2. +
Why talk about Health Concerns in
Refugee Camps?
Disparity in health care needs and
provision
Many camps around Africa
Refugees from war, famine etc.
Population density in camps
Easily spread illness
4. +
Acute Respiratory Infections (ARI)
At risk because of overcrowding, suboptimal living
conditions, and malnutrition.
High infection rate among children under
5
Viral infections can cause chronic
asthma
Respiratory syncytial virus (RSV) and
adenovirus ( Adv)
Pneumonia
People in camps more at risk because of the camp
system.
5. +
Malaria
Caused by infected mosquitos who carry a parasite called
Plasmodium and bite the host.
Two thirds of world’s refugees are living in malaria endemic
regions
Women and children most at risk
Significant cause of mortality and morbidity among refugees
Solution- prevent infection by use of mosquito nets and
mosquito repellent with deet
6. +
Diarrheal
diseases
Cholera
Dysentery
Result from?
Accounted for 40% of deaths in acute phase of emergency in
these camps.
Source of infection: polluted water sources, contamination of
water during transport and storage, scarcity of soap, shared
cooking pots, contaminated foods.
60% from Cholera and 40% caused by shigella dysentery.
7. +
Measles
Often endemics occur because of emergencies
Overcrowding causes fast transmission
Frequency of severe measles higher in malnourished children
Blindness occurs because of vitamin A deficiency
9. +
School of Thought
Change in Global Understanding
View and treatment
Change in Global Health Regulation
Adjust World Health Organization
United Nations Policy
What are the limitations of this policy?
Why?
How can they change?
10. +
Chronic Disease
Lack of knowledge
Heavy usage of tobacco
Lack of treatment options
(resources)
Types
Asthma
Hepatitis B
Heart Disease
New disease spreading with
‘globalization’ and ‘development’
11. +
Plan of Action
Education
For both recipients & doctors
Severity
Treatment
Precautions
Change in Global View
Policy Changes
Health Changes
13. +
Why Address
Mental Health?
Geopolitical realities of refugee camps
War/Torture trauma in post-conflict/conflict settings
Psychosocial needs
Basic emotional and relational needs
Mental health’s relation to physical health
Psychiatric distress affects physical well-being
14. + Underlying Causes & Effects of
Mental Health Issues
Causes
War trauma, Struggle to process memories of war, violence, family
tragedies, etc.
Psychiatric distress especially among youth
Effects
PTSD, Depression, Schizophrenia,
Bipolar disorder, Anxiety
Vulnerability to Interpersonal conflicts, abuse,
social fragmentation
Stagnation
Economic productivity
Educational activity
15. +
Gaps & Limitations in
Mental Healthcare Delivery
Scant availability of services
Scarcity of mental health workers available for aid
Limited uptake of services
Due to social stigmas associated with mental illness
Predetermined coping strategies :
Silence, stoicism, suppression
Approaches to Solutions/Intervention
Cross-cultural validity of health care
interventions
16. +
Solutions to
Health Concerns By Katherine MacGregor
in Refugee Camps
17. +
Structural Issues
Education
Teaching good habits etc.
Making people aware of health threats
Sanitation and hygiene
Keeping disease from spreading
Access to clean water
Malnutrition, malnourishment, dehydration
Building habitants’ immunity so they can avoid and combat disease
18. +
Immunization
Proactivity to problems
Getting people immunized before disease impacts habitants of
camp
Reactivity to problem
Immunizations in the face on oncoming epidemic
Issue: Patient health records
Tracking who has been immunized and who hasn’t been (and
against what)
19. +
Distribution of
Resources
Equity issues
Who should be given health aid?
Who get immunized?
How to make sure everyone who needs aid is getting it (i.e.
marginalized groups)
Logistics
Difference between emergency situations and long term situations
How to distribute aid amongst a group of transient people?
The camp system of registration, food, water, and fire- wood distribution encourages crowding of large groups in small, confined spaces. In addition, malnutrition, high population density and poor shelter conditions may con- tribute to the elevated rates seen in this population.
Results from inadequate quality and quantity of water, substandard and insufficient sanitation facilities, overcrowding.\\, poor hygiene, and scarcity of soap.
Beyond the tendency to focus primarily on physical health concerns, a growing emphasis has been geared toward the significant mental health needs in refugee camps. In view of the geopolitical realities of post-conflict/conflict settings of refugee camps, it’s important to consider the relationship between psychosocial needs(i.e. emotional/relational) and physical well-being For instance, about half of the 400,000 refugees in Kenya's Dadaab camp have suffered from war or torture trauma, causing what some call an 'emotional death/hunger’.
cause:The struggle to process memories of war, conflict, genocide, rape, political persecution, the loss of loved ones effect:mental illness can debilitate one's ability to engage in economically productive opportunities and educational activitiesIt is not uncommon to see refugees chained or imprisoned often by their own relatives in order to reduce their vulnerability to interpersonal conflict, abuse, and rape AND to keep them from harming themselves
Stoic: endure pain or hardship without showing their feelings or complaining.In regards to solutions/approaches in addressing mental health of refugees, need to carefully assess the cross-cultural validity of mental health care and psychosocial interventionsFor instance, study showed that Westernized approaches tend to expect outcomes based on expressive emotional vulnerability, which ran counter to the natural coping strategies of Sudanese refugees often cope with their psychological war trauma in silence, stoicism and suppression