1st Edition
Handbook of Refugee Health For Healthcare Professionals and Humanitarians Providing Care to Forced Migrants
This book helps to recognize the rights of refugees and provides a framework to identify and approach health needs, from basic elements like service mapping and initial interventions to more complex elements of ongoing healthcare and support and broader topics such as migration public health, migration policy and health systems. Beyond biomedical frameworks, it draws on socio-ecological models to inform assessments and integrated models of care to improve health and health equity. Set out in three comprehensive sections: public health theory (Part 1), applied public health (Part 2), and clinical approaches (Part 3), this book draws on multiple disciplines and insights from humanitarians, academics, policy experts, and clinicians from diverse contexts, with expertise in forced migration, to create an accessible reference tool to inform healthcare professionals’ interactions with forcibly displaced individuals and populations in all contexts for both high and low resource countries. Apart from providing information across the spectrum of health issues, clinical specialties and global contexts, it discusses associated areas, including human rights and law, public health, medical anthropology and cultural awareness.
Key Features:
- Bridges the gap between existing academic literature on refugee health and guidelines for health management in humanitarian emergencies
- Helps to develop an integrated approach to healthcare provision, allowing healthcare professionals and humanitarians to adapt their specialist knowledge for use in forced migration contexts and with refugees.
- Recognizes the complex and interconnected needs in displacement scenarios and identifies holistic and systems-based approaches.
- Covers public health theory, applied public health and clinical aspects of forced migration.
Table of Contents
PART ONE: PUBLIC HEALTH THEORY
Edited by Sylvia Garry, Rita Issa, Miriam Orcutt, Sarah Walpole, Ibrahim Abubakar
Introduction
Author: Miriam Orcutt
1. The global reality: forced migration and health
Lead editors: Miriam Orcutt and Sarah Walpole
1.1 Introduction to migration and global health
Richard Alderslade and Sara Barragán Montes
1.2 Forced migration and global health governance
Sara Barragán Montes and Richard Alderslade
1.3 Why are people forced to displace and seek refuge?
Ben Mascall
2. International standards, humanitarian principles and forced migration
Lead editors: Miriam Orcutt and Sarah Walpole
2.1 Refugee health policy, international standards and humanitarian principles
Diane Duclos, Michael Knipper, Neha Singh, Karl Blanchet
2.2 The right to health for forced migrants
Liesbeth Schockaert
3. Refugee health needs and response
Lead editors: Sarah Walpole, Miriam Orcutt, Sophie North
3.1 Health needs of refugees and internally displaced persons in camp settings
Lilian Kiapi, Gemma Lyons, Selma Sevkli
3.2 Health cluster coordination mechanism
Muhammad Fawad Khan, Kamal Sunil Olleri
3.3 The needs of migrants in transit
Olaa Mohamed-Ahmed, Samafilan Ainan, Grazia Caleo, Abdulkarim Ekzayez, Osama Elgamal, Najeeb Rahman, Sakib Rokadiya, Afifah Shepherd-Rahman, Osman Dar
3.4 Lived experiences of refugees and accessing services in a host country
Angela Burnett, Jonathan Kazembe
3.5 Cultural competency and cultural adjustment of services
Michael Knipper, Diane Duclos, Bernd Hanewald, Karl Blanchet
PART 2: APPLIED PUBLIC HEALTH
Edited by Rita Issa, Sylvia Garry, Sarah Walpole, Miriam Orcutt, Ibrahim Abubakar
Introduction
Author Gemma Lyon
4. Health needs assessments in the context of forced displacement
Lead editors: Rita Issa and Clare Shortall
Clare Shortall, Carly Ziska, Rafik Bedoui, Sandrine Chapeleau
5. Mainstreaming refugee health
