Vulnerabilities of Arab refugees in primary health care: a scoping review.

Autor:	Lima Junior LP; Universidade de São Paulo . Faculdade de Saúde Pública . Programa de Pós-Graduação em Saúde Global e Sustentabilidade . São Paulo , SP , Brasil., Lima KCO; Universidade de São Paulo . Escola de Enfermagem . Programa de Pós-Graduação em Enfermagem . São Paulo , SP , Brasil., Bertolozzi MR; Universidade de São Paulo . Escola de Enfermagem . Departamento de Enfermagem em Saúde Coletiva . São Paulo , SP , Brasil., França FOS; Universidade de São Paulo . Faculdade de Medicina . Departamento de Moléstias Infecciosas e Parasitárias . Núcleo de Medicina Tropical. São Paulo , SP , Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista de saude publica [Rev Saude Publica] 2022 Apr 01; Vol. 56, pp. 15. Date of Electronic Publication: 2022 Apr 01 (Print Publication: 2022).
DOI:	10.11606/s1518-8787.2022056003691
Abstrakt:	Objective: To map and analyze the vulnerabilities of Arab refugees in the context of primary health care. Method: Scoping review in which studies published in English, Spanish and Portuguese languages from 2011 onwards were reviewed. The following databases were surveyed: Cochrane, Scopus, Health System Evidence, MedLine-PubMed, CINAHL, Embase, Lilacs, Web of Science, SciELO, NYAM Grey Literature, BVS, Capes Thesis and Dissertation Database, Refworld and Journal of Refugee Studies. Data were analyzed in light of the concept of vulnerability. Results: Of the 854 studies identified, 40 articles were held for analysis and extraction of vulnerability indicators in the individual, social and programmatic dimensions. Regarding the individual dimension, the main indicators identified were unemployment, unstable and overcrowded housing, lack of sanitation and access to water, mental disorders, communicable and chronic noncommunicable diseases, etc. In the programmatic dimension, were identified, mainly, health teams with work overload, lack of preparation to deal with cultural and linguistic barriers, and delays in providing care. In relation to the social dimension, lack of access to schools, to information about health programs in the host countries, and to rights, among others, were found. Conclusion: Vulnerabilities found highlight the disadvantage of refugees regarding health programs, services and system in host countries, in addition to highlighting the deep inequalities that affect this group. It is pointed out the need for programs and policies that promote actions, within the scope of primary health care, which recognize and respond to the health needs of refugees.
Databáze:	MEDLINE
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