1st Edition

Handbook of Refugee Health For Healthcare Professionals and Humanitarians Providing Care to Forced Migrants

    458 Pages 51 Color & 16 B/W Illustrations
    by CRC Press

    458 Pages 51 Color & 16 B/W Illustrations
    by CRC Press

    458 Pages 51 Color & 16 B/W Illustrations
    by CRC Press

    This book helps to recognize the rights of refugees and provides a framework to identify and approach health needs, from basic elements like service mapping and initial interventions to more complex elements of ongoing healthcare and support and broader topics such as migration public health, migration policy and health systems. Beyond biomedical frameworks, it draws on socio-ecological models to inform assessments and integrated models of care to improve health and health equity. Set out in three comprehensive sections: public health theory (Part 1), applied public health (Part 2), and clinical approaches (Part 3), this book draws on multiple disciplines and insights from humanitarians, academics, policy experts, and clinicians from diverse contexts, with expertise in forced migration, to create an accessible reference tool to inform healthcare professionals’ interactions with forcibly displaced individuals and populations in all contexts for both high and low resource countries. Apart from providing information across the spectrum of health issues, clinical specialties and global contexts, it discusses associated areas, including human rights and law, public health, medical anthropology and cultural awareness.

    Key Features:

    • Bridges the gap between existing academic literature on refugee health and guidelines for health management in humanitarian emergencies
    • Helps to develop an integrated approach to healthcare provision, allowing healthcare professionals and humanitarians to adapt their specialist knowledge for use in forced migration contexts and with refugees.
    • Recognizes the complex and interconnected needs in displacement scenarios and identifies holistic and systems-based approaches.
    • Covers public health theory, applied public health and clinical aspects of forced migration.

    Table of Contents



    Edited by Sylvia Garry, Rita Issa, Miriam Orcutt, Sarah Walpole, Ibrahim Abubakar


    Author: Miriam Orcutt

    1. The global reality: forced migration and health

    Lead editors: Miriam Orcutt and Sarah Walpole

    1.1 Introduction to migration and global health

    Richard Alderslade and Sara Barragán Montes

    1.2 Forced migration and global health governance

    Sara Barragán Montes and Richard Alderslade

    1.3 Why are people forced to displace and seek refuge?

    Ben Mascall

    2. International standards, humanitarian principles and forced migration

    Lead editors: Miriam Orcutt and Sarah Walpole

    2.1 Refugee health policy, international standards and humanitarian principles

    Diane Duclos, Michael Knipper, Neha Singh, Karl Blanchet

    2.2 The right to health for forced migrants

    Liesbeth Schockaert


    3. Refugee health needs and response

    Lead editors: Sarah Walpole, Miriam Orcutt, Sophie North

    3.1 Health needs of refugees and internally displaced persons in camp settings

    Lilian Kiapi, Gemma Lyons, Selma Sevkli

    3.2 Health cluster coordination mechanism

    Muhammad Fawad Khan, Kamal Sunil Olleri

    3.3 The needs of migrants in transit

    Olaa Mohamed-Ahmed, Samafilan Ainan, Grazia Caleo, Abdulkarim Ekzayez, Osama Elgamal, Najeeb Rahman, Sakib Rokadiya, Afifah Shepherd-Rahman, Osman Dar

    3.4 Lived experiences of refugees and accessing services in a host country

    Angela Burnett, Jonathan Kazembe

    3.5 Cultural competency and cultural adjustment of services

    Michael Knipper, Diane Duclos, Bernd Hanewald, Karl Blanchet



    Edited by Rita Issa, Sylvia Garry, Sarah Walpole, Miriam Orcutt, Ibrahim Abubakar


