Evaluation of Applications Made To a Migrant Health Center in Elazığ

Abstract

Aim: In this study, it was aimed to determine the demographic information of the immigrants who applied to the immigrant health center, the reasons for their application and the issues that should be given importance in the improvement of immigrant health. Materials and Methods: This research is descriptive and cross-sectional. The applications made to the immigrant health center within a year were evaluated. Statistical evaluations were made in SPSS 22.0 software, t and chi-square tests were used. Results: During the period included in our study, 13,464 (74%) outpatient clinic, 4048 (22.2%) immunization and 692 (3.8%) family planning applications were recorded, 18,204 in total. The number of applications to the migrant health center per person was 1.28/year. It was observed that women applied to polyclinics more than men (p<0.001). The most common cause of outpatient admission was upper respiratory tract infection. Conclusion: As a result, it is observed that migrant women apply to immigrant health centers more than men. When the outpatient applications are examined in detail, the applications due to infectious diseases are the most frequent. It is thought that immigrants need training on Mother-Child Health and Family Planning (MCH/FP) and hygiene.

Keywords

• Immigrant health
• immunization
• family planning

Elazığ’da Bir Göçmen Sağlığı Merkezine Yapılan Başvuruların Değerlendirilmesi

Abstract

Amaç: Bu çalışmada, göçmen sağlığı merkezine başvuran göçmenlerin demografik bilgilerinin, başvuru nedenlerinin ve göçmen sağlığının geliştirilmesinde önem verilmesi gereken konuların tespiti amaçlanmıştır. Gereç ve Yöntemler: Araştırma tanımlayıcı, kesitseldir. Çalışmamızda göçmen sağlığı merkezine bir yılda yapılan başvurular değerlendirilmiştir. İstatistiksel değerlendirmeler SPSS 22.0 programında yapılmış, t ve ki-kare testleri kullanılmıştır. Bulgular: Çalışmamız kapsamına alınan sürede toplam 18.204 olmak üzere; 13.464 (%74) poliklinik, 4048 (%22,2) bağışıklama, 692 (%3,8) aile planlaması başvurusu kaydedilmiştir. Kişi başına düşen göçmen sağlığı merkezine başvuru sayısı;1,28/yıldır. Kadınların erkeklere göre daha fazla polikliniğe başvurduğu görülmüştür (p<0,001). En sık poliklinik başvurusu nedeni üst solunum yolu enfeksiyonudur. Sonuç: Sonuç olarak, göçmen kadınların erkeklere oranla daha fazla göçmen sağlığı merkezine başvurduğu görülmüştür. Poliklinik başvuruları ayrıntılı incelendiğinde enfeksiyon hastalıkları nedenli başvurular en sıktır. Kronik hastalık ve AP nedenli başvuruların az sayıda oluşu dikkat çekmiştir. Göçmenlerin Anne-Çocuk Sağlığı ve Aile Planlaması (AÇSAP) ve hijyen konularında eğitim gereksinimi olduğu düşünülmektedir.

Keywords

• Göçmen sağlığı
• bağışıklama
• aile planlaması

References

1. 1. Efe H. Ottoman Empire and the migration and its effects experienced in Turkey. Social Science Texts. 2018; 2018 (1): 16-27.
2. 2. Çetin İ. Labor force participation of Syrian Refugees and integration: case of Adana and Mersin Cities. Gaziantep University Journal of Social Sciences. 15(25129):1001-1016.
3. 3. Copur A, Demirel M. 2017. Syrian refugee's higher education problem: migration course and after, 13–28. Ankara, Turkey: Pegem Academy. Demirel, O. and Dincer, S. (Eds.), 13--28 doi: 10.14527 / 9786053183563.002.
4. 4. Hemminki K. Immigrant health, our health. Eur J Public Health. 2014;24 Suppl 1:92-95. doi:10.1093/eurpub/cku108.
5. 5. The Lancet Public Health. No public health without migrant health. Lancet Public Health. 2018;3(6): e259.
6. 6. WHO: Transforming Our World: The 2030 Agenda For Sustainable Development. In: World Health Assembly 2015; Geneva United Nations; 2015.
7. 7. WHO. Promoting Migrant Health – Striving For Peace And Decent Life For All. In: Promoting Migrant Health – Striving For Peace And Decent Life For All. Geneva: WHO. P. 2017.
8. 8. Karadağ Ö, Altıntaş K H. Refugees and health. TAF Preventive Medicine Bulletin. 2010: 9 (1), 55-62.

9. 9. Cooke R, Murray S, Carapetis J, Rice J, Mulholland N, Skull S. Demographics and utilisation of health services by paediatric refugees from east Africa: implications for service planning and provision. Aust Health Rev. 2004;27(2):40-45. doi:10.1071/ah042720040 2004;27(2):40–5.
10. 10. A Study of Asylum Seekers With Special Needs. London, UK. Refugee Council, 2005.
11. 11. Frantz E. Report on the situation of refugees in Turkey: findings of a five-week exploratory study december 2002 – january 2003. forced migration and refugee studies. American University of Cairo.
12. 12. Unwelcome Guests: in Turkey's "Foreigners' Guesthouses" Detention of Refugees. Refugee Surveillance Report. Helsinki Citizens' Assembly, 2007.
13. 13. Homans H. Situation and response analysis of hıv prevention, treatment and care services for asylum seekers and refugees in Turkey. UNHCR, 2006.
14. 14. Overcoming Migrants’ Barriers to Health. Bulletin of the World Health Organization. 2008; 86(8):577-656.
15. 15. The Health Needs of Asylum Seekers. Briefing Statement. London, UK. Faculty of Public Health, 2008.
16. 16. Ekmekci PE. Syrian refugees, health and migration legislation in Turkey. J Immigr Minor Health. 2017 Dec;19(6):1434-1441. doi: 10.1007/s10903-016-0405-3. PMID: 26995181; PMCID: PMC5028239.
17. 17. AFAD. Health status survey of refugees in Turkey. October 2016.
18. 18. Norredam M. Migrants’ access to healthcare. Dan Med Bull. 2011;58(10):B4339.
19. 19. Burns FM, Imrie JY, Nazroo J, Johnson AM, Fenton KA. Why the(y) wait? key informant understandings of factors contributing to late presentation and poor utilization of HIV health and social care services by African migrants in Britain. AIDS Care. 2007; 19(1):102-8.
20. 20. De Graaff FM, Francke AL. Home care for terminally ıll Turks and Moroccans and their families in the netherlands: carers ‘experiences and factors ınfluencing ease of access and use of services. Int J Nurs Stud. 2003;40(8):797-805.
21. 21. Howell SR, Barnett AG, Underwood MR. the use of pre-conceptional folic acid as an ındicator of uptake of a health message amongst white and Bangladeshi women ın tower hamlets, east London. Fam Pract2001;18(3):300-3.
22. 22. Hoşoğlu S, Bozkurt F, Tekin R, Ayaz C, Geyik MF. Effects of a training seminar on general practitioners' knowledge and behavior about upper respiratory tract infections. Dicle Medical Journal. 2012; 39 (2): 157-161 Doi: 10.5798 / diclemedj.0921.2012.02.0119.
23. 23. Türker Y, Hakan L, Baltacı D, Di̇ki̇ci̇ B, Kara İ. Examining the demographic information of patients who applied to a family health center in Düzce City Center and their symptoms at the application: preliminary study. Duzce Medical Journal. 2015; 17 (3): 115-119.
24. 24. Handbook for Emergencies. 3rd Edition. Geneva. UNHCR, 2007.