| 1. |
- Bjerneld, Magdalena, 1950-, et al.
(författare)
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Companions to unaccompanied asylum-seeking children in Sweden – experiences of Swedish families
- 2022
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Ingår i: International Journal of Migration, Health and Social Care. - : Emerald Group Publishing Limited. - 1747-9894 .- 2042-8650. ; 18:2, s. 179-191
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Many unaccompanied children have sought asylum in Sweden during recent years. They needed different kinds of support not only from the authorities but also from the local community. The purpose of this paper is to explore how families from local communities can support the children and be the neutral companion they long for.Design/methodology/approach: A qualitative research design using semi-structured interviews was adopted for this descriptive study. Thematic analysis was used to analyse the data.Findings: The families wanted to know more about unaccompanied children than the information presented in the mass media. They showed deep engagement in getting to know the boys and strong affection for them because they got a sense of how difficult their lives were. Families with experience as parents can play an important role to guide the children into the Swedish society and be trustful adults who can complement the professionals in the authorities and accommodations. The families in this project needed more support through information and strategies about how to handle difficult situations during the children’s asylum process.Research limitations/implications: This study describes a pilot project in a small municipality in Sweden. The participating families described the support given to a group of boys. More studies should focus on support for girls in similar situation.Originality/value: There are limited studies on how families in local communities can support unaccompanied asylum-seeking children.
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| 2. |
- Bjerneld, Magdalena, 1950-, et al.
(författare)
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Experiences and reflections of Somali unaccompanied girls on their first years in Sweden : a follow-up study after two decades
- 2018
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Ingår i: International Journal of Migration, Health and Social Care. - : Emerald Group Publishing Limited. - 1747-9894 .- 2042-8650. ; 14:3, s. 305-317
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Tidskriftsartikel (refereegranskat)abstract
- Purpose:Unaccompanied asylum-seeking children (UASC) from Somalia are one of the largest groups of UASC in Europe and Sweden. The current study is a follow-up of a Swedish study conducted in 1999, where unaccompanied asylum-seeking girls (UASG) from Somalia were interviewed. In 2013, UASG from the 1999 study were interviewed again, as adults who have settled and found a new life in Sweden. The purpose of this paper is to explore how these women experienced their transition into the Swedish society.Design/methodology/approach:A qualitative research design using semi-structured interviews was adopted for this descriptive study. Thematic analysis was used to analyze the data.Findings:UASG need support from different groups of adults, ranging from the staff at the group homes to community members, including countrymen, to establish a good life in their new country. The UASG need understanding and knowledgeable staff that can support them through the initial period, when they do not have their parents close to them. All actors in the supporter network need more knowledge about the difficulties in war situations. Former UASC can assist newcomers as well as being informants to authorities in a new country. Both parties involved need to be open and willing to learn from each other.Research limitations/implications:UASG who consider themselves successful in being integrated into the Swedish society were interviewed and, therefore, the study mainly describes aspects that promote integration.Originality/value:There are limited follow-up studies on how UASG have experienced their life after almost two decades in the new country.
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| 3. |
- Bozorgmehr, Kayvan, et al.
(författare)
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Integration of migrant and refugee data in health information systems in Europe : advancing evidence, policy and practice
- 2023
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Ingår i: The Lancet Regional Health. - : Elsevier. - 2666-7762. ; 34
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Tidskriftsartikel (refereegranskat)abstract
- Coverage of migrant and refugee data is incomplete and of insufficient quality in European health information systems. This is not because we lack the knowledge or technology. Rather, it is due to various political factors at local, national and European levels, which hinder the implementation of existing knowledge and guidelines. This reflects the low political priority given to the topic, and also complex governance challenges associated with migration and displacement. We review recent evidence, guidelines, and policies to propose four approaches that will advance science, policy, and practice. First, we call for strategies that ensure that data is collected, analyzed and disseminated systematically. Second, we propose methods to safeguard privacy while combining data from multiple sources. Third, we set out how to enable survey methods that take account of the groups’ diversity. Fourth, we emphasize the need to engage migrants and refugees in decisions about their own health data. Based on these approaches, we propose a change management approach that narrows the gap between knowledge and action to create healthcare policies and practices that are truly inclusive of migrants and refugees. We thereby offer an agenda that will better serve public health needs, including those of migrants and refugees and advance equity in European health systems.
