DOCSLIB.ORG

Annual Public Health Global Review 2019 PUBLIC HEALTH, REPRODUCTIVE HEALTH & HIV, NUTRITION ACRONYMS and ABBREVIATIONS

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Annual Public Health Global Review 2019 PUBLIC HEALTH, REPRODUCTIVE HEALTH & HIV, NUTRITION ACRONYMS and ABBREVIATIONS Annual Public Health Global Review 2019 PUBLIC HEALTH, REPRODUCTIVE HEALTH & HIV, NUTRITION ACRONYMS AND ABBREVIATIONS ANC Antenatal Care ANM Anaemia BSC Balanced Score Card CHW Community Health Workers GAM Global Acute Malnutrition GCR Global Compact on Refugees HFUR Health Facility Utilisation Rate HIV Human Immunodeficiency Virus ILO International Labour Organization IRHIS Integrated Refugee Health Information System IYCF Infant and young child feeding MAM Moderate Acute Malnutrition MC Measles Coverage mhGAP mental health Gap Action Programme MHPSS Mental Health and Psychosocial Support MoH Ministry of Health NCDs Non-communicable diseases PEP Post-Exposure Prophylaxis PLHIV People Living with HIV PLW Pregnant and Lactating Women PMTCT Prevention of Mother-to-Child Transmission PNC Post Natal Care SAM Severe Acute Malnutrition SC Stabilization Centre SBA Skilled Birth Attendant SDG Sustainable Development Goal SGBV Sexual and Gender-Based Violence TB Tuberculosis U5MR Under 5 Mortality Rate WASH Water, Sanitation and Hygiene WHO World Health Organization TABLE OF CONTENTS PUBLIC HEALTH 6 Mental Health 9 Non-Communicable Diseases (NCDs) 10 Inclusion 10 Case Studies 12 The Integrated Refugee Health Information System ( iRHIS) 13 SEXUAL AND REPRODUCTIVE HEALTH (SRH) & HIV 14 Case Studies 19 NUTRITION 22 Case Studies 25 United Nations High Commissioner for Refugees Public Health Section Division of Resilience and Solutions Rue de Montbrillant 94 CH-1201 Geneve Switzerland T: +41 22 739 8433 F: +41 22 739 7344 E-mail: [email protected] www.unhcr.org The boundaries shown on the maps do not imply official endorsement or acceptance by the United Nations. Cover photo: Young Rohingya refugees from Myanmar participate in a UNHCR supported workshop to learn psychosocial skills and coping mechanisms at the Kutupalong Refugee camp in Bangladesh© UNHCR/Will Swanson UNHCR © 2020 4 PUBLIC HEALTH * 48 179 20 COUNTRIES SITES COUNTRIES USING IRHIS 7,167,197 CMR U5MR CONSULTATIONS 0,12 DEATHS / 0,3 / 1,000 / 1,000 / MONTH POPULATION UNDER 5 PER MONTH *50 countries were requested to complete the annual survey but only 48 countries responded PUBLIC HEALTH 5 UNHCR supports Ministries of Health to ensure healthy lives and promote wellbeing of its persons of concern, enabling them to access safe, effective, equitable and affordable health care services. This report provides an overview of UNHCR supported access to comprehensive primary health care services as well as referral to secondary and tertiary care for refugees in 48 countries hosting 16.4 million refugees. Primary care included preventive, promotive and curative care including vaccination, access to clinical consultations and medications, sexual and reproductive health and HIV services, mental health care, and nutrition care. In 2019 UNHCR’s integrated Refugee Health Information System (iRHIS) was used in 20 countries, 179 refugee sites monitoring health activities covering a total population of 4,741,914. UNHCR worked with 144 NGO and other partners (of which 63% were national partners) in collaboration with and support to national health systems. Health information for other refugee populations and PoCs were collected through national health systems which mostly do not allow for disaggregated data. Health access and utilization survey (HAUS) and other surveys were conducted in four locations (Uganda, Lebanon, Cameroon and South Africa) to provide additional information on access to health services and health indicators. UNHCR will continue to work to include refugees in national health surveys with disaggregation for refugee or nationality to provide comparable data to nationals. In the 