Lead editors: Sarah Walpole, Miriam Orcutt, Sophie North
5.1 Providing healthcare in protracted refugee situations: a health system-strengthening approach
Davide Mosca
5.2 Health policy and advocacy to improve the health of forced migrants
Sara Barragán Montes and Richard Alderslade
5.3 Considerations in the initial healthcare assessment for new arrivals
Hannah Fox, Beth Oxley
5.4 Facilitating access to healthcare
Anna Miller
6. Safeguarding and supporting vulnerable groups
Lead editors: Sylvia Garry and Miriam Orcutt
Introduction
Author Lélia Tawfik
6.1 Protecting and supporting children on the move
Daniela Reale
6.2 Sexual and reproductive health, maternity and newborns
Rita Issa
6.3 Gender-based violence and migration
Federica Zamatto
6.4 Trafficking
Sarah Boutros
6.5 Disability
Sarah Polack, Phillip Sheppard
6.6 Older people
James Smith
6.7 Detention
Umberto Pellecchia, Aurélie Ponthieu
7. The humanitarian practitioner
Lead editor: Rita Issa
7.1 The professional humanitarian practitioner
Rita Issa
7.2 Personal ethics in humanitarian practice
James Smith
7.3 Resilience and mental health
Catherine Cunning
7.4 Ongoing education and maintaining competencies
Tove Eriksonn
7.5 Managing team dynamics and effective communication
Tove Eriksonn, Rita Issa
7.6 Accountability and sustainability
Rita Issa
PART 3: CLINICAL CHAPTERS
Edited by Clare Shortall, Aula Abbara, Sarah Walpole, Alimuddin Zumla
Introduction
Authors Clare Shortall, Aula Abbara, Sarah Walpole
8. Emergency Scenarios
Lead editor: Clare Shortall
8.1 An approach to medical emergencies in forced displacement settings
Natalie Roberts, Louisa Baxter, Maryam Omar, Halfdan Holger Knudsen, Clare Shortall
8.2 Triage
Mir Saaduddin Ahmad, Louisa Baxter, Halfdan Holger Knudsen, and Natalie Roberts
8.3 Specific Emergency Conditions in Forced Displacement Settings
Natalie Roberts, Halfdan Holger Knudsen, Alvin Sornum, Taha Al-Taei, Barbara Scoralick Villela, Maryam Omar, Faith Traeh, Abdulkarim Ekzayez, Louisa Baxter, Clare Shortall, Eric Weerts
9. Communicable diseases
Lead editor: Aula Abbara
9.1 Communicable diseases
Aula Abbara
9.2 Surveillance systems
Sally MacVinish, Olivier le Polain de Waroux
9.3 Sepsis
Aula Abbara
9.4 Respiratory infections
Aula Abbara
9.5 Gastrointestinal infections
Aula Abbara
9.6 Urinary tract infections, genital ulcers and syphilis
Muhammed Zuhair, Aula Abbara
9.7 Central nervous system infections
Anna Daunt
9.8 HIV and its complications and needlestick injuries
Rebecca Marcus, Aula Abbara
9.9 Tropical, subtropical and vaccine preventable infections, including malaria
Hugh Kingston, Paul Arkell, Ravi Mehta, Aula Abbara
9.10 Skin, soft tissue and bone infections
Mary Pearce, Aula Abbara
10. Mental health and psychosocial support
Lead editor: Clare Shortall
10.1 Mental health and psychosocial support
Peter Ventevogel, Benedicte Duchesne, Peter Hughes, Claire Whitney
10.2 Mental health: clinical issues
Peter Ventevogel, Benedicte Duchesne, Peter Hughes, Claire Whitney
10.3 Culture and context in refugee mental health
Peter Ventevogel, Benedicte Duchesne, Peter Hughes, Claire Whitney
10.4 Support for humanitarian workers
Benedicte Duchesne, Caitlin Cockroft-McKay
11. Non-communicable diseases
Lead editor: Sarah Walpole
11.1 Non-communicable diseases
Amulya Reddy
11.2 Cardiovascular diseases
Amulya Reddy
11.3 Endocrine diseases
Amulya Reddy
11.4 Gastrointestinal diseases
Amulya Reddy
11.5 Nephrology
Amulya Reddy
11.6 Neurological diseases
Amulya Reddy
11.7 Respiratory diseases
Amulya Reddy
11.8 Oncology
Manar Marzouk, Sarah Catherine Walpole
12. Palliative care
Lead editor: Sarah Walpole
Kathryn Richardson
13. Paediatrics
Lead editors: Sylvia Garry and Bhanu Williams
13.1 General assessment of children and young people
Joia de Sa, Emma Sherwood, Sarah May Johnson
Sylvia Garry (Nutrition section)