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| 4. |
- Bozorgmehr, Kayvan, et al.
(författare)
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What is the evidence on availability and integration of refugee and migrant health data in health information systems in the WHO European Region? : Health Evidence Network synthesis report 66, Themed issues on migration and health, X
- 2019
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Ingår i: Health Evidence Network. - Copenhagen. - 2227-4316.
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Forskningsöversikt (refereegranskat)abstract
- The recent rapid increases in population movements across borders highlight the importance of reliable data on refugee and migrant health for public health planning. This scoping report examined evidence on the availability and integration of refugee and migrant health data in health information systems in the WHO European Region. Refugee and migrant health data were available in 25 of the Region's 53 Member States, but differences existed in the availability, data types and main sources of data collection. Except for countries with population registers, the predominant data sources were medical records, disease-specific records and notification data. Data integration was often limited, and health monitoring surveys and data linkage approaches were underused. Policy considerations include harmonizing migrant definitions, promoting the coordination/governance of data collection, performance monitoring for health information systems, promoting cross-country exchange of experiences, exploiting data linkage, expanding existing health surveillance, reducing health-care barriers and strengthening general health information systems.
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| 5. |
- Hargreaves, Sally, et al.
(författare)
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What constitutes an effective and efficient package of services for the prevention, diagnosis, treatment and care of tuberculosis among refugees and migrants in the WHO European Region? : Themed issues on migration and health, VIII
- 2018
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Bok (refereegranskat)abstract
- The WHO European Region has faced high rates of external and internal migration in recent years, with concerns that this is contributing to the burden of tuberculosis (TB), multidrug-resistant TB (MDR-TB) and TB/HIV coinfection in some countries. This report examines evidence of effective and efficient service packages for the prevention, diagnosis and treatment of TB to inform strategies to address the TB burden in refugee and migrant populations. Significant regional variations were identified in both migration levels and TB burden in refugees and migrants, as well as in approaches to TB control, with low quality of evidence in many cases. While it is unlikely that a single strategy/package will be effective for all situations, the evidence highlights some common approaches that could guide policy-making and service development. TB elimination targets for the Region will not be met unless inequalities in access to screening and treatment for migrants are addressed, alongside efforts to tackle
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| 6. |
- Kumar, Bernadette Nirmal, et al.
(författare)
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Migration health research in the Nordic countries : priorities and implications for public health
- 2022
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Ingår i: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 50:7, s. 1039-1046
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Tidskriftsartikel (refereegranskat)abstract
- The past 50 years have witnessed an increase in immigration to the Nordic countries from and beyond neighbouring countries in Europe. Diversity implies variations and differences in health status and health outcomes both within and across populations. Migrant health research has not been prioritized and health policies and practice, especially long-term national plans, often exclude migrants. In this article, we briefly trace the history, the groups, reasons for migration and the road to migrant health research in Norway, Sweden, Finland and Denmark. We discuss the case for data and research including needs, basis for data collection and the methodological challenges. We provide a brief snapshot of migrant health research, identify current gaps and discuss the implications for research. We recommend a regional Nordic strategy to promote intercountry exchange, sharing and learning. Finally, we reflect on the larger picture, implications for policy and practice that could enable societal conditions to reduce avoidable health inequalities.
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| 7. |
- Liljeroos, Thea, et al.
