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Boston, Massachusetts, John Snow [JSI], 2017 Mar 31. 21 p.This document highlights the health and situational status of Palestine refugees from Syria (PRS) now living in Jordan, based on a seven-week assessment visit to the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA). The purpose of the assessment was to understand: i) access to maternal health and child health services, as well as treatment and prevention of hypertension and diabetes; ii) access to hospitalization; and, iii) the specific vulnerabilities arising from the current legal, political, and economic status of the PRS to enable UNRWA develop an advocacy strategy. The Palestine refugees from Syria living in Jordan are the most marginalized.The document highlights the focus group methodology used to understand the issues—health, educational, social, livelihoods—that PRS in Jordan face, a profile of participants, key findings and stories from participants. Finally, the recommendations include those on health, education, and microfinance.As the first such qualitative assessment of PRS living in Jordan, the findings will have implications for all those accessing services at health centers, and not just for the PRS. While the focus was intentionally on the health of PRS, the study also sheds light on other aspects of refugee life in Jordan, including children’s education, livelihoods, and the UNRWA assistance program.
Lancet. 2008 Jan; 371(9605):15-16.As fighting flares up in the Democratic Republic of Congo, health workers are reporting a rise in brutal sexual violence against women. But, says Wairagala Wakabi, the international community continues to pay only lip service to the crisis in the central African country. Medical workers are concerned about rising incidents of sexual brutality against women in the Democratic Republic of Congo (DRC), which are resulting in mounting rates of trauma, fistula, and sexually transmitted infections (STIs). Although cases of sexual violence against women have been widespread in eastern DRC over the past decade, humanitarian workers say rape is becoming more violent and more common, yet the world continues to pay only lip service to the crisis in the central African country. Reports of gang rapes, sexual slavery, purposeful mutilation of women's genitalia, and killings of rape victims are commonplace in eastern Congo, especially in the north Kivu province, where fighting has subsisted for years. (excerpt)
International Organization for Migration: experience on the need for medical evacuation of refugees during the Kosovo crisis in 1999.
Croatian Medical Journal. 2002; 43(2):195-198.The International Organization for Migration (IOM) developed and implemented a three-month project entitled Priority Medical Screening of Kosovar Refugees in Macedonia, within the Humanitarian Evacuation Program (HEP) for Kosovar refugees from FR Yugoslavia, which was adopted in May 1999. The project was based on an agreement with the office of United Nations High Commission for Refugees (UNHCR) and comprised the entry of registration data of refugees with medical condition (Priority Medical Database), and classification (Priority Medical Screening) and medical evacuation of refugees (Priority Medical Evacuation) in Macedonia. To realize the Priority Medical Screening project plan, IOM developed and set up a Medical Database linked to IOM/UNHCR HEP database, recruited and trained a four-member data entry team, worked out and set up a referral system for medical cases from the refugee camps, and established and staffed medical contact office for refugees in Skopje and Tetovo. Furthermore, it organized and staffed a mobile medical screening team, developed and implemented the system and criteria for the classification of referred medical cases, continuously registered and classified the incoming medical reports, contacted regularly the national delegates and referred to them the medically prioritized cases asking for acceptance and evacuation, and co-operated and continuously exchanged the information with UNHCR Medical Co-ordination and HEP team. Within the timeframe of the project, 1,032 medical cases were successfully evacuated for medical treatment to 25 host countries throughout the world. IOM found that those refugees suffering from health problems, who at the time of the termination of the program were still in Macedonia and had not been assisted by the project, were not likely to have been priority one cases, whose health problems could be solved only in a third country. The majority of these vulnerable people needed social rather than medical care and assistance - a challenge that international aid agencies needed to address in Macedonia and will need to address elsewhere. (author's)
