Matching health needs of refugee children with services: how big is the gap?
Article first published online: 6 OCT 2009
© 2009 The Authors. Journal Compilation © 2009 Public Health Association of Australia
Australian and New Zealand Journal of Public Health
Volume 33, Issue 5, pages 466–470, October 2009
How to Cite
Raman, S., Wood, N., Webber, M., Taylor, K.-A. and Isaacs, D. (2009), Matching health needs of refugee children with services: how big is the gap?. Australian and New Zealand Journal of Public Health, 33: 466–470. doi: 10.1111/j.1753-6405.2009.00431.x
- Issue published online: 6 OCT 2009
- Article first published online: 6 OCT 2009
- Submitted: July 2008 Revision requested: January 2009 Accepted: May 2009
- Refugee health;
- comprehensive health assessments;
- health needs of refugee children
Objectives: To document the health needs of refugee children accessing comprehensive refugee health services in New South Wales (NSW), to match needs with available services and establish gaps in services.
Methods: We collated clinical data on all children aged under 14 years attending the three refugee specific clinics seeing children in NSW in 2005. We compared these data to the number of refugee children settling in NSW in 2005.
Results: NSW received 1,557 refugee children (<14 years) in 2005. Around one in five (n=331) was seen in a refugee specific clinic. Most were asymptomatic. Of those tested, 25% had anaemia, 27% were serology positive for schistosomiasis, 16% had evidence of current or recent malaria, 25% were tuberculin skin test positive, 69% were hepatitis B non-immune and 20% had low vitamin D levels. Most children needed catch up immunisation. Other problems included chronic health, developmental and behavioural problems. Screening tests varied across sites. Follow up was problematic for most.
Conclusions: A small proportion of refugee children arriving in NSW have access to comprehensive screening and assessment, in spite of significant health needs. There is variation in screening practices, and follow up is poor. There is a high pick up rate for diseases of personal and public health significance.
Implications: There is a strong moral and public health imperative to provide appropriately resourced, culturally competent and comprehensive health care to optimise refugee children's wellbeing.