20 countries where UNHCR and its partners use the iRHIS, 7,167,197 consultations were conducted at health facilities, a health facility utilisation rate (HFUR) of 1.5 visits per person per year (Sphere standard is 1 – 4 visits per person per year). As in 2018 the three most common causes of morbidity were malaria (17%), upper respiratory tract infections (18%), and lower respiratory tract infections (6%). Data reported through iRHIS shows that the reported under-5 mortality rates are within standard (< 1.5 deaths per 1,000 under five population) across 177 out of 179 monitored sites in 20 countries. Sites in Sudan and Chad continued to report the highest under five mortality rates. The weighted average under-five mortality rate was 0.3 per 1,000 under five population per month, similar to 2018, while the weighted average crude mortality rate was 0.12 deaths per 1,000 total population per month, similar to that reported in 2018 (0.13 deaths/1,000 population). The top 3 causes of deaths overall were neonatal deaths (31%), malaria (8.3 %) and lower respiratory tract infections (5.6%). These proportions are similar to what was reported in the previous 2 years. 6 Annual Public Health Global Review 2019 TABLE 1 OVERVIEW OF KEY HEALTH DATA Specific data regarding sexual and reproductive health, GBV, HIV, and nutrition is discussed in subsections of the report below and includes relevant references to SDGs Crude Mortality Under Five Rate /1000/ Mortality Rate Total Health Facility Mental Health NCD Country month /1000/month Consultations Utilization Rate Consultations Consultations Uganda 0.1 0.2 2,069,304 1.67 50,947 82,352 Bangladesh 0.2 0.2 502,808 1.5 7,580 58,269 Thailand 0.4 0.4 231,560 2.5 7,193 33,459 Ethiopia 0.01 0.1 708,795 1.2 8,732 16,397 Jordan 0.2 0.2 746,190 6.6 29,388 76,185 Sudan 0.17 1.01 673,295 2.1 Not reported Not reported DRC 0.20 0.40 116,222 1.3 5,834 5,619 Zambia 0.51 0.59 23,821 1.5 93 0 Cameroon 0.14 0.06 218,022 0.7 34 5,453 Malawi 0.00 0.00 40,381 0.9 2714 Not reported Tanzania 0.13 0.28 718,497 2.7 16,091 Not reported Kenya 0.10 0.20 621,133 1.7 8,529 23,427 Rwanda 0.12 1.00 241,093 2.3 6,248 7,732 Burundi 0.00 0.00 19,164 0.3 6043 373 Iraq 0.00 0.00 29,431 0.4 4,082 0 Yemen 0.19 0.10 16,253 1.7 4,677 7,764 Burkina 0.06 0.00 10,025 0.7 75 291 Chad 0.20 1.10 101,946 0.2 2,822 1,132 Republic of Congo 0.04 0.15 452 0.02 0 15 South Sudan 0.25 0.65 78,805 0..4 55 1,296 Dr Joseph examines nine-year-old Syrian refugee, Ghena, at a UNHCR-supported clinic for refugees in downtown Amman. UNHCR/Lilly Carlisle PUBLIC HEALTH 7 Mental Health the most common components were the routine supply of essential medication for mental disorders In 2019, the focus on integration of mental to the health centres in 29 countries (85%), followed health into primary health care continued. In the by the availability of a mental health professional 20 iRHIS reporting countries, the total number in the refugee setting (at least once per month) of consultations in the refugee health facilities to manage people with complex mental health increased to 161,137 which constitutes 2.2% of the conditions in 25 countries (74%). In 24 countries total number of consultations. However, Republic (71%) at least one general health staff had been of Congo and Sudan did not separately record trained in the identification and management mental health consultations. of mental disorders. The least often reported activities were the training of community health Trainings for the integration of mental health into workers to do follow-up for people with severe primary care (mhGAP trainings) were organized mental health conditions in 21 countries (62%), in Burundi, Ethiopia, Iraq, Tanzania, Uganda the facilitation of support groups /self-help groups and Zambia. In 2019, a total of 307 medical staff for refugees with mental health conditions in 19 and 738 refugee volunteers and community workers countries (56%) and the provision of evidence- were trained in