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Posted: June 17th, 2022
Integrating human rights approaches into public well being practices
SYSTEMATIC REVIEW Open Entry
Integrating human rights approaches into public well being practices and insurance policies to handle well being wants amongst Rohingya refugees in Bangladesh: a scientific evaluate and meta-ethnographic evaluation Nidhi Wali1*, Wen Chen2, Lal B. Rawal3, A. S. M. Amanullah4 and Andre M. N. Renzaho5
Summary
Background: The Rohingya folks of Myanmar are probably the most persecuted communities on the earth and are pressured to flee their dwelling to flee battle and persecution. Bangladesh receives the vast majority of the Rohingya refugees. On arrival they expertise various human rights points and the extent to which human rights approaches are used to tell public well being packages just isn’t nicely documented. The intention of this systematic evaluate was to doc human rights- human rights-related well being points and to develop a conceptual human rights framework to tell present coverage observe and programming in relation to the wants of Rohingya refugees in Bangladesh.
Strategies: This systematic evaluate was performed utilizing the 2015 Most popular Reporting Gadgets for Systematic critiques and Meta-Evaluation pointers. Eight computerized databases had been searched: Tutorial Search full, Embase, CINAHL, JStor, Pubmed, Scopus, SocIndex, and Proquest Central together with gray literature and Google Scholar. Of a complete of 752 articles retrieved from the eight databases and 17 research from gray literature, 31 research met our inclusion standards.
Outcomes: Utilizing meta-ethnographic synthesis, we developed a mannequin that helps perceive the linkages of assorted human rights and human rights-related well being problems with Rohingya refugees. The mannequin highlights how inadequate structural components, poor dwelling circumstances, restricted mobility, and lack of working rights for prolonged durations of time collectively contribute to poor well being outcomes of Rohingya refugees.
Conclusion: This evaluate offers a human-rights method to border actions each at program and coverage degree in a sustained technique to deal with the well being wants of Rohingya refugees in Bangladesh. Such coverage actions will deal with discovering long run options for integrating the Rohingya inhabitants whereas addressing their fast rights concern.
Trial registration: This systematic evaluate has not been registered.
Key phrases: Bangladesh, Well being, Human rights, Rohingya, Refugees, Refugee camps, Statelessness
© The Homework help – Writer(s). 2018 Open Entry This text is distributed below the phrases of the Inventive Commons Attribution four.zero Worldwide License (http://creativecommons.org/licenses/by/four.zero/), which allows unrestricted use, distribution, and copy in any medium, offered you give applicable credit score to the unique creator(s) and the supply, present a hyperlink to the Inventive Commons license, and point out if modifications had been made. The Inventive Commons Public Area Dedication waiver (http://creativecommons.org/publicdomain/zero/1.zero/) applies to the information made obtainable on this article, except in any other case acknowledged.
Wali et al. Archives of Public Well being (2018) 76:59 https://doi.org/10.1186/s13690-018-0305-1
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Introduction The worldwide refugee disaster has led to a pointy enhance within the variety of forcibly displaced inhabitants from 59.5 million in 2014 to 65.6 million in 2016 [1, 2]. Moreover, United Nations Excessive Commissioner for Refugees (UNHCR) esti- mates that a minimum of 10 million folks had been stateless or at a threat of statelessness in 2016 [2]. Whereas the time period “refugee” is used to explain any particular person unable or unwilling to return to their dwelling nation resulting from a well-founded worry of being persecuted [3], a stateless particular person is somebody who just isn’t thought-about as a nationwide by any state below the operation of its regulation [4]. Accessing fundamental rights similar to healthcare, em- ployment, schooling and freedom of motion is usually im- potential for stateless folks. Lack, denial or lack of nationality underlies the exclusion of affected people from membership locally, to the purpose of insti- gating discrimination and oppression in sure instances. [2, 4] The Rohingya folks of Myanmar are one of many lar-
gest teams of stateless refugees on the earth [5] ac- counting to 1 in seven of the worldwide inhabitants of stateless folks [6]. Majority of the Rohingya individuals are not thought-about to be residents by the Myanmar Govern- ment, which argues that Rohingya individuals are initially from Bangladesh [7, 8]. To be able to keep away from battle and persecution, Rohingya refugees have been fleeing Myanmar in massive numbers to close by international locations, primar- ily Bangladesh, Malaysia and Thailand. Bangladesh has been the popular vacation spot for Rohingya refugees as a result of shut proximity and matching faith [9]. Since 1948, Bangladesh has hosted a majority of Rohingya ref- ugees as they got here to Bangladesh in three main in- fluxes in 1977–78, 1992 and 2016–17 [10, 11]. Initially the Authorities of Bangladesh (GoB) positively obtained the Rohingya refugees and offered enough help together with aid, short-term shelters, meals, medical care, and sanitation. Nonetheless, after 1992 inflow of over 250,000 refugees, the GoB tried a big scale repat- riation of Rohingya refugees again to Myanmar. Since this repatriation was not solely voluntary, most of the repatriate Rohingya refugees returned again to Bangladesh inside a decade put up repatriation [5, 12]. Consequently, Rohingya refugees coming into Bangladesh
