Primary Health Care Needs for Refugees and Asylum Seeker

Topics: Health care, Health promotion, Public health Pages: 24 (6902 words) Published: August 20, 2015


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Contents
Part 13
Introduction3
Health Disparities Faced by Refugees and Asylum Seekers3
Background to Project7
Aims and Objectives7
Part 28
Planning for Sustainable Health Promotion8
Planning Stage9
Goals and objectives9
Resources or Inputs9
Activities10
External Factors10
Key Stakeholders10
Implementation stage11
Evaluating Process and Outcome12
Sustaining the Project12
Part 316
Media and communication16
Funding18
Ethical Considerations18
Choice and Autonomy18
Non-maleficence and beneficence19
Confidentiality19
Informed Consent19
Conclusion19
References21

Primary Health Care Needs for Refugees and Asylum Seeker’s: Health Promotion Proposal Part 1
Introduction
We live in a globalised society that is characterised by peace and conflicts that often result as population movement. Those in conflict zones attempt to move to peaceful regions as refugees or asylum seekers. Under the 1951 UN convention and its 1967 protocol, asylum seeker is a person who enters a country to claim asylum (Stewart, 2011). According to Davies et al. (2009) there are many reasons why people choose to seek asylum and often includes fleeing from political and social unrest, armed conflicts, persecution and / or exploitation in their country of origin. Refugees are people living outside their country of origin or nationality as a result of fear of persecution for reasons of race, nationality, religion, membership of particular social group or political opinion, and are unable to avail themselves of the protection of that country (Kirmayer et al., 2011). In Australia, asylum seekers are those whose applications for refugee status have not yet been determined or people who have arrived on some form of temporary visa e.g. tourism or students and have lodged an application for refugee status (Stewart, 2011). Refugees and asylum seekers in Australia are received from regions of evolving humanitarian crisis such as post-war Europe, Lebanon, Vietnam, Africa, Middle East and Asia (Russell et al., 2013). As such they are one of the most vulnerable groups with often complex health and social care needs and increasingly face health inequalities. Additionally, this vulnerable group will comprise pregnant women, unaccompanied children, raped or tortured individuals, single men and women, and people with significant mental ill health. Russell et al. (2013) postulates that on majority of arriving refugees are less thirty years of age, have low socioeconomic status, have varied religious backgrounds, and speak little or no English. As result these makes there health care needs complex whether they are put under immigration detention facilities or in the wider community. Health Disparities Faced by Refugees and Asylum Seekers

Refugees and asylum seekers have complex health and social welfare needs that are different from other Australian communities when it comes to access to primary health care. Health disparities refers to preventable differences in the burden of disease, violence, injury, or opportunities dedicated to achieving optimal health that are experienced by vulnerable population or socially disadvantaged groups (CDC, 2014). According to Kirmayer et al. (2011) since the tightening of Australian policy for protection visa applicants began in the 1990s, access to health care has been increasingly restricted to asylum seekers. Though published government policies proclaim that provision of well organised , accessible and culturally sensitive health services is fundamental to successful settlement of refugees, there difficulties encountered that negatively affect long-term health and well-being of refugees and asylum seekers. According to Russell et al. (2013) key among the greatest health challenges faced by refugees and asylum seekers is significant stress associated with forced migration and re-settlement process that often results to depression....

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