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Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2021 May;180(5):220-6

DOI: 10.23736/S0393-3660.20.04428-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Healthcare problems of the receiving countries and health of migrants under the European migration crisis

Ramilya KABDUNASSOVA, Inzhu ZHAKSYBEKOVA, Lazzat BERDALIEVA, Galiya VALISHINA, Saltanat BEISENOVA, Assiya TURGAMBAYEVA

Department of Public Health, NJSC Astana University Hospital, Nur-Sultan city, Kazakhstan



Due to the geopolitical situation, more and more refugees from crisis countries are sent to Europe, and in 2015 the number of displaced people reached more than one million people. Migration itself is not considered a risk factor for health, but the circumstances of migration are often associated with physical, mental and social health risks. The aim of the article was to review available data on the health of migrants and describe changes in health policy in the European Region. This article analyzed scientific publications, articles, reviews and world statistics over recent years regarding migration processes in the WHO European Region and the health status of refugees and migrants. It was found that there are significant differences among the methods of organizing, financing, and administering the provision of medical care to the populations in the countries belonging to the WHO European Region; therefore, medical assistance programs for refugees and migrant populations is considered as another problem to add to the already difficult situation. Differences can be traced by the criteria for access to medical care and by the extent to which the strategies, programs and recommendations adopted throughout the region are implemented, especially those designed for people who migrated illegally. Migrants face greater health problems and serious barriers to accessing health care compared to the EU population, in addition to financial, administrative, linguistic and cultural difficulties in obtaining medical care, and a lack of knowledge about the organization and provision of medical care. Most often, among migrants and refugees, post-traumatic stress disorders, mood disorders and depression are recorded, among unaccompanied children there are higher rates of depression and PTSD symptoms. According to some studies, it is noted that women migrants have a high predisposition to pregnancy with unfavorable outcomes. In addition, refugees often become victims of sexual violence during the migration process and, therefore, the risk of sexually transmitted diseases and STDs is significantly increased. Migrant minors often have a risk of developing illnesses related to malnutrition. Thus, the provision of medical assistance to refugees and migrants is a new and serious problem for health systems in Europe.


KEY WORDS: Human migration; Transients and migrants; Refugees; Health

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