Health Policy and Systems Responses to Forced Migration

260 Pages·2020·3.892 MB·English

by  Kayvan Bozorgmehr (editor), Bayard Roberts (editor), Oliver Razum (editor), Louise Biddle (editor)

Kayvan Bozorgmehr
Bayard Roberts
Oliver Razum
Louise Biddle   Editors
Health Policy
and Systems
Responses
to Forced
Migration
Health Policy and Systems Responses
to Forced Migration
Kayvan Bozorgmehr • Bayard Roberts
Oliver Razum • Louise Biddle
Editors
Health Policy and Systems
Responses to Forced
Migration
Editors
Kayvan Bozorgmehr Bayard Roberts
Department of Population Medicine Department of Health Services Research
and Health Services Research and Policy
School of Public Health London School of Hygiene and Tropical
Bielefeld University Medicine
Bielefeld, Nordrhein-Westfalen, Germany London, UK
Department of General Practice and Health
Louise Biddle
Services Research
Department of General Practice and Health
University Hospital Heidelberg
Services Research
Heidelberg, Baden-Württemberg, Germany
University Hospital Heidelberg
Heidelberg, Baden-Württemberg, Germany
Oliver Razum
Department of Epidemiology
and International Public Health
School of Public Health
Bielefeld University
Bielefeld, Nordrhein-Westfalen, Germany
ISBN 978-3-030-33811-4 ISBN 978-3-030-33812-1 (eBook)
https://doi.org/10.1007/978-3-030-33812-1
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Preface
Forced migration is on the increase, and it poses challenges to the health systems of
most countries. The health of forced migrants has, to date, mostly been analysed
with a focus on specific conditions, most notably infectious diseases and mental
health. In this book, we attempt to fill a gap by applying a health policy and systems
perspective on forced migration to identify areas of interaction. We determine rela-
tionships between elements of health systems and health needs of displaced popula-
tions, analyse tensions between policy areas and sectors, and shed light on potential
synergies to inform system-level approaches aimed at improving health system
responses to forced migration. In doing so, we aim to create a platform and basis to
bring together research communities from the fields of political science, epidemiol-
ogy, health sciences, economics, and sociology that have largely worked separately
on either forced migration or health policy and systems research.
The book brings together for the first time the existing knowledge on health sys-
tems and health policy responses to forced migration with a focus on asylum seek-
ers, refugees, and internally displaced people. Additionally, it contributes to
advancing knowledge on forced migration towards health policy and system-level
approaches, reforms, and interventions. The perspectives taken by this volume are
local, national, international, and/or global, and authors use a range of spatial scales
as necessary to address the relevant aspects and issues of concern. While we place a
specific focus on European countries, we also highlight lessons learnt from coun-
tries in neighbouring regions hosting the highest numbers of forced migrants glob-
ally, such as Lebanon and Jordan.
By bringing together knowledge which is often scant, as well as scattered across
several journals and disciplines, the book aims to be of use to policymakers and
analysts, international organisations, front-line practitioners in the field, scholars in
academia, think tanks, and students.
v
vi Preface
This book is intended to stimulate reflections, further research, political dis-
course, and eventually health systems and policy reforms. Through this process, we
hope to contribute to the global efforts to improve the health of displaced popula-
tions, ultimately benefitting society as a whole. We wish to thank all authors for
their expert contributions, as well as our readers for their interest in the topics of
this book.
Bielefeld, Germany Kayvan Bozorgmehr
London, UK Bayard Roberts
Bielefeld, Germany Oliver Razum
Heidelberg, Germany Louise Biddle
Acknowledgements
We want to thank Janet Kim for her excellent guidance in getting this book pub-
lished. We also thank Maren Hintermeier for her technical assistance in pulling
elements of this book together.
vii
Contents
1 Health Policy and Systems Responses to Forced
Migration: An Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Kayvan Bozorgmehr, Louise Biddle, Oliver Razum,
and Bayard Roberts
2 The Political Economy of Health and Forced
Migration in Europe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Sara Barragán Montes
3 Innovative Humanitarian Health Financing for Refugees . . . . . . . . . 35
Paul Spiegel, Rebecca Chanis, Thea Scognamiglio,
and Antonio Trujillo
4 Healthcare Financing Arrangements and Service
Provision for Syrian Refugees in Lebanon . . . . . . . . . . . . . . . . . . . . . . 53
Neha S. Singh, Antonia Dingle, Alia H. Sabra, Jocelyn DeJong,
Catherine Pitt, Ghina R. Mumtaz, Abla M. Sibai,
and Sandra Mounier-Jack
5 Health Financing for Asylum Seekers in Europe:
Three Scenarios Towards Responsive Financing Systems . . . . . . . . . 77
Louise Biddle, Philipa Mladovsky, and Kayvan Bozorgmehr
6 Understanding the Resilience of Health Systems . . . . . . . . . . . . . . . . . 99
Karl Blanchet, Karin Diaconu, and Sophie Witter
7 Health Security in the Context of Forced Migration . . . . . . . . . . . . . . 119
Maike Voss, Katharina Wahedi, and Kayvan Bozorgmehr
8 Security over Health: The Effect of Security Policies
on Migrant Mental Health in the UK . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Philipa Mladovsky
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x Contents
9 Evidence on Health Records for Migrants
and Refugees: Findings from a Systematic Review . . . . . . . . . . . . . . . 157
Valentina Chiesa, Antonio Chiarenza, and Bernd Rechel
10 Assessing the Health of Persons Experiencing
Forced Migration: Current Practices for Health
Service Organisations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Dominik Zenner, Kolitha Wickramage, Ursula Trummer,
Kevin Pottie, and Chuck Hui
11 Discrimination as a Health Systems Response
to Forced Migration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Yudit Namer, Canan Coşkan, and Oliver Razum
12 Health System Responsiveness to the Mental Health
Needs of Forcibly Displaced Persons . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
Daniela C. Fuhr, Bayard Roberts, Aniek Woodward,
Egbert Sondorp, Marit Sijbrandij, Anne de Graaff,
and Dina Balabanova
13 Global Social Governance and Health Protection
for Forced Migrants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Alexandra Kaasch
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Contributors
Dina  Balabanova, PhD Associate Professor, London School of Hygiene &

