Search Results (1,179)

Though refugee camps are by definition “temporary”, many camps endure for decades, where individuals live full lives through childhood, marriage, children, grandchildren, and death. These settlements function no differently than cities in their social life, density, zoning, and operation, yet are “planned” through UNHCR (United Nations High Commissioner for Refugees) templates for camps. The Zaatari camp in Jordan for Syrian asylum seekers, for example, holds a population of 80,000. Rather than viewing refugee camps as temporary human warehouses, this article demonstrates that camps are spaces where individuals build social networks and economic activities flourish. As such, the camp planning templates should include adaptive Construction 4.0 technologies for more socially flexible settlements, even if the camps are considered “temporary”. This case study research on the Zaatari camp illustrates how refugees adapt their built environment, identifying adaptation patterns that enhance both livability and sustainability. The work illustrates social and environmental changes that require adaptive housing configurations. The conclusion suggests linking modern tools in the construction industry to empirically derived planning objectives to be efficiently executed in moments of crisis. Full article

Turkey has been a hub for migrants since the Syrian crisis and has been home to 3.7 million refugees. The literature on migration focusses largely on Turkey’s response to refugees from Syria, host country citizens’ attitudes towards Syrians and their integration challenges, the EU–Turkey refugee deal, and its political implications for the EU and Turkey. Nonetheless, there has been a sharp rise in the number of Afghan migrants to Turkey since the complete withdrawal of US military forces from Afghanistan in 2020. Both scholarly and grey literature highlights that Turkey has recently been an attractive hub for Afghan migrants and other ethnic minorities, following Pakistan and Iran. Nonetheless, this literature has not substantially explored the Turkish government’s attitude towards the new influx of migrants. For this purpose, the article draws upon qualitative research based on secondary and grey literature (including semi-structured interviews with representatives from migration-related NGOs in Turkey). The article underpins its findings from the public policy framework of NATO (nodality, authority, treasure, organisation) by demonstrating how Turkey’s ambivalent response to the refugee inflow is shaped by limited information (nodality), weak legal mechanisms (authority), exploitation of new inflow as cheap labour (treasure), and migration system restructuring (organisation, treasure) after the withdrawal of external actors like the EU and UNHCR. Full article

Background/Objectives: Refugees typically experience poorer health compared with people from non-refugee backgrounds, and health literacy may play a part in this discrepancy. Using the WHO’s revised health literacy definitions as a framework, this qualitative study sought to examine the health literacy experiences and practices of Australian resettled refugees from Myanmar from refugee and service provider perspectives. Methods: Four refugee participant focus groups (n = 27) along with one focus group and four interviews with service providers (n = 7) were conducted in Melbourne, Australia, and analysed using deductive content analysis. Results: Our study found that in addition to individual health literacy, community literacy was practiced by Myanmar refugees, thus highlighting the relevance of social support to health literacy. Furthermore, our study found gaps in healthcare service provision and resourcing related to health literacy development and responsiveness by the healthcare system. Conclusions: Our study confirms the relevance of WHO’s revised health literacy definitions to Myanmar refugees while also discussing, in the context of nutrition and dietetics practice, the importance of understanding the different aspects of health literacy and how this relates to working with those who are most marginalised to improve their health and wellbeing. Full article

Intimate Partner Violence (IPV) is a risk factor for depressive disorders and other harms to women and their pregnancy. There is a need for longitudinal evidence to assist with understanding the subgroups of women including those from refugee background affected by IPV. We recruited women at their prenatal visit from three antenatal clinics in Australia (January 2015–March 2016). A total of 1335 women, 650 (48.7%) born in Australia and 685 (51.3%) from refugee backgrounds, completed baseline assessment; then, Time 2 follow-up was at 6 months and Time 3 follow-up was at 24 months post birth. The WHO Intimate Partner Violence (IPV) measure was used. Latent class growth analysis grouped individuals based on trajectories of IPV across three time points. A three-step process identified characteristics associated with respective latent class membership. Similar three-class solutions were observed across both cohorts, composed of Limited IPV (64% and 48% Australian-born and refugee background, respectively); Changing IPV (31%; 46%)—various combinations of IPV categories across time; Combined IPV (4%; 6%)—IPV at all time points, all transitioning to the combined physical and psychological abuse category at Time 3. Older age, fewer children, being in a couple, having a better partner, family and friend relationships, fewer partner trauma events, and fewer living difficulties emerged as protective factors for the changing and combined categories, with a distinct pattern for the refugee cohort. The findings assist with understanding and defining of the highest risk group for targeting interventions to prevent IPV, and the unique protective factors across the two IPV-affected classes for women born in Australia and those who arrived as refugees. Full article