(författare)
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Management of emotional distress following a myocardial infarction : a qualitative content analysis
- 2023
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Ingår i: Cognitive Behaviour Therapy. - : Taylor & Francis. - 1650-6073 .- 1651-2316. ; 52:1, s. 47-64
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Tidskriftsartikel (refereegranskat)abstract
- Myocardial infarction (MI) is one of the leading causes of mortality and disability worldwide. Emotional distress, such as anxiety and depression, are common among MI patients. The aim of this study was to investigate emotional reactions following MI and to explore how MI patients self-manage their emotional distress using the perspective of an explanatory behavioural model of depression and anxiety. Written testimonies from 92 MI patients starting an internet-based cognitive behavioural therapy (iCBT) were analysed using qualitative content analysis with a mixed deductive and inductive approach. Six themes were identified. The first three highlight the emotional reactions post-MI: Hypoarousal reactions and low mood; Hyperarousal reactions; and A changed sense of self and outlook on life. The following three themes describe strategies for managing emotional distress: Avoidance of potentially rewarding situations; Avoidance of heart relevant stimuli triggering anxiety; and Engaging in potentially positive activities and acceptance. The MI experience may trigger emotional reactions, with a particular emphasis on heart-focused anxiety, depression and a shift in the perception of one's identity. Patients tend to manage emotional distress through social withdrawal and experiential avoidance which likely maintains the distress. Applying a behavioural model to the management of emotional distress following MI is suited.
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| 8. |
- Liljeroos, Thea, et al.
(författare)
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Self-perceived cognitive status and cognitive challenges associated with cardiac rehabilitation management : experiences of elderly myocardial infarction patients.
- 2022
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Ingår i: Disability and Rehabilitation. - : Taylor & Francis Group. - 0963-8288 .- 1464-5165. ; 44:15, s. 3834-3842
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The study aimed to explore the self-perceived cognitive status and cognitive challenges associated with lifestyle changes in cardiac rehabilitation among elderly myocardial infarction (MI) patients (≥65 years). Further, the study explored coping strategies developed to manage these challenges in the everyday life.METHODS: Nine patients were included in the study. Data were collected by telephone or in person, between 6 and 12 weeks post MI, using semi-structured interviews. Data were analysed inductively, using thematic analysis.RESULTS: Four major themes were identified, highlighting elderly MI patients' experiences of their cognitive status and cardiac rehabilitation management: (1) A change in cognition over time, (2) Situating the MI within a challenging and changing life context, (3) Navigating the hurdles of cardiac rehabilitation, and (4) Being seen within the healthcare system.CONCLUSION: Elderly MI patients are situated in a complex life context, dealing with a transition to retirement, multiple health issues and age-related cognitive decline. In this context, the MI experience is marginalised, and cognitive decline normalized. By adopting individually tailored interventions and improving healthcare provider continuity and accessibility, cognitive challenges associated with cardiac rehabilitation could be easier to overcome.IMPLICATIONS FOR REHABILITATIONSelf-perceived cognitive impairment, in particular regarding memory, seems fairly common among elderly MI patients and should likely be identified prior to hospital discharge in order to optimize the prospects of self-care.There seems to exist an unmet need to implement the practice of individually adapted education and information further, in accordance with current recommendations for elderly cardiac patients.The overall health and cognitive status, social network and the objective living conditions (e.g., distance from service and housing) should be taken into account when planning the patient's cardiac rehabilitation management.Healthcare providers likely need to strengthen the continuity of care and increase its accessibility for elderly MI patients, in particular following the transfer from hospital care to local health centres.
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| 9. |
- MacFarlane, Anne, et al.
(författare)
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Framework for Refugee and Migrant Health Research in the WHO European Region
- 2023
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Ingår i: Tropical medicine & international health. - : John Wiley & Sons. - 1360-2276 .- 1365-3156. ; 28:2, s. 90-97
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Tidskriftsartikel (refereegranskat)abstract
- Migration is a longstanding, growing global phenomenon. As a social determinant of health, migration can lead to health inequities between people on the move and host populations. Thus, it is imperative that there is a coordinated effort to advance migration- and health-related goals. WHO has a specific remit to support evidence-based decision-making in its Member States. As part of that remit, WHO Europe presents this Framework for Refugee and Migrant Health Research in the WHO European Region. It is designed as a starting point for debating and analysing a broad range of options and approaches to help inform a WHO global research agenda on health and migration. This is important because refugee and migrant health research is a complex interdisciplinary field that is expanding in a fast-changing socio-political environment. The Framework is intended for all stakeholders involved: academic, civil society organisations, refugees, migrants, policy-makers, healthcare providers, educators and funders. It is developed by academics in consultation with these stakeholder groups. It reflects on three specific interrelated dynamics in research practice. These are (i) research prioritisation; (ii) study samples and (iii) research design. The Framework offers recommendations to consider for each one of these. It elucidates the value of involving refugees and migrants in research and research agendas and the need to develop an ecosystem that will support and sustain participatory, interdisciplinary, transdisciplinary and inter-sectoral projects.
