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Rep Epi Final Pres 1

Presentation of Final Paper Reproductive Health Care Needs of Refugee Populations
by

Tonja Khabir

on 28 April 2010

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Transcript of Rep Epi Final Pres 1

Exploring the reproductive healthcare needs of refugee women
who have resettled in the United States within the last 5 years. Introduction Justification for Research Goals and objectives Literature Review Study Design Data Collection and
Analysis Plan Dissemination Logistics Timeline References Burns, K., Malé, S., and Pierotti, D. (2000). Why Refugees Need Reproductive Health Services. International Family Planning Perspectives (26):4.
Chen, M., Von Roenne, A., Souare, Y., Von Roenne, F., Ekirapa, A., Howard, N., Borchert, M. (2008). Reproductive health for refugees by refugees in Guinea II: sexually transmitted infections. Conflict and Health 2:14.

Creel, L. (2002) Meeting the needs of displaced peoples. Policy Brief. Population Reference Bureau: Measure Communication.

Garimoi Orach, C., Dubourg, D., and De Brouwere, V. (2007). Costs and coverage of reproductive health interventions in three rural refugee-affected districts, Uganda. Tropical Medicine and International Health, 12 (3):459469.

Hanquet, Germaine (Ed). (1994). Medicins Sans Frontieres. Refugee health: An approach to emergency situations.

Herrel N. Olevitch, L., DuBois, D., Terry, P. Thorp, D., Kind, E., Said, A. (2004). Journal of Midwifery Women's Health 49 (4): 345-349

Hynes, M., Lopes Cordozo, B. (2000). Sexual Violence against Refugee Women. Journal of Women’s Health and Bender-based Medicine, 9 (8).

Hynes, M., Sheik, M., Wilson, H.G., et al. (2002). Reproductive Health Indicators and Outcomes Among Refugee and Internally Displaced Persons in Post-emergency Phase Camps. Journal of American, 288(5):595-603.

Khaw, A. J., Salama, P., Burkholder, B., and Dondero, T. J. (2000). HIV Risk and Prevention in Emergency-affected Populations: A Review. Disasters. 24(3): 181197.

Kim, G., Torbay, R., and Lawry, L. (2007). Basic Health, Women’s Health, and Mental Health
Among Internally Displaced Persons in Nyala Province, South Darfur, Sudan. American Journal of Public Health, 97 (2): 353- 361.

Krause, Sandra K., Jones, Rachel K., Purdin, Susan J. (2000). Programmatic Responses to Refugees' Reproductive Health Needs. International Family Planning Perspectives. 26 (4): 181-187.

Morris, M. D., Popper, S. T., Rodwell, T. C., Brodine, S. K., Brouwer, K. C. (2009). Healthcare Barriers of Refugees Post-resettlement. Journal of Community Health 34:529538.

Toole, M.J. and Waldman, R.J. (1993). Refugees and Displaced persons: War, Hunger, and Public Health. Journal of American Medicine, 270(5).

UNHCR (2010). Retrieved from http://www.unhcr.org/cgi-bin/texis/vtx/page?page=49e492086

Von Roenne, A., Von Roenne, F., Kollie, S., Swaray, Y., Sondorp, E. and Borchert, M. (2010) Reproductive health services for refugees by refugees: an example from Guinea. Disasters. 34 (1) 16- 29,

Wulf, Deirdre (ed.) (1994). Refugee Women and Reproductive Health Care: Reassessing Priorities. Women’s Commission for Refugee Women and Children.
World Health Organization (2010). Retrieved from http://www.who.int/reproductivehealth/en/
A refugee is a person fleeing their homeland because of racial, religious, national, or even political persecution (Creel, 2002).

The United States (U.S.) Refugee Act of 1980 has made it possible for more than 10 million refugees to enter the country.

Over the past 30 years refugees have emigrated from countries in South East Asia, Eastern Europe, and Sub Saharan Africa. These families have made a new home in the U.S., however, still find themselves vulnerable to health conditions (Morris, Popper, Rodwell, Brodine, Brower, 2009).
An issue that remains particularly daunitng is the reproductive status of the refugee populations once they have resettled within the United States. Reproductive health includes:
family planning practices and cultural or religious practices that can affect maternal and sexual health (Burns, Malé, and Pierotti, D., 2000). Research Question What are the reproductive health care needs of refugee women who have resettled in the United States within the last 5 years? Many studies exist in the developing world that depict reproductive healthcare services of refugee women primarily in and near areas affected by emergency. There is, however, a void in information that describes the services available for the specific needs of refugee women who have resettled in areas outside of the developing world such as the United States. Since there are barriers to health care for refugee women during the post emergency phase of conflict, it is important to find out if their health issues have been addressed, especially in light of resettlement in a new country where language, culture, and other social barriers may have an effect on their health. Define the reproductive healthcare needs of refugee women who have resettled in Clarkston, Ga within the last 5 years.
The study seeks to specifically understand reproductive health on a broad basis as it relates to general aspects such as birth control and family planning, cancer prevention and treatment, sexual practices and sexually transmitted infections, as well as cultural practices of the reproductive system such as female circumcision among participants of the study in order to answer the reearch question. Background Reproductive health is a state of physical, mental, and social well- being regarding a person’s reproductive system (WHO, 2010) and involves men, women, and children. In recent years, reproductive health of refugee populations has been recognized as a necessity amid a lack of services and basic programming in refugee situations (Krause, Jones, Purdin, 2000). Women’s Commission for Refugee Women and Children
International Conference on Population and Development in Cairo, Egypt
Interagency Working Group (IAWG) Issues In Reproductive Health for Refugees Threat of sexual violence
Access to family planning and contraception
Information on protection from sexually transmitted diseases especially HIV During a crisis situation, reproductive health is not addressed as a priority, it is addressed in the post emergency phase (Krause, Jones, Purdin, 2000). Study Population Ethical Considerations Measuring Instrument The target population of this study includes 40 adult women aged 18- 49 who identify as refugees currently living in Clarkston, Ga.

These women have fled from countries including
Bhutan
Burma
Burundi
Ethiopia
Somalia
Sudan Refugee Family Services
Refugee Sewing Society
Refugee Women’s Network. Two to Three Service Providers within these organizations will be interviewed as key informants. Confidentiality and Anonymity Consideration of Language 1. Key informants will be interviewed in order to outline salient issues in which they have encountered with refugee women involving reproductive health care.
2. Formal questions will be developed from themes identified in the interviews, according to the KI interviews.

This is to ensure a process of full community engagement, so as not to impose a set of research plans as this research is exploratory in nature.

The measuring instrument will include several reproductive topic areas for which the women can talk openly and generally about any problems or issues they are facing within the subject.

Topic areas include:
barriers to health care related to reproductive such as
birth control and family planning,
cancer prevention and treatment,
sexual practices and
sexually transmitted infections,
cultural practices of the reproductive system such as female circumcision. Data will be collected over a period of 1- 2 months.
A thematic analysis will be used to identify and organize common ideas expressed in both the interviews and the focus group conversations.
The findings will then be interpreted to determine the unique needs of refugee women in Clarkston, Ga, regarding reproductive health. Results of the study will be made available to the organizations serving refugee women as well as other reproductive health service with the county, state, and nation.

Findings are also sought to be published and made available through presentation at various meetings or conferences related to the subject of refugee health and reproductive health. Preparation
Travel
Supplues
Incentives (Optional) Thankyou!!! Questions...?
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