after 1992 weren’t formally acknowledged as refugees by the GoB and regardless of the repeated inflow of Rohingya ref- ugees coming into Bangladesh solely round 33,000 Rohingya are recognised as official registered refugees and reside in two official UNHCR-led official camps in Cox Bazaar district [13]. Whereas greater than 200,000 unregistered refu- gees dwelling in unofficial makeshift camps [13]. Addition- ally, current enhance in violence in Myanmar has prompted massive numbers of Rohingya refugees to cross the border to Bangladesh, making the full variety of new arrivals to 620,000 in November 2017 [11], most of whom are undocumented refugees.
With greater than twenty years of steady camp settle- ments, the present Rohingya refugee scenario in Bangladesh has change into probably the most protracted on the earth [9]. Bangladesh just isn’t a signatory to the 1951 Refu- gee Conference or its 1967 Protocol and neither is it social gathering to the 1954 and 1961 Conference on Statelessness [5]. The poor socioeconomic situation in Bangladesh with poverty, over inhabitants and susceptibility to pure di- sasters and local weather change additional complicates discovering a sturdy resolution for the Rohingya refugees within the area [14, 15]. The main focus of program and coverage has been to pro- vide brief time period aid help with an absence of emphasis on discovering long run options to make sure safety and integration of Rohingya refugees. Whereas UNHCR and different humanitarian actors are in a position to entry and help solely 10% of the estimated Rohingya refugee inhabitants, these residing within the makeshift settlements or dwelling as un- documented refugees dwell in emergency-like circumstances and have been recognized as ‘individuals of concern’ by the UNHCR [5]. Whether or not dwelling in makeshift settlement or registered camps or in area people areas, the Rohin- gya refugees have been disadvantaged of their fundamental human rights of healthcare, employment, schooling and freedom of motion. They’ve been topic to depressing dwelling circumstances marked by publicity to violence, native hostility, and numerous types of discrimination [9]. These circumstances have additionally essential public well being implications for the Rohingya refugees, the place the World Well being Organisation (WHO) has graded the current well being scenario in Cox Bazaar at degree three i.e. the best potential emergency situation [16]. Regardless of these challenges, there may be restricted understand-
ing of the advanced interaction of human rights points and well being outcomes and an absence of an applicable human rights framework to tell public well being interventions. This research goals to comprehensively doc and re- view human rights-related well being problems with Rohingya ref- ugees dwelling in Bangladesh. Thus it makes an attempt to develop a human rights framework that may function a great tool for program and coverage for improved well being outcomes.
Strategies Search technique For the aim of this research, well being is outlined as the general well-being [17]. Article 23 of UNHCR’s 1951 Conference, mandates that refugees are to have guaran- teed entry to public aid companies, together with well being, on par with host nation residents [18]. Conceptualised ac- cording to the 2015 Most popular Reporting Gadgets for Sys- tematic critiques and Meta-Evaluation pointers [19], this systematic evaluate thought-about each peer reviewed and gray literature [20, 21]; and included a mix of combined strategies, qualitative and quantitative. A listing of related textual content phrases and/or corresponding managed
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vocabulary based on every database was generated and used to comprehensively search eight computerized bibliographic databases: Tutorial Search full, Embase, CINAHL, JStor, Medline, Scopus, SocIndex, and Proquest Central. The next mixture of topic headings and key phrases had been used: Equal proper* [MeSH/Subject Heading] OR Well being OR
Human proper OR Human proper violation* OR exploit- ation of human* OR human trafficking. AND Refugee*[MeSH/Subject Heading] OR Rohingya girls
OR Rohingya refugee OR Burmese refugee* OR Rohingya Muslim. AND Bangladesh* [MeSH/Subject Heading] OR Bangladesh
area* OR Bangladesh refugee camp*. Moreover, key phrases had been used for looking out gray
literature in key organisations web sites, together with of Ain o Salish Kendra (ASK)- A Authorized assist and Human Rights Organisation, Amnesty Worldwide, Asian Human Rights Fee, Bangladeshi Pink Crescent Society- Worldwide Committee of the Pink Cross (ICRC), Meals and Agriculture Organisation (FAO), Médecins Sans Frontières (MSF), Human Rights Watch, Worldwide Organisation of Migration (IOM), Inside Displacement Monitoring Centre, United Nations organisations in- cluding United Nations Excessive Commissioner for Refugees (UNHCR), and United Nations Youngsters’s Fund (UNICEF), and World Meals Program [22]. Google scholar was searched to incorporate any missed articles and studies. Reference lists of all paperwork had been additional scanned for any related articles and studies.
