Towards a Conceptual Framework for Understanding the Challenges in Refugee Re-settlement

Upon arrival to a host community, refugees and asylum seekers face immense challenges to rebuild their social capital that is critical in the process of their resettlement. Developing a holistic understanding of these challenges can provide significant opportunities to inform designers and services providers working with this demography. We adopt the lens of social capital coupled with an inquiry into the heterogeneity of refugees and asylum seekers to gain a holistic understanding of various challenges that they with. We accordingly present a conceptual framework that has been iteratively built based on our four years of engagement with refugee communities. The framework highlights three important aspects: cultural backdrops, displacement-related stressors, and social resources in the host community. We offer several implications for technology design, policies, and the theory of social capital that can support members from these communities in their resettlement.

Scabies epidemiology in health care centers for refugees and asylum seekers in Greece

Background Scabies is a global health concern disproportionally affecting vulnerable population such as refugees and asylum seekers. Greece is a main geographical point of entry in Europe for refugees, but epidemiological data on scabies in this population is scarce. We aimed to evaluate the epidemiology of scabies, including trends over the study period. Methodology/Principal findings Data were collected from June, 2016 to July, 2020, using the surveillance system of the Greek National Public Health Organization. Staff at health centers for refugees/asylum seekers compiled daily reports on scabies and other infectious diseases. Observed proportional morbidity for scabies was calculated using consultations for scabies as a proportion of total consultations. There were a total of 13118 scabies cases over the study period. Scabies was the third most frequently observed infectious disease in refugees/asylum seekers population after respiratory infections and gastroenteritis without blood in the stool. The scabies monthly observed proportional morbidity varied between 0.3% (August 2017) to 5.6% (January 2020). Several outbreaks were documented during the study period. An increasing number of cases was observed from October 2019 until the end of the study period, with a peak of 1663 cases in January 2020, related to an outbreak at one center. Spearman correlation test between the number of reported scabies cases and time confirmed an increasing trend (ρ=0.67). Conclusions/Significance Scabies is one of the most frequently reported infectious diseases by health care workers in refugee/asylum seekers centers in Greece. Consultations for scabies increased over time and there were several outbreaks. The current surveillance system effectively detects new cases in an early stage. Public health interventions, including mass drug administration, should be considered to reduce the burden of scabies in refugee/migrant populations.

A Scoping Review of Interventions Delivered by Peers to Support the Resettlement Process of Refugees and Asylum Seekers

The aim of this scoping review is to conduct a systematic search of the literature as it pertains to interventions delivered by peers to refugees and asylum seekers during the resettlement process. A PRISMA-compliant scoping review based on Arskey and O'Malley's (2006) five steps was used. Four databases, Scopus, Embase, Ebsco, and ScienceDirect were searched for peer-reviewed articles published in English from 2000-2021. Studies were included if they reported on interventions, outcomes or the training received by adult peers to support refugees and asylum seekers during the resettlement process. Of an initial 632 journal articles retrieved, 14 met the inclusion criteria for this review. Most included studies were conducted in Western high-income countries, with the exception of one. Studies were heterogeneous in terms of the nationalities of peers and those receiving peer interventions; the outcomes reported on; the content of interventions, and the methodologies used. Findings suggest that peer interventions seem to be effective in addressing many of the challenges faced by refugees and asylum seekers. Community integration, acculturation and psychological distress are some of the key benefits. When such interventions are co-produced in participatory research involving refugees, asylum seekers and the civil society organisations that support this population, they are naturally culturally responsive and can therefore address issues relative to different ethnic needs during the resettlement process. This is the first scoping review to be conducted in this area and adds to what is a very limited body of research. Refugee, Asylum seeker, resettlement, scoping review

Health conditions of migrants, refugees and asylum seekers on search and rescue vessels on the central Mediterranean Sea, 2016–2019: a retrospective analysis

ObjectivesThis study will contribute to the systematic epidemiological description of morbidities among migrants, refugees and asylum seekers when crossing the Mediterranean Sea.SettingSince 2015, Médecins sans Frontières (MSF) has conducted search and rescue activities on the Mediterranean Sea to save lives, provide medical services, to witness and to speak out.ParticipantsBetween November 2016 and December 2019, MSF rescued 22 966 migrants, refugees and asylum seekers.Primary and secondary outcome measuresWe conducted retrospective data analysis of data collected between January 2016 and December 2019 as part of routine monitoring of the MSF’s healthcare services for migrants, refugees and asylum seekers on two search and rescue vessels.ResultsMSF conducted 12 438 outpatient consultations and 853 sexual and reproductive health consultations (24.9% of female population, 853/3420) and documented 287 consultations for sexual and gender-based violence (SGBV). The most frequently diagnosed health conditions among children aged 5 years or older and adults were skin conditions (30.6%, 5475/17 869), motion sickness (28.6%, 5116/17 869), headache (15.4%, 2 748/17 869) and acute injuries (5.7%, 1013/17 869). Of acute injuries, 44.7% were non-violence-related injuries (453/1013), 30.1% were fuel burns (297/1013) and 25.4% were violence-related injuries (257/1013).ConclusionThe limited testing and diagnostics capacity of the outpatient department, space limitations, stigma and the generally short length of stay of migrants, refugees and asylum seekers on the ships have likely led to an underestimation of morbidities, including mental health conditions and SGBV. The main diagnoses on board were directly related to journey on land and sea and stay in Libya. We conclude that this population may be relatively young and healthy but displays significant journey-related illnesses and includes migrants, refugees and asylum seekers who have suffered significant violence during their transit and need urgent access to essential services and protection in a place of safety on land.