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| 10. |
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| 11. |
- O'Doherty, Jane, et al.
(författare)
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Over prescribing of antibiotics for acute respiratory tract infections; a qualitative study to explore Irish general practitioners' perspectives.
- 2019
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Ingår i: BMC Family Practice. - : Springer Science and Business Media LLC. - 1471-2296. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Anti-microbial resistance (AMR) is a global threat to public health and antibiotics are often unnecessarily prescribed for acute respiratory tract infections (ARTIs) in general practice. We aimed to investigate why general practitioners (GPs) continue to prescribe antibiotics for ARTIs despite increasing knowledge of their poor efficacy and worsening antimicrobial resistance.METHODS: We used an explorative qualitative study design. Thirteen GPs were recruited through purposive sampling to represent urban and rural settings and years of experience. They were based in general practices within the Mid-West of Ireland. GPs took part in semi-structured interviews that were digitally audio recorded and transcribed.RESULTS: Three main themes and three subthemes were identified. Themes include (1) non-comprehensive guidelines; how guideline adherence can be difficult, (2) GPs under pressure; pressures to prescribe from patients and perceived patient expectations and (3) Unnecessary prescribing; how to address it and the potential of public interventions to reduce it.CONCLUSIONS: GPs acknowledge their failure to implement guidelines because they feel they are less usable in clinical situations. GPs felt pressurised to prescribe, especially for fee-paying patients and in out of hours settings (OOH), suggesting the need for interventions that target the public's perceptions of antibiotics. GPs behaviours surrounding prescribing antibiotics need to change in order to reduce AMR and change patients' expectations.
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| 12. |
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| 13. |
- Pusztai, Zsofia, et al.
(författare)
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Refugee and migrant health – : improving access to health care for people in between
- 2018
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Ingår i: Public Health Panorama. - Copenhagen : World Health Organization. - 2412-544X. ; 4:2, s. 220-224
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Tidskriftsartikel (refereegranskat)abstract
- Since 2015, Serbia has been a central waypoint along the western Balkans migration route. After the closure of the humanitarian corridor in March 2016, thousands remained trapped in Serbia reluctant to seek asylum, as this would undermine their chances of finding protection in one of the EU Member States. The WHO Country Office for Serbia needed to address the challenges involved in providing health services to persons with an often unregulated legal status and in the context of limited financial and human resources of the national health system. Further difficulties included unmet hygienic, sanitary and health needs of persons voluntarily staying outside state shelters, and the cultural and language barriers preventing provision of health care.In line with the Strategy and action plan for refugee and migrant health laid down in the WHO European Region and resolution EUR/RC66/R6 of the WHO Regional Committee for Europe, the intervention by the WHO Country Office for Serbia was focused on a coordination role supporting the establishment of a national coordination mechanism for health services which included all state actors as well as NGOs. Thus, the services provided by nongovernmental actors were included in the national public health system with the existing referral system. In parallel, development of Migrant Health Information System was supported, providing a surveillance and monitoring mechanism while further resources were mobilized through the United Nations and partners development framework to support public health services and capacitie
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| 14. |
- Puthoopparambil, Soorej Jose, 1985-, et al.