Inclusion and exclusion standards Included on this paper had been peer-reviewed papers, studies, working papers, and theses or dissertations printed in English between 1960 to July 2017; that targeted on well being and human rights problems with Rohingya refugees in Bangladesh. Editorials, opinion items, books and guide re- views and papers printed in a language aside from Eng- lish weren’t included. Because the scope of this analysis is restricted to the Rohingya refugees dwelling in Bangladesh, re- ports and articles exterior this scope had been equally ex- cluded. The research didn’t try a multi nation evaluate that features the opposite receiving international locations similar to Malaysia and Thailand resulting from dissimilarities in states’ pol- icies which have assorted in several time frames [23]. We set 1960 because the baseline 12 months as a result of after the army coup in Myanmar in 1962 the Rohingya refugees began migrating in Bangladesh to flee persecution and human rights violations. They had been pressured to depart Myanmar, then Burma, to hunt safety in neighbouring nations of Bangladesh, Malaysia and Thailand [24, 25].
Examine choice course of The researchers adopted a 3 staged screening ap- proach to look at the research eligibility for inclusion. Research had been screened by title to eradicate any duplicates adopted by screening of titles to take away any clearly irrelevant research adopted by screening of abstracts to substantiate eligibility and relevance. Examine choice course of is summarised in Fig. 1. A complete of 752 articles had been re- trieved from eight databases. After removing of dupli- cates, 734 articles had been retained. A screening of titles resulted in exclusion of 662 articles. The summary of the remaining 72 articles had been learn and screened which led to exclusion of 53 articles. The total texts for the remaining 19 articles had been reviewed: seven articles had been additional excluded and 12 articles had been deemed eligible for closing inclusion of which 9 had been peer reviewed articles and three had been studies. Moreover, gray literature search together with screening of organisation web sites and google scholar offered one other 17 studies. Full textual content screening of the studies led to the exclusion of 5 re- ports. A handbook search of the bibliographic references of all of the retained articles and studies recognized an add- itional six studies and one article, thereby a complete of 10 articles and 21 studies had been included for closing evaluate. The ultimate outcomes had been in contrast to make sure that a con-
sistent method was taken to evaluating the literature based mostly choice standards. In instances of discrepancy, consen- sus was agreed by dialogue by two researchers (NW and WC) and the place mandatory, reviewed by the third researcher (AR).
Knowledge extraction and synthesis Two researchers (NW and WC) independently extracted information into their endnote libraries. Knowledge extraction was executed utilizing a piloted kind. The info extracted included: research particulars (similar to creator’s title, 12 months of publication, research design, intervention), research goals and goals, research traits (together with pattern setting, popula- tion). Gray literature was extracted utilizing related particulars, by the first researcher (NW) and subsequently reviewed by two researchers (NW and WC).
High quality evaluation Two researchers (NW and WC) independently assessed the standard of included research to minimise errors whereas sustaining consistency [26]. The methodological qual- ity for qualitative research was evaluated utilizing the Vital Appraisal Expertise Programme (CASP) standards instrument [27]. The CASP instrument is usually used for high quality appraisal of qualitative research [28–30]. The included qualitative research had been rated on a ten level standards, together with research goals, methodology, design, recruitment technique, information assortment, reflexivity, moral points, information evaluation rigour, clear assertion of findings and analysis worth.
