Browsing by Subject "Refugees"
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Item A Unique Use of Regional Information Exchange by a Statewide Health System Serving Refugees: "Operation Allies Welcome"(Thieme, 2023) Webber, Emily C.; Peterson, Rachel J.; Lory, Katie; Kanis, Jessica; Saysana, Michele; Schneider, Kimberly S.; Pediatrics, School of MedicineBackground: In September 2021, a military camp in the United States was identified for an initial relocation of over 6,600 Afghanistan refugees. This case report describes a novel use of existing health information exchange to expedite and provide health care for a large refugee population throughout the state during the duration of their entry into the United States. Methods: Medical teams of the health systems and military camp partnered to provide a scalable, reliable mechanism for clinical data exchange leveraging an existing regional health information exchange. Exchanges were evaluated for clinical type, originating source, and closed loop communication with the refugee camp and personnel military camp. Results: Approximately 50% of the camp residents were under the age of 18 years. Over 20 weeks, approximately 4.51% of the refugee camp residents were cared for in participating health systems. A total of 2,699 clinical data messages were exchanged, 62% of which were clinical documents. Conclusion: All health systems participating in care were offered support to utilize the tool and process set up using the regional health information exchange. The process and guiding principles may be applied to other refugee health care efforts to provide efficient, scalable, and reliable means of clinical data exchange to health care providers in similar situations.Item Improving civic engagement: A strength-based strategy to address post-resettlement challenges(West Texas A&M University, 2017-03) Makki Alamdari, SaraOverview: Considering the benefits of civic engagement for integrating of refugees into new community, attitudes toward, frequency and predictors of civic engagement are examined among 14 Middle Eastern and North African (MENA) refugees. Goals and Objectives: To demonstrate the importance of civic engagement in post-resettlement adjustment in overcoming individual challenges and becoming integrated in new community; To present results of a quantitative study on civic engagement among refugees from the Middle East and North AfricaItem Integration of war-affected Arab refugees in the U.S.(Council on Social Work Education 2020 Annual Program Meeting, 2020-11) Makki Alamdari, Sara; Kim, Hea-WonThis research explores factors affecting integration among war-affected Arab refugees in the U.S. Two indicators of refugee integration including local language proficiency and social connections are examined as outcome variables. This study finds education, health status, and the U.S. length of stay as significant factors predicting these outcomes.Item Perceptions and Barriers to Care for Burmese Refugees, a multi-method qualitative study(2024-04-25) Nadeem, Manahil; Messmore, NikiBACKGROUND Since 2015, Indiana has been home to over 40,000 Burmese refugees (1). Although the Model Minority Myth would lead U.S. policymakers to believe that all Asian Americans are wealthy, overwhelmingly have college degrees, and have access to health insurance, this is a fallacy (2). According to the Pew Research Center, only 38% of Burmese residents in the U.S. speak English and 25% of Burmese residents experience poverty. Although there is little research on Burmese health outcomes in the U.S., research points to poor health outcomes (3). STUDY OBJECTIVE/HYPOTHESIS This research project aims to identify the barriers and perceptions to healthcare for Burmese refugees and provide plausible solutions. This project includes a narrative review of the existing literature combined with interviews with physicians who specialize in immigrant care. METHODS A narrative review was conducted via PubMed and Google Scholar to analyze the research published on the healthcare of Burmese refugees in the United States. Search terms and MESH terms like refugees, Myanmar, Burma, southeast Asian people, Rohingya, health services accessibility, health status disparities, social determinants of health, and socioeconomic factors were used. Ultimately, 40 articles were included. Interviews with physicians specializing in immigrant care in Indianapolis were also conducted and included in this study. The project includes interviews from Dr. Ashley Overley, CEO of Sandra Eskenazi Mental Health Center, and Dr. Maurice Henein, a family medicine physician at Community Health Network's Center for International Health. RESULTS 40 articles, published in 2005-2023, were included and analyzed for themes. The barriers to care for Burmese refugees are related to languages & communication, healthcare structure, pediatric care, reproductive care, and mental health. Many articles expressed a dire need for reliable interpreters and trauma-informed care (4,5). Moreover, cost and the concept of preventative care are the largest barriers relating to healthcare structure. For pediatric care, research indicates that Burmese parents feel that physicians do not obtain proper consent before treating their children. (6,7,8). Mental health is often equated to craziness when translated and is difficult to navigate with patients (11). Lastly, research found that Burmese women wanted to talk about sex during their health visits, but did not want to initiate the conversation themselves (14,15). Interviews with expert physicians were included in this study. The interviewers expressed that physicians should mobilize community partners and take part in cultural trainings. CONCLUSION AND RECOMMENDATIONS This project aimed to evaluate healthcare for Burmese refugees and provide solutions accordingly. After analyzing the research, it is critical we advocate for reliable interpreters for our patients. Without proper communication, it is impossible to build rapport and trust. Moreover, physicians should educate their patients about the importance of preventative care, mental health, and reproductive health screenings. To improve the quality of care they provide, physicians should initiate workshops and empower community organizations that are providing help to their patients. Indianapolis is home to one of the largest populations of Burmese refugees; it is time we provide the best healthcare for them.Item Stressors experienced by refugees in transition between home country and resettlement country(Council on Social Work Education 2020 Annual Program Meeting, 2020-11) Makki Alamdari, SaraThis research is an exploratory study on the nature of stressors experienced by refugees before their resettlement in a third country such as the U.S. Eleven Syrian refugees living in Jordan were interviewed. The stressors listed by them are rooted in the systemic challenges existing in the host country such as economic, political, and societal issues.Item Tragic Hope at the Cruel Edge: Toward an Appreciation of the Everyday Struggles of the Displaced(IUI Office of Community Engagement, 2022) Nguyễn, Thu Sương Thị; School of EducationItem Will having so many disasters happening at the same time affect donations? We asked an expert(The Conversation US, Inc., 2021-09-03) Rooney, Patrick; Lilly Family School of Philanthropy