(författare)
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Addressing the health challenges in immigration detention, and alternatives to detention : a country implementation guide
- 2022
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Bok (refereegranskat)abstract
- This country implementation guide outlines current evidence, knowledge and best practices relating to the health and health challenges of refugees and migrants in immigration detention, as well as alternatives to detention. It highlights key principles and international commitments, summarizes the current status and health challenges and provides practical considerations for addressing the health challenges of refugees and migrants in immigration detention, as well as the implementation of alternatives to detention. Specific areas for intervention include providing comprehensive training for staff, ensuring safeguards, providing psychological support and providing tools to prevent the spread of communicable diseases. The guide also promotes engagement-based alternatives to detention. While the main intended audience is policy-makers across sectors at local, national and regional levels, the guide is also of value for health planners, relevant ministries, international organizations, management of immigration detention facilities and their staff, and researchers.
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| 15. |
- Puthoopparambil, Soorej Jose, 1985-, et al.
(författare)
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Collection and integration of data on refugee and migrant health in the WHO European Region : technical guidance
- 2020
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- This technical guidance outlines current evidence, knowledge and best practice relating to the integration of migration health data into national health information systems. It highlights key principles, summarizes priority actions and challenges, maps existing international commitments and frameworks and provides practical policy considerations for promoting collection and integration of migration health data. Specific areas for intervention include establishing a multistakeholder working group for overseeing data collection and integration, creating a regulatory framework for preventing unauthorized access and use of health data for non-health purposes, integrating core variables into the data collection system and promoting data linkage. While the main intended audience of this technical guidance series is policy-makers across sectors at local, national and regional levels, the contents of this publication will also be of value for health-care practitioners, health planners and health information specialists and law enforcement officials.
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| 16. |
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| 17. |
- Puthoopparambil, Soorej Jose, 1985-, et al.
(författare)
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"It is a thin line to walk on" : challenges of staff working at Swedish immigration detention centres
- 2015
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 10, s. 25196-
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Tidskriftsartikel (refereegranskat)abstract
- Detention of irregular migrants awaiting deportation is widely practiced in many countries and has been shown to have profound negative impact on health and well-being of detainees. Detention staff, an integral part of the detention environment, affect and are affected by detainees' health and well-being. The objective of the study was to explore experiences of staff working at Swedish immigration detention centres. Fifteen semi-structured interviews were conducted with staff in three Swedish detention centres and were analysed using thematic analysis. The results indicate that the main challenge for the staff was to manage the emotional dilemma entailed in working as migration officers and simultaneously fellow human beings whose task was to implement deportation decisions while being expected to provide humane service to detainees. They tried to manage their dilemma by balancing the two roles, but still found it challenging. Among the staff, there was a high perception of fear of physical threat from detainees that made detention a stressful environment. Limited interaction between the staff and detainees was a reason for this. There is thus a need to support detention staff to improve their interaction with detainees in order to decrease their fear, manage their emotional dilemma, and provide better service to detainees. It is important to address staff challenges in order to ensure better health and well-being for both staff and detainees.
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| 18. |
- Puthoopparambil, Soorej Jose, 1985-
(författare)
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Life in Immigration Detention Centers : An exploration of health of immigrant detainees in Sweden and three other EU member states
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Governments around the world use immigration detention to detain and deport irregular immigrants, which negatively affects their health. The aim of this thesis was to explore, describe and identify factors that could mitigate the effect of immigration detention on the health of detainees. This was a mixed method study using qualitative methods (Papers I and II), quantitative methods (Paper III) and descriptive case comparison (Paper IV) comparing the Swedish system to the system in the Benelux countries (Belgium, the Netherlands and Luxembourg). The study design was strengthened by triangulation of methods and data sources.Detainees experienced lack of control over their own lives due to lack of information in a language they can understand, inadequate responses from detention staff and restrictions within detention centers further limiting their liberty. Duration of detention was negatively associated with satisfaction of services provided in detention and the detainees’ Quality of Life (QOL). Detainees had low QOL domain scores with the psychological domain having the lowest score (41.9/100). The most significant factor positively associated with the QOL of detainees was the support received from detention staff. A sense of fear was present among detainees and staff. Detainees’ fear was due to their inadequate interaction with authorities, perceiving it as threatening, and due to their worry of facing repercussions of being involved in incidents caused by others. The potential for physical threat from detainees created a sense of fear among the staff. The detention staff expressed the need for more support to manage their emotional dilemma and role conflict of being a civil servant, simultaneously enabling the deportation process while providing humane care to detainees as fellow human beings. Detention centers in the Benelux countries had more categories of staff providing different services to detainees. Compared to the Benelux countries, healthcare services at the Swedish detention centers were limited. Detainees were offered no medical screening on arrival and no regular access to mental healthcare professionals.Detaining authorities have the obligation to safeguard the health of detainees. Challenges faced by the detention staff and detainees must be addressed to create a supportive environment and fulfill that obligation.