Tropical Medicine, London, UK; research focus: health systems, health policy,
rapid appraisal methodology, sociology, qualitative research.
Louise Biddle, MSc Research Fellow in the Department of General Practice and

Health Services Research at the University Hospital Heidelberg, Heidelberg,
Germany; research focus: health systems research, health financing, health monitor-
ing, social determinants of health, medical sociology.
Karl Blanchet, PhD London School of Hygiene & Tropical Medicine, Associate

Professor in Health Systems Research and Codirector of the Health in Humanitarian
Crises Centre; research focus: resilience in global health, specifically in post-con-
flict and conflict-affected countries.
Kayvan Bozorgmehr, MD, MSc Professor for public health, Head of Department

of Population Medicine and Health Services Research, School of Public Health,
Bielefeld University, Bielefeld, Germany, and Head of Social Determinants, Equity
& Migration Group, Department of General Practice and Health Services Research
at the University Hospital Heidelberg, Heidelberg, Germany; research focus: health
services, social epidemiology, forced migration, global health, health policy and
systems.
Rebecca Chanis, MSPH/MA Affiliate, Johns Hopkins Center for Humanitarian

Health, Baltimore, MD, USA; research focus: health services research, health
financing, maternal health.
Antonio Chiarenza Head of Research and Innovation Unit at the Azienda Unità

Sanitaria Locale (Local Health Unit)—IRCCS of Reggio Emilia, Reggio Emilia,
Italy; research focus: health services, health promotion, migrant health.
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