these countries, using the WHO/ based brief psychological therapies in 18 countries UNHCR mhGAP Humanitarian Intervention Guide. (53%). See figure 1 for a visualization of the data. In the preliminary analysis of the survey on inclusion These findings show that the health facilities in most of persons of concern into national health policies, of the reporting countries have integrated mental systems and services, in 34 out of 48 countries health within their facility-based primary health responding (69%) mental health activities care activities, but there is a need to strengthen were implemented as part of the public health the community mental health component and the programming for refugees. In those 34 countries, provision of psychological therapies. FIGURE 1 MENTAL HEALTH ACTIVITIES IN THE 34 COUNTRIES WITH A MENTAL HEALTH PROGAMME AS PART OF PUBLIC HEALTH Essential medicines for mental disorders routinely available 85% in health facilities (29/34) Mental health professional > 1x/month to provide services 74% for refugees with complex mental health conditions (25/34) General health staff (doctors, nurses, clinical officers) trained in identification/ management of mental health conditions (24/34) 71% Community health workers trained for identification and follow-up of people with severe mental health conditions (21/34) 62% Self-help groups or support groups for refugees with MHPSS 56% conditions organized (19/34) Brief evidence-based psychological treatments available (16/34) 53% 8 Annual Public Health Global Review 2019 Non-Communicable Diseases (NCDs) UNHCR continued capacity building of staff to improve care for persons with NCDs integrated within primary health care services with a focus on cardiovascular diseases, diabetes and chronic respiratory conditions. Training of clinical staff and training of the trainers on management of NCDs was done in Cameroon, Burundi and Ethiopia in order to improve care for people with NCDs at primary health care level.
Load more

Recommended publications
  • Selected Global Health Free Online Resources
    Selected Global Health Free Online Resources Prepared by: Lenore R. Wilkas, MLS, Werley Center for Nursing Research & Evaluation, UWM College of Nursing ([email protected]) July, 2016 Access UNDP (United Nations Development Programme) http://www.undp.org/content/undp/en/home.html Topical sectors covered includes agriculture, education, employment, health, human settlements, humanitarian aid relief, population, social conditions and equity, development economics & finance (and more) African Index Medicus (WHO) http://indexmedicus.afro.who.int/ A product of the WHO and the Association for health Information and Libraries in Africa (AHILA), it is an international index to African health literature and information sources. AGRICOLA http://agricola.nal.usda.gov/ A bibliographic database of citations to the agricultural literature created by the National Agricultural Library and its cooperators. The OPAC describes the books, serials, audiovisuals, and other resources held by NAL and its Cooperators. Contains references for journal articles, book chapters, audiovisuals, and other resources on all aspects of agriculture, forestry, rural and community development, food and human nutrition, and more. Also available on UWM database list CANCERMondial (WHO) http://www-dep.iarc.fr/ This website provides access to various databases containing statistics and other information on the occurrence of cancer worldwide. Produced by the WHO International Agency for Research on Cancer. CDC Global Health http://www.cdc.gov/globalhealth/index.html Information on outbreaks, diseases & conditions, travel, health security, and the CDC’s global programs are just a few of the things you can find here. CDC Travelersl Health http://wwwnc.cdc.gov/travel Includes reference materials about diseases, disease outbreaks, locations, specific precautions, vaccination information, and geographic health recommendations.
