpulan dari studi kasus ini bahwa relaksasi otot progresif dapat menurunkan tekanan darah dan skala nyeri pada kedua pasien. Saran bagi perawat diharapkan dapat menerapkan relaksasi otot progresif sebagai tindakan nonfarmakoogi untuk menurunkan tekanan darah pada pasien hipertensi.Kata kunci: Hipertensi; nyeri; relaksasi otot progresif

scholarly journals The expected well-being of urban refugees and asylum-seekers in Johannesburg

2016 ◽  
Vol 19 (2) ◽  
pp. 232-248 ◽  
Author(s):  
Talita Greyling
Keyword(s):  
South Africa ◽  
Asylum Seekers ◽  
Well Being ◽  
Subjective Well Being ◽  
Refugee Status ◽  
Urban Refugees ◽  
Number Of Factors ◽  
Forced Migrants ◽  
Refugees And Asylum Seekers ◽  
Asylum Seekers And Refugees

The influx of asylum-seekers and refugees from across Africa into democratic South Africa has increased significantly. The aim of this paper is to determine the factors that influences the expect well-being of this unique group. Expected well-being is an important determinant of both the decision to migrate and the choice of a country of destination. Knowledge about this determinant therefore informs refugee policies. The results show that only a few of the factors found in the literature explaining the expected well-being of voluntary migrants also explain the expected well-being of forced migrants. However, a number of factors found in the literature that explain the subjective well-being and well-being in general of refugees and asylum-seekers also went towards explaining the expected well-being of this group. These factors include: government assistance, culture, the time spent in South Africa, economic factors, crime, refugee status, reasons for leaving the home countries and the number of people staying in a house in the receiving country. The findings of this study emphasise the differences between forced and voluntary migrants and highlight the factors that influence the expected well-being of forced migrants. These in turn shed light on migration decisions and the choice of destination countries.

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