{"id":1020,"date":"2022-04-01T08:19:32","date_gmt":"2022-04-01T08:19:32","guid":{"rendered":"https:\/\/displacement.sps.ed.ac.uk\/?page_id=1020"},"modified":"2022-11-07T15:22:25","modified_gmt":"2022-11-07T15:22:25","slug":"wp1","status":"publish","type":"page","link":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp1\/","title":{"rendered":"Work Package 1"},"content":{"rendered":"<h1>Work Package 1<\/h1>\n<h2>Background<\/h2>\n<p>This work package identifies which elements of existing models for integrating displaced people into healthcare systems were applied in our protracted displacement contexts. This was done through systematic reviews of the literature on: (a) healthcare systems that seek to integrate displaced people and (b) the evolution of legal and regulatory frameworks for IDPs (in Eastern DRC and Somalia) and refugees (in Kenya and South Africa) so as to understand why they have hitherto been organised differently.<\/p>\n<p>We evaluated the implications of recent international commitments such as Kenya\u2019s implementation of a Comprehensive Response Framework, the Kampala Convention for IDPs in Africa, and other binding and non-binding agreements and guidelines brokered by regional bodies (African Union, WHO Afro) and sub- regional bodies (East African Community, SADC).<\/p>\n<p>Semi-structured interviews were undertaken with key informants including policymakers identified via our network of partners \u2013 especially the Migration Health and Development Research Initiative and the Panzi Foundation and Mukwege Chairs networks associated with Nobel Peace prize winner Dr Dennis Mukwege.<\/p>\n<h2>&nbsp;<\/h2>\n<h2>Initial Findings<\/h2>\n<ul>\n<li>Mental health in relation to refugees and migrants in South Africa is understood primarily as trauma and sexual violence. This means that mental health that is layered (i.e., trauma experienced at all stages of migration); complex and, shaped by specific socio-cultural experiences is ignored.<\/li>\n<li>Mental health challenges are determined by structural violence: Lack of documents, exclusion, poverty, poor access to housing, employment and support systems; discrimination, stigma and xenophobia; Violence within healthcare.<\/li>\n<li>Mental health challenges for refugees and migrants are felt through the body: \u201cThe body knows the score\u201d: Can be due to a lack or inability of language to express pain; Link between body and mind and somatic experiences; Visible\/invisible pain.<\/li>\n<li>Health care workers do not understand the needs of refugees and migrants: the system is over-whelmed and refugees and migrants with some of greatest mental health challenges are seen as a threat and burden to the system while also misunderstood. This is compounded by: A shortage of psychiatrists and psychologists and community-responses; Lack of understanding and compassion; Poor mental health literacy; HCW themselves struggling with mental health.<\/li>\n<li>Services work but there is limited to no access to mental health care for refugees and migrants in South Africa: The mental healthcare system in South Africa is under-resourced, over-burdened and unable to respond to the needs of all and especially migrants.<\/li>\n<li>Responses: \u201cPlugging the gaps\u201d and responding to immediate needs to reduce mental stress: In recognition of specific needs and challenges faced by refugees and migrants\u2019 civil society create \u201cparallel systems\u201d to by-pass state services and reduce risks of stigma and discrimination; Recognition that responding to immediate needs ie no food, no rent money, access to schools etc. is the central response needed to reduce stress created by structural violence \u2013 this is the starting point.<\/li>\n<\/ul>\n<h2>Outputs<\/h2>\n<p>\t\t\t\t\t\tOnline article: Behind the Masks: Mental Health, Marginalisation and COVID-19<br \/>\n\t\t\t\t\t<a href=\"https:\/\/thepolyphony.org\/2021\/09\/21\/behind-the-masks-mental-health-and-marginalisation-covid-19\/\"><br \/>\n\t\t\t\t\t\tClick Here\t\t\t\t\t<\/a><br \/>\n\t\t\t\t\t\tOp-Ed: Drones, dinghies and an army helicopter \u2013 why the state\u2019s new toys won\u2019t help South Africa\u2019s response to Covid-19<br \/>\n\t\t\t\t\t<a href=\"https:\/\/www.dailymaverick.co.za\/article\/2021-01-08-drones-dinghies-and-an-army-helicopter-why-the-states-new-toys-wont-help-south-africas-response-to-covid-19\/\"><br \/>\n\t\t\t\t\t\tClick Here\t\t\t\t\t<\/a><br \/>\n\t\t\t\t\t\tBlog post: \u201cYour home is the place you can\u2019t return to, and the place where you are doesn\u2019t appear to want you\u201d<br \/>\n\t\t\t\t\t<a href=\"https:\/\/displacement.sps.ed.ac.uk\/so\/2021\/04\/05\/your-home-is-the-place-you-cant-return-to-and-the-place-where-you-are-doesnt-appear-to-want-you\/\"><br \/>\n\t\t\t\t\t\tClick Here\t\t\t\t\t<\/a><br \/>\n\t\t\t\t\t\tArticle: \u201cLet\u2019s manage the stressor today\u201d exploring the mental health response to forced migrants in Johannesburg, South Africa<br \/>\n\t\t\t\t\t<a href=\"https:\/\/displacement.sps.ed.ac.uk\/so\/2022\/09\/07\/lets-manage-the-stressor-today-exploring-the-mental-health-response-to-forced-migrants-in-johannesburg-south-africa\/\"><br \/>\n\t\t\t\t\t\tClick Here\t\t\t\t\t<\/a><br \/>\n\t\t\t<a href=\"https:\/\/displacement.sps.ed.ac.uk\/so\/research\/\" role=\"button\"><br \/>\n\t\t\t\t\t\tWork Package Home<br \/>\n\t\t\t\t\t<\/a><br \/>\n\t\t\t<a href=\"https:\/\/displacement.sps.ed.ac.uk\/so\/WP2\/\" role=\"button\"><br \/>\n\t\t\t\t\t\tNext Work Package<br \/>\n\t\t\t\t\t<\/a><br \/>\n\t\t\t<a href=\"https:\/\/displacement.sps.ed.ac.uk\/so\/updates\/\" role=\"button\"><br \/>\n\t\t\t\t\t\tSee more outputs<br \/>\n\t\t\t\t\t<\/a><\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n<p>Main banner photo by: SIDRA<\/p>","protected":false},"excerpt":{"rendered":"<p>Work Package 1 Background This work package identifies which elements of existing models for integrating displaced people into healthcare systems were applied in our protracted displacement contexts. This was done through systematic reviews of the literature on: (a) healthcare systems that seek to integrate displaced people and (b) the evolution of legal and regulatory frameworks [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1020","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp-json\/wp\/v2\/pages\/1020","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp-json\/wp\/v2\/comments?post=1020"}],"version-history":[{"count":169,"href":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp-json\/wp\/v2\/pages\/1020\/revisions"}],"predecessor-version":[{"id":1682,"href":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp-json\/wp\/v2\/pages\/1020\/revisions\/1682"}],"wp:attachment":[{"href":"https:\/\/displacement.sps.ed.ac.uk\/so\/wp-json\/wp\/v2\/media?parent=1020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}