The Experts below are selected from a list of 5253 Experts worldwide ranked by ideXlab platform
Graham Meadows - One of the best experts on this subject based on the ideXlab platform.
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a cross sectional survey of the mental health needs of refugees and Asylum Seekers attending a refugee health clinic a study protocol for using research to inform local service delivery
BMC Psychiatry, 2014Co-Authors: Frances Shawyer, Ihao Cheng, Joanne Enticott, Anne Doherty, Andrew Allen Block, Sayed Wahidi, Graham MeadowsAbstract:Background Refugees and Asylum Seekers have high rates of risk factors for mental disorders. In recent years, Australia has experienced a rapid increase in Asylum Seeker arrivals, creating new challenges for services in areas with high settlement numbers. This paper describes the design, including analytic framework, of a project set in a refugee health service in the state of Victoria, Australia, as part of their response to meeting the mental health needs of their burgeoning local population of refugees and Asylum Seekers. In order to assist service planning, the primary aim of this study is to determine: 1) an overall estimate of the prevalence of psychiatric disorders; 2) the specific prevalence of post-traumatic stress disorder 3) the perceived need and unmet need for mental health treatment. The secondary aim of the study is to establish matched risk ratios based on an Australian-born matched comparison group from the 2007 National Survey of Mental Health and Well-Being.
Judith Rankin - One of the best experts on this subject based on the ideXlab platform.
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Perinatal health outcomes and care among Asylum Seekers and refugees: a systematic review of systematic reviews
BMC medicine, 2018Co-Authors: Nicola Heslehurst, Heather Brown, Augustina Pemu, Hayley Coleman, Judith RankinAbstract:Global migration is at an all-time high with implications for perinatal health. Migrant women, especially Asylum Seekers and refugees, represent a particularly vulnerable group. Understanding the impact on the perinatal health of women and offspring is an important prerequisite to improving care and outcomes. The aim of this systematic review was to summarise the current evidence base on perinatal health outcomes and care among women with Asylum Seeker or refugee status. Twelve electronic database, reference list and citation searches (1 January 2007–July 2017) were carried out between June and July 2017. Quantitative and qualitative systematic reviews, published in the English language, were included if they reported perinatal health outcomes or care and clearly stated that they included Asylum Seekers or refugees. Screening for eligibility, data extraction, quality appraisal and evidence synthesis were carried out in duplicate. The results were summarised narratively. Among 3415 records screened, 29 systematic reviews met the inclusion criteria. Only one exclusively focussed on Asylum Seekers; the remaining reviews grouped Asylum Seekers and refugees with wider migrant populations. Perinatal outcomes were predominantly worse among migrant women, particularly mental health, maternal mortality, preterm birth and congenital anomalies. Access and use of care was obstructed by structural, organisational, social, personal and cultural barriers. Migrant women’s experiences of care included negative communication, discrimination, poor relationships with health professionals, cultural clashes and negative experiences of clinical intervention. Additional data for Asylum Seekers and refugees demonstrated complex obstetric issues, sexual assault, offspring mortality, unwanted pregnancy, poverty, social isolation and experiences of racism, prejudice and stereotyping within perinatal healthcare. This review identified adverse pregnancy outcomes among Asylum Seeker and refugee women, representing a double burden of inequality for one of the most globally vulnerable groups of women. Improvements in the provision of perinatal healthcare could reduce inequalities in adverse outcomes and improve women’s experiences of care. Strategies to overcome barriers to accessing care require immediate attention. The systematic review evidence base is limited by combining heterogeneous migrant, Asylum Seeker and refugee populations, inconsistent use of definitions and limited data on some perinatal outcomes and risk factors. Future research needs to overcome these limitations to improve data quality and address inequalities. Systematic review registration number: PROSPERO CRD42017073315 .
