Integrated screening of migrants for multiple infectious diseases: Qualitative study of a city-wide programme

Eborall, Helen; Wobi, Fatimah; Ellis, Kate; Willars, Janet; Abubakar, Ibrahim; Griffiths, Chris; Pareek, Manish

doi:10.1016/j.eclinm.2020.100315

Cited by 21 publications

(31 citation statements)

References 22 publications

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“…To decrease these inequalities, the promotion of cultural competence in healthcare organizations has been a political objective for several nations. 12 Growing diversity makes opportunities and challenges for healthcare experts, healthcare services and health policies to develop and carry out culturally competent care. 13 Evidence revealed that the presence of cultural difference was found as a factor that negatively affects the nursing intervention.…”

Section: Introductionmentioning

confidence: 99%

Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Berie¹,

Salih²,

Abate³

2021

NRR

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Background: Cultural competence comprises understanding the values, beliefs, traditions, and customs of diverse groups. Nurses working with a culturally diverse population are fronting challenges principally due to the coexistence of multicultural and multiethnic societies. Objective: To assess cultural competency nursing care and its associated factors among nurses working in Amhara Regional State Referral Hospitals, Ethiopia, 2021. Methods: Institution-based mixed method study design was conducted at selected referral hospitals in Amhara Regional state Ethiopia from April 1 to May 30, 2021. A simple random sampling technique was used to select 543 participants for quantitative and purposive sampling for qualitative study. Data were collected using a self-administered Nurse Cultural Competence Scale Questionnaire, and semi-structured questions for in-depth interviews. Data were entered into Epi data version 4.6 and exported to SPSS version 25 analysis. Descriptive statistics independent t-test and one-way analysis of variance with multiple linear regression analysis were used for data analysis. Qualitative data were analyzed using thematic analysis using open code software. Results: A total of 543 participants were involved in this study making a response rate of 95.02% and seven participants for qualitative until data saturation was involved. More than half (54.5%) were female. The overall cultural competence nursing care of mean score was 3.39 (0.61) out of a total possible score ranging from 1 to 5 which indicates a moderate level of cultural competency. The language barriers, lack of organizational support, cultural difference, and health care provider-related factors were the main identified themes in qualitative results. Conclusion and Recommendation:The overall cultural competence was at a moderate level, among four subscales cultural sensitivity was the highest. The language barrier and lack of training were the major barriers to culturally competent nursing care.

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Section: Introductionmentioning

confidence: 99%

Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Berie¹,

Salih²,

Abate³

2021

NRR

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“…We included seven studies in the qualitative analysis: six of them had a qualitative design and one was a mixed-method study which included qualitative data from focus groups. Three studies interviewed service users, 25 , 36 , 37 and two interviewed service providers. 38 , 39 One study interviewed migrant health community leads representing a dominant migrant group, 40 while the final one interviewed key stakeholders with an interest or experience in migrant health.…”

Section: Resultsmentioning

confidence: 99%

“…Screening for infectious diseases in migrant populations has been generally well received in acceptability studies. 36 , 37 …”

Section: Resultsmentioning

confidence: 99%

Screening for neglected tropical diseases and other infections in refugee and asylum-seeker populations in the United Kingdom

Cinardo

Farrant

Gunn

et al. 2022

Therapeutic Advances in Infection

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Asylum-seekers and refugees have an increased burden of infections compared with the general population. This has been widely recognised by countries welcoming those fleeing conflict and persecution; however, there are no screening standardised guidelines and regulatory processes. Identification of certain neglected tropical diseases (NTDs) and other infections is important for the health and well-being of the individual in addition to public health and biosecurity. In the United Kingdom, screening for infections at port of entry or after arrival is not mandatory. Those on refugee resettlement programmes will have infection screening as part of their pre-entry health assessment, but no such system exists for those claiming asylum in the United Kingdom. In this article, we have reviewed published, peer-reviewed articles looking at the approaches to screening for NTDs and infectious diseases in the United Kingdom. In addition to this, we have reviewed the literature looking at the acceptability, barriers and facilitators of these screening practices. We found that there is a heterogeneous approach to screening practices in the United Kingdom and a paucity of data to support a single ‘best practice’ approach. Based on our findings, we have made recommendations and consideration for NTD screening strategies and highlighted important areas for future research.

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“…In MdM’s healthcare centers, people can consult physicians, nurses, and social workers freely and without appointment. More than nine out of 10 attenders to these centers are migrants without health insurance coverage at the first consultation [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…In France, fee exemption statuses are available to help those on a low-income, including precarious migrants, attend usual general practice. They can also receive free dedicated medical and social assistance in the hospital setting [6]. In addition, several humanitarian organizations, such as the NGO Médecins du Monde (MdM), provide primary care to this population.…”

Section: Introductionmentioning

confidence: 99%

Health Profile of Precarious Migrants Attending the Médecins Du Monde’s Health and Social Care Centres in France: a Cross-Sectional Study

Halley¹,

Giai²,

Chappuis³

et al. 2021

Int J Public Health

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Objective: The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO) with those of patients attending general practice in France.Methods: We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex.Results: Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.31 vs. 2.16), and these corresponded less frequently to chronic conditions (21.3% vs. 46.8%). The overrepresented health problems among CASO consultations were mainly headache (1.11% vs. 0.45%), viral hepatitis (1.05% vs. 0.20%), type 1 diabetes (1.01% vs. 0.50%) and teeth/gum disease (1.01% vs. 0.23%). Their underrepresented health problems were mainly lipid disorder (0.39% vs. 8.20%), depressive disorder (1.36% vs. 5.28%) and hypothyroidism (0.50% vs. 3.08%). Prevention issues were nominal in precarious migrants (0.16%).Conclusion: Both chronic somatic and mental conditions of precarious migrants are presumably underdiagnosed. Their screening should be improved in primary care.

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Integrated screening of migrants for multiple infectious diseases: Qualitative study of a city-wide programme

Cited by 21 publications

References 22 publications

Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Screening for neglected tropical diseases and other infections in refugee and asylum-seeker populations in the United Kingdom

Health Profile of Precarious Migrants Attending the Médecins Du Monde’s Health and Social Care Centres in France: a Cross-Sectional Study

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