Refugees In Europe Research Articles

Dental caries among refugees in Europe: A systematic Literature Review

Abstract Background Oral health is one of the most neglected aspects of refugee health. Conflict, violence, loss and unfamiliarity faced by refugees and the reliance on the host country make it difficult to achieve good oral health. The aim of the study was to systematically review the evidence on the prevalence of dental caries among refugees and to evaluate the provided dental care services in the European region. Methods Following the PRISMA guidelines, we searched PubMed, Cochrane, WHOLIS, Web of Science, Medline Ovid, and Google Scholar identifying studies on dental caries among refugees in Europe focusing on articles published after 2015 till September 2019. The words caries, decay, DMF, and dental health, refugee and asylum seeker were used. Results We obtained 3004 records and included 11 studies in the analysis. The 6 studies primarily focusing on oral health showed a prevalence of caries between 55.8% and 100%, while it ranged from 3% to 65% in the remaining 5 studies investigating the general health of refugees. Caries prevalence was proportional to age and inversely associated with education, whereas gender and country of origin showed no significant association. Oral health is nowhere part of the general health assessment done on arrival and is mainly complain based. Treatment is available at an emergency basis and in equivalence as that of local populations only after the acceptance of refugee status. Lack of orientation, primary focus on resettlement, lack of uniformity, language, cultural and economic barriers emerged as explanatory models for the limited access to oral health care. Conclusions Our study identified a high prevalence of caries and limited access to dental health services as the main challenges. The necessity of oral health check-ups will help to shift from curative to preventive oral health care. Further research is urgently needed to better understand the dental health needs of refugees in Europe. Key messages Necessity of oral health check-up irrespective of need will help make shift from curative to preventive oral health care. Further research is urgently needed to better understand dental health needs of refugees in Europe.

Guiding the development of community-based services for vulnerable migrants and refugees in Europe

Abstract The Mig-HealthCare roadmap & toolbox emphasize an approach that can be implemented at a local community level by local health professionals. The roadmap and toolbox were the main outcome of the project which combines evidence from original research and other information to present concrete steps in the provision of care to migrants and refugees at a community level. The vision of Mig-HealthCare for this roadmap & toolbox is to (1) Help the health professionals working primarily at the community health care level to familiarize themselves with the key areas of importance in refugee/migrant health (2) Provide health professionals with a valuable set of best practices and handy tools to facilitate their work and to increase their efficiency in delivering appropriate care to migrants/refugees (3) Create a network of professionals experienced in refugee/migrant health who through using this roadmap & toolbox will improve their related knowledge and experience. The roadmap & toolbox is a user-friendly online application which focuses on the key steps for optimal health care delivery to migrants & refugees. It comprises: (1) The necessary actions a health professional needs to engage in during delivery of care to migrants & refugees namely issues related to continuity of information and language, culture & communication issues (2) Health issues of particular importance for migrants & refugees that will pose challenges to health care services especially at the community level including Mental Health, Vaccinations, Maternal/ child health, Health promotion, Oral Health/ Dental Care, Non-Communicable Diseases (NCDs) & chronic conditions (3) an algorithm. Both the roadmap and the toolbox are connected to a toolbox comprising tools in various languages for health professionals or migrants/refugees.

12.M. Workshop: Health and integration of young refugees in Nordic Welfare countries – an equity perspective

