Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 11.261
Filtrar
6.
Disasters ; 44(1): 44-62, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31231849

RESUMEN

Reconceiving or reframing the humanitarian consequences of displacement in terms of 'dispersed dependencies', a term drawn from the field of mental health, sheds light on the disruptive experience of displacement and on affected individuals' relations with other displaced people, hosts, states and humanitarian actors. Dependency for a person is neither a problem nor abnormal; independence is in effect about having a viable set of dispersed dependencies. This description, when applied in the context of disaster or displacement, challenges some humanitarian attitudes and offers some positive directions for humanitarian actors who seek to engage in assistance that is sustainable, contextual, and focused on human choice and dignity.


Asunto(s)
Desastres , Refugiados/psicología , Sistemas de Socorro/organización & administración , Humanos
7.
Int J Gynaecol Obstet ; 148(1): 14-20, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31596955

RESUMEN

Lebanon invested in the prevention of maternal mortality after the civil war, which left a deficient vital registration system leading to unreliable estimates of maternal mortality ratio (MMR). Starting in 2004, the Ministry of Public Health integrated reproductive health into primary health care and established a national notification system of maternal and neonatal deaths. From 1990 to 2013, Lebanon achieved an annual change in MMR of -7.5%, which was the highest rate of reduction in the region and met the requirements of Millennium Development Goal 5. For the period 2010-2018, data collected through the national notification system indicate an MMR of 14.9, which is below the officially reported MMR of 23. Since the influx of Syrian refugees, Lebanon has experienced a rise in the number of live births with a slightly increasing trend in MMR, especially in regions with the highest concentration of refugees. Causes of maternal mortality in Lebanon align with the three-delays model, pointing to deficiencies in the quality of maternity care. More efforts are needed toward strengthening the national notification system to include cases that occur outside hospitals, identifying near-miss cases, reinforcing the emergency response system, and engaging with all stakeholders to improve quality of care.


Asunto(s)
Mortalidad Materna , Femenino , Humanos , Líbano/epidemiología , Nacimiento Vivo/epidemiología , Embarazo , Refugiados/estadística & datos numéricos
8.
Aust N Z J Public Health ; 43(6): 509, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31799760
10.
Int J Health Policy Manag ; 8(12): 734-736, 2019 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-31779303

RESUMEN

As Fotaki (2019) argues, the current political climate in Europe is threatening principles of humanitarianism, particularly among refugees and asylum seekers. This commentary builds on that argument, with a spotlight on mental health and culturally relevant service design. By addressing some of the barriers faced by refugees and asylum seekers in accessing mental healthcare, we can address inequalities and develop compassionate societies.


Asunto(s)
Refugiados , Altruismo , Diversidad Cultural , Empatía , Europa (Continente) , Humanos , Salud Mental
11.
J Law Med ; 26(4): 742-749, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31682354

RESUMEN

This article updates how Australia's national security concerns have intersected with the regulation of Australian medical practitioners in the area of mandatory, indefinite, administrative offshore detention of asylum-seekers. It outlines relevant recent decisions of the High Court, including dissenting opinions that such detention represents unconstitutional extra-judicial punishment with a primary deterrence aim. It evaluates recent amendments to the Australian Border Force Act 2015 (Cth) as well as exploring recent relevant legislation and administrative, political and judicial decisions made in both Papua New Guinea and the Republic of Nauru. It considers the Medical Evacuation legislation and the Australian Government's attempts to challenge judicial authority to transfer people off Nauru for medical treatment. The article concludes with an analysis of prospects for further Australian asylum seeker and refugee policy and legislative reform more coherent with basic principles of medical ethics and international human rights.


Asunto(s)
Personal de Salud , Refugiados , Transporte de Pacientes/legislación & jurisprudencia , Australia , Humanos , Castigo , Medidas de Seguridad
12.
BMC Public Health ; 19(1): 1485, 2019 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-31703660

RESUMEN

BACKGROUND: Refugees are particularly vulnerable to poor mental health outcomes due to exposure to pre migration trauma and post migration stressors. Research has demonstrated evidence to suggest that the professional help-seeking among refugee groups is low or problematic. This study seeks to examine help-seeking for emotional problems in two large samples of Iraqi and Afghan refugees in Australia. METHODS: This study uses data from two waves of the Building a New Life in Australia, the longitudinal study of Humanitarian migrants. The data was collected face-to-face between 2013 and 2016, among humanitarian migrants. All participants held a permanent protection visa and had arrived in Australia or been granted their visa between period of May to December 2013. The study sample included 1288 participants born in Iraq and Afghanistan (aged 15 and over). In the Wave 3 interview (2015-2016) participants reported on professional help received to deal with emotional problems. RESULTS: Approximately 36 and 37% of the Iraqi and Afghan groups respectively, reported seeking help for emotional problems. Within the Iraqi group, associations between mental health status, namely general psychological distress and PTSD and help-seeking were found but this was not present in the Afghan group, where age seemed to play a role in help-seeking. Frequency of help received was low with approximately 47% of the Iraqi and 57% of the Afghan groups reporting having received help 5 times or less in the last 12 months. CONCLUSIONS: Findings from this study provide clear directions on areas where culturally tailored mental health promotion programs should target in these two refugee communities. Further, the differences in help-seeking behaviour of these communities should be noted by both clinicians and policy makers as efforts to provide culturally responsive mental health services.