A LITERATURE REVIEW OF REFUGEES IN MALAYSIA AND THE LEGISLATIONS GOVERNING THE REFUGEES IN MALAYSIA.

The arrival of refugees and asylum seekers to Malaysia from several countries to get protection from persecution had urged Malaysia to provide a proper protection to these people as our government had decided to let the refugees stay in Malaysia on humanitarian basis. This study focuses on the history of refugees and asylum seekers arrival to Malaysia and the development of legislation that governs them. The study uses qualitative method, where it is done through reading materials from library such as books, journals, articles and newspapers. It mainly were designed based on historical type of qualitative research design. The purpose of this study is to find out problems of refugees in Malaysia and the need to design a proper and solid legislation for them so that they, while staying in Malaysia are humanely treated and not violated in any way, shape or form. This paper provides an extensive literature review on refugees and asylum seekers’ all around the world. The findings indicate that there is a lot of issues and problems regarding refugees which don’t only affects them individually but also indirectly affects Malaysian economy and increases domestic violence in Malaysia. The significant role or the involvement of UNHCR agencies and the reports from their experts were taken into account for a more thorough analysis on refugee status and problems in Malaysia. Finally, the study concludes with a discussion on the need to first identify the legal status of refugees in Malaysia and the urgency to design a solid legal framework to the refugees located in Malaysia before they are either integrated, repatriated or resettled to the third country as stated in the long term solution for refugees.

Queering deportability: The racial and gendered politics of lesbian anti-deportation activism

This article explores how deportability structures the experiences of lesbian refugees and asylum seekers in the United Kingdom. The first part of the article considers the racial and gendered processes through which the UK asylum system transforms lesbian migrants into detainable and deportable subjects. Part two then examines lesbian migrant protests that are emerging to contest the United Kingdom’s participation in the global deportation regime. The final part of the article discusses how deportation has become absorbed into the cycle of lesbian migration and asylum. The article concludes by calling for a feminist, queer, and anti-racist understanding of the processes through which lesbian migrant deportability is produced and experienced in 21st century Britain.

A Scoping Review of the Experiences of Violence and Abuse Among Sexual and Gender Minority Migrants Across the Migration Trajectory

Violence against sexual and gender minority (SGM) individuals has continued to proliferate globally. Yet, less is known about victimization among subgroups of SGM individuals, especially SGM immigrants, refugees, and asylum seekers. There has been a steady increase in this vulnerable group of migrants over the years, and emerging evidence has pointed to their heightened risk of victimization. We conducted a scoping review of the peer-reviewed literature that examined violence, abuse, and mental health among SGM individuals who migrate internationally. One hundred ninety-nine articles were identified by searching five scholarly databases and hand searching. Twenty-six articles met inclusion criteria. We first used the migration framework, which outlines the distinct phases of the migration trajectory (predeparture, travel, interception, destination, and return), to categorize findings and then identified four overarching themes to capture SGM migrants’ experiences at each phase: severe and prolonged violence and abuse related to sexual orientation or gender identity (predeparture); continued victimization and high-risk for sexual violence (travel); detainment- and deportation-related violence and abuse (interception and return); and new manifestations of violence and abuse while living with past trauma (destination). Violence and abuse began in childhood and continued in the host country, where they faced discrimination while managing posttraumatic stress disorder and depression. Findings indicate that SGM migrants are extremely vulnerable to victimization. There is an immediate need for policies to protect SGM individuals worldwide and for affirmative, culturally informed practices to help SGM migrants manage trauma and the structural barriers impeding recovery.

Defiance and Compliance: Australia and the United Nations Convention Relating to the Status of Refugees

<p>An analysis of Australia’s level of compliance with the United Nations Convention Relating to the Status of Refugees (the Convention) according to theories of compliance, suggests that no single compliance theory can adequately explain both instances of violation and instances of compliance. Much of Australia’s violation of the Convention, and subsequently other international human rights treaties, stems from more recent legislative changes though Australia’s offshore processing initiatives. Collectively theories of compliance are useful for identifying the driving factors which govern Australia’s handling of international obligations under the Convention. Liberal compliance theory indicates civil society and non-state actors are the most influential drivers ensuring the state is held accountable for upholding its obligations and responsibilities. Constructivist compliance theory suggests the greatest pull towards non-compliance is Australia’s notion of national identity which has influenced discriminatory policies throughout its history. National identity remains an influential driver as evidenced by current politicisation of discussion surrounding refugees and asylum seekers in Australia and subsequent legislative agendas.</p>

Defiance and Compliance: Australia and the United Nations Convention Relating to the Status of Refugees

<p>An analysis of Australia’s level of compliance with the United Nations Convention Relating to the Status of Refugees (the Convention) according to theories of compliance, suggests that no single compliance theory can adequately explain both instances of violation and instances of compliance. Much of Australia’s violation of the Convention, and subsequently other international human rights treaties, stems from more recent legislative changes though Australia’s offshore processing initiatives. Collectively theories of compliance are useful for identifying the driving factors which govern Australia’s handling of international obligations under the Convention. Liberal compliance theory indicates civil society and non-state actors are the most influential drivers ensuring the state is held accountable for upholding its obligations and responsibilities. Constructivist compliance theory suggests the greatest pull towards non-compliance is Australia’s notion of national identity which has influenced discriminatory policies throughout its history. National identity remains an influential driver as evidenced by current politicisation of discussion surrounding refugees and asylum seekers in Australia and subsequent legislative agendas.</p>