Amy Potter, Jess Atkinson (Early Child Development section)
13.2 Management of the sick child
Elizabeth Ledger
13.3 Neonatal care
Sylvia Garry
Andrew Chapman and Elizabeth Ledger (The sick newborn section)
13.4 Management of common illness
Mark Lee (asthma, type 1 diabetes, epilepsy sections)
Meghan Gunst (mental health and asthma sections)
13.5 The child with a fever or a rash
Neal Russell and Bhanu Williams (Fever and Rash section)
Anna Battersby (Common Skin Diseases section)
13.6 Specific infections in children
Neal Russell (tetanus, pertussis, measles, polio, dengue, typhoid, malaria, TB, HIV sections)
Sarah May Johnson (measles, polio, diphtheria sections)
Andrew Chapman (malaria section)
Christian Harkensee (TB, HIV section)
14. Sexual and reproductive health
Lead editors: Rita Issa, Clare Shortall, Katy Kuhrt
14.1 Sexual and reproductive health in forced migration
Maria Garcia de Frutos, Robin Lowenthal, Zahra Ameen, Kopal Singhal Agarwal, Chawan Baran, Benjamin Black, Clare Shortall
14.2 Identification, management and prevention of sexually transmitted infections
Sarah Denny, Zahra Ameen, Rita Issa
14.3 Gynaecology, fertility and family planning
Zahra Ameen, Kopal Singhal Agarwal, Chawan Baran, Lauren Laws, Maria Garcia de Frutos
14.4 Pregnancy, delivery and postpartum
Zahra Ameen, Kopal Singhal Agarwal, Chawan Baran, Rebecca Best, Maria Garcia de Frutos, Miranda Geddes Barton, Laura Bridle
14.5 Sexual and gender-based violence
Laura Sheperis
15. Care of survivors of torture, gender-based violence and trafficking
Lead editor: Rita Issa
Sarah Boutros, Jane Hunt
Biography
Dr Miriam Orcutt (MBBS, MSc), Lead Editor, is a Senior Research Fellow in Forced Migration and Health at the Institute for Global Health, University College London, a humanitarian consultant, and trained physician.
Dr Clare Shortall (BSc MBBS MRCPCH DMCC DTMH MSc) is a Health Adviser for Première Urgence Internationale (PUI), France.
Dr Sarah Walpole (BSc, MBChB, MRCP, PG Cert, MSc(Res), DTM&H) is currently working as a Specialist Registrar in Infectious Diseases and General Internal Medicine in the North East of England Deanery.
Dr Aula Abbara MBBS DTMH MD(Res) is a consultant in Infectious Diseases/ General Internal Medicine at Imperial College NHS Healthcare Trust, London and an Honorary Researcher at Imperial College.
Dr Sylvia Garry (BA BMBCh MRCPCH DTMH MSc (PH) MFPH) is a Public Health Registrar in North London in the National Health Service (NHS).
Dr Rita Issa BSc MBBS DTMPH is an Academic Clinical Fellow in General Practice in London.
Sir Professor Alimuddin Zumla GCDS., MD., MSc., PhD., FRCP(Lond)., FRCP(Edin)., FRCPath., FAAS.,FRSB., is Professor of Infectious Diseases and International Health in the Division of Infection and Immunity, University College London; and is Consultant Infectious Diseases Physician at University College London Hospitals NHS Foundation Trust, London, UK. He serves as visiting Professor at several institutions in Africa, Europe and the Middle East.
Professor Ibrahim Abubakar (MBBS, DPH, MSc, PhD, FFPH, FRCPE, FRCP.,FMedSci) is Director of the University College London Institute for Global Health (IGH) and Chair of Lancet Migration, and previously of the UCL-Lancet Commission on Migration and Health. He is an NIHR Senior Investigator and honorary professor at the London School of Hygiene and Tropical Medicine.
'The best aspects of the book are the comprehensive nature of the content and the succinct manner in which the multitude of impacts is covered. There are many graphs and well-designed charts to exemplify the content. […] It would be a great library resource and wonderful reference for students, clinicians, and public health planners.'
Barbara A. Anderson, DrPH, CNM, FACCN, FAAN (Frontier Nursing University), Doody Enterprises