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| 19. |
- Puthoopparambil, Soorej Jose, 1985-, et al.
(författare)
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Migrant health and language barriers : Uncovering macro level influences on the implementation of trained interpreters in healthcare settings
- 2021
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Ingår i: Health Policy. - : Elsevier. - 0168-8510 .- 1872-6054. ; 125:8, s. 1085-1091
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Tidskriftsartikel (refereegranskat)abstract
- There is a knowledge translation gap between policies promoting equitable access to healthcare and person-centred care, and the use of untrained interpreters in cross-cultural consultations leading to disparities in health outcomes. An 11 member inter-sectoral working group met at four workshops to discuss and agree on levers and barriers to the provision of trained interpreters in healthcare settings in Ireland. The process was informed by Participatory Learning and Action (PLA) research to support inter-stakeholder dialogue and learning. Normalisation Process Theory (NPT) was used as a conceptual framework to analyse levers and barriers. The NPT analysis explored sense-making, engagement and enactment and found challenges with sense-making and engagement in senior level service planners, managers and governmental offices. This had negative impacts on other key actors, including healthcare providers, medical students and interpreters. This also meant that the enactment of interpreted consultations in practice settings was replete with barriers, most notably a lack of resources, training and supportive organisational structures. The emergent action plan focused on improving sense-making and engagement through inter-sectoral awareness raising, designed to stimulate a series of complementary levers for implementation. Combining PLA and NPT provided new insights into macro level influences on implementation work at the level of a national healthcare system. The approaches used in this study are applicable in other fields.
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| 20. |
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| 21. |
- Villarroel, Nazmy, et al.
(författare)
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Migrant health research in the Republic of Ireland: a scoping review
- 2019
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Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 19:1
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Forskningsöversikt (refereegranskat)abstract
- Background: Migration to European countries has increased in number and diversity in recent years. Factors such as access to healthcare, language barriers and legal status can impact the health outcomes of migrant groups. However, little is known about the evidence base on the health status of migrants in the Republic of Ireland. Our aim was to scope existing peer-reviewed research on the health of migrants in Ireland and identify any gaps in the evidence.Methods: We conducted a scoping review of peer-reviewed research on the health of migrants in the Republic of Ireland. Eleven electronic databases were searched for peer-reviewed, empirical articles published between 2001 and 2017. Search terms were adapted from a World Health Organisation review. Findings were analysed using the 2016 World Health Organisation Strategy and Action Plan for Refugee and Migrant Health in the World Health Organisation European region, which outlines nine strategic areas that require collaborative action.Results: Of 9396 articles retrieved, 80 met inclusion criteria, with the majority (81%) published since 2009. More than half of the studies had a quantitative design (65%). Migrants studied came from Eastern Europe, Asia and Africa and included labour migrants, refugees and asylum seekers. Most studies related to two World Health Organisation strategic areas; 4: “achieving public health preparedness and ensuring an effective response”, and 5: “strengthening health systems and their resilience”.Conclusion: There is growing attention to migrant health in Ireland with a balance of qualitative and quantitative research. While much of the identified research is relevant to three of the World Health Organisation strategic areas, there are significant gaps in the other six areas. The study design could be replicated in other countries to examine and inform migrant health research.
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| 22. |
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