Abstract Objectives The workshop is based on results from the Nordic project CAGE (Coming of Age in Exile) and aims at creating a better understanding of how health, education and employment jointly play a role in the process of integration among young refugees. Results on patterns and trends regarding education, employment and health across the Nordic countries based on the unique Nordic register data will be presented along with analyses of Nordic health reception policies as well as qualitative studies on educational and labour market policies and practices related to young refugees in Norway and Finland. The Nordic countries are sharing quite similar general welfare schemes and other cultural and historical roots, but at the same time displaying different integration policies. By comparisons of some of the differences between otherwise similar countries we can identify possible effects of policy decisions and disentangle some of the complex processes forming the health and welfare trajectories of the young refugees that have arrived during recent decades. Nordic CAGE researchers have collaborated since 2015 in studies on similarities and differences between national health and welfare policies with a focus on their significance for refugee health and integration; these results have served as a framework for generating hypotheses and interpreting findings from studies on the different trajectories of the young refugees. Results from time and cohort analyses of comparable register data from each country have been further explained through the policy studies as well as the qualitative studies focusing on the experiences and perceptions of key actors involved in the integration processes. The workshop will include 5 short presentations (45 minutes in total) - the first introducing and motivating the focus on the interactive dynamics of health, education and employment followed by 4 presentations based on new evidence from the CAGE project. The participants will be invited to discuss the learnings from the Nordic results in an international perspective and their implications for integration policies for different groups of refugees in Europe (15 minutes). Presentations: Integration of refugees: the interactive dynamics of health, education and employment - a Nordic project, by Signe S Jervelund, 9 min.Educational trends, patterns of employment and selected health indicators among young refugees: results from a Nordic comparative analysis based on register data, by Andrea Dunlavy, 10 min.A healthy start: A comparative analysis of health reception policies for asylum-seeking and refugee children in the Nordic countries, by Camilla Michaëlis, 8 min.Young refugees' pathways in(to) education - Teacher and student voices: challenges, opportunities and dilemmas, by Ketil Eide and Hans A. Hauge, 9 min.Two-way labour market integration? Perspectives on youth with a refugee background and employers in Finland, by Eveliina Lyytinen, 9 min. Key messages Welfare policies related to refugees need to take into account the interrelations between inclusive health care, successful education and entrance into the labour markets. Multidisciplinary, international comparative studies can provide important new evidence on the role of different migration policies for the health and social trajectories of young refugees.

32.M. Workshop: Mig-HealthCare project: Reducing health inequalities of vulnerable migrants in Europe

Abstract This MigHealthCare Workshop will be a forum to present and discuss the project's final results with a wide range of health and social care professionals working on the field of migrant/refugee health. The Mig-HealthCare project is a collaboration of 14 partners, among them universities, national authorities and NGOs from 10 countries across Europe (Greece, France, Malta, Germany, Austria, Italy, Cyprus, Spain, Sweden and Bulgaria). The major aim of the project is to reduce health inequalities and improve the integration of vulnerable migrants and refugees into local communities in Europe. The project is co-funded by the III Health Programme of the European Commission from 2017-2020. The Mig-HealthCare project addresses the need for structural changes in the health systems to respond to the unmet needs of vulnerable migrants and refugees in Europe and promotes community-based care. Community-based health care has proven to be effective in reducing health inequalities in health, as well as improving accessibility to appropriate care. For this purpose, the consortium has produced an evidence-based Roadmap and Toolbox to reorient health care services to a community level which is a user-friendly online application focusing on the key steps for optimal health care delivery to migrants and refugees. In this regard and as part of these operative tools, within the Mig-HealthCare project, effective community-based care interventions focused on health promotion or prevention were designed and piloted in 8 different contexts and countries. As main results of the MigHealthCare project, the Roadmap and Toolbox comprise both the necessary factors that health policy and practice need to deliver culturally competent care as well as the particular health issues especially faced by migrants and refugees in order to better prepare public health response. Key messages Community-based care for vulnerable migrants and refugees has proven to be effective in reducing health inequalities. Evidence on the drivers of the success or failure of health promotion strategies for migrants and refugees should be considered when planning interventions.