The Syrian civil war displaced more than half of the Syrian population, including over 660,000 registered refugees who fled to neighboring Jordan. Environmental health services (e.g., water, sanitation, hygiene, and solid waste management) are critical for refugee health. Still, they may strain resources in host communities and must evolve in protracted crises. We studied environmental health services in the Azraq refugee camp in Jordan to identify the stakeholders and their roles in service provision, assess stakeholder communication and coordination, and evaluate sustainability. We conducted 25 interviews with stakeholders involved in environmental health service provision. We found that non-governmental and United Nations organizations had well-defined responsibilities, but the roles of donors, the Jordanian government, refugees, and the host community needed clarification. Conflicting standards and mismatched donor expectations with on-the-ground needs sometimes created challenges for coordinated and efficient service provision. The basic needs of refugees were generally met and services improved somewhat over time, but political obstacles and inadequate resources complicated the path toward sustainable services. Early incorporation of sustainability in planning and increased efforts to build the capacity of refugees to contribute and take ownership of environmental health services will likely enhance long-term environmental health service provision and development outcomes. Full article

Facing persistent natural catastrophes, the necessity for disaster prevention products in afflicted cities becomes paramount. Modular design has proven to be a viable method for streamlining transportation and manufacturing processes for disaster prevention products. However, existing post-disaster prevention products often fail to incorporate the green modular concept, with limited research on spatial allocation strategies. In response to the current challenges, a new breed of green post-disaster prevention products is urgently warranted to mitigate the impact of major natural disasters and safeguard lives and property. To achieve the goal, this study employs a combined analytic hierarchy process (AHP) and geographic information systems (GIS) analysis to propose an inflatable cabin for emergency disaster prevention, specifically designed for flood scenarios. Using the inflatable cabin as an empirical case, this study introduces a layered design approach progressing from macro to meso and then to micro levels to construct an objective decision-making model to prioritize key design elements, develop spatial post-disaster prevention strategies, and analyze the mechanical performance. Results indicate that at a distance of 30 m from the base of the slope (SPIC), the impact force is most significant, reaching up to 1.8 × 10⁷ kN. As the distance increases from 30 m to 150 m, the maximum impact force decreases by an order of magnitude, and the average impact force decreases by approximately two orders of magnitude. Furthermore, this comprehensive approach, which starts from a holistic design perspective and culminates in optimizing individual disaster structures, offers practical significance for engineering design research. Full article

This research project examines the experiences of four individuals working in refugee resettlement and their perspectives on the educational needs of refugee students, given their role as boundary spanners. They also discuss the need for teachers to encourage students to use the Funds of Knowledge in the classroom. Participants discuss their varied experience as professionals in refugee resettlement, with two being refugees and one being an immigrant. This paper (1) explores the stress associated with relocation, (2) delves into the mental health issues faced by individuals from refugee backgrounds, emphasizing trauma, (3) analyzes how inefficiencies and lack of support within the public school system contribute to a stressful and ineffective experience for all parties involved, and (4) highlights the importance of human connection. The implications for future research are also discussed with particular attention paid to the need to actively work with other stakeholders. Full article

