Health Policy and Systems Responses to Forced Migration

Preface
Acknowledgements
Contents
Contributors
About the Editors
Chapter 1: Health Policy and Systems Responses to Forced Migration: An Introduction
	Introduction
	The Health System: A Blind Spot in the Context of Forced Migration
	Understanding the Health Policy and Systems Perspective
	A Health Policy and Systems Perspective on Forced Migration
	Health Policy and Systems Responses: The Specific Contribution of the Book Chapters
	Conclusion
	References
Chapter 2: The Political Economy of Health and Forced Migration in Europe
	Introduction
		What is Political Economy?
		Sizing the Issue: Forced Migration in Europe
	Institutional Context: The Governance of Forced Migration and Health
		Forced Migration as a Structural Determinant of Health
		Governing Forced Migration
		Governing the Health of Forced Migrants
	Socio-Political Impact of Forced Migration and Implications for Health Policy
	Economic and Fiscal Impact of Forced Migration, and Implications for Health Policy
	Conclusion
	References
Chapter 3: Innovative Humanitarian Health Financing for Refugees
	Introduction
	Challenges in Traditional Humanitarian Funding
	Financing Integrated Health Care for Refugees
	Innovative Humanitarian Health Financing
	Conclusion
	References
Chapter 4: Healthcare Financing Arrangements and Service Provision for Syrian Refugees in Lebanon
	Introduction
	Overview of the Lebanese Health System
	Humanitarian and Health Aid to Lebanon
		Non-development Assistance Committee Donors
		Limitations
	Health Sector Response to the Syrian Crisis
		Healthcare for all Displaced Syrians in Lebanon
		Healthcare for Syrian Refugees Registered with UNHCR
		Affordability of Healthcare for Syrian Refugees
		Aid Planning and Coordination
		Funding Levels
	Evolving Use of Cash-Based Interventions to Deliver Aid to Syrian Refugees
	Implications for Research and Practice
	References
Chapter 5: Health Financing for Asylum Seekers in Europe: Three Scenarios Towards Responsive Financing Systems
	Introduction
	Existing Health Financing Mechanisms
		Current Health Financing for Refugees: Brief Overview of EU Country Policies
		Relevant European Health Financing Mechanisms
	Scenarios for Responsive Financing of Healthcare for Asylum Seekers in Europe
		Scenario 1: European Health Insurance for Refugees (Traditional Insurance)
		Scenario 2: Refugee Health Budget (Indexed Insurance)
		Scenario 3: Refugee Health Emergency Fund (Contingency Pooled Funds)
	Critical Reflections on Practicability and Feasibility of the Scenarios
		Adherence to Principles of “Good” Financing Systems
		Practical and Political Implications
	Conclusion
	References
Chapter 6: Understanding the Resilience of Health Systems
	Introduction
		Migration and Health Systems
		What Is the Relevance of Resilience for Health Systems Today?
	Towards a New Conceptual Framework
		Framework
		Knowledge: Capacity to Combine and Integrate Different Forms of Knowledge
	Uncertainties: Capacity to Anticipate and Cope with Uncertainties and Unplanned Events
		Interdependence: Capacity to Engage Effectively with and Handle Multiple and Wide-Ranging Dynamics
		Legitimacy: Capacity to Develop Socially Accepted and Contextually Adapted Institutions and Norms
	Applications of Health System Resilience
		Health Systems Assessment
		Use of Resilience Indices
	Migration, Health Systems and Resilience
	Conclusion
	References
Chapter 7: Health Security in the Context of Forced Migration
	Introduction
	The Evolution of “Global Health Security”
	Securitisation of Health in the Context of Forced Migration
		Screening for Infectious Disease: Security for Whom?
		Restriction of Entitlements to Health-Care Services for Forced Migrants
		Negative Consequences of Securitising the Health of Forced Migrants
		UHC for Forced Migrants: Benefits for Host Populations and Forced Migrants
		How to Make Use of the Benefits: Necessary Conceptual and Political Changes
	Conclusion
	References
Chapter 8: Security over Health: The Effect of Security Policies on Migrant Mental Health in the UK
	Introduction: Conflicts Between Security and Health Agendas
	Asylum Seeker and Refugee Mental Health in Detention
	Security and Mental Health in the Everyday Lives of Asylum Seekers and Refugees
	Inadequate Mental Health Services for Forced Migrants
	Bridging the Gap Between Security and Health Concerns
	References
Chapter 9: Evidence on Health Records for Migrants and Refugees: Findings from a Systematic Review
	Introduction
	The State of the Art and the Evidence on Health Records for Migrants and Refugees
	Aim and Content of HRs
	Setting and Target of HRs
	Accessing HRs
		Successful Examples
	Strengths and Weaknesses of HRs for Migrants and Refugees
	Conclusion
	References
Chapter 10: Assessing the Health of Persons Experiencing Forced Migration: Current Practices for Health Service Organisations
	Introduction
	Refugee Health Access and Health Assessments
	The Policy Context of Health Assessment and Linkage to Care
	Health Assessments and Health Access of Persons Experiencing Forced Migration: Current State of Affairs
	Ethical Considerations
	What Are the Gaps for Policy and Research?
	Conclusions
	References
Chapter 11: Discrimination as a Health Systems Response to Forced Migration
	Introduction: Forced Migration and Health Systems
	Sociopsychological Perspectives on Discrimination
		Stereotyping and Prejudice
		(Inter-)Group and Social Identity Processes
		Social Dominance and Power
	Biopolitical Perspectives on Discrimination
	Point of Juncture: Infrahumanisation and Health-Based Deservingness
		Health-Based Deservingness
	Discrimination as Health Systems Response to Forced Migration: Case Examples
		Hostile Environments
		Surveillance
		Screening
	Strategy for Social Inclusion: An Updated Ethics of Care
	References
Chapter 12: Health System Responsiveness to the Mental Health Needs of Forcibly Displaced Persons
	Mental Health Service Provision for Refugees
	Conceptual Framework on Health System Responsiveness and Pathways of Care
		Pathways of Care
	The Rapid Appraisal Methodology to Investigate Health System Responsiveness
	Case Study: The Netherlands
		Wider Health System Environment and Policies
		Mental Health System Inputs
		Intermediate Health System Goals and Responsiveness
		Discussion on Mental Health System Responsiveness in the Context of Forced Migration
	Conclusion
	References
Chapter 13: Global Social Governance and Health Protection for Forced Migrants
	Introduction
	Global Social Policy, Social Rights and Migrants’ Rights to Health
	Global Social Policy Actors in the Field of Health Systems and Migration
	Evolving Global Health Governance on Social Health Protection for Migrants
	Conclusions
	References
Index