From: Quality of health care for refugees – a systematic review
Source | Donabedian framework | Indicator |
---|---|---|
Home Office (2004) [12] | Structure/Process | Strategies identifiable at health authority/board level for addressing priority health needs among refugee populations |
Sphere (2007) [15] | Structure/Process | No health facility is out of stock of selected essential medicines and tracer products for more than one week |
Sphere (2007) [15] | Structure/Process | A written outbreak investigation and response plan is available or developed at the beginning of a disaster response. |
Sphere (2007) [15] | Structure/Process | All primary health care facilities have clear standard operating procedures for referrals of patients with NCDs to secondary and tertiary care facilities. |
Home Office (2004) [12] | Structure | Proportion of refugees registered with a General Practitioner (compared with general population) |
Home Office (2004) [12] | Structure | The number of refugee doctors and nurses joining professional registers |
Sphere (2007) [15] | Structure | There are an adequate number of health facilities to meet the essential health needs of all the disaster-affected population: |
- one basic health unit/10,000 population members (basic health units are primary health care facilities where general health services are offered), | ||
- one health center/50,000 people, | ||
- one district or rural hospital/250,000 people, | ||
- > 10 inpatient and maternity beds/10,000 people | ||
Sphere (2007) [15] | Structure | Utilization rates at health facilities are 2–4 new consultations/person/year among the disaster-affected population and > 1 new consultations/person/year among rural and dispersed populations |
Sphere (2007) [15] | Structure | There are: |
- at least 22 qualified health workers (medical doctors, nurses and midwifes)/10,000 population | ||
- at least one medical doctor/50,000 population, | ||
- at least one qualified nurse/10,000 population, | ||
- at least one midwife/10,000 population. | ||
Sphere (2007) [15] | Structure | There is at least one Community Health Worker (CHW)/1000 population, one supervisor/10 home visitors and one senior supervisor. |
Sphere (2007) [15] | Structure | Clinicians are not required to consult more than 50 patients a day consistently. If this threshold is regularly exceeded, additional clinical staff are recruited. |
Sphere (2007) [15] | Structure | Primary health care services are provided to the disaster-affected population free of charge at all government and non-governmental organization facilities for the duration of the disaster response. |
Sphere (2007) [15] | Structure | All health facilities have trained staff, sufficient supplies and equipment for clinical management of rape survivor services based on national or WHO protocols. |
Sphere (2007) [15] | Structure | All primary health care facilities have antimicrobials to provide syndromic management to patients presenting with symptoms of an STI. |
Sphere (2007) [15] | Structure | All health facilities have trained staff and systems for the management of multiple casualties. |
Sphere (2007) [15] | Structure | All health facilities have trained staff and systems for the management of mental health problems. |
Sphere (2007) [15] | Structure | All primary health care facilities have adequate medication for continuation of treatment of individuals with NCDs who were receiving treatment before the emergency. |
UNHCR (2006) [14] | Structure | Do returnees have access to emergency and primary health care services without discrimination? |
UNHCR (2006) [14] | Structure | Will there be a possibility for returnee to continue ART in returnee area? |
UNHCR (2006) [14] | Structure | Number of persons per primary health care facility |
UNHCR (2006) [14] | Structure | Annual no. of consultations at primary health care facilities per person |
UNHCR (2006) [14] | Structure | Percentage of live births attended by skilled personnel (excl. TBAs) |
UNHCR (2006) [14] | Structure | Do asylum-seekers/refugees have access to antiretroviral therapy from any source, if available in hosting community? |
UNHCR (2006) [14] | Structure | Do asylum-seekers/refugees have access to primary health care services? |
UNHCR (2013) [13] | Structure | Health Insurance Requirement |
UNHCR (2013) [13] | Structure | Access to health care |
Home Office (2004) [12] | Process | Refugee involvement in Patient Advisory & Liaison Services and similar initiatives |
Home Office (2004) [12] | Process | Patient information available in culturally appropriate form regarding service entitlements, provision and relevant health risks. |
Sphere (2007) [15] | Process | All health facilities and agencies regularly provide a HIS report within 48 h of the end of the reporting period to the lead agency. |
Sphere (2007) [15] | Process | All health facilities and agencies report cases of epidemic-prone diseases within 24 h of onset of illness. |
Sphere (2007) [15] | Process | The lead agency produces a regular overall health information report, including analysis and interpretation of epidemiological data, as well as a report on the coverage and utilization of the health services. |
Sphere (2007) [15] | Process | The lead agency has developed a health sector response strategy document to prioritize interventions and define the role of the lead and partner agencies at the onset of an emergency response. |
Sphere (2007) [15] | Process | Standardized case management protocols for the diagnosis and treatment of common infectious diseases are readily available and consistently used. |
Sphere (2007) [15] | Process | Health agencies report suspected outbreaks to the next appropriate level within the health system within 24 h of detection. |
Sphere (2007) [15] | Process | The lead health agency initiates investigation of reported cases of epidemic prone diseases within 48 h of notification. |
Sphere (2007) [15] | Process | All children under 5 years old presenting with malaria have received effective antimalarial treatment within 24 h of onset of their symptoms. |
Sphere (2007) [15] | Process | All children under 5 years of age presenting with diarrhea have received both oral rehydration salts (ORS) and zinc supplementation. |
Sphere (2007) [15] | Process | All children under 5 years of age presenting with pneumonia have received appropriate antibiotics. |
Home Office (2004) [12] | Outcome | Utilization rates of specialized services (e.g., antenatal care, mental health services, chiropody services, NHD Direct, etc.) by refugees (compared with general population) |
Home Office (2004) [12] | Outcome | Refugees reported satisfaction with service provision. |
OECD (2015) [11] | Outcome | Health care |
Sphere (2007) [15] | Outcome | Upon completion of measles vaccination campaign: |
- at least 95% of children aged 6 months to 15 years have received measles vaccination; | ||
- at least 95% of children aged 6–59 months have received an appropriate dose of Vitamin A. | ||
Sphere (2007) [15] | Outcome | Once routine EPI services have been re-established, at least 90% of children aged 12 months have had three doses of DPT (diphtheria, pertussis and tetanus), which is the proxy indicator for fully immunized children. |
UNHCR (2006) [14] | Outcome | Measles vaccination coverage rate |
UNHCR (2006) [14] | Outcome | Percentage of female members in asylum seeker/refugee representative bodies |
UNHCR (2006) [14] | Outcome | Percentage of needs met for sanitary materials |