Perinatal mental health is a growing public health concern. Refugee and asylum-seeking women are particularly susceptible to experiencing perinatal mental illness and may encounter a range of challenges in accessing healthcare. This scoping review sought to identify the enablers of and barriers to healthcare access and healthcare provision for refugee and asylum-seeking women experiencing perinatal mental illness in the WHO European Region. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews was applied. Nine databases and six grey literature sources were initially searched in April 2022, and an updated search was completed in July 2023. The search identified 16,130 records, and after the removal of duplicates and the screening process, 18 sources of evidence were included in this review. A data extraction table was used to extract significant information from each individual source of evidence, which was then mapped to the seven dimensions of the candidacy framework. Empirical (n = 14; 77.8%) and non-empirical (n = 4; 22.2%) sources of evidence were included. The literature originated from seven countries within the WHO European Region, including the United Kingdom (n = 9; 50%), Germany (n = 3; 16.7%), Denmark (n = 2; 11.2%), Norway (n = 1; 5.6%), Greece (n = 1; 5.6%), Sweden (n = 1; 5.6%), and Switzerland (n = 1; 5.6%). The results indicate that, although enablers and barriers were apparent throughout the seven dimensions of candidacy, barriers and impeding factors were more frequently reported. There was also a notable overall lack of reported enablers at the system level. Unaddressed language barriers and lack of attention to the diversity in culturally informed perceptions of perinatal mental illness were the main barriers at the individual level (micro-level) to identifying candidacy, navigating healthcare systems, and asserting the need for care. The lack of culturally appropriate alignment of healthcare services was the key organizational (meso-level) barrier identified. The wider structural and political contexts (macro-level factors), such as lack of funding for consultation time, focus on Western diagnostic and management criteria, and lack of services that adequately respond to the needs of refugee and asylum-seeking women, negatively influenced the operating conditions and wider production of candidacy. It can be concluded that there are multilevel and interconnected complexities influencing access to and provision of perinatal mental healthcare for refugee and asylum-seeking women. Full article

Globally, migrant and culturally and linguistically diverse (CALD) communities are known to have inequitable access to HPV vaccination. One participatory research approach used to engage CALD communities around vaccination is participatory action research (PAR), but we know little about the use of PAR to engage priority migrant and CALD communities around school and HPV vaccination. To address this gap, we partnered with our local Multicultural Health Service to understand how the largest CALD group in our region of New South Wales, Australia, engages with their local school and HPV vaccination program. Through a long-standing PAR relationship, we used a participatory research method (World Café) approach to explore the level of awareness and engagement a multi-generational community member had concerning HPV vaccination. We acted by sharing a co-designed information website to answer the community’s questions about HPV vaccination. We then evaluated these engagements with surveys, focus groups and online analytic platforms. Last, we reflected with project partners and health service stakeholders on the overall project outcomes and shared our learnings. In our discussion, we shared our lessons learned and contributed to a wider conversation about the benefits, challenges, and practicalities of using PAR to engage a priority CALD community around HPV vaccination. Full article

Background/Objectives: This study explores the relationship between cognitive performance measured by the Symbol Digit Modality Test (SDMT) and the severity of self-reported head injury, traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), depression, pain, and psychosocial dysfunction in a population of trauma-affected refugees. Refugees, especially those who have been subjected to torture, often face various difficulties, such as PTSD, depression and somatic disturbances (e.g., pain), which can significantly impact their day-to-day functioning. Methods: Participants included 141 adult refugees (38% women) with a mean age of 45.4 years (SD = 9.4) and 9.7 years (SD = 4.9) of education who were referred for treatment of post-traumatic distress to DIGNITY, Danish Institute Against Torture. Participants completed standardized self-report measures of PTSD, anxiety, depression, pain, and health-related disability and measures of trauma history, physical injuries including head injury and loss of consciousness, and the SDMT, a quick standardized performance-based measure of cognitive impairment. Results: Eighty-eight percent of participants evidenced signs of substantial cognitive impairment as indexed by lower SDMT scores. Those with a self-reported history of TBI, marked by loss of consciousness, exhibited lower SDMT scores and higher health-related disabilities. Severity of PTSD, depression, anxiety, and pain were highly correlated with lower SDMT scores. TBI history was not significantly associated with the severity of PTSD, depression, anxiety, or pain, suggesting a complex interplay among these factors. Conclusions: Cognitive impairments are prevalent in trauma-affected refugees, interacting with symptoms of post-traumatic stress and pain, likely explaining the high disability levels in this population. Further research should employ a broader range of cognitive measures and detailed investigations of head injury/TBI experiences to investigate their impact on overall functioning, treatment response, and longer-term outcomes. This study adds to a small but growing body of studies documenting cognitive impairments in trauma-affected refugees, highlighting the importance of addressing cognitive impairments in treatment for trauma-affected refugees, particularly those with histories of torture and TBI. Clinicians working with trauma-affected refugees should consider the assessment of cognitive difficulties as part of comprehensive care planning. Full article