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The Strengthening the reporting of observational research in Epidemiology (STROBE) guidelines was used as a information to evaluate the standard of the quantitative research reviewed [31]. The guidelines consists of 22 objects, after the preliminary evaluation of all reviewed research based mostly on the 22 STROBE objects, the objects had been additional collapsed into 7 quality-appraisal standards: pattern dimension, sampling method- ology, responses price, consequence measures, statistical ana- lyses, research limitation and moral consideration. Combined strategies research had been assessed based mostly on the MMAT (combined strategies appraisal instrument) by Pluye and colleagues [32], utilizing a 3 level standards of goal, information collec- tion and outcomes. Though MMAT is new and below de- velopment it has substantive theoretical validity, is content material validated and has been examined for effectivity and reliability [33, 34]. Gray literature was appraised with the AACODS instrument that appears at authority, accuracy,
protection, objectivity, date and significance [35]. This instrument is being extensively recognised by academicians and re- searchers for appraisal of gray literature. The first re- searcher (NW) learn the complete textual content of eligible research and rated every research based mostly on the standard standards. The sec- ondary researcher (WC) rated a random pattern of 13 research of 31 research. The scores given by the 2 re- searchers had been in contrast and any issues and discrep- ancies had been resolved with dialogue amongst the 2 researchers (NW and WC) and unresolved discrepancies had been independently reviewed by the third researcher (AR).
Evaluation As a result of heterogeneity of the included quantitative research when it comes to design, settings, and goals, a meta-ethnographic method was adopted to synthesise
Fig. 1 Examine choice course of
Wali et al. Archives of Public Well being (2018) 76:59 Web page four of 14
the qualitative information, which was complemented by a de- scriptive narration of findings for the quantitative research [36]. The meta-ethnographic method allowed the ana- lysis to develop a line of analysis argument synthesis by systematic translation and comparability between research. The road-of-argument syntheses allows to create new fashions, theories, or understanding fairly than a de- scription of the synthesised papers [36]. All research had been included within the synthesis, the place findings from the quali- tative research had been juxtaposed with these of quantitative research as a part of the triangulation course of. The meta-ethnographic method concerned 4 phases:
Figuring out metaphors and themes The research had been learn and re-read to achieve familiarity with the information and establish themes and patterns in every research. The info had been extracted from every of the research verbatim to make sure to not lose any essential information. This was validated by revisiting the goals of the research. This course of additional facilitated in figuring out the themes and sub-themes for every research, which had been normally discovered within the outcomes part of the research.
Figuring out how the research are associated The thematic evaluation for all research was in comparison with decide how they’re associated. Though they had been
numerous research (n = 31) the findings of research had commonalities that contributed in figuring out com- mon classes of how the research are associated. For ex- ample, structural components, political and financial components, social components, well being and well-being and so forth.
Reciprocal translation of research We in contrast the themes and sub-themes of 1 research to that of one other research and so forth throughout all research. Transla- tion entails comparability and matching of themes throughout papers to make sure that the important thing themes throughout research are captured. This additionally ensured to scale back and streamline the themes whereas figuring out them with every of the classes as talked about within the above step. The first researcher (NW) undertook these steps with common session with the opposite authors (WC and AR).
Synthesizing translations The method of translation between research was adopted by new interpretation of information and growing a line of ar- gument. The staff shaped the road of argument and pro- duced a mannequin (Fig. 2) with the outline of findings.
Outcomes A complete of 10 articles and 21 studies had been included for the ultimate evaluate, as proven in Fig. 1. Many of the research
Fig. 2 Description of findings
Wali et al. Archives of Public Well being (2018) 76:59 Web page 5 of 14
included had been qualitative. Nonetheless, research figuring out well being problems with Rohingya refugees had been predominantly quantitative and contributed positively to the general find- ings. It’s helpful to spotlight that main research within the re- view are these performed within the official refugee camps. The camps referred to within the findings are these official camps and extra findings from unofficial or makeshift camps are clearly recognized in any other case see Tables 1 and a pair of. Findings point out that a mixture of underlying
and fast human rights points at macro and meso ranges respectively interacted to negatively have an effect on the well being of Rohingya refugees in Bangladesh. Human rights-related well being points had been recognized at three dif- ferent ranges: underlying human rights points (societal degree), fast human rights points, (family/com- munity degree), and well being outcomes (particular person degree).