Child Refugees in Europe

This paper provides an overview of the literature on the current refugee crisis in Europe, which primarily focuses on the situation of refugees that are children. Due to its magnitude, the world is currently facing one of the biggest humanitarian crises it has ever witnessed. Millions of people and young children have fled their home countries and became refugees The horror of wars and conflicts has affected all of the refugees while undoubtedly, it has had a more profound and significant impact on the children refugees. The rights of these refugee children are paramount, and one of these rights is that they are provided with safety and resources that will help them cope with the crisis while also ensuring they are provided a chance to a brighter future. The United Nations Declaration of Human Rights. The European Union and the whole world have a direct responsibility to provide basic necessities such as food, shelter, education, health which can help and alleviate the mental and emotional suffering which the refugee children face. My research will focus on three important aspects of the child refugees crisis in Europe The general conditions of the children refugees, the conditions of camps especially in Italy, Greece, and Spain, and how the crisis has affected their daily lives and mental health. In the end, my conclusion will focus on the question of, what are the policies which Europe has to change which are designed to help and lead the refugee children which to a better futureThe aim of this paper to have a better understanding of children refugees in Europe and to raise global awareness about their conditions and the humanitarian crisis at hand. My research will consist of information from academic articles, published books, various websites, data from previous studies, and resources.

The Future of Child Refugees in Europe

Krisis pengungsi yang terjadi di Eropa telah menarik perhatian dunia internasional. Di antara berbagai pengungsi dengan latar belakang yang berbeda-beda, banyak anak terpaksa meninggalkan negaranya dan menempuh jalan yang berbahaya agar sampai di tanah Eropa. Bahkan, banyak dari antara mereka tidak pernah sampai di tempat tujuannya atau kehilangan anggota keluarganya. Berdasarkan pentingnya jaminan keamanan dan keselamatan para pengungsi anak-anak tersebut, karya tulis ini akan fokus pada pemetaan kebutuhan mereka. Argumen utama pada karya tulis ini adalah kondisi pemenuhan kebutuhan para pengungsi anak-anak tidak merata, sehingga diperlukan adanya tindakan terkoordinasi antara para pemangku kepentingan untuk menjamin keselamatan para pengungsi anak-anak ini. Selain itu, pentingnya aspek pendidikan juga akan dibahas untuk menekankan pentingnya perencanaan masa depan mereka. Karya tulis ini akan menggunakan teori keamanan manusia untuk menjelaskan hak para pengungsi anak-anak untuk mendapatkan pemenuhan kebutuhan mereka. Pemenuhan kebutuhan pengungsi anakanak perlu dipertimbangkan secara menyeluruh dan dikoordinasikan dengan baik.

Complementary Pathways to Protection: Promoting the Integration and Inclusion of Refugees in Europe?

Traditional solutions for refugee protection and integration—repatriation, local integration, and resettlement—have become difficult, and countries in Europe are exploring other means of providing protection through what are known as complementary pathways. Complementary pathways are relatively small in scope and cover a range of programs and refugee populations. Broadly speaking, they include humanitarian admission programs, community or private sponsorship, some labor mobility and student scholarship programs, (extended) family admissions, and humanitarian visas that allow legal arrival for asylum seekers. I trace the development of these pathways and how they have emerged in different countries; I also consider key questions that they raise about refugee integration and the future of refugee protection.

Geopoliticizing Geographies of Care: Scales of Responsibility Towards Sea-borne Migrants and Refugees in the Mediterranean

ABSTRACT Each year thousands of people seeking better lives in Europe make the treacherous journey across the Mediterranean. Many of those struggling or stranded at sea are rescued by ‘boat people’ comprising NGOs, humanitarian organizations, coast guards and merchant vessels. Under maritime law there is a duty of care towards anyone that experiences difficulty at sea. There is, too, a duty of care by States who under the same law are required to assist ships and allow the disembarkation of those in danger. Yet this practice has important legal, ethical and practical implications and has been challenged by right-leaning political regimes who, making good on election promises to ease immigration, have prohibited such vessels to dock at their ports. This paper, using a case study approach of the humanitarian vessel the Aquarius, considers the ways in which the geographies of care intersect and collide with the geopolitical framing of migrants and refugees. In doing so the paper makes two important contributions. First, it extends conceptualizations of care geographies which are more typically applied to the spatial outworking of health and wellbeing to European migration. It thinks about how care is administered, contested and politicized. The complex concept of care offers a rich lens through which to critique the framing of seaborne migrants and refugees in Europe. Through giving or circumventing legal responsibilities to provide care, seaborne migrants are either humanized or dehumanized. Second, through unpacking the legislative and ethical frameworks shaping search and rescue (SAR) activities in the Mediterranean, we can observe a distinct ‘geopoliticizing of care and responsibility’ whereby these individuals become pawns in wider power dynamics within the European Union.