    [Show full text]
  • Malaria at a Glance
    Yes No If yes, was Eosinophilia present? Yes No Results pending If yes, was further evaluation done? Yes No ( one) Yes No If why not? _________________________________________ Done Results Pending Not done Negative Positive; treated: ___yes ___no Indeterminate Results Pending Not done Negative Positive; treated: ___yes ___no Indeterminate Results Pending Not done No parasites found Results Pending Nonpathogenic parasites found Blastocystis; treated: ___yes ___no Not done Pathogenic parasite(s) found Malaria( at) a Glance Treated? Yes No Treated? Yes No Treated? Yes No Species: __________________________ Treated? Yes No Treated? Yes No Treated? Yes No Minnesota Initial Refugee Health Assessment Treated? Yes No Treated? Yes No Treated? Yes No (specify)Treated? Yes No Treated? Yes No Treated? Yes No _______________________ Yes No If yes, was Eosinophilia present? Yes No Results pending If not treated, why not? If yes, was further evaluation done? Yes No ( one) Yes No If why not? _________________________________________ Done Results Pending Not done Negative Positive; treated: ___yes ___no Indeterminate Results Pending Not done Negative Positive; treated: ___yes ___no Indeterminate Results Pending Not done No parasites found Results Pending Nonpathogenic parasites found Blastocystis; treated: ___yes ___no Not done Pathogenic parasite(s) found () (check one) Treated? Yes No Treated? Yes No Treated? Yes No Species:
    [Show full text]
  • HEALTH, HEALTH SYSTEMS and GLOBAL HEALTH
    HEALTH, HEALTH SYSTEMS and GLOBAL HEALTH Thematic Discussion Paper 2nd Global Consultation on Migrant Health: Resetting the agenda 21-23 February 2017 Colombo, Sri Lanka Author: Brian Gushulak, Migration Health Consultants, Inc. Abstract The health paper explores the complex and varied aspects of migration health through a global health lens using generalized observations and frameworks to describe the major elements of the issue. Current priorities are outlined in the context of the phases of the migration process, including origin, transit and destination components. The model also accommodates modern aspects of migration including circular migration, labour migration and the process of return. Building on the phase-based approach to migration health, the paper explores the health and medical aspects of migration through two frames of reference; acute high volume movements and long term sustained migratory flows. Both of these situations are of topical current interest and have global implications. These situations are described in relation to ongoing and planned international global health activities and initiatives including, Universal Health Care, the Sustainable Development Goals and global public health security. Additionally, the current and future health needs of migrants are outlined in relation to the ongoing work towards the recently developed global compacts on responsibility sharing for refugees and safe, regular and orderly migration. The paper reviews major sources of evidence and health indicators, outlines global needs in terms of additional data and information necessary to develop global policy and describes potential partnerships that could facilitate an integrated, global approach to health and migration. 2 | Contents Introduction ................................................................................................................................................................... 4 A Uniform Place to Start: Migration Health and the Phases of the Migration Process ...............................................
    [Show full text]
  • Refugee Population
    Summary: Refugee Population Improving Health Care System Responses to Chronic Disease among British Columbia’s Immigrant, Refugee, and Corrections Population: A Review of Current Findings and Opportunities for Change Summary: Refugee Population 1 Summary: Refugee Population Prepared for the Reducing Health Inequities: A Health System Approach to Chronic Disease Prevention Project Steering Committee by Phoebe M. Long, MPH March 2010 2 Summary: Refugee Population Summary: Refugee Population In many ways, the health status of refugees in Canada is similar to that of the broader population of newly arrived and more established immigrants across the country. However, refugee health concerns and experiences with the health care system do vary in crucial and significant ways, and this variation has important repercussions on chronic conditions and long- term well-being. Forced migration has increased worldwide, and in recent years Canada has received the second largest proportion of refugees resettled in industrialized countries. In British Columbia, refugees comprise 4.8% of all newcomers to the province. The healthy immigrant effect is not as evident among refugees as among the broader immigrant population. Indeed, refugees often arrive with health problems due to pre-migration circumstances, such as refugee camp living conditions and endemic infectious diseases and may require special care and protections, particularly in the early stages of resettlement. Moreover, ethnic, religious, socioeconomic, and cultural differences between and within groups of refugees arriving from distinct regions can result in community fragmentation. In order to adequately and appropriately serve this population with unique needs, health care and social support systems must take the particular health needs, social circumstances (i.e., isolation and exclusion), and community fragmentation of refugees into account in the development and implementation of programming.