Washington, D.C., National Academies Press, 2003. xii, 57 p.The present monograph--on rebuilding the health sector in East Timor following the nation's struggle for independence--is the second in this series. It provides an overview of the state of the health system before, during, and after reconstruction and discusses achievements and failures in the rebuilding process, using an informative case study to draw conclusions for potential improvements to the process in other post-conflict settings. Other topics under consideration in the series include reviews of current knowledge on psychosocial issues, reproductive health, malnutrition, and diarrheal diseases, as well as other case studies. (excerpt)
RNIS. Report on the Nutrition Situation of Refugees and Displaced Populations. 2003 Jan; (40):43-48.The nutrition situation seemed mixed. Whilst the situation is under-control in some regions where nutrition surveys have been done (category III), the nutrition situation was not satisfactory in Shamali plain and in some of the IDP/refugee settlements (category II). Winter is challenging, especially for the returnees. (excerpt)
RNIS. Report on the Nutrition Situation of Refugees and Displaced Populations. 2003 Jan; (40):29-30.The nutrition situation of the Liberian refugees in south Sierra Leone was precarious in August 2002 (category II/III). However, it is hoped that stabilization in the number of refugees has allowed an improvement in their living conditions since that time. (excerpt)
Liberia. Report on the nutrition situation of refugees and displaced populations. [Libéria : Rapport sur l'état de nutrition des réfugiés et des populations déplacées]
RNIS. Report on the Nutrition Situation of Refugees and Displaced Populations. 2003 Jan; (40):27-28.The situation of IDPs, returnees and newly-created refugees in Liberia is of concern (category II). The large new influx of vulnerable people, adding further to the already high number of IDPs and refugees, will be a difficult challenge for humanitarian agencies to respond to. (excerpt)
Real Lives. 2002 Jul; (8):50-51.Afghan refugees first came to Pakistan following the Soviet invasion of the 1980s. Some went to Yaka Ghund camp in the tribal area of Mohmand Agency, 45 kms from Pakistan's border with Afghanistan. But for over 20 years, they lived without schooling or proper health facilities, until the Family Planning Association of Pakistan stepped in January 2002. (excerpt)
BMJ. British Medical Journal. 2002 Oct 26; 325(7370):924.A massive return of refugees from neighboring countries such as Pakistan and Iran caught agencies by surprise, and continuing insecurity in the provinces has led to an over-concentration of services in Kabul. Currently 50 of the country’s 220 districts have no medical facility available and half of Afghanistan’s 44 hospitals doing surgery have no means of testing blood for infectious diseases such as hepatitis. (excerpt)
Provision of health services to refugees in Tanzania: a case study of Rwanda refugee camps in Kagera.
Tanzanian Journal of Population Studies and Development. 1997; 4(2):131-46.This paper examines health problems caused by the 1993 and 1994 influx of refugees in Kagera region and their impact on neighboring communities. The paper highlights the various health problems created by the influx of incoming refugees, the impact of refugees on provision of health services and examines how the region has been addressing the health needs of refugees and neighboring communities. The paper also examines the efforts of local/national and international donor agencies to provide essential health services to refugees and the general public. The need for preparedness to cope with future influxes of refugees and the dangers of continued reliance on donor support for the provision of health services are also highlighted. (author's)
WIN. WOMEN'S INTERNATIONAL NETWORK NEWS. 2001 Spring; 27(2):87.The Women's Commission for Refugee Women and Children is one of the leading advocacy and expert resource organizations speaking out on behalf of refugee and displaced women, children, and adolescents around the world. However, there was a growing concern among women working in refugee and human rights organizations that refugee women and children had specific rights that were not being recognized or respected. The UN High Commissioner for Refugees (UNHCR) released its Guidelines on the Protection of Refugee Women in 1991 to address a growing concern that the protection needs of refugee women were not being met in the field. The Women's Commission serves as a watchdog and an expert resource, offering solutions and providing technical assistance. Professional staff travel to refugee camps, detention centers, and slum areas to conduct field research and technical training and to convene meetings. In addition, the Women's Commission sends fact-finding delegations of professional women to meet with refugee women and children around the world and learn firsthand of needs and conditions. The Women's Commission has proven effective by taking the lead in advocating and helping to develop the Immigration and Naturalization Service's Guidelines for the Adjudication of Refugee Children's Asylum Claims. It also was a catalyst in the establishment of the Bosnian Women's Fund. In addition, reproductive health services for refugees have improved significantly since the Women's Commission 's 1994 groundbreaking survey.