    Author Gemma Lyon

    4. Health needs assessments in the context of forced displacement

    Lead editors: Rita Issa and Clare Shortall

    Clare Shortall, Carly Ziska, Rafik Bedoui, Sandrine Chapeleau

    5. Mainstreaming refugee health

    Lead editors: Sarah Walpole, Miriam Orcutt, Sophie North

    5.1 Providing healthcare in protracted refugee situations: a health system-strengthening approach

    Davide Mosca

    5.2 Health policy and advocacy to improve the health of forced migrants

    Sara Barragán Montes and Richard Alderslade

    5.3 Considerations in the initial healthcare assessment for new arrivals

    Hannah Fox, Beth Oxley

    5.4 Facilitating access to healthcare

    Anna Miller

    6. Safeguarding and supporting vulnerable groups

    Lead editors: Sylvia Garry and Miriam Orcutt


    Author Lélia Tawfik

    6.1 Protecting and supporting children on the move

    Daniela Reale

    6.2 Sexual and reproductive health, maternity and newborns

    Rita Issa

    6.3 Gender-based violence and migration

    Federica Zamatto

    6.4 Trafficking

    Sarah Boutros

    6.5 Disability

    Sarah Polack, Phillip Sheppard

    6.6 Older people

    James Smith

    6.7 Detention

    Umberto Pellecchia, Aurélie Ponthieu

    7. The humanitarian practitioner

    Lead editor: Rita Issa

    7.1 The professional humanitarian practitioner

    Rita Issa

    7.2 Personal ethics in humanitarian practice

    James Smith

    7.3 Resilience and mental health

    Catherine Cunning

    7.4 Ongoing education and maintaining competencies

    Tove Eriksonn

    7.5 Managing team dynamics and effective communication

    Tove Eriksonn, Rita Issa

    7.6 Accountability and sustainability

    Rita Issa


    Edited by Clare Shortall, Aula Abbara, Sarah Walpole, Alimuddin Zumla


    Authors Clare Shortall, Aula Abbara, Sarah Walpole

    8. Emergency Scenarios

    Lead editor: Clare Shortall

    8.1 An approach to medical emergencies in forced displacement settings

    Natalie Roberts, Louisa Baxter, Maryam Omar, Halfdan Holger Knudsen, Clare Shortall

    8.2 Triage

    Mir Saaduddin Ahmad, Louisa Baxter, Halfdan Holger Knudsen, and Natalie Roberts

    8.3 Specific Emergency Conditions in Forced Displacement Settings

    Natalie Roberts, Halfdan Holger Knudsen, Alvin Sornum, Taha Al-Taei, Barbara Scoralick Villela, Maryam Omar, Faith Traeh, Abdulkarim Ekzayez, Louisa Baxter, Clare Shortall, Eric Weerts

    9. Communicable diseases

    Lead editor: Aula Abbara

    9.1 Communicable diseases

    Aula Abbara

    9.2 Surveillance systems

    Sally MacVinish, Olivier le Polain de Waroux

    9.3 Sepsis

    Aula Abbara

    9.4 Respiratory infections

    Aula Abbara

    9.5 Gastrointestinal infections

    Aula Abbara

    9.6 Urinary tract infections, genital ulcers and syphilis

    Muhammed Zuhair, Aula Abbara

    9.7 Central nervous system infections

    Anna Daunt

    9.8 HIV and its complications and needlestick injuries

    Rebecca Marcus, Aula Abbara

    9.9 Tropical, subtropical and vaccine preventable infections, including malaria

    Hugh Kingston, Paul Arkell, Ravi Mehta, Aula Abbara

    9.10 Skin, soft tissue and bone infections

    Mary Pearce, Aula Abbara


    10. Mental health and psychosocial support

    Lead editor: Clare Shortall

    10.1 Mental health and psychosocial support

    Peter Ventevogel, Benedicte Duchesne, Peter Hughes, Claire Whitney

    10.2 Mental health: clinical issues

    Peter Ventevogel, Benedicte Duchesne, Peter Hughes, Claire Whitney

    10.3 Culture and context in refugee mental health

    Peter Ventevogel, Benedicte Duchesne, Peter Hughes, Claire Whitney

    10.4 Support for humanitarian workers

    Benedicte Duchesne, Caitlin Cockroft-McKay


    11. Non-communicable diseases

    Lead editor: Sarah Walpole

    11.1 Non-communicable diseases

    Amulya Reddy

    11.2 Cardiovascular diseases

    Amulya Reddy

    11.3 Endocrine diseases

    Amulya Reddy

    11.4 Gastrointestinal diseases

    Amulya Reddy

    11.5 Nephrology

    Amulya Reddy

    11.6 Neurological diseases

    Amulya Reddy

    11.7 Respiratory diseases

    Amulya Reddy

    11.8 Oncology

    Manar Marzouk, Sarah Catherine Walpole

    12. Palliative care

    Lead editor: Sarah Walpole

    Kathryn Richardson

    13. Paediatrics

    Lead editors: Sylvia Garry and Bhanu Williams

    13.1 General assessment of children and young people

    Joia de Sa, Emma Sherwood, Sarah May Johnson

    Sylvia Garry (Nutrition section)