Self-harming behaviours of asylum seekers and refugees in Europe: A systematic review.

The increasing number of asylum seekers and refugees in Europe calls for even more professionals to take care of refugees' mental health. Although different studies claim that migration could be a potential risk factor for self-harming behaviours, an in-depth exploration of the presence and characteristics of self-harm in the context of asylum is needed. In accordance with PRISMA guidelines, a systematic review was conducted across the databases Scopus, PubMed, Web of Knowledge and PsycArticles, regarding the main features of self-harming behaviour among refugees in Europe. Twelve articles and 3 main trajectories were identified: (1) A context at-risk: self-harm and detention centres; (2) A target at-risk: self-harm and unaccompanied minors; (3) A comparison between the mental health of asylum seekers and natives. Research on this topic in Europe is still underdeveloped and disorganised. Studies have mainly carried out wider quantitative investigations on mental health, usually overlapping self-harm with suicide. Detention centres emerged as the most widely investigated context and the one with the highest risk for self-harming behaviours. Instead, unaccompanied minors emerged as a particularly vulnerable category. Research in this field should be improved, combining quantitative and qualitative methods for a deeper understanding of the meanings of self-harm across cultures.

Women, Peace and Security after Europe's ‘refugee crisis’

AbstractSince its inception in 2000, the Women, Peace and Security (WPS) agenda has conceptualised the conflict-affected woman as a subject worthy of international attention, protection, and inclusion. In the wake of Europe's ‘refugee crisis’, this article examines how the remit of WPS has broadened from women in conflict zones to refugees in Europe's borderlands. A minority of European states now attend, in their WPS policy, to these conflict-affected women on the move. This inclusion productively challenges established notions of where conflict-affectedness is located. It exposes Europe as not always peaceful and safe for women, especially refugees who flee war. Conversely, the dominant tendency to exclude refugees from European WPS policy is built on a fantasy of Europe as peaceful and secure for women, which legitimises the fortressing of Europe and obscures European states’ complicity in fuelling insecurity at their borders, cultivating an ethos of coloniality around the WPS agenda. The inclusion of refugees is no panacea to these problems. If focused solely on protection, it repositions European states as protective heroes and conflict-affected women as helpless victims. The WPS framework nonetheless emphasises conflict-affected women's participation in decision-making and conflict prevention, opening space for recognising the refugee women as political actors.

Comprehensive infectious disease screening in a cohort of unaccompanied refugee minors in Germany from 2016 to 2017: A cross-sectional study.

