Universal health coverage for refugees and migrants in the twenty-first century

Abubakar, Ibrahim; Zumla, Alimuddin

doi:10.1186/s12916-018-1208-2

Cited by 16 publications

(13 citation statements)

References 17 publications

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“…Inevitably, awareness about helpful mechanisms to access essential healthcare services differed between participants in FGDs. However, it is found that this had minimal impact on efficacy if participant contributions were correctly evaluated to understand what may help individuals to be proactive to improve their health [1,3,30]. The West Midlands, where this analysis was based, is a relatively poor region associated with low cost of living [11].…”

Section: Discussionmentioning

confidence: 99%

Refugee and Immigrant Community Health Champions: a Qualitative Study of Perceived Barriers to Service Access and Utilisation of the National Health Service (NHS) in the West Midlands, UK

Mudyarabikwa

Regmi

Ouillon

et al. 2021

J Immigrant Minority Health

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There has been much discussion recently that better healthcare systems lead to increased service access and utilisation. However, there are still concerns raised among the refugee and immigrant communities about barriers to access and utilisation of primary healthcare services in the UK. This study aimed to explore with refugee and immigrant community health champions (CHCs) their perceptions about such barriers based on feedback in their own discussions with fellow refugees, asylum-seekers and immigrants in the West Midlands, UK. A total of 42 refugees and immigrants were recruited. Qualitative design-focused group discussions were conducted among purposively selected participants. These discussions were conducted between May and September 2019, and data were analysed using thematic analysis. The barriers to service access and utilisation are categorised into four themes: (i) knowledge about health issues that most affected refugees and immigrants; (ii) community indications of factors that obstructed service access; (iii) challenges in identifying local teams involved in service provision; and (iv) accurate knowledge about the different teams and their roles in facilitating access. This study higlighted that the levels of service access and utilisation would depend on the competence and effectiveness of the health system. Urgency and seriousness of individuals’ healthcare needs were the factors that were perceived to strongly influence refugees and immigrants to seek and utilise local services. We identified a number of potential barriers and challenges to service access and utilisation that should be overcome if primary healthcare service is to be planned and delivered effectively, efficiently and equitably in the West Midlands.

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Section: Discussionmentioning

confidence: 99%

Refugee and Immigrant Community Health Champions: a Qualitative Study of Perceived Barriers to Service Access and Utilisation of the National Health Service (NHS) in the West Midlands, UK

Mudyarabikwa

Regmi

Ouillon

et al. 2021

J Immigrant Minority Health

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“…The world is going through an intense migration process; this population requires accessible and culturally appropriate health services. 22 A well-prepared armed forces may offer adequate response to health needs, including PS, acting in a complementary manner to the health sector. 23 The selection process is the basis of the PS, initiating the activities to provide an efficient management of medicines.…”

Section: Discussionmentioning

confidence: 99%

Preparedness of Pharmaceutical Services in Military Organizations: Learning from an Assessment in Brazil

Souza

Miranda

2019

Prehosp. Disaster med.

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Introduction:The participation of armed forces in humanitarian operations and in disaster response is common in many countries. In Brazil, the armed forces have had history in providing health support to victims in emergencies, which also includes the provision of pharmaceutical services (PS).Problem:Even though being essential for the provision of health care in disaster response, the preparedness of PS is not well-addressed in the literature. The use of a comprehensive approach to evaluate preparedness of PS in military institutions may subsidize preparedness measures. The goals of this work were to analyze the preparedness of PS for disaster response and humanitarian aid in military units of a Brazilian armed force institution, and to propose a framework to improve the preparedness of PS in operational medicine.Methods:An investigation of a cross-sectional design was performed. A logic model and indicators to evaluate preparedness of PS were applied. Data were obtained from official documents, interviews with key stakeholders, and observation of good storage practices (GSP).Results:Identified were: lack of specific budget for medicine procurement in case of disaster, absence of emergency stockpile, proper means for medicine transportation, and records of trained health professionals. An emergency plan, a list of selected medicines, adaptable mobile health care units, and a system for mobilization of health professionals were some of the positive aspects recognized. Different aspects for improvement were acknowledged and recommendations to favor the efficiency and the quality of PS in emergencies were proposed.Conclusions:The investigation provided valuable results for the planning and execution of responses to disasters and humanitarian aid. The findings and proposed recommendations may be useful for other military organizations similar to those in Brazil.

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“…It is widely viewed that maintaining adequate health conditions for the refugee is integral for their effective integration in society and the labour market (Campbell et al, 2014). Abubakar and Zumla (2018) showed that population movements inevitably cause adverse effects on health care delivery, increasing the responsibility of national governments and international bodies. Also, the United Nations' (UN) development of the Global Compact for Safe, Orderly and Regular Migration and the Global Compact on Refugees have increased the commitment to ensure high-quality care and curative health need of the refugee population.…”

Section: Introductionmentioning

confidence: 99%

Refugees, Health Management, and Cultural Influence

Alfeir¹

2020

GJHS

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Although the magnitude and increase in refugee’s situation are well recognized, information related to their health management remains limited. Mainly, the influence of culture in refugee health management is lacking. This study, therefore, provides a review of fifty previous researches and explores the barriers which impede the quality care of the refugee population. It discusses the health issues through a case study of the International Institute of Akron in Akron, Ohio. Results show that health management for refugees is primarily affected due to language differences, which impacts patient-physician communication, followed by health beliefs, religious beliefs, and patients’ stereotyping and discrimination.

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Universal health coverage for refugees and migrants in the twenty-first century

Cited by 16 publications

References 17 publications

Refugee and Immigrant Community Health Champions: a Qualitative Study of Perceived Barriers to Service Access and Utilisation of the National Health Service (NHS) in the West Midlands, UK

Refugee and Immigrant Community Health Champions: a Qualitative Study of Perceived Barriers to Service Access and Utilisation of the National Health Service (NHS) in the West Midlands, UK

Preparedness of Pharmaceutical Services in Military Organizations: Learning from an Assessment in Brazil

Refugees, Health Management, and Cultural Influence

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