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Perinatal health outcomes and care among Asylum Seekers and refugees: a systematic review of systematic reviews
BMC, 2018Co-Authors: Nicola Heslehurst, Heather Brown, Augustina Pemu, Hayley Coleman, Judith RankinAbstract:Abstract Background Global migration is at an all-time high with implications for perinatal health. Migrant women, especially Asylum Seekers and refugees, represent a particularly vulnerable group. Understanding the impact on the perinatal health of women and offspring is an important prerequisite to improving care and outcomes. The aim of this systematic review was to summarise the current evidence base on perinatal health outcomes and care among women with Asylum Seeker or refugee status. Methods Twelve electronic database, reference list and citation searches (1 January 2007–July 2017) were carried out between June and July 2017. Quantitative and qualitative systematic reviews, published in the English language, were included if they reported perinatal health outcomes or care and clearly stated that they included Asylum Seekers or refugees. Screening for eligibility, data extraction, quality appraisal and evidence synthesis were carried out in duplicate. The results were summarised narratively. Results Among 3415 records screened, 29 systematic reviews met the inclusion criteria. Only one exclusively focussed on Asylum Seekers; the remaining reviews grouped Asylum Seekers and refugees with wider migrant populations. Perinatal outcomes were predominantly worse among migrant women, particularly mental health, maternal mortality, preterm birth and congenital anomalies. Access and use of care was obstructed by structural, organisational, social, personal and cultural barriers. Migrant women’s experiences of care included negative communication, discrimination, poor relationships with health professionals, cultural clashes and negative experiences of clinical intervention. Additional data for Asylum Seekers and refugees demonstrated complex obstetric issues, sexual assault, offspring mortality, unwanted pregnancy, poverty, social isolation and experiences of racism, prejudice and stereotyping within perinatal healthcare. Conclusions This review identified adverse pregnancy outcomes among Asylum Seeker and refugee women, representing a double burden of inequality for one of the most globally vulnerable groups of women. Improvements in the provision of perinatal healthcare could reduce inequalities in adverse outcomes and improve women’s experiences of care. Strategies to overcome barriers to accessing care require immediate attention. The systematic review evidence base is limited by combining heterogeneous migrant, Asylum Seeker and refugee populations, inconsistent use of definitions and limited data on some perinatal outcomes and risk factors. Future research needs to overcome these limitations to improve data quality and address inequalities. Systematic registration Systematic review registration number: PROSPERO CRD42017073315
Nicola Heslehurst - One of the best experts on this subject based on the ideXlab platform.
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Perinatal health outcomes and care among Asylum Seekers and refugees: a systematic review of systematic reviews
BMC medicine, 2018Co-Authors: Nicola Heslehurst, Heather Brown, Augustina Pemu, Hayley Coleman, Judith RankinAbstract:Global migration is at an all-time high with implications for perinatal health. Migrant women, especially Asylum Seekers and refugees, represent a particularly vulnerable group. Understanding the impact on the perinatal health of women and offspring is an important prerequisite to improving care and outcomes. The aim of this systematic review was to summarise the current evidence base on perinatal health outcomes and care among women with Asylum Seeker or refugee status. Twelve electronic database, reference list and citation searches (1 January 2007–July 2017) were carried out between June and July 2017. Quantitative and qualitative systematic reviews, published in the English language, were included if they reported perinatal health outcomes or care and clearly stated that they included Asylum Seekers or refugees. Screening for eligibility, data extraction, quality appraisal and evidence synthesis were carried out in duplicate. The results were summarised narratively. Among 3415 records screened, 29 systematic reviews met the inclusion criteria. Only one exclusively focussed on Asylum Seekers; the remaining reviews grouped Asylum Seekers and refugees with wider migrant populations. Perinatal outcomes were predominantly worse among migrant women, particularly mental health, maternal mortality, preterm birth and congenital anomalies. Access and use of care was obstructed by structural, organisational, social, personal and cultural barriers. Migrant women’s experiences of care included negative communication, discrimination, poor relationships with health professionals, cultural clashes and negative experiences of clinical intervention. Additional data for Asylum Seekers and refugees demonstrated complex obstetric issues, sexual assault, offspring mortality, unwanted pregnancy, poverty, social isolation and experiences of racism, prejudice and stereotyping within perinatal healthcare. This review identified adverse pregnancy outcomes among Asylum Seeker and refugee women, representing a double burden of inequality for one of the most globally vulnerable groups of women. Improvements in the provision of perinatal healthcare could reduce inequalities in adverse outcomes and improve women’s experiences of care. Strategies to overcome barriers to accessing care require immediate attention. The systematic review evidence base is limited by combining heterogeneous migrant, Asylum Seeker and refugee populations, inconsistent use of definitions and limited data on some perinatal outcomes and risk factors. Future research needs to overcome these limitations to improve data quality and address inequalities. Systematic review registration number: PROSPERO CRD42017073315 .