Underlying human rights points: Societal degree The underlying human rights points had been primarily struc- tural components, together with authorized and administrative limitations, points associated to safety and security, and restriction of assist. Certainly, Bangladesh just isn’t a signatory of the Conven- tion and Protocol regarding the Standing of Refugees, 1951 [5], and has no authorized obligation to guard or safeguard the refugees and asylum throughout the nation. The absence of a nationwide refugee and asylum seekers authorized and administra- tive framework signifies that Rohingya refugees are uncovered to severe safety dangers with restricted alternatives. Our findings recommend that Rohingya refugees skilled
violence and abuse perpetrated at numerous ranges, throughout the official camps and out of doors the camps [5, 37–41]. Violence and abuse have been perpetrated by
� The camp administration, police, and refugee block leaders, mahjee: as illustrated by a feminine refugee, ‘I’ve reported [my problem] 5 instances to the UNHCR. In my eyes, the UNHCR and the mahjee [block leader] and the police are the identical’, [42].
� Employers and area people exterior the camp, as a feminine refugee summed it up: ‘He requested me to carry tea to his bed room. I felt very uncomfortable however once more I had no selection. So I ready the tea and went to the bed room. The proprietor then immediately locked the room … and I attempted to run away, however he grabbed me arduous. At first I attempted to shout and combat, however then I realised that I might lose my job. So I gave up the combat and reluctantly let him do what he needed. I used to be not in a position to share this story with anybody as a result of I might not solely lose my job, but additionally be socially stigmatised.’ [24].
Moreover, the camps witnessed elevated female- headed households resulting from abandonment by husbands and household separation resulting from displacement growing
their vulnerabilities [43, 44]. A single mom of eight famous: ‘When my husband handed away, all the things turned darkish. My important concern was about my kids. The restricted quantity of ration was not ample for my household’s survival. I began looking for work. Being a lady in a brand new land and setting, it was very chal- lenging in each side’ [24]. Our findings recommend that the GoB didn’t want to im-
show the dwelling circumstances and supply security to the ref- ugees. In 2016, the GoB put restrictions on the help distributed to newly arrived refugees as a result of it argued that assist distribution would result in a rise within the inflow of newly-arrived refugees [43, 45]. It famous: “Distribution of aid among the many refugees will encourage extra Rohingyas to enter the nation” [43]. One other im- portant structural issue that violated the rights of Rohingya refugees is pressured repatriation. For instance, in 1992 and 1998 the GoB deliberate a repatriation drive for the return of refugees to Myanmar. The repatriation was not voluntary and beatings and different bodily abuse by camp administration and GoB had been frequent to influence refugees to voluntarily depart [5, 6, 38, 40–42, 46–50]. In keeping with a MSF survey, 63% of refugees re- patriated in the course of the 1990s below the voluntary repatriation drive by the GoB didn’t wish to return to Myanmar [42]. Involuntary repatriation additionally prompted households to disintegrate as their relations had been pressured to depart, as highlighted by a male refugee, ‘We had been with 9 in my household. Six had been repatriated by drive by the camp police. They took my spouse, our two kids, my brother, father, and mom. My two brothers and I had been elsewhere within the camp when our household was taken’ [42].
Instant human rights points: Family/neighborhood degree Political and financial Over the various years spent in camps, Rohingya refugees have had restricted mobility and in some instances haven’t been allowed to go exterior the camps with out an official allow, primarily to satisfy a member of the family in one other camp or for medical causes. These restrictions severely affected their fundamental rights of mobility, entry to liveli- hoods, meals, water, sanitation, and schooling. Refugees weren’t allowed to work exterior the camps, however with very restricted alternatives throughout the camps, financial constraints and restricted meals rations many had been pressured to hunt employment illegally exterior the camp. This fur- ther uncovered them to severe dangers together with: the necessity to bribe camp authorities to exit as they’re prohibited in any other case; harassment by the native police who usually tar- geted them as outsiders and arrested them for working; discrimination by native employers by paying them decrease wages and in addition by the native individuals who accused the Rohingya refugees for taking away their jobs. These re- strictions additionally pressured some refugees to dwell exterior
Wali et al. Archives of Public Well being (2018) 76:59 Web page 6 of 14
Ta b le
1 C ha ra ct er is tic s of
pe er
re vi ew
ed st ud
ie s
St ud
y Ti tle
A im
s St ud
y de
si gn
Sa m pl e
In te rv en
tio n
Q ua lit y
ap pr ai sa l*
Ku sa ka be
Ok. (2 01 four)
[2 4]
G en
de r- ba se d Vi ol en
ce am
on g D oc um
en te d
Ro hello ng
ya Re fu ge
es in
Ba ng
la de
sh H ig hl ig ht s th e ge
nd er -b as ed
vi ol en
ce am
on g
do cu m en
te d Ro
hello ng
ya re fu ge
es liv in g in
th e
Ku tu pa lo ng
ca m p in
Ba ng
la de
sh .