Information regarding the prevalence of infectious diseases (IDs) in child and adolescent refugees in Europe is scarce. Here, we evaluate a standardized ID screening protocol in a cohort of unaccompanied refugee minors (URMs) in a municipal region of southwest Germany. From January 2016 to December 2017, we employed a structured questionnaire to screen a cohort of 890 URMs. Collecting sociodemographic information and medical history, we also performed a standardized diagnostics panel, including complete blood count, urine status, microbial stool testing, tuberculosis (TB) screening, and serologies for hepatitis B virus (HBV) and human immunodeficiency virus (HIV). The mean age was 16.2 years; 94.0% were male, and 93.6% originated from an African country. The most common health complaints were dental problems (66.0%). The single most frequent ID was scabies (14.2%). Of the 776 URMs originating from high-prevalence countries, 7.7% and 0.4% tested positive for HBV and HIV, respectively. Nineteen pathogens were detected in a total of 119 stool samples (16.0% positivity), with intestinal schistosomiasis being the most frequent pathogen (6.7%). Blood eosinophilia proved to be a nonspecific criterion for the detection of parasitic infections. Active pulmonary TB was identified in 1.7% of URMs screened. Of note, clinical warning symptoms (fever, cough >2 weeks, and weight loss) were insensitive parameters for the identification of patients with active TB. Study limitations include the possibility of an incomplete eosinophilia workup (as no parasite serologies or malaria diagnostics were performed), as well as the inherent selection bias in our cohort because refugee populations differ across Europe. Our study found that standardized ID screening in a URM cohort was practicable and helped collection of relevant patient data in a thorough and time-effective manner. However, screening practices need to be ameliorated, especially in relation to testing for parasitic infections. Most importantly, we found that only a minority of infections were able to be detected clinically. This underscores the importance of active surveillance of IDs among refugees.

European solidarity as boundary-making: A conjoint analysis of attitudes towards Islam in the context of the ‘refugee crisis’

The arrival of refugees from predominantly Muslim countries in the core of Europe has fuelled discussions on European solidarity. This article explores the sources of solidarity in Europe in the aftermath of the ‘refugee crisis’ of 2015. By focusing on migrants’ attitudes towards refugees, the article considers solidarity in light of contradictory public discourses on refugees in Europe. Drawing on data from a survey among Polish migrants residing in Germany and applying a conjoint analysis, the article demonstrates that religion and gender are the main criteria for boundary-making between the respondents and the refugees. In this process, national and ethnic identities are subordinated to the idea of belonging to an imagined Christian community. Our results suggest that new exclusionary solidarities shaped by boundary-making between Christians and Muslim refugees are being established within Europe. As a result, Islamophobia emerges as a transnational European exclusionary project evading ethnic and national boundaries.

Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocol

ABSTRACT Background: Syrian refugees face multiple hardships and adversities which put them at risk for the development of mental health problems. However, access to adequate mental health care in host countries is limited. The WHO has developed Problem Management Plus (PM+), a brief, scalable psychological intervention, delivered by non-specialist helpers, that addresses common mental disorders in people affected by adversity. This study is part of the STRENGTHS project, that aims to evaluate peer-refugee delivered psychological interventions for Syrian refugees in Europe and the Middle East. Objective: To evaluate the effectiveness and cost-effectiveness of the peer-refugee delivered PM+ intervention among Syrian refugees with elevated levels of psychological distress in the Netherlands. Methods: PM+ will be tested in a randomized controlled trial (RCT) among Arabic-speaking Syrian refugees in the Netherlands aged 18 years and above with self-reported psychological distress (Kessler Psychological Distress Scale; K10 >15) and impaired daily functioning (WHO Disability Assessment Schedule; WHODAS 2.0 >16). Participants (N = 380) will be randomized into care as usual with PM+ (CAU/PM+, n = 190) or CAU only (CAU, n = 190). Baseline, 1-week post-intervention, and 3-month and 12-month follow-up assessments will be conducted. Primary outcomes are symptoms of depression and anxiety. Secondary outcomes are functional impairment, posttraumatic stress disorder symptoms, self-identified problems, anger, health and productivity costs, and hair cortisol concentrations. A process evaluation will be carried out to evaluate treatment dose, protocol fidelity and stakeholder views on barriers and facilitators to implementing PM+. Results and Conclusions: PM+ has proved effectiveness in other populations and settings. After positive evaluation, the adapted manual and training materials for individual PM+ will be made available through the WHO to encourage further replication and scaling up. Trial registration: Trial registration Dutch Trial Registry, NL7552, registered prospectively on March 1, 2019. Medical Ethics Review Committee VU Medical Center Protocol ID 2017.320, 7 September 2017.

