INTRODUCTION PUBLIC HEALTH ASPECTS OF REFUGEE HEALTH: A REVIEW OF THE EVIDENCE ON HEALTH STATUS FOR REFUGEE GLOBALLY. Dr. Krishan Puri krishnjames77@gmail.com

SUMMARY PH aspects of Refugee Health: a review of the evidence on health status of refugee globally. Migration: is a critical public health, political and social challenge. One in seven people on the planet is a migrant – one billion in total – and billions more are impacted by migration daily. Europe:leading continent in receiving international migrants (Janmyr, 2014). Approximate half a million people who sought asylum in Europe in 2013. Recent report: high number of human trafficking from Asia, Arabic countries and North Africa to Europe.

SUMMARY Asylum seekers and Refugees: those who did not make voluntary choice to leave their origin country and cannot return home safely. Migrant:-a person who moves from one place to another in order to find work or better living conditions. Internally displaced persons(IDP) and refugees are extremely vulnerable to human rights abuses, especially the absence and denial of mental and physical health care. Governments must ensure that migrants' rights are truly protected once and for all. The UN General Assembly, in its historic 70th year, presents world leaders with the opportunity to acknowledge that migration is inevitable, necessary and desirable.

Migrants/Refugees Crossing the Borders

Falling is not the issue the issue is how soon one take to return to equilibrium does, If all goes well this is what it will be even if in a camp.

SUMMARY Most of the migrants anticipate good life and well paying jobs in the countries of resettlement, good schools and education for their children, heightened peace if coming from war torn countries, which might not be obviously the case Thus culminating in variable levels of expectations and anxiety; if not checked these would systematically trickle down to stress, depression and ultimately to post traumatic stress disorder.

PROBLEMS Undocumented migrants: people within a country without the necessary documents and permits. Considered at higher risk for health problems because of their irregular status and the consequences of economic and social marginalization.

PROBLEMS Neglect of refugees’ right to a chance of survival. Public health threat or danger to community. Extremely vulnerable to human rights abuses. Prejudice to access health care.

PROBLEMS Anticipate good life and well paying jobs in the countries of resettlement, good schools and education for their children, heightened peace if coming from war torn countries, which might not be obviously the case Thus culminating in variable levels of expectations and anxiety; if not checked these would systematically trickle down to stress, depression and ultimately to post traumatic stress disorder.

METHODS A systematic literature review of articles dating between 2001 and 2015 on Embase, PsychInfo, Medline, Cochrane Controlled Trials and WHO databases. Review of documents that suggested policies and interventions to improve health care access and delivery for undocumented migrants.

RESULTS AND DISCUSSION Refugees mostly have only access to emergency care across Europe, and even in the countries where they are fully entitled to health care, formal and informal barriers hinder their access. Refugees are extremely vulnerable to human rights abuses. Primary need for advanced communication with refugees and coordination of activities between agencies either public or private within and beyond the health care structure. The study seeks to unveil the channels that create the neglect of refugees’ right to a chance of survival.

RESULTS AND DISCUSSION From the research, it is clear that across the globe, access of primary healthcare amongst the refugees is overwhelmingly shaped by the regulations of the migration process and legal frameworks of individual states and nations. The systematic literature review seeks to detail the problems that come up in the absence of full implementation as well as serve refugee needs in their interim. Survey on the causes of increased refugee immigration, organization with the mandate to provide and maintain a sanitized environment fail to do the same due to a constant budgetary strain by the radical growth in population of both the local citizens and the refugees in the camps.

REFERENCES International migration report 2013. New York: United Nations, Department of Economic and Social Affairs. Sixty-first World Health Assembly. Health of migrants. Geneva: World Health Organization; 2008 (WHA61.17). Furman, R., In Epps, D., & In Lamphear, G. (2016). Detaining the immigrant other: Global and transnational issues. Gebreiyosus, Y. (2014). Women in African Refugee Camps. Hamburg: Diplomica Verlag. Janmyr, M. (2014). Protecting civilians in refugee camps: Unable and unwilling states, UNHCR and international responsibility. Leiden: Martinus Nijhoff Publishers. Kemp, C., & Rasbridge, L. A. (2004). Refugee and immigrant health: A handbook for health professionals. New York: Cambridge University Press. Nair, P. M., & Sen, S. (2007). Trafficking in women and children in India. New Delhi: Orient Longman. Segal, U. A., & Elliott, D. (2012). Refugees worldwide: Vol. 4. Santa Barbara, Calif: Praeger.

CONCLUSION From the research, it is clear that across the globe, access of primary healthcare amongst the refugees is overwhelmingly shaped by the regulations of the migration process and legal frameworks of individual states and nations. This raises concerns for both public health and migrant care. On the basis of findings, policy options are suggested regarding data collection, research, entitlement to health care, information and communication, training and intersectoral approaches. Need a clear picture of the needs and health status of undocumented migrants, how these impact on the health of the whole population and where changes could improve the health situation.

CONCLUSION The study recommends that improved data are imperative towards supporting inter-sectorial work in addressing health care needs of refugees. Future strategies in reducing inequality in health care access by undocumented migrants need to use correct and transparent information and effective communication strategies both about the right to health for the migrant and also to support health care providers in their roles.

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