Q ua lit at iv e, D ire ct
in te rv ie w s
N = 24
fe m al es
an d 19
m al es
N o
7/ 10
H ig h qu
al ity
(2 01 zero)
[4 5]
Ec on
om ic C ha lle ng
es an d C op
in g
M ec ha ni sm
s in
Pr ot ra ct ed
D is pl ac em
en t: A
C as e St ud
y of
th e Ro
hello ng
ya Re fu ge
es in
Ba ng
la de
sh .
Ex pl or e th e de
si re s an d co nc er ns
of re fu ge
e po
pu la tio
ns su rv iv in g w ith
ou t advert eq
ua te
ai d in
or de
r to
ex pl or e ris ks
as so ci at ed
w ith
in co m e-
ge ne
ra tin
g ac tiv iti es
an d th e po
ss ib ili tie s fo r liv el i-
ho od
su pp
or t.
Q ua lit at iv e,
In te rv ie w s an d
fo cu s gr ou
p di sc us si on
s
N = 12 7
N o
eight/ 10
H ig h qu
al ity
an ,M
.U .&
M un
sh i, M .H .
(1 98 three)
[5 9]
C lin ic al unwell ne
ss es
an d ca us es
of de
at h in
a bu
rm es e re fu ge
e ca m p in
Ba ng
la de
sh To
id en
tif y cl in ic al unwell ne
ss es
an d ca us es
of de
at h
am on
gs t Bu
rm es e re fu ge
es in
Le da
ca m p in
Ba ng
la de
sh .
Q ua nt ita tiv e
N = 95 four
N o
three/ 7
M ed
iu m
qu al ity
,A .H
. et
al .( 20 17 ) [9 ]
Tr ap pe
d in
st at el es sn es s: Ro
hello ng
ya re fu ge
es in
Ba ng
la de
sh H ig hl ig ht
th e Ro
hello ng
ya re fu ge
e cr is is in
Ba ng
la de
sh ,w
ith sp ec ia le m ph
as is on
th ei r liv in g
co nd
iti on
s.
Q ua lit at iv e,
lit er at ur e re vi ew
an d in te rv ie w s
N = 20
Ro hello ng
ya re fu ge
es an d
ot he
r st ak eh
ol de
rs
N o
eight/ 10
H ig h qu
al ity
d SS
et al .( 20 16 ) [6 ]
Th e Ro
hello ng
ya pe
op le of
M ya nm
ar :h ea lth
, hu
m an
rig ht s, an d id en
tit y
O ut lin es
th e hello st or ic al ev en
ts pr ec ed
in g th is
co m pl ex
em er ge
nc y in
he al th
an d hu
m an
rig ht s.
Q ua lit at iv e
N A
N o
6/ 10
M ed
iu m
qu al ity
ip A la m ,M
. (2 01 7)
[5 4]
H ea lth
an d Ed uc at io na lS ta tu s of
Ro hello ng
ya Re fu ge
e C hello ld re n in
Ba ng
la de
sh Ex pl or es
th e ed
uc at io na la nd
he al th
st at us
of Ro
hello ng
ya re fu ge
e ch ild re n w ith
sp ec ifi c at te nt io n
to ge
nd er
is su es .
Q ua lit at iv e, ke y
in fo rm
an t
in te rv ie w s
N = 16
an d ot he
r st ak eh
ol de
rs N o
9/ 10
H ig h qu
al ity
(2 01 7)
[5 3]
D ai ly st re ss or s, tr au m a ex po
su re ,a nd
m en
ta l
he al th
am on
g st at el es s Ro
hello ng
ya re fu ge
es in
Ba ng
la de
sh
Ex am
in ed
tr au m a hello st or y, da ily
en vi ro nm
en ta l
st re ss or s, an d m en
ta lh
ea lth
ou tc om
es fo r
Ro hello ng
ya advert ul ts re si di ng
in Ku
tu pa lo ng
an d
N ay ap ar a re fu ge
e ca m ps
in Ba ng
la de
sh .
