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      Critical assessment of refugees’ needs in post-emergency context: the case of Malian war refugees settled in Northern Burkina Faso

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          Abstract

          Background

          Empirically assessing the needs of refugees in camps is critical to the improvement of existing policies and programs that aim at enhancing their well-being. By neglecting the needs of refugees, interventions may fail to capture the complex patterns of refugees’ daily lives within camps. This paper provides a comprehensive assessment of the needs of encamped Malian refugees in Northern Burkina Faso following the 2012-armed conflict. In addition to assessing the needs of Malian refugees, the study aimed to critically assess from an upstream perspective the degree of their involvement in policies and practices that are targeted towards improving their livelihood.

          Methods

          We took an “upstream” view on the lives of Malian refugees to identify their unmet needs. A purposive sampling strategy was employed to collect data from various media sources, including data aggregated from the website of the United Nations High Commissioner for Refugees (UNHCR). The most populous refugee camp (Mentao) was visited in September 2012 and in-depth group discussion and interviews were conducted with key informants, including nine camp representatives and four officials from the central and decentralized administrations.

          Results

          Media canvass combined with the UNHCR level 2 census revealed a flawed headcount of refugees, which was 205.4% higher than the real number in Burkina Faso. Although refugees live harmoniously with the natives and their security has been assured, they strongly complained about the number of unused food items distributed. Camps were distributed among humanitarian organizations leading to differential advantage and resources from one camp to another. Additionally, idleness, lack of classrooms facilities for pre-school children and lack of continuous healthcare services were major concerns raised. Further, refugees expressed limited involvement in the planning and implementation of programs that are related to their welfare.

          Conclusion

          This study revealed that refugees’ voices were not taken into consideration in making tailor-made programs. This calls for more comprehensive surge capacity to deal with refugees’ basic needs. Further, a strong leadership from hoststate should be encouraged to offer equal opportunities to refugees regardless of their camps. Finally, an innovative strategy is needed to build a reliable database that could enhance the design, implementation, monitoring and evaluation of policies and programs.

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          Most cited references26

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          The Global Refugee Crisis: Empirical Evidence and Policy Implications for Improving Public Attitudes and Facilitating Refugee Resettlement

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            Person-centred interactions between nurses and patients during medication activities in an acute hospital setting: qualitative observation and interview study.

            There is increasing emphasis on person-centred care within the literature and the health care context. It is suggested that a person-centred approach to medication activities has the potential to improve patient experiences and outcomes. This study set out to examine how nurses and patients interact with each other during medication activities in an acute care environment with an underlying philosophy of person-centred care. A qualitative approach was used comprising naturalistic observation and semi-structured interviews. The study setting was an acute care ward with a collaboratively developed philosophy of person-centre care, in an Australian metropolitan hospital. Eleven nurses of varying levels of experience were recruited to participate in observations and interviews. Nurses were eligible to participate if they were employed on the study ward in a role that incorporated direct patient care, including medication activities. A stratified sampling technique ensured that nurses with a range of years of clinical experience were represented. Patients who were being cared for by participating nurses during the observation period were recruited to participate unless they met the following exclusion criteria: those less than 18 years of age, non-English speaking patients, and those who were unable to give informed consent. Twenty-five patients were observed and 16 of those agreed to be interviewed. The results of the study generated insights into the nature of interactions between nurses and patients where person-centred care is the underlying philosophy of care. Three major themes emerged from the findings: provision of individualised care, patient participation and contextual barriers to providing person-centred care. While the participating nurses valued a person-centred approach and perceived that they were conducting medication activities in a person-centred way, some nurse-patient interactions during medication activities were centred on routines rather than individualised patient assessment and management. These interactions were based on nurses' perceptions of what was important for the patient and did not provide opportunities for patient participation. Two main contextual barriers in relation to a person-centred approach to medication activities were identified as multidisciplinary communication and time constraints. While some nurse-patient interactions during medication activities were consistent with the principles of person-centred care, the study results highlighted factors that influence the nature of these interactions, and identified opportunities to improve nursing practice. To ensure person-centred care is applied to medication activities, nurses should undertake ongoing assessment of patients' needs in relation to their medications and encourage opportunities for increased patient participation. Crown Copyright 2009. Published by Elsevier Ltd. All rights reserved.
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              VIEWS FROM THE INSIDE AND OUTSIDE: INTEGRATING EMIC AND ETIC INSIGHTS ABOUT CULTURE AND JUSTICE JUDGMENT.

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                Author and article information

                Contributors
                kone23ide@gmail.com
                adarboe@student.unimelb.edu.au
                dejilade@yahoo.com
                bmendezrojas@gmail.com
                Journal
                BMC Int Health Hum Rights
                BMC Int Health Hum Rights
                BMC International Health and Human Rights
                BioMed Central (London )
                1472-698X
                21 September 2018
                21 September 2018
                2018
                : 18
                : 38
                Affiliations
                [1 ]ISNI 0000 0004 1936 8390, GRID grid.23856.3a, Centre de recherche en gestion des services de santé, FSA/UL-CHU de Québec; FSA/UL-IUCPQ; Faculté des sciences de l’administration, , Université Laval, Pavillon Palasis-Prince, Université Laval, Québec (Qc), ; 2325 Rue de la Terrasse, Québec, G1V 0A6 Canada
                [2 ]École Nationale de Santé Publique, Ouagadougou, 03 BP 7002 Burkina Faso
                [3 ]ISNI 0000 0001 2179 088X, GRID grid.1008.9, University of Melbourne, ; Parkville, VIC Australia
                [4 ]ISNI 0000 0001 0425 5914, GRID grid.260770.4, International College of Medicine, Institute of Public Health, International Health Program, , National Yang Ming University, ; Taipei, Taiwan, Republic of China
                [5 ]ISNI 0000 0001 0425 5914, GRID grid.260770.4, International College of Medicine, Institute of Public Health, International Health Program, , National Yang Ming University, ; Taipei, Taiwan, Republic of China
                Author information
                http://orcid.org/0000-0003-1467-2169
                Article
                176
                10.1186/s12914-018-0176-0
                6150966
                30241534
                c637bd5c-308e-4a31-8399-a63197b3ed06
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 10 May 2018
                : 7 September 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100005382, National Yang-Ming University;
                Award ID: IHP-Travel Grant
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Health & Social care
                critical assessment,mali,war,refugee,humanitarian organizations,burkina faso
                Health & Social care
                critical assessment, mali, war, refugee, humanitarian organizations, burkina faso

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