[Unpublished] 1997 May 7. 6 p.This article discusses the role of the UN Population Fund (UNFPA) with populations affected by disasters. It is estimated that there are 50 million people affected by natural or man-made disasters worldwide, including refugees and returnees, internally displaced persons, and a less well-defined group of persons in refugee-like situations. These persons are in need of shelter, protection against violence and abuse, food and safe drinking water, and basic health services. In response, the UNFPA issued a policy framework, stating that in an emergency situation UNFPA assistance will focus on providing reproductive health (RH) and family planning counseling and services within the health care mechanisms available during relief operations. The agency also gives support to operational activities, collaborating with other international agencies to provide maximum services to this population. In terms of the future role of UNFPA, it is noted that the agency will support the documentation of the nature, incidence, and severity of RH rights abuses through project support. Improvements planned in the Fund's emergency-response mechanisms include a greater participation in needs assessment mission; increased resource mobilization at all levels; improved RH health kit; greater availability of information and equipment for service providers; accelerated project approval; and continued attention to oversight and accountability.
In: All of us. Births and a better life: population, development and environment in a globalized world. Selections from the pages of the Earth Times, edited by Jack Freeman and Pranay Gupte. New York, New York, Earth Times Books, 1999. 231-3.This paper discusses the living conditions of refugees in the Baqa'a refugee camp in Jordan and the efforts of the United National Relief and Works Agency for Palestinian Refugees (UNRWA) to provide basic health services to these refugees. According to UNRWA, more than 63,000 official refugees live in Baqa'a, where they have built houses, health clinics, and schools. This statistic does not include the thousands of other Palestinians who have moved into Baqa'a. Some Palestinians have moved out of Baqa'a to other neighborhoods in Amman. But many remain in these free UN homes, poor and unemployed, clinging to scraps of memories and hopes for change. For Jordan, the refugees are neither temporary nor cheap. The government's Palestinian Affairs Department spends $300 million a year on the 300,000 Palestinian refugees living in the country. UNRWA spends more than $64 million on Jordan's refugees out of its total $330 million budget for Palestinians living in all the camps in the Middle East.
Lancet. 1992 Sep 5; 340(8819):599-600.In Guatemala over 100,000 people were killed in the last 30 years, mostly Indians. The guerrillas and the government signed an agreement in August 1992 that hold out the hope of improvement of human right abuses. The violence goes back to 1954, it diminished in 1984 with the democratic election of a president, but killings and disappearances have continued albeit at a lower rate. Hundreds of thousands of people have been displaced or fled abroad whose repatriation is assisted by international organizations. The PRODERE program of the Pan American Health Organization consists of educational, agricultural, and health components. Maternal mortality is 170/100,000 women and infant mortality is 55.6/1000 live births, but both are likely to be underreported figures. Decentralized health service delivery and infrastructure is set up to improve sanitary conditions. The training of 64 auxiliary nurses, 77 traditional birth attendants, and 170 village health workers has been carried out. Health units and posts have been organized attended by auxiliary nurses. There are rehydration units in health center and in the houses of village health workers to preclude the spread of cholera. The collaboration of the Ministry of Health, UNICEF, and a nursing school have been instrumental in these training programs. The sanitation program involved provision of potable water, wells, and latrine construction with community collaboration to improve poor hygiene. The program has been in operation for 1 year to be completed by the end of 1993 with expectations of positive results in the health status of the population as peace unfolds.