Q ua nt ita tiv e
N = 14 eight
N o
7/ 7
H ig h qu
al ity
,M .e t al .
(2 01 7)
[5 6]
Fa m ily
pl an ni ng
in re fu ge
e se tt in gs :f in di ng
s an d ac tio
ns fro
m a m ul ti- co un
tr y st ud
y A m ul ti co un
tr y as se ss m en
t to
do cu m en
t kn ow
le dg
e of
fa m ily
pl an ni ng
,b el ie fs an d
pr ac tic es
of re fu ge
es ,a nd
th e st at e of
se rv ic e
pr ov is io n.
M ix ed
-m et ho
ds Su rv ey
= 50 7
ho us eh
ol ds ;
Fa ci lit y
as se ss m en
ts = four;
D Is = four;
FG D pa rt ic ip an ts
= 30
N o
2/ three
M ed
iu m
qu al ity
(2 01 1)
[4 6]
Ro hello ng
ya Re fu ge
es to
Ba ng
la de
sh :H
is to ric al
Ex cl us io ns
an d C on
te m po
ra ry
M ar gi na liz at io n
Tr ie s to
un de
rs ta nd
th e dy na m ic s an d se ve rit y of
re po
rt ed
hu m ili at io n by
th e go
ve rn m en
t of
Ro hello ng
ya po
pu la tio
n an d th ei r m ar gi na liz at io n in
tw o ca m ps
in Ba ng
la de
sh .
M ix ed
-m et ho
ds N = 13 four
N o
2/ three
M ed
iu m
qu al ity
10 .W
ijn ro ks ,M
. et
al .( 19 93 ) [5 8]
Su rv ei lla nc e of
th e H ea lth
an d N ut rit io na l
St at us
of Ro
hello ng
ya Re fu ge
es in
Ba ng
la de
sh To
de te rm
in e th e he
al th
an d nu
tr iti on
al st at us
of Ro
hello ng
ya re fu ge
es in
Ba ng
la de
sh .
Q ua nt ita tiv e
N = 16 1, 00 zero
N o
5/ 7
M ed
iu m qu
al ity
*Q ua lit y ap
pr ai sa ls co re s: (i)
Q ua lit at iv e: zero– three po
or qu
al ity ,four –6
m ed
iu m
qu al ity ,7 –1 zero hello gh
qu al ity ;( ii) Q ua nt ita tiv e: zero– 2 po
or qu
al ity ,three –5
m ed
iu m
qu al ity ,6 –7
hello gh
qu al ity ;( iii )M
ix ed
m et ho
ds :zero
po or
qu al ity ,1 –2
m ed
iu m
qu al ity ,three
hello gh
qu al ity
Wali et al. Archives of Public Well being (2018) 76:59 Web page 7 of 14
Ta b le
2 C ha ra ct er is tic s of
re po
rt s
St ud
y Ti tle
A im
s St ud
y de
si gn
Sa m pl e
In te rv en
tio n
Q ua lit y ap pr ai sa l*
In te rn at io na l,
RT M
In te rn at io na l
H ea lth
ca re
at Ro
hello ng
ya Re fu ge
e ca m p:
A ca se
st ud
y on
RT M
In iti at iv e
C as e st ud
y of
RT M
in iti at iv es
of w or ki ng
w ith
Ro hello ng
ya re fu ge
es C as e st ud
y N A
Ye s
5/ 6
H ig h qu
al ity
st y
In te rn at io na l2 01 6
[4 3]
“W e ar e at
br ea ki ng
po in t” ,R oh
in gy a:
pe rs ec ut ed
in M ya nm
ar an d ne
gl ec te d
in Ba ng
la de
sh
Fa ct
fin di ng
re se ar ch
fo r st at us
an d hu
m an
rig ht s vi ol at io ns
of Ro
hello ng
ya s in
M ya nm
ar an d
Ba ng
la de
sh
Q ua lit at iv e,
D ire ct
in te rv ie w s &
ob se rv at io ns
N = 55
N o
5/ 6
H ig h qu
al ity
In te rn at io na lS ch oo
l, D ha ka ,2 00 5 [6 8]
Th e Ro
hello ng
ya Re fu ge
e si tu at io n in
Ba ng
la de
sh N ot
st at ed