This research explores the application of digital twin technologies to progress the United Nations’ Sustainable Development Goals (SDGs) within the water-energy-food-environment (WEFE) nexus management in urban refugee areas. The study in Irbid Camp utilizes a detailed 3D Revit model combined with real-time data and community insights processed through advanced machine learning algorithms. An examination of 450 qualitative interviews indicates an 80% knowledge level of water conservation practices among the community but only 35% satisfaction with the current management of resources. Predictive analytics forecast a 25% increase in water scarcity and an 18% surge in energy demand within the next ten years, prompting the deployment of sustainable solutions such as solar energy installations and enhanced rainwater collection systems. By simulating resource allocation and environmental impacts, the digital twin framework helps in planning urban development in line with SDGs 6 (Clean Water and Sanitation), 7 (Affordable and Clean Energy), 11 (Sustainable Cities and Communities), and 12 (Responsible Consumption and Production). This investigation highlights the capacity of digital twin technology to improve resource management, increase community resilience, and support sustainable urban growth, suggesting its wider implementation in comparable environments. Full article

The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) was one of the earliest healthcare systems globally to implement the International Classification of Diseases, Eleventh Revision (ICD-11) across its 140 clinics serving 5.9 million Palestine refugees. This paper discusses the integration of ICD-11 into UNRWA’s cloud-based electronic medical record (EMR) system, identifying both the barriers and facilitators involved and analyzing trends in clinical documentation and healthcare utilization. The key challenges included data privacy provisions, integration into a coordinated care model, complex classification schema for primary care settings, frequent staff turnover, and limited data analysis capabilities. Conversely, facilitators included physician-tailored training and on-site support, system compatibility, a multidisciplinary team approach, policy support from UNRWA and the World Health Organization (WHO), and leadership commitment and effective change management. Medical officers (MOs) using ICD-11 reported greater satisfaction with the system’s capabilities in managing and visualizing health information. This article contributes to the discourse on health data management in complex humanitarian settings, offering insights into the benefits and challenges of implementing advanced classification systems like ICD-11. Future research should explore longitudinal impacts and further integration with global health systems, ensuring that the advancements in classification continue to support the overarching goal of health equity and access in vulnerable and hard-to-reach populations. Full article

Based on ethnographic fieldwork, this article is concerned with how undocumented refugees and migrants use invisibility strategies to navigate a hostile host environment in Western Tanzania. This article explores how the shifts in Tanzania’s refugee policy have affected different generations of refugees differently, and how older cohorts assist newer cohorts. This article argues that the challenges of migration are productive of ‘affective circuits’ and of generating new forms of kinship. It argues that it can be productive to bring together the different understandings of generations, as it was found that generations as cohorts can transform into generations as kin in situations of rupture and adversity. Full article

Around the world, millions of young people and their families navigate education in settings of conflict and displacement. Despite the growing number of refugee families seeking educational opportunities outside their countries of origin, there is scant research on the efforts families undertake to ensure and improve this education. In this study, I seek to understand how families participate in refugee children’s education in displacement. Drawing on interviews with 16 refugee parents and caregivers living in Kakuma Refugee Camp, Kenya, I find that caregivers actively engage in their children’s schooling. Through what I am calling concerted community engagement, families choose, monitor, and supplement schools, working to ensure that refugee children benefit from the education they receive in exile as they build lives in the present and for the future. Full article

This study looks at the sense of belonging among the youth who fled Russia’s full-scale invasion of Ukraine and currently reside in Weimar, Germany. Having fled the war in a time of transition to a more independent stage of life, refugee youth are finding themselves in a challenging context of liminality: both in terms of age and environment. Experiencing a feeling of uncertainty about their positioning in life and a new society, refugee youth are especially prone to feeling excluded and lost, which creates further challenges for their well-being. While the sense of belonging cannot be strictly defined, it is considered a vital factor for mental and physical well-being, as well as a core sign of social integration. To understand how to help newcomers foster their sense of belonging, this study tracks senses of (non)belonging among refugee youth following a weak theory and psychogeographic approach. The results demonstrate the ‘dialectic’ battle of opposites: how right-wing city rallies and pro-Russian symbolism in Weimar are triggering a sense of alienation and detachment on the one hand, and how signs of solidarity with Ukraine and connecting to local social groups invite engagement with the city, its politics and hence create a sense of agency, welcoming and belonging on the other. The results of the study have important applicability for human geography as well as the development of the theory on the sense of belonging among refugee youth in the context of liminality. Full article