Integration Through Health During Protracted Displacement: Case Studies From Colombia and Jordan

Katherine D. McCann, Fouad M Fouad, Arturo Harker Roa, M. Zard
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引用次数: 2

Abstract

As the global rate of displacement reaches new highs and the average length of displacement extends from years to decades, integration is an increasingly crucial lifeline for refugees and displaced communities seeking to rebuild their lives. Health systems serve as an ideal conduit for integration due to universal need, system complexity, and the interplay of political, social, and economic factors on health outcomes. Using lessons learned from case studies in Colombia and Jordan, this paper will explore different strategies for integration of refugee health services with host population health systems. It will highlight successful policy implementation and innovative approaches as well as predict potential barriers to success via a population-centered approach that emphasizes the importance of supporting host communities concurrently with displaced populations. It offers the following findings and recommendations for governmental and humanitarian actors. Effective integration requires a “whole of person” approach which acknowledges and responds to the linkages between legal status, economic needs, and mental and physical health and wellbeing. Addressing the health needs of populations experiencing protracted displacement must go hand-in-hand with, and cannot be decoupled from, addressing the needs of host communities. Demographic and epidemiologic data inclusive of both host and displaced populations enables governments and service providers to better plan for and respond to key health and non-health needs. Donors and financing structures can play a critical role in facilitating greater integration of health and other services.
长期流离失所期间通过保健实现融合:来自哥伦比亚和约旦的案例研究
随着全球流离失所率达到新高,流离失所的平均时间从几年延长到几十年,融入社会对寻求重建生活的难民和流离失所社区来说越来越重要。由于普遍需要、系统复杂性以及政治、社会和经济因素对卫生结果的相互作用,卫生系统是实现一体化的理想渠道。利用从哥伦比亚和约旦的案例研究中吸取的经验教训,本文将探讨将难民卫生服务与东道国人口卫生系统相结合的不同战略。它将强调成功的政策执行和创新方法,并通过强调在支持流离失所人口的同时支持收容社区的重要性的以人口为中心的方法,预测成功的潜在障碍。报告为政府和人道主义行为体提供了以下调查结果和建议。有效的融合需要一种"全人"的办法,承认并回应法律地位、经济需求以及身心健康和福祉之间的联系。解决长期流离失所人口的卫生需求必须与解决收容社区的需求相辅相成,不可分割。包括收容人口和流离失所人口在内的人口和流行病学数据使政府和服务提供者能够更好地规划和应对关键的卫生和非卫生需求。捐助者和筹资结构可在促进保健和其他服务更大程度的一体化方面发挥关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
5.20
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