Re vi ew
re po
rt N A
N o
2/ 6
Po or
qu al ity
Im m ig ra tio
n Se rv ic e, 20 11
[4 8]
Ro hello ng
ya re fu ge
es in
Ba ng
la de
sh an d
Th ai la nd
Fa ct
fin di ng
m is si on
re la te d to
si tu at io n of
RR w ith
re ga rd s to
as yl um
cl ai m s m advert e in
D en
m ar okay
Q ua lit at iv e, D ire ct
in te rv ie w s
M ul tip
le st ak eh
ol de
rs N o
6/ 6
H ig h qu
al ity
A si a, 20 03
[4 7]
“W e ar e lik e a so cc er
ba ll,
ki ck ed
by Bu
rm a, ki ck ed
by Ba ng
la de
sh !”:
Ro hello ng
ya re fu ge
es in
Ba ng
la de
sh ar e
fa ci ng
a ne
w dr iv e of
in vo lu nt ar y
re pa tr ia tio
n
To hello gh
lig ht
th e fo rc ed
re pa tr ia tio
n of
RR s
Re po
rt s of
te st im
on ie s
N = 57
N o
four/ 6
M ed
iu m
qu al ity
he r N ay ee m ,H
. (1 99 four)
[4 9]
W om
en Re fu ge
es in
Ba ng
la de
sh .
Re po
rt in g of
O xf am
ac tiv iti es
in Ba ng
la de
sh .
Q ua lit at iv e re po
rt Ro
hello ng
ya re fu ge
es N A
three/ 6
M ed
iu m
qu al ity
O M A D ,2 01 6 [5 2]
Re fu ge
es ’R ig ht
to W or okay an d A cc es s to
La bo
ur M ar ke ts – A n A ss es sm
en t
N A
N A
N A
N o
2/ 6
Po or
qu al ity
D un
lo p,
N ic .( 20 07 )
[5 1]
Bu rm
a’ s fo rg ot te n re fu ge
es St at us
of Ro
hello ng
ya re fu ge
es an d re fu ge
e ca m ps
Re po
rt N A
N A
four/ 6
M ed
iu m
qu al ity
– D oc to rs
w ith
ou t bo
rd er s,
20 02
[4 2]
Te n ye ar s of
Ro hello ng
ya Re fu ge
es in
Ba ng
la de
sh :p
as t, pr es en
t, fu tu re ,
Pr ov id es
an un
de rs ta nd
in g of
th e co nd
iti on
of th e Ro
hello ng
ya re fu ge
e no
w an d ov er
th e la st
de ca de
.
Q ua lit at iv e, Su rv ey
an d
ob se rv at io ns
N = 11 eight
N o
6/ 6
H ig h qu
al ity
10 .M
SF – D oc to rs
w ith
ou t bo
rd er s,
20 07
[5 0]
Ta lm
ak es hello ft ca m p:
N o on
e sh ou
ld ha ve
to liv e lik e th is .T he
Ro hello ng
ya pe
op le
fro m
M ya nm
ar se ek in g re fu ge
in Ba ng
la de
sh
To do
cu m en
t RR
’s liv in g co nd
iti on
in a
m ak es hello ft ca m p in
Ba ng
la de
sh an d its
im pa ct
on th ei r ph
ys ic al an d m en
ta lh
ea lth
N A
N A
N o
5/ 6
H ig h qu
al ity
11 .P hy si ci an s fo r
H um
an Ri gh
ts ,
20 10
[3 9]
St at el es s an d St ar vi ng
😛 er se cu te d
Ro hello ng
ya fle e Bu
rm a an d st ar ve
in Ba ng
la de
sh
N A
Q ua lit at iv e,
co ns ul ta tio
ns an d D Is
N = 10 zero
ho us eh
ol ds ,
25 RR s an d
30 ot he
r Ke y
in fo rm
an ts
N o
four/ 6
M ed
iu m
qu al ity
12 .R ef ug ee s St ud ie s
Ce nt re ,O
xf or d
U ni ve rs ity ,2 00 1 [5 5]
Ro hello ng
ya Re fu ge
e C hello ld re n in
C ox ’s
Ba za r, Ba ng
la de
sh A im
s to
pr ov id e a ba ck gr ou
nd to
th e Ro
hello ng
ya si tu at io n.
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