Refugees as new Europeans, and the fragile line between crisis and solidarity

This piece draws on recent research focused on the humanitarian politics of the refugee ‘crisis’ and its relationship with European futures. Our aim is three-fold: first, we contextualise the rise of right-wing populism and the politicisation of refugees in Europe. Second, we reflect on how state austerities place precarious refugees alongside marginalised European citizens, with under-explored consequences and tensions. Third, we point to the hopeful practices around the ‘experimental humanitarianism’ that we encountered across the four capital cities in which we conducted research. The paper highlights the limitations of state-centric provisioning and the potential pathways that existing experiments of solidarity can build on the margins of European cities. These are often unseen or off-grid nodes of hope set against a backdrop of generalised European political malaise.

Численность русской эмиграции в Берлине 1920-х гг. по германским источникам

The article analyzes in detail the issue of the number of Russian emigrants in Berlin of the 1920s. The existing data of the historiography is contradictory, incomplete, and based on imperfect sources: emigrant press and journalism, fragmentary reports of international and charitable organizations that didn’t have a centralized systems of tracking refugees in Europe. The interest of emigration and the role of Germany and Berlin as a transit zone in European travels led to exaggerated estimates of the number of emigrants of the “first wave.” The number of the Russians in Germany in 1923 was proclaimed around 600,000; 360,000 in Berlin. These huge estimates were transferred to historiography and still appear in the works of researchers. This prevents a realistic assessment of the scale of the “Exodus” from Russia after 1917 and of the size of the emigrant “colonies” in Europe. The article attempts to revise the number of emigrants in Germany and especially in “Russian Berlin” of the 1920s. Having studied the materials of the emigrant press (the newspaper Rul’) and the Berlin archives (Geheimes Staatsarchiv Preu?ischer Kulturbesitz; Bundesarchiv Berlin-Lichterfelde), the author comes to a conclusion that the number of emigrants in Germany and in Berlin was significantly exaggerated by the contemporaries. However, the size of the “colony” in Berlin can be revised using estimates of the Berlin police officials involved in the supervision of foreigners. Official correspondence and public interviews of the police officers show that they never assumed that there were more than 100,000 Russians living in the German capital in 1920-24 (this highest estimate was made in March 1924). As the police was engaged in registration of foreigners, its employees were best informed on the scales of migration flow, thus, their data is most credible.

Crisis of Values and Dehumanization: A Current Reflection from the Holocaust

This educational proposal emerges from the need of approaching a current and significant social phenomenon: the massive arrival of refugees in Europe. For this purpose, the origin of this study goes back to the pursuit and annihilation of the Jews by the German state and their partners during the second third of the last century. From that perspective, a lot of social contents can be developed so that it helps to the understanding, analysis and reflection of today’s historical and social reality. The target of this project focuses on making the students aware of the German national-socialism so they can ponder the current crisis of values of the European democracies as well as the dehumanization that thousands of people who run away from their origin countries are suffering today. Approaching an issue like this is significant due to the racist and discriminatory attitudes that have been emerging in the past few years, aggravated by ultra-political parties in national parliaments and European institutions. These behaviours are challenging the tolerance and respect values that should be characteristic in a democratic society. In such a situation, educating in and to the citizenship becomes something vitally important

ВИМУШЕНО ПЕРЕМІЩЕНІ ОСОБИ ТА ЄВРОПА: РЕТРОСПЕКТИВНИЙ ПОГЛЯД НА ПРОБЛЕМУ (1914 – 2015)