    [Show full text]
  • Addressing the Human Capital Dimension of the COVID-19 Response in Forced Displacement Settings
    Addressing the Human Capital Dimension of the COVID-19 Response in Forced Displacement Settings Addressing the Human Capital Dimension of the COVID-19 Response in Forced Displacement Settings This knowledge brief 1was produced by a research consortium led by Columbia University. This work is part of the program ``Building the Evidence on Protracted Forced Displacement: A Multi-Stakeholder Partnership''. The program is funded by UK aid from the United Kingdom's Department for International Development (DFID). It is managed by the World Bank Group (WBG) and was established in partnership with the United Nations High Commissioner for Refugees (UNHCR). The scope of the program is to expand the global knowledge on forced displacement by funding quality research and disseminating results for the use of practitioners and policymakers. This work does not necessarily reflect the views of DFID, the WBG or UNHCR. ___________________________________ 1 This is the fourth in a series of six knowledge briefs which aim to share knowledge and foster exchange of information among different stakeholders working on forced displacement and health in the context of the COVID-19 pandemic. 2 August 2020 SUMMARY Frontline health care workers (HCWs) bear the heaviest burden of the health system response to the COVID-19 pandemic. HCWs in low- and middle-income countries (LMICs) are at higher risk of COVID-19 related adverse health outcomes, including infection, burnout, depression, and death. As of June 2020, over 4960 HCWs were infected with COVID-19 in sub-Saharan Africa and North Africa, 2084 HCWs in South Africa alone. The challenges facing HCWs are compounded by a lack of personal protective equipment, stigma, and financial insecurity.
    [Show full text]
  • Refugee Behavioral Health National and Regional Resources Substance Abuse and Mental Health Services Administration
    Refugee Behavioral Health National and Regional Resources Substance Abuse and Mental Health Services Administration ORR provides refugees and other eligible populations with opportunities to maximize their potential in the United States, linking people in need to critical resources to assist them in becoming integrated members of American society. Refugee Health: Many factors can affect refugee health, including conditions in the country of origin or refugee camp. Without feeling healthy, it is difficult to work, to attend school, or to take care of a family. Physical and emotional wellness and access to healthcare are foundations for successful resettlement. ORR’s Division of Refugee Health http://www.acf.hhs.gov/programs/orr/programs/refugee-health o Women's Health Videos: A four-part video series, “Somali Refugee Women: Learn about your Health!” covers a variety of health issues, including reproductive health, prenatal care, pregnancy, cancer screenings, diet, exercise and more. Refugee Health Technical Assistance Center http://www.RefugeeHealthTA.org o Access to Care: Affordable Care Act, Language Access (including interpreter best practices), Translated Health Education Materials o Refugee Health Updates: News, Resources, Funding , Trainings and Events Refugees and the Affordable Care Act (video in several languages and materials): http://refugeehealthta.org/access-to-care/affordable-care-act/resources-for-providers-and-refugees/ http://www.acf.hhs.gov/programs/orr/health Refugee Health Information Network http://www.RHIN.org
    [Show full text]
  • Health Problems of Refugees
    J Am Board Fam Pract: first published as 10.3122/jabfm.10.5.337 on 1 September 1997. Downloaded from CLINICAL REVIEW Health Problems of Refugees Lani Kay Ackerman, MD Background: The United States has recently seen an increase in the number of refugees and a change in the ethnicity of these refugees. It would be helpful for family physicians providing medical care to these patients to have available health data on the largest groups of new refugees. Methods: Using the key words "refugee," "Vietnam," "Laos," "former Yugoslavia" (Bosnia-Herzegovina), "former Soviet Union," "Iraq," "Afghanistan," "Somalia," "Sudan," "Ethiopia," "Haiti," and "Cuba," the MEDLINE files were searched from 1991 to the present. Cross-references from these articles were also reviewed, including pertinent information published from 1981-91.. Studies and experimental trials were discussed if they had information on conditions of refugees after arrival or on diseases currently reported from the countries of origin. Results and Conclusions: With the exception of studies of Southeast Asian refugees, there are few clinical trials on the health problems of refugees after arrival in the United States. Tuberculosis, nutritional deficiencies, intestinal parasites, chronic hepatitis B infection, lack of immunization, and depression are major problems in many groups. There is great variation in the health and psychosocial issues, as well as cultural beliefs, among the refugees. In addition to a complete history and physical examination, tests for tuberculosis, hepatitis B surface antigen, and ova and parasites, as well as a hemoglobin measurement, are advised for most groups. Ongoing clinical trials are needed to explore more fully not only the medical and psychological problems of these patients but also their health beliefs.
