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Health and migration - PPIdentify links between health and migration in various phases of the migration process
How is migration indicated to health?
Refugees or migrants?
- Migrant is someone who chooses to move to improve their life in some way
- Must go through the usual migration procedures.
- Some are asylum seekers:
- A person who has left the country of origin has applied for recognition
as a refugee in another country and is awaiting a decision on his or
her application.
- So, some who have sought protection as a refugee but who are
claiming refugee status have not yet been assessed.
-
- Refugee is someone who is fleeing arms, conflict or prosecution and cannot safely
return home.
- Are protected under International Law.
- Have the right to asylum.
- Every refugee is at some point an asylum seeker
Importance of migrant and refugee health?
- Culturally diverse patients
- Because of increasing migration healthcare systems and professionals are
increasingly met by cultural and diverse patients and therefore need more
knowledge on this.
- Moral perspective
- Countries deal with migrants under their own migration laws.
- Countries deal with refugees through norms of refugee protection and
asylum.
- Pragmatic societal perspective
- Health promotes integration and integration promotes health.
- Health migrants are needed to contribute in a social-economic sense
to the immigration country.
Scope of migration in the Netherlands
- 204,615 international immigrants in 2015: 1,2% of the population
- Largest group came from: 1. Syria 2. Poland (mainly due to labour) 3. Eritrea 4. India
(mainly due to labor) 5. Ethiopia
- The net immigration is partly due to the growing inflow of asylum seekers from Syria.
, Link between health and migration
- Because a number of risk factors:
Pre-departure Travel (directly affect the health of
Pre migratory events, particularly migrants)
trauma, such as war, human rights Travel conditions and mode (perilous lack
violations, torture, sexual violence, of basic health necessities), especially for
especially for forced migration flows; irregular migration flows;
Linguistic, cultural, and geographic Duration of journey;
proximity to destination, including health Traumatic events, abuse, (sexual)
beliefs and behaviours; violence;
Epidemiological profile and how it Alone or mass movement.
compares to the profile at destination;
“Efficiency of health system in providing High risk of death and morbidity at both
preventive and curative health care”. land and sea borders Migrant’s
Cross-cutting aspects
Age, gender; health
Socioeconomic status;
Genetic factors.
Host community (degree of
vulnerability in which migrants find
themselves depends on
Migration related policies/ health
Return policies;
Level of home community services Inclusion or discrimination;
(possible destroyed), especially after Legal status and access to services;
crisis situations: Remaining Language and cultural values;
community ties; Separation from family partner;
Duration of absence; Duration of stay;
Behavioural and health profile as Culturally, linguistically, and
acquired in host communities. epidemiological adjusted services;
Abuse, (sexual) violence. exploitation,
working and living conditions.
Refugee health in a Dutch context - PP
- At the end you will be able to define the main health issues among refugees in the
Netherlands and determinants of these health issues
- Asylum seekers and refugees are a vulnerable group due to the accumulation of their
experiences in the different phases of the migration process (zie figuur hierboven).
Differences between refugees and asylum seekers in the Netherlands and native Dutch
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