The proposed article summarizes the vision of the problem of displaced persons and refugees on the European continent in last century. Their appearance was caused by military conflicts of different origins: from two world wars to a series of local armed confrontations. The historiographical story mainly presents the key works of Western European researchers, directly relevant to the topic outlined in the article, the leading researchers of the study of refugee issues. The study presents the original concept of the author – the periodization of the appearance and stay of refugees in Europe. The author assumes that during the XX – XXI centuries. there were nine waves of escape. Their appearance – military conflicts of different nature. There are two peaks of refuge, caused by the classic cause – the world wars with the epicenter on the European continent. Among the waves she named: the first – during the First World War (1914 – 1918); the second – the inter-war upheavals (1919 – 1939); third – the Second World War and the first years after its end (1939 – 1956); the fourth – refugees from Hungary (1956) and the Czechoslovak Socialist Republic (1968); fifth – decolonization processes in the African continent (1960s); sixth – the breakup of Yugoslavia (1992-1997); the seventh – the collapse of the USSR (the beginning of the 1990s); eighth – Ukraine and the hybrid war (from 2014); ninth – the ‘European migration crisis’ (2015). The realities of the continent are still complex: the Russian Federation’s unleashed hybrid war against a sovereign state of Ukraine has provoked another wave of displaced persons. Within a year, the European Union’s authorities faced a new challenge – the “migration crisis”. A historical retrospective of the phenomenon shows that the problem is global and difficult to solve. The author singled out the period of the I World War (1914–1918) because it initiated the first mass appearance of refugees on different sides of the fronts, and therefore caused the first mass displacement of civilians on the continent. All subsequent waves of refugees can be considered as indirect consequences of this military conflict.

Non-communicable Diseases among Refugee Claimants in Greek Refugee Camps: Are Their Health-care Needs Met?

AbstractLittle is known about the prevalence of non-communicable diseases (NCDs) among newly arrived refugees in Europe and whether their medical needs are met. To elucidate the prevalence of NCDs and unmet medical needs in the different migration phases, we used survey data on 267 adult asylum seekers at Greek refugee camps in 2016. Using multiple logistic regression analysis, we estimated determinants for unmet medical needs in Greece. The most prevalent reported NCDs in Greece were: back or neck pain (26.6 per cent) and severe headache (24.7 per cent). The prevalence of most NCDs in the migration phases followed a U- or J-shaped pattern: decreased during migration and increased after migration to Greece; thus, new cases of NCDs after arrival in Greece made up the vast majority of all cases. Accordingly, the refugee claimants were worse off further in the migration process. Unmet medical-care needs were reported by 41.3 per cent with one NCD after arrival in Greece. Compared with young adults, adults aged 51+ years were in increased risk of reporting unmet medical needs in Greece (odds ratio = 7.59; p = 0.015). This knowledge is important for health-care systems in receiving countries to plan for improved access to health-care services for refugees with NCDs.

Je viens d’Alep, itinéraire d’un réfugié ordinaire

Je viens d’Alep, itinéraire d’un réfugié ordinaire

Modelling healthcare access for migrants and refugees in Europe: identifying the major health issues

Abstract The Mig-HealthCare systematically searched to identify the key health areas of refugee/migrant health in order to facilitate interventions that help access to care services for migrants and refugees. The literature review was carried out in March 2018 using 3 large scientific databases using a combination of search terms following the PRISMA methodology and a standard set of items used to report on systematic reviews. Based on the predefined inclusion and exclusion criteria, a total of 118 publications were used for data extraction. It is important to note, that in almost all of the sources identified, the following cross-cutting factors were described as influencing access to healthcare: Continuity of Information, how it relates to policy, how it differs between health services and across-borders. Furthermore, the organizational coordination among social and health care providers in the host country determinates the successful access to healthcare of migrants/refugees.Language & Communication takes into consideration both the healthcare service and its provision of translators and cultural mediators, and the host country language proficiency of the migrant/refugee.Organizational improvement of access and delivery of health care services for migrants and refugees in addition to Cultural Competence of the healthcare providers meaning the ability to maximize their sensitivity in the service of care to culturally diverse groups.Health literacy understood as the motivation and competences of the migrant population to access, understand, appraise, and apply health information. Additionally, the health issues of particular importance for migrants/refugees as emerged from the systematic review, including mental health, maternal/child health, health promotion, NCDs and chronic diseases, Oral/|Dental health, and Vaccinations should be included in planning future needs and healthcare access.