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Perinatal health outcomes and care among Asylum Seekers and refugees: a systematic review of systematic reviews
BMC, 2018Co-Authors: Nicola Heslehurst, Heather Brown, Augustina Pemu, Hayley Coleman, Judith RankinAbstract:Abstract Background Global migration is at an all-time high with implications for perinatal health. Migrant women, especially Asylum Seekers and refugees, represent a particularly vulnerable group. Understanding the impact on the perinatal health of women and offspring is an important prerequisite to improving care and outcomes. The aim of this systematic review was to summarise the current evidence base on perinatal health outcomes and care among women with Asylum Seeker or refugee status. Methods Twelve electronic database, reference list and citation searches (1 January 2007–July 2017) were carried out between June and July 2017. Quantitative and qualitative systematic reviews, published in the English language, were included if they reported perinatal health outcomes or care and clearly stated that they included Asylum Seekers or refugees. Screening for eligibility, data extraction, quality appraisal and evidence synthesis were carried out in duplicate. The results were summarised narratively. Results Among 3415 records screened, 29 systematic reviews met the inclusion criteria. Only one exclusively focussed on Asylum Seekers; the remaining reviews grouped Asylum Seekers and refugees with wider migrant populations. Perinatal outcomes were predominantly worse among migrant women, particularly mental health, maternal mortality, preterm birth and congenital anomalies. Access and use of care was obstructed by structural, organisational, social, personal and cultural barriers. Migrant women’s experiences of care included negative communication, discrimination, poor relationships with health professionals, cultural clashes and negative experiences of clinical intervention. Additional data for Asylum Seekers and refugees demonstrated complex obstetric issues, sexual assault, offspring mortality, unwanted pregnancy, poverty, social isolation and experiences of racism, prejudice and stereotyping within perinatal healthcare. Conclusions This review identified adverse pregnancy outcomes among Asylum Seeker and refugee women, representing a double burden of inequality for one of the most globally vulnerable groups of women. Improvements in the provision of perinatal healthcare could reduce inequalities in adverse outcomes and improve women’s experiences of care. Strategies to overcome barriers to accessing care require immediate attention. The systematic review evidence base is limited by combining heterogeneous migrant, Asylum Seeker and refugee populations, inconsistent use of definitions and limited data on some perinatal outcomes and risk factors. Future research needs to overcome these limitations to improve data quality and address inequalities. Systematic registration Systematic review registration number: PROSPERO CRD42017073315
Otto Helve - One of the best experts on this subject based on the ideXlab platform.
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refugee crisis in finland challenges to safeguarding the right to health for Asylum Seekers
Health Policy, 2019Co-Authors: Karolina Tuomisto, Paula Tiittala, Ilmo Keskimaki, Otto HelveAbstract:Abstract In 2015 Finland received an unprecedented number of Asylum Seekers, ten times more than in any previous year. This surge took place at a time the Finnish Government was busily undergoing a wide-range health and social care reform amid growing nationalist and populist sentiments. Our aim is to explore the governance of a parallel health system for Asylum Seekers with a right-to-health approach. We concentrated on three right to health features most related to the governance of Asylum Seeker health care, namely Formal recognition of the right to health, Standards and Coordination mechanisms. Through our qualitative review, we identified three major hurdles in the governance of the system for Asylum Seekers: 1) Ineffectual and reactive national level coordination and stewardship; 2) Inadequate legislative and supervisory frameworks leading to ineffective governance; 3) Discrepancies between constitutional rights to health, legal entitlements to services and guidance available. This first-time large-scale implementation of the policies exposed weaknesses in the legal framework and the parallel health system. We recommend the removal of the parallel system and the integration of Asylum Seekers’ health services to the national public health care system.
Ilmo Keskimaki - One of the best experts on this subject based on the ideXlab platform.
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refugee crisis in finland challenges to safeguarding the right to health for Asylum Seekers
Health Policy, 2019Co-Authors: Karolina Tuomisto, Paula Tiittala, Ilmo Keskimaki, Otto HelveAbstract:Abstract In 2015 Finland received an unprecedented number of Asylum Seekers, ten times more than in any previous year. This surge took place at a time the Finnish Government was busily undergoing a wide-range health and social care reform amid growing nationalist and populist sentiments. Our aim is to explore the governance of a parallel health system for Asylum Seekers with a right-to-health approach. We concentrated on three right to health features most related to the governance of Asylum Seeker health care, namely Formal recognition of the right to health, Standards and Coordination mechanisms. Through our qualitative review, we identified three major hurdles in the governance of the system for Asylum Seekers: 1) Ineffectual and reactive national level coordination and stewardship; 2) Inadequate legislative and supervisory frameworks leading to ineffective governance; 3) Discrepancies between constitutional rights to health, legal entitlements to services and guidance available. This first-time large-scale implementation of the policies exposed weaknesses in the legal framework and the parallel health system. We recommend the removal of the parallel system and the integration of Asylum Seekers’ health services to the national public health care system.