    [Show full text]
  • Refugee Health, Ethics and Global Health Education: Time to Join up the Dots
    Mini Review JOJ Nurse Health Care Volume 12 Issue 1 - March 2021 Copyright © All rights are reserved by Roger P Worthington DOI: 10.19080/JOJNHC.2021.12.555827 Refugee Health, Ethics and Global Health Education: Time to Join up the Dots Roger P Worthington* Independent researcher, London, UK Submission: December 17, 2020; Published: March 11, 2021 *Corresponding author: Roger P Worthington, Independent researcher and Former adjunct at Yale University, Dept. of General Internal Medicine, New Haven CT, USA Abstract While the health care needs of refugees can be considered a human right, asserting obligations to satisfy that right is a necessary but not displaced persons have health care needs, and it is important for health care professionals to have the skills to be able to treat this vulnerable, diverse,sufficient growing step to ensurepopulation. that theyWhen are developing met, and inan addition overview to of political global willhealth and problems social commitment, associated witha well-trained the health workforce care needs is ofalso refugees, needed. it All is important to be mindful of ethical and human rights considerations. Given the nature and scale of this problem, there is a moral case for making refugee health a key component in global health education programs, for instance, as part of nurses’ continuing education and professional development. To this end, a set of twelve intended learning outcomes are offered, which could be adapted, as needed, and incorporated into new or existing programs. Keywords: Global health, Education, Health care professionals, Ethics, Human rights, Refugees Introduction The aim of this paper is to address educational needs linking could have layers of health care needs, not all of which are global health education, ethics, and refugee health.
    [Show full text]
  • Health Needs of Refugee Children Identified on Arrival in Reception Countries: a Systematic Review and Meta- Analysis
    Open access Review bmjpo: first published as 10.1136/bmjpo-2019-000516 on 11 September 2019. Downloaded from Health needs of refugee children identified on arrival in reception countries: a systematic review and meta- analysis Albertine Baauw, 1,2,3 Joana Kist-van Holthe, 3 Bridget Slattery,1 Martijn Heymans,4 Mai Chinapaw,3 Hans van Goudoever5 To cite: Baauw A, ABSTRACT Europe, thus increasing the total number of Kist-van Holthe J, Slattery B, Background The worldwide number of refugees has refugees living within the continent to just . Health needs of refugee et al considerably increased due to ongoing wars, national under 4.4 million.2 children identified on arrival instability, political persecution and food insecurity. In in reception countries: a This global humanitarian situation is Europe, about one-third of all refugees are children, an systematic review and meta- complicated by the fact that approximately increasing number of which are travelling alone. There are analysis. BMJ Paediatrics Open half of all refugees and asylum seekers world- often no systematic medical health assessments for these 2019;3:e000516. doi:10.1136/ wide are children. Eurostat numbers indicate bmjpo-2019-000516 refugee children on entry in reception countries despite the fact that they are recognised as an at-risk population that nearly 400 000 children claimed asylum ► Additional material is due to increased burden of physical and mental health in Europe in 2016; 15.9% of these children 2 published online only. To view conditions. We aimed to perform a systematic review of the were registered as unaccompanied minors. please visit the journal online literature to describe the health status of refugee children Country of origin, ethnicity and preflight (http:// dx.
    [Show full text]
  • Refugee Heath Program Guidelines
    Refugee Heath Program Guidelines Effective October 2018 FFY 2018–2019 Table of Contents Refugee Health Program Contact Information 2 SharePoint Table of Contents 3 Acronyms 4 Establishment of the U.S. Refugee Resettlement Program 5 Role of Resettlement Agencies 6 Eligible Populations for Refugee Benefits 7 Eligibility Determination Assistance 11 Eligibility Determination Documentation 11 Florida Refugee Health Program 12 Florida Refugee Health Program Background 14 Florida Refugee Health Program Services Overview 15 Arrival Notification Process 16 Appointment Scheduling for Refugee Health Services 18 Interpretation Services 25 Purpose of the Refugee Health Assessment 28 Clinical Guidance for Refugee Health Assessments 31 Immunization Guidelines 45 Florida SHOTS 48 Electronic Data Notification System 61 Health Management System 65 Reimbursement Process for Refugee Health Services 72 Attachments Refugee Health Assessment Form A Refugee Health Assessment Protocol Summary B Refugee Health Risk Factor Checklist C Hepatitis Guidelines D Postural Assessment Guide E Refugee Health Screener – 15 (RHS-15) F Adjustment of Status and Civil Surgeons H Dept. of State Refugee I-94 Automation I Female Genital Cutting J Cultural Competency K Refugee Health Program Superbill L Refugee Health Quick Guide M Refugee Health Referral Form N Interjurisdictional Tuberculosis Notification Form (IJN) O Pre-Departure Presumptive Parasite Treatment P 1 Refugee Health Program Contact Information Physical Address (all confidential materials should go to this address) 4025 Esplanade Way, Room 225 C Tallahassee, Florida 32399-1721 Mailing Address 4052 Bald Cypress Way, Bin A-11 Tallahassee, Florida 32399-1721 Main Phone (850) 245-4310 Refugee Health Fax (850) 413-9092 Refugee Health Program Staff Program Administrator Sue M.
