Exploring the refugees perspective on health
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- Anis Goodwin
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1 Exploring the refugees perspective on health
2 Program for the afternoon Introduction (Jesper and Margareta) Perspective 1 The asylum- and integration team (Anette and Mohamoud) Reflection: what matters to make a difference? Coffee! Perspective 2 Starting a social movement (Julia and Sunday) Reflection: what matters to make a difference? Collecting our findings what matters?
3 Let s explore the refugees perspective on health from health care to support in the everyday life. Primary care Specialised care Everyday life Support for body, mind and soul Folkhälsa och sjukvård
4 What matters to make a difference? Perspective 1 Julia and Sunday Perspective 2 Anette and Mohamoud Our findings building a change package for refugees health and integration
5 Present situation - asylum seekers and refugees Number of asylum applications Health examination Ongoing projects Challenges Follow up and results Asyl och integration Folkhälsa och sjukvård, Margareta Strindhall
6 The total number of asylum applications in 2013, 2014, 2015, and 2016 in Sweden Asyl och integration - Folkhälsa sjukvård Source: Migrationsverket
7 The five largest groups of asylum seekers The largest groups based on citizenship among those who have applied for asylum the past three weeks. (stateless) Asyl och integration - Folkhälsa sjukvård Source: Migrationsverket
8 Total number of asylum applications in Region Jönköping County Child and adults January January including 892 "unaccompanied children" An "unaccompanied child" means a person under the age of 18 who has come to Sweden and applied for asylum without his or her parents or other legal custodial parent. Asyl och integration - Folkhälsa sjukvård Source: Migrationsverket
9 Total number of health examinations done in Region Jönköping county Children and Adults Health Examinations Jan February Waiting for health exam. 54 % January Waiting for health exam. 11% There is 892 unaccompanied children and teens in the County, 845 of whom are under 18 years-old. Asyl och integration - Folkhälsa sjukvård Source: Migrationsverket
10 Residence permits granted in Sweden the following years 2014 = = = Asyl och integration - Folkhälsa sjukvård Source: Migrationsverket
11 Asylum seekers granted resident permit in Region Jönköping county 2014= 2260 (unaccompanied children 116) 2015= 2622 (unaccompanied children 110) 2016 =2715 (unaccompanied children 196) Asyl och integration - Folkhälsa sjukvård Source: Migrationsverket
12 Population growth in the Region Jönköping county januari 2017 Date Number Growth Feb Jan Jan Jan Jan Jan Jan feb-11 Population number jun-11 okt-11 feb-12 jun-12 okt-12 feb-13 jun-13 okt-13 feb-14 jun-14 okt-14 feb-15 jun-15 okt-15 feb-16 jun-16 okt-16 Antal Asyl och integration - Folkhälsa sjukvård Source: Master befolkningsregister
13 54 million SEK resources and political decisions in 2016 Action plan was designed About 50 applications and ongoing projects with a spread within peadiatrics, psychiatry, infections, primary care, regional development, public transportation, dental care, labour market A coordinator was employed Monitoring and reporting to the steering comittee ( Agneta Jansmyr, Mats Bojestig, Jane Ydman, Ulrika Geeraedts) during spring 2017 Asyl och integration - Folkhälsa sjukvård
14 The role of the Coordinator Coordinate: health care issues relating to asylum and refugees and support activities Skills development, information och communication Compile current status National contact Convene and chair the reference group Participate in meetings with immigration office, social service, police, education Project leader of the asylum and integration team who started the health schools Asyl och integration - Folkhälsa sjukvård, Margareta Strindhall
15 Challenges for the health care and integration work in Region Jönköping Collaboration and cooperation between the region and municipality to promote and strengthen a positive health development and integration Support for unaccompanied children in health care, school and home Assessment of health care that can not be postponed Addressing the health needs of mental illness in psychiatry and primary care Skills development in refugee-related stress, trauma and emergency treatment Women's health Sex and relationships Equal health for these groups Asyl och integration - Folkhälsa sjukvård, Margareta Strindhall
16 Migration stress Before fleeing from: War-torn countries bombings Violence Starvation Lost family, friends, relatives, homes Lived in refugee camps During the escape: Major risks, dangerous journeys Ruthless smugglers Cheat and fraud Extortion Violence Sexually abused After-asylum seekers: Uncertainty Lack of housing New language With nothing to do Long waiting Long processing times Racism and xenophobia House fires Asyl och integration - Folkhälsa sjukvård Source: SKL
17
18 Health school Presentation Anette Jonsson & Mohamoud Suldan Health education Personal reflection Evaluation Asylum- and integration team
19 Asylum- and integration team
20 Mohamoud Suldan Born in Arabi, Etiopia Came to Sweden 2014 Health communicator in September 2016 Asylum- and Integration team
21 Asylum- and integration team
22 Mobile team Asylum- and integration team
23 Asylum- and integration team
24 Topics Meeting 1: Health care in Sweden Meeting 2: Self-care and Consulting Meeting 3: Stress, anxiety and sleep Meeting 4: Living-habits Asylum- and integration team
25 Self care & consulting Asylum- and integration team
26 Stress, anxiety & sleep Asylum- and integration team
27 Living habits Asylum- and integration team
28 Asylum- and integration team
29 Quotes from participants about the health school... Good to have contact with people outside the asylum accommodation It is good to learn more about society and community care "Grateful for helping me to the health center. I was told that I had vitamin D deficiency. " "I am happy to your commitment and care about us and that you want us to integrate more in the community. "Good and structured. Did not feel like a school but more like a friendly meeting I have learned that water is good for health " The exercises is good and important. "I will quit smoking. Asylum- and integration team
30 Follow up and results Survey which contains: - three questions Spreading plan which contains: - place where the health school has been hold - todays session\ topics - number of participants in each group - different language - status and date. Recording sheet which contains: - observation, interpretation,intervention,consequence outcome, and future action Asyl och integration - Folkhälsa sjukvård, Margareta Strindhall
31 How do you feel today? 29st 10% 96st 32% 171st 58% Very good Quite good Not good Asyl och integration - Folkhälsa sjukvård, Margareta Strindhall
32 Do you think that todays information can lead to a better health for you? 39st 13% 5st 2% 252st 85% Yes I do I'm not sure No I don't Asyl och integration - Folkhälsa sjukvård, Margareta Strindhall
33 Are you satisfied with todays information? 41st 14% 3st 1% 252st 85% Very satisfied Quite satisfied Not satisfied Asyl och integration - Folkhälsa sjukvård, Margareta Strindhall
34 Report from the spreading plans Places: Mariannelund Bodafors Jönköping Anderstorp Smålandstenar Vrigstad Värnamo Vetlanda Skillingaryd Sessions\ topics Total numbers of participants Information swedish healthcare 250 Self care 161 Anxiety,stress and sleep 129 Living habits 45 Extra session: go to the store 9 and stop smoking Private conversation 74 Sex and relationship 8 Repetition 16 Asyl och integration - Folkhälsa sjukvård, Margareta Strindhall
35 Participating in a National project learning about how to improve health of asylum and new arrivals Phase 1: Needs analysis in regions and counties Phase 2: Education and spreading Phase 3: Website Tools and gathered material Asyl och integration - Folkhälsa sjukvård
36 The national project The course has been held at 26 ocassions and with around 1700 participants all around Sweden. 14 different courses or seminar days Asyl och integration - Folkhälsa sjukvård, Margareta Strindhall
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