Healthcare Financing Arrangements and Service Provision for Syrian Refugees in Lebanon

Singh, Neha; Dingle, Antonia; Sabra, Alia H.; DeJong, Jocelyn; Pitt, Catherine; Mumtaz, Ghina R.; Sibai, Abla Mehio; Mounier-Jack, Sandra

doi:10.1007/978-3-030-33812-1_4

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…While the research outlined above was conducted in Germany, the issues raised are applicable beyond Germany and the European context. Given the high density of refugees and the complexity of financing arrangements in MENA countries, economic analyses are particularly salient in this setting [ 22 – 24 ]. The protracted nature of conflicts in the Middle East and West Africa, as well as the continued emergence of new conflicts such as the most recent war in the Ukraine, calls for greater scrutiny of the cost-effectiveness of health care delivery in all countries receiving refugees, as well as the values underpinning decisions made not just by national governments but also by donor agencies.…”

Section: Conducting and Disseminating Economic Evaluation Studies For...mentioning

confidence: 99%

Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany

2022

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Comparative health economic evaluation is based on premise of being able to compare the worth of a year of life lived in full quality across different patients, population groups, settings and interventions. Given the rising numbers of forcibly displaced people, the nexus of economics, migration and health has emerged as a central theme in recent conceptual and empirical approaches. However, some of the assumptions made in conventional economic approaches do not hold true in the decision-making context of migration and the health of forcibly displaced populations. Using the experience of conducting and disseminating economic analyses to support decision-making on health screening policies for refugees in Germany, we show that in particular the assumptions of individual utility with no positive externalities, equity-blind utilitarian ethical stances and stable budgets are challenged. The further development of methods to address these challenges are required to support decision-makers in this contentious and politically fraught context and continue to make choices and decisions transparent.

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Section: Conducting and Disseminating Economic Evaluation Studies For...mentioning

confidence: 99%

Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany

2022

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“…The health system in Lebanon has been overburdened by the sheer scale of the influx of refugees, although a number of initiatives between the Ministry of Public Health (MoPH) and its international partners have tried to bolster service provision. Due to the highly privatized nature of the preexisting health system, the needs of refugees have been primarily served through hospitals and clinics funded and operated by the WHO, UNHCR, and various NGOs ( 173 ). Following the start of the Syrian crisis, the Lebanese government worked with UNHCR to initiate a humanitarian response plan ( 174 ), and the MoPH developed a strategy for the health sector ( 175 ).…”

Section: Destination Countriesmentioning

confidence: 99%

Refugee Mental Health, Global Health Policy, and the Syrian Crisis

Cratsley

Brooks

Mackey

2021

Front. Public Health

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The most recent global refugee figures are staggering, with over 82.4 million people forcibly displaced and 26.4 million registered refugees. The ongoing conflict in Syria is a major contributor. After a decade of violence and destabilization, over 13.4 million Syrians have been displaced, including 6.7 million internally displaced persons and 6.7 million refugees registered in other countries. Beyond the immediate political and economic challenges, an essential component of any response to this humanitarian crisis must be health-related, including policies and interventions specific to mental health. This policy and practice review addresses refugee mental health in the context of the Syrian crisis, providing an update and overview of the current situation while exploring new initiatives in mental health research and global health policy that can help strengthen and expand services. Relevant global health policy frameworks are first briefly introduced, followed by a short summary of recent research on refugee mental health. We then provide an update on the current status of research, service provision, and health policy in the leading destinations for Syrians who have been forcibly displaced. This starts within Syria and then turns to Turkey, Lebanon, Jordan, and Germany. Finally, several general recommendations are discussed, including the pressing need for more data at each phase of migration, the expansion of integrated mental health services, and the explicit inclusion and prioritization of refugee mental health in national and global health policy.

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“…Healthcare for Syrians is managed by UNHCR through a private insurance company -a third-party administrator (TPA), which was Medivisa until 2016, when the contract was moved to NEXtCARE (Marsi, 2017;Singh et al, 2020). Generally, care is delivered within supported Health care access for Syrian refugees in Lebanon Primary Health Care Centres (PHCc), which are the first access point for medical attention (UNHCR, 2019).…”

Section: Introductionmentioning

confidence: 99%

‘Most importantly, I hope God keeps illness away from us’: The context and challenges surrounding access to health care for Syrian refugees in Lebanon

Sousa

Akesson

Badawi

2020

Global Public Health

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The influx of 1.5 million Syrians into Lebanon has created an increased demand for health services, which is largely unmet, due to cost, a highly fragmented and privatized system, and crises around legal documentation and refugee status. The aim of this study was to use a constant comparison analysis of qualitative data to explore how Syrian refugees living in Lebanon describe their experiences accessing healthcare (N=351 individuals within 46 families). Pervasive fear, lack of confidence in the medical system, and high costs all hinder access to healthcare for Syrians in Lebanon. Findings demonstrate the need for attention to the costs and accessibility of care, and for stronger coordination of care within a centrally led comprehensive emergency plan. While we attend to understanding and alleviating the barriers surrounding refugee healthcare, we must also address the underlying cause of health crisis: the brutal realities caused by armed conflict.

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Healthcare Financing Arrangements and Service Provision for Syrian Refugees in Lebanon

Cited by 4 publications

References 17 publications

Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany

Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany

Refugee Mental Health, Global Health Policy, and the Syrian Crisis

‘Most importantly, I hope God keeps illness away from us’: The context and challenges surrounding access to health care for Syrian refugees in Lebanon

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