    Amy Potter, Jess Atkinson (Early Child Development section)

    13.2 Management of the sick child

    Elizabeth Ledger

    13.3 Neonatal care

    Sylvia Garry

    Andrew Chapman and Elizabeth Ledger (The sick newborn section)

    13.4 Management of common illness

    Mark Lee (asthma, type 1 diabetes, epilepsy sections)

    Meghan Gunst (mental health and asthma sections)

    13.5 The child with a fever or a rash

    Neal Russell and Bhanu Williams (Fever and Rash section)

    Anna Battersby (Common Skin Diseases section)


    13.6 Specific infections in children

    Neal Russell (tetanus, pertussis, measles, polio, dengue, typhoid, malaria, TB, HIV sections)

    Sarah May Johnson (measles, polio, diphtheria sections)

    Andrew Chapman (malaria section)

    Christian Harkensee (TB, HIV section)


    14. Sexual and reproductive health

    Lead editors: Rita Issa, Clare Shortall, Katy Kuhrt

    14.1 Sexual and reproductive health in forced migration

    Maria Garcia de Frutos, Robin Lowenthal, Zahra Ameen, Kopal Singhal Agarwal, Chawan Baran, Benjamin Black, Clare Shortall

    14.2 Identification, management and prevention of sexually transmitted infections

    Sarah Denny, Zahra Ameen, Rita Issa

    14.3 Gynaecology, fertility and family planning

    Zahra Ameen, Kopal Singhal Agarwal, Chawan Baran, Lauren Laws, Maria Garcia de Frutos

    14.4 Pregnancy, delivery and postpartum

    Zahra Ameen, Kopal Singhal Agarwal, Chawan Baran, Rebecca Best, Maria Garcia de Frutos, Miranda Geddes Barton, Laura Bridle

    14.5 Sexual and gender-based violence

    Laura Sheperis

    15. Care of survivors of torture, gender-based violence and trafficking

    Lead editor: Rita Issa

    Sarah Boutros, Jane Hunt


    Dr Miriam Orcutt (MBBS, MSc), Lead Editor, is a Senior Research Fellow in Forced Migration and Health at the Institute for Global Health, University College London, a humanitarian consultant, and trained physician.

    Dr Clare Shortall (BSc MBBS MRCPCH DMCC DTMH MSc)  is a Health Adviser for Première Urgence Internationale (PUI), France.

    Dr Sarah Walpole (BSc, MBChB, MRCP, PG Cert, MSc(Res), DTM&H) is currently working as a Specialist Registrar in Infectious Diseases and General Internal Medicine in the North East of England Deanery.

    Dr Aula Abbara MBBS DTMH MD(Res) is a consultant in Infectious Diseases/ General Internal Medicine at Imperial College NHS Healthcare Trust, London and an Honorary Researcher at Imperial College.

    Dr Sylvia Garry (BA BMBCh MRCPCH DTMH MSc (PH) MFPH) is a Public Health Registrar in North London in the National Health Service (NHS).

    Dr Rita Issa BSc MBBS DTMPH is an Academic Clinical Fellow in General Practice in London.

    Sir Professor Alimuddin Zumla GCDS., MD., MSc., PhD., FRCP(Lond)., FRCP(Edin)., FRCPath., FAAS.,FRSB., is Professor of Infectious Diseases and International Health in the Division of Infection and Immunity, University College London; and is Consultant Infectious Diseases Physician at University College London Hospitals NHS Foundation Trust, London, UK. He serves as visiting Professor at several institutions in Africa, Europe and the Middle East.

    Professor Ibrahim Abubakar (MBBS, DPH, MSc, PhD, FFPH, FRCPE, FRCP.,FMedSci) is Director of the University College London Institute for Global Health (IGH) and Chair of Lancet Migration, and previously of the UCL-Lancet Commission on Migration and Health. He is an NIHR Senior Investigator and honorary professor at the London School of Hygiene and Tropical Medicine. 

    'The best aspects of the book are the comprehensive nature of the content and the succinct manner in which the multitude of impacts is covered. There are many graphs and well-designed charts to exemplify the content. […] It would be a great library resource and wonderful reference for students, clinicians, and public health planners.'

    Barbara A. Anderson, DrPH, CNM, FACCN, FAAN (Frontier Nursing University), Doody Enterprises