    [Show full text]
  • Prevalence of Sexually Transmitted Infections (Sti's
    Prevalence of Sexually Transmitted Infections (STI’s) among Incoming Refugees in Maricopa County, Arizona Item Type text; Electronic Thesis; Poster Authors Osman, Fawsia Publisher The University of Arizona. Rights Copyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. Download date 27/09/2021 13:21:01 Item License http://rightsstatements.org/vocab/InC/1.0/ Link to Item http://hdl.handle.net/10150/641625 PREVALENCE OF SEXUALLY TRANSMITTED INFECTIONS (STI’S) AMONG INCOMING REFUGEES IN MARICOPA COUNTY, ARIZONA A thesis submitted to the University of Arizona College of Medicine – Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine Fawsia Osman Class of 2020 Mentor: Renuka Khurana, MD, MPH TITLE: Prevalence of Sexually Transmitted Infections (STI’s) among Incoming Refugees in Maricopa County, Arizona. Authors: Fawsia Osman1, BS, Renuka Khurana2, MD/MPH, Paul Kang MPH Author Information: 1 University of Arizona College of Medicine -Phoenix 2 Maricopa County Public Health Department ABSTRACT Objective: The aim for this study was to determine the prevalence rate of Sexually Transmitted Infections (STI’S) among incoming refugees in Maricopa County in the state of Arizona. Design: A retrospective study Setting: Maricopa County Public Health Department Participants: 1,471 refugees from the Maricopa County Main outcome measures: Prevalence of Chlamydia, Gonorrhea, HIV and syphilis among incoming refugees compared to the Maricopa County prevalence. Results: The overall prevalence rates among those tested were 1.12% (90 of 8,055) for Chlamydia, 0.19% (15 of 8,055) for Gonorrhea, 0.73% (80 of 11,018) for HIV, and 55.5% (71of 138) for Syphilis (+TPPA+RPR).
    [Show full text]
  • Parasitic Infections: Minnesota Refugee Health Provider Guide
    Parasitic Infections at a Glance Minnesota Initial Refugee Health Assessment Yes No If yes, was Eosinophilia present? Yes No Results pending If yes, was further evaluation done? Yes No Yes No If yes, was Eosinophilia present? Yes No Results pending If yes, was further evaluation done? Yes No ( one) Yes No If why not? _________________________________________ Done Results Pending Not done Negative Positive; treated: ___yes ___no Indeterminate Results Pending Not done Negative Positive; treated: ___yes ___no Indeterminate Results Pending Not done ( one) Yes No If why not? _________________________________________ No parasites found Results Pending Nonpathogenic parasites found Blastocystis; treated: ___yes ___no Not done Pathogenic parasite(s) found () Done Results Pending Not done Treated? Yes No Treated? Yes No Treated? Yes No Species: __________________________ Treated? Yes No Treated? Yes No Treated? Yes No Treated? Yes No Negative Positive; treated: ___yes ___no Indeterminate Results Pending Not done Treated? Yes No Treated? Yes No (specify)Treated? Yes No Treated? Yes No Treated? Yes No _______________________ If not treated, why not? Negative Positive; treated: ___yes ___no Indeterminate Results Pending Not done (check one) Not screened for malaria (e.g., No symptoms and history not suspicious of malaria) Screened, no malaria species found in blood smears Screened, malaria species found (please
    [Show full text]