Asunto(s)
Trastornos Mentales/psicología , Aceptación de la Atención de Salud/psicología , Refugiados/psicología , Migrantes/psicología , Adolescente , Adulto , Afganistán/etnología , Australia , Bases de Datos Factuales , Femenino , Humanos , Irak/etnología , Estudios Longitudinales , Masculino , Trastornos Mentales/etnología , Persona de Mediana Edad , Aceptación de la Atención de Salud/etnología , Adulto Joven
15.
Rev Prat ; 69(6): 676-678, 2019 Jun.
Artículo en Francés | MEDLINE | ID: mdl-31626433

RESUMEN

Today, people all over the world are on the move. Women and girls account for nearly half of the 244 million migrants. They are sometimes forced to leave their country of origin to flee physical, psychological or sexual violence and gender discrimination. Then the migratory route and the new life in the country of asylum expose them to situations of vulnerability and they are therefore at risk of physical, psychological or sexual abuse. The risk of HIV infection is high. Practitioners in host countries receive these women for various reasons in consultation. Knowing their background allows us to support them and offer them care adapted to their needs and requests. The first step is systematic screening by professionals. Secondly, multidisciplinary care is essential: social actors, psychologists, sexologists, infectiologists, gynaecologists, pain specialists, etc. This requires specific training for professionals confronted with these populations.


Asunto(s)
Violencia Doméstica , Refugiados , Delitos Sexuales , Migrantes , Femenino , Infecciones por VIH , Humanos , Refugiados/psicología , Migrantes/psicología , Violencia
17.
Rev Prat ; 69(5): 567-574, 2019 May.
Artículo en Francés | MEDLINE | ID: mdl-31626470

RESUMEN

Language barrier remains the number one obstacle in accessing health care and rights. Even though seeking for a professional interpreter assistance should be top priority, it is not yet a usual action among the health workers community. Foreign nationals are ruled by special immigration laws, thus facing specific legal challenges. According to health coverage laws (public social security system), every needy person living in France (regardless to his/her nationality or immigration status) should be granted a free of charge public health coverage to deal with health care expenses. Nevertheless, foreign nationals face long and recurring periods of time in which health coverage is over or in stand by (due to their precarious immigration status). It is recommended to anticipate those breakdown periods. Furthermore, an increasing range of medical certificates are demanded by administrations. Doctors dealing with the requests of their patients need to gain new dedicated skills. Asylum process (to qualify for an international protection) and access to a medical residence permit are two very different administrative actions which respectively involve two different kinds of officials and judges. The granting of a medical residence permit is a key concern for any doctor since he is in charge with ensuring his patient's continuity of care. The medical staff of OFII (the French authority in charge with the reception and integration of new incoming migrants and asylum seekers) tightened its assessment practices.


Asunto(s)
Accesibilidad a los Servicios de Salud , Refugiados , Migrantes , Emigración e Inmigración , Femenino , Francia , Humanos , Masculino
18.
Int J Equity Health ; 18(1): 158, 2019 10 16.
Artículo en Inglés | MEDLINE | ID: mdl-31619244

RESUMEN

BACKGROUND: There has been an increasing number of refugee women globally; yet, there is little recent data describing the health profile of refugee women by region of origin in the United States. It is important to monitor the health status of women by region of origin to provide needed targeted interventions. METHODS: We analyzed the Refugee Health Electronic Information System (RHEIS), a population-based dataset that included 14,060 female refugees who entered California between October 3, 2013 and February 15, 2017. We assessed differences in health status by region of origin. RESULTS: Almost one out of three women experienced a traumatic event. Women from Africa and Latin America and the Caribbean experienced higher levels of trauma compared to other regions, including sexual assault, physical, and weapon assault. More than half of women and girls (56.6%) reported experiences of persecution, with Southeast Asians reporting the highest levels. Among women of reproductive age, 7.0% of women were currently pregnant at the time of arrival to the US, 19.0% ever had a spontaneous abortion, and 8.6% reported ever having an abortion. One in three women from Africa reported female genital cutting. Moreover, 80.0% of women reported needing language assistance at the time of their health assessment. CONCLUSIONS: Refugee women and girls experience high levels of trauma and persecution, suggesting the need for trauma-informed care. Those working with refugee women, such as resettlement agencies and health providers, should be equipped with information about antenatal care, nutrition, and pregnancy to newly arrived women. Lastly, differences in health status by region of origin indicate a need for tailored interventions and linguistically appropriate health information.


Asunto(s)
Estado de Salud , Refugiados/estadística & datos numéricos , Salud de la Mujer/estadística & datos numéricos , Adolescente , Adulto , África/etnología , California , Región del Caribe/etnología , Conjuntos de Datos como Asunto , Femenino , Humanos , América Latina/etnología , Embarazo , Adulto Joven
19.
Soins Psychiatr ; 40(324): 12-17, 2019.
Artículo en Francés | MEDLINE | ID: mdl-31623800

RESUMEN

Unaccompanied minors are particularly vulnerable due to their pathway marked with multiple bereavements and constant uprooting. They find themselves confronted with the ordeal of mistrust due to administrative contradictions between the need to protect and immigration control. They are particularly at risk of developing psychiatric pathologies. Care must be multidisciplinary and in continuity with the educational support, taking into account the young person's original culture.


Asunto(s)
Niño Abandonado , Menores , Evaluación de Necesidades , Refugiados , Adolescente , Niño , Humanos
20.
Soins Psychiatr ; 40(324): 18-20, 2019.
Artículo en Francés | MEDLINE | ID: mdl-31623801

RESUMEN

"Care is increasingly absent from the pathway of unaccompanied minors". Legal experts of the French ombudsperson work with professionals supporting unaccompanied minors on different levels. They can also have a watchdog role with legislative authorities and judicial bodies. They note in particular increasing difficulty for these youngsters in accessing appropriate care. Interview with Nathalie Lequeux, legal expert and coordinator at the French children's rights centre.


Asunto(s)
Niño Abandonado , Accesibilidad a los Servicios de Salud/legislación & jurisprudencia , Menores , Refugiados , Adolescente , Niño , Francia , Humanos
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA