Article

BACKGROUND: The current global refugee crisis poses major challenges in providing
effective healthcare to refugees, particularly for non-communicable diseases
management and disability.
This article provides an overview of refugee health
and potential challenges from the rehabilitation perspective. METHODS: A
literature search (both academic and grey literature) was conducted using medical
and health science electronic databases and internet search engines (2001-2016).
Both authors independently selected studies. Due to heterogeneity amongst
identified articles, a narrative analysis was performed for best-evidence
synthesis to outline the current health and rehabilitation status of refugees and
existing gaps in care. RESULTS: Data suggest that infectious diseases requiring
treatment in refugees are a minority; whilst non-communicable diseases,
musculoskeletal conditions are prevalent. Many refugees arrive with complex
health needs. One in 6 refugees have a physical health problem severely affecting
their lives and two-thirds experience mental health problems, signifying the
important role of rehabilitation. Refugees face continued disadvantage, poverty
and dependence due to lack of cohesive support in their new country, which are
determinants of both poor physical and mental health. This is compounded by
language barriers, impoverishment, and lack of familiarity with the local
environment and healthcare system. In Australia, there are concerns about sexual
and gender-based violence in off-shore detention camps. Targeted physical and
cognitive rehabilitative strategies have much to offer these vulnerable people to
allow for improved activity and participation. CONCLUSION: Strong leadership and
effective action from national and international bodies is urgently needed to
develop comprehensive rehabilitation-inclusive medical care for refugees.

Langue : ANGLAIS