Handbook of Refugee Health : For Healthcare Professionals and Humanitarians Providing Care to Forced Migrants book cover
1st Edition

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

ISBN 9781138612884
Published December 9, 2021 by CRC Press
458 Pages 51 Color & 16 B/W Illustrations

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Book Description

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

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

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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