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Research on policy issues in refugee health care in Sub-Saharian Africa

Objective

The main objectives of the project are :

* to study the health effects on refugees of different approaches to refugee reception, ranging from integration in the host population to encampment and separation from the host population.

* to make policy recommendations to host governments, donors and relief organisations on how to improve the reception of refugees and the organisation of health services for refugees in Africa.

* to identify means to empower local actors in a field now largely dominated by international actors.

* to strengthen the research and training capabilities of the institutions involved.

1.2. The underlying hypotheses are :

* Hypothesis A : When refugees are integrated in the host population they fare better than if they are separated from the host population and confined to camps.

* Hypothesis B : The health services of the host country can play an important role in the reception of refugees; in the process of doing so, these services are strengthened.

* Hypothesis C : An integrated approach to health service delivery for refugees is more cost-effective than organising parallel refugee health services.

1.3. The research work will be organised around 3 research questions :

* Question 1 : What are the effects of different approaches to refugee reception on the health status of the refugees? What is the role of the health services of the host countries? What are their costs? Under which conditions are they adequate or inadequate?

* Question 2 : Why are refugees now most often concentrated in camps, with parallel health services organised for them? and why they are sometimes allowed to settle freely and use the health services of the host country?

* Question 3 : Is it possible to influence the process which leads to the separation of refugees from the host population and the organisation of parallel health services of refugees?
Expected Outcome

* A better understanding of effects of different settlement patterns on refugees, of determinants and actors in refugee situations
* Empowerment of local actors (government, national academic institutions)
* Strengthened research and training capability in the field of refugee health care for the partners involved
* More diverse and locally appropriate settlement and assistance policies.
* Intensive training period at the Refugee Studies Programme in Oxford for the researchers involved

* Extensive literature study on Refugee Health Care

* Resource mapping : gathering of existing data on the different refugee-affected areas in Kenya (Kakuma, Dadaab,...) and Uganda (Arua, Moyo, Kitgum, Masidi,...)

* Workshops and field conferences involving all academic and operational partners (Government institutions, UN agencies, NGOs, etc.)

* Specific data-collections on health status of refugees in different settings; including surveys to determine welfare-status and level of uprootedness

* Examine if policy changes are possible through in-depth discussions, interviews, focus group discussions

Coordinator

MAKERERE UNIVERSITY
Address

Kampala
Uganda

Participants (3)

INSTITUTE OF TROPICAL MEDICINE PRINCE LEOPOLD
Belgium
Address
Nationalestraat 155
2000 Anvers /Antwerpen
Moi University
Kenya
Address

30001 Eldoret
The Chancellor, Masters and Scholars of the University of Oxford
United Kingdom
Address
Queen Elizabeth House 21 St Giles
OX1 3LA Oxford