难民的生殖健康:在东道国获得卫生保健系统的障碍

Vl.V. Podolsky, V.V. Podolsky, N.V. Medvedovska
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引用次数: 0

摘要

世界各地的难民在获得保健服务方面面临许多挑战,特别是在生殖健康领域。这篇叙述性综述旨在探讨难民在试图进入东道国卫生保健系统时遇到的障碍。这些障碍包括语言和文化差异、缺乏对医疗保健系统的了解、交通不便、经济拮据和耻辱。全面的医疗保健服务,包括获得医疗保健、营养和心理健康支持,对于预防和管理慢性病以及改善难民的健康状况至关重要,尤其是那些可能面临药物和监测设备供应受限的糖尿病患者。必须确保被诊断患有糖尿病的难民有足够的途径获得胰岛素供应和设备,以安全管理胰岛素。我们还强调这些障碍对难民生殖健康的影响,包括产前护理不足、缺乏获得避孕和计划生育服务的机会以及性传播感染风险增加。这次审查的结果强调,决策者和保健提供者迫切需要解决难民在获得生殖保健时面临的独特挑战。必须努力改善获取信息的途径,提高医疗保健提供者之间的文化能力,并解决金融和交通障碍。通过应对这些挑战,我们可以确保难民获得必要的支持和资源,以维持其生殖健康和福祉。作者未声明存在利益冲突。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reproductive health of refugees: barriers to accessing healthcare systems in host countries
Refugees around the world face numerous challenges when it comes to accessing healthcare services, particularly in the area of reproductive health. This narrative review aims to explore the barriers that refugees encounter when trying to access healthcare systems in their host countries. These barriers include language and cultural differences, lack of knowledge about the healthcare system, limited access to transportation, financial constraints, and stigma. Comprehensive healthcare services, including healthcare access, nutrition, and mental health support, are crucial to prevent and manage chronic diseases and improve health outcomes for refugees, particularly those with diabetes who may face restricted availability of medications and monitoring devices. It is essential to ensure refugees diagnosed with diabetes have sufficient access to insulin supplies and equipment to administer it securely. We also highlight the impact of these barriers on the reproductive health of refugees, including inadequate prenatal care, lack of access to contraception and family planning services, and increased risk of sexually transmitted infections. The findings of this review underscore the urgent need for policymakers and healthcare providers to address the unique challenges that refugees face when accessing reproductive healthcare. Efforts must be made to improve access to information, increase cultural competency among healthcare providers, and address financial and transportation barriers. By addressing these challenges, we can ensure that refugees have the necessary support and resources to maintain their reproductive health and well-being. No conflict of interests was declared by the authors.
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