Investment in addressing structural stigma and discrimination against refugees in resource-poor urban areas is both needed, and possible. The large population of refugees residing in resource-poor urban areas is likely to grow, and tensions in a number of settings are now documented. Without interventions to adequately address such tensions, both the protection needs of refugee populations and the stability of hosting countries could be affected. Through qualitative analysis of an urban refugee dataset in Uganda, this dissertation identified community-level drivers of structural stigma and discrimination as safeguarding one’s body and property, defending status, and perpetuating exploitation. The designs of potentially successful programs to address these drivers were then identified though systematic review, and included one or more of the following: 1) the utilization of multiple intervention components; 2) direct information provision (e.g., lecture, role-play, other active engagement) or direct contact with stigmatized groups; 3) cooperative work between community members and stigmatized groups to better livelihoods; 4) popular opinion leaders who have authority to make change, and 5) traditional ceremonies valued by the communities for cleansing and healing. One such design involving an agricultural livelihood program in a resource-poor urban area of the Northeast United States was costed, utilizing a primarily bottom-up approach and a societal perspective in the collection of both financial and economic costs. The unit cost per participating family was significantly lower than government services that provide comparable nutritional support, but did not include components of working with the community to reduce stigma and discrimination. Thus, the studied program provided more services for a lower cost. In addition, it empowered stigmatized refugees to advocate for and support themselves, and engendered goodwill in the community by involving community members to work alongside refugee participants, improving upon a neglected piece of land, and providing fresh produce. Further research is needed to better measure the social and financial dividends of programs to address structural stigma and discrimination, particularly against urban refugees. Such research can only come in tandem with further investment, the imperative and potential of which are compellingly clear.

Thesis submitted in fulfilment of the requirements for the degree Master of Technology: Public Management in the Faculty of Business at the Cape Peninsula University of Technology 2014 / Thousands of refugees fleeing from surrounding war-torn and destitute African countries come to South Africa hoping to live in safety. Refugee service providers play a major role in providing services to help refugees achieve self-sufficiency soon after entering the country, and the support and assistance required to rebuild their lives and integrate into South African society. The study investigated issues facing refugees in South Africa, particularly in Cape Town, and how service providers assist them in overcoming the hardships of being unprepared in a foreign country. The researcher followed a mixed methods approach, implementing both qualitative and quantitative research methods to explore services provided to refugees in Cape Town by three refugee service providers, namely the Agency for Refugee Education, Skills Training and Advocacy (ARESTA), Cape Town Refugee Centre (CTRC) and Scalabrini Centre of Cape Town (SCCT). Quantitative data was collected by administering a survey questionnaire to 120 refugees, all clients of the selected service providers, to obtain their perceptions about the services they receive. The researcher also conducted semi-structured interviews with senior staff of two of the service providers to gain insight into the services offered and challenges they face in assisting their clients. The study revealed that the majority of clients received assistance, with 75 percent of respondents reporting having received assistance and only 6.67 percent reporting not having received the requested assistance. However, some who had received services indicated too few services were on offer for them to choose from; they took what was offered although these may not have been what they really required. Reasons some refugees do not get services include lack of proper documentation and problems related to the non-availability of the services required by refugees. This is largely due to insufficient funding to provide needed services, and results in refugee service providers either serving only a few people or providing insufficient aid. The study highlights good practices, suggests improvements and concludes with recommendations for the key stakeholders concerned.

The principal aim o f this research study was to examine what immigrants and refugees from Africa experienced as helpful, unhelpful or what would have helped in their recovery from pre-migration trauma. The sample included thirteen self-referred participants residing in the Lower mainland, British Columbia, Canada. Participation in this study was based on the following four criteria. First, the participants were immigrants, refugees and international students from Su-Saharan Africa who arrived in Canada between 1991 and 2003. Second, the participants had experienced trauma in Africa, which they volunteered to share. Third, they confirmed not to be undergoing therapy or psychiatric treatment at the time of the interview. Fourth, participants were to be adults between 20 and 50 years of age. The Critical Incident interviews were utilized to screen the participants, collect and analyze data. Incidents were further organized by placing them on a timeline methodology. The timeline categorizes the low and high points of events that happen in a lifetime according to three main periods, namely; beginning, middle and end of the process of recovery from premigration trauma. Three hundred and twenty eight incidents were formed from 13 interviews including, 140 incidents helpful (42.68%) with the participation rate of 70.77%, 119 unhelpful (36.28%) with the participation rate of 64.10% and 69 would be helpful incidents (21.04), participation rate of 53.85%. Most of the incidents reported by the participants were based on refugee experiences. The findings suggest a mental health intervention that recognizes the social support, beliefs and security. Future research should aspects of culture in the appraisal and healing of trauma as well as tenets of programs based on the context of those served not expert opinion. Experiences of health caretaker, support personnel international students who migrated under the auspices of the host Government's sponsorships need to be examined in order to develop a theory that is grounded on the lived experience. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

Globally, an estimated one in four women have experienced intimate partner violence (IPV) in their lifetimes. IPV has enormous physical, mental, and social consequences across ecological levels of human experience. These consequences extend to the children of adult women survivors of IPV and are worsened by intersecting experiences of racism, classism, sexism, and xenophobia. Service systems purporting to help, such as child protective services (CPS) and health service systems, can either create additional harm for women and their children or offer services that women may have difficulty accessing due to cost, isolation, and other factors. These harms can be especially pronounced among (a) Black women who have used drugs, who have children, and who are in community supervision programs (CSPs) in the U.S. and (b) Syrian refugee women with children living outside camps in Jordan. These populations of women face particular challenges getting basic needs met while navigating safety for themselves and their children – both due to IPV and from systems themselves (e.g., risk of losing custody of their children, sociocultural risk of interference in family life). Yet, limited research exists on the relationship between experiencing IPV and service involvement within these two populations. The following dissertation aims to address these research gaps in three papers, using descriptive and bivariate data as well as logistic regression analyses of E-WORTH and Women ASPIRE studies, as informed by ecological theory. The first paper (E-WORTH), guided by ecological theory, aims to determine the prevalence of and test hypothesized associations between psychological, physical, and sexual IPV and CPS involvement among Black women who have used drugs, who ever had children, and who are in CSPs in New York City (N=247). I hypothesized that women who ever had children, were in CSPs, and had ever experienced psychological, physical, and/or sexual IPV by male partners would have higher odds of being involved with CPS in their lifetime than women who ever had children, were in CSPs, and had not experienced IPV by male partners. Using self-reported data from Black women who have used drugs and were recruited from CSPs in New York City, I found that 70.85% of women who ever had children and who were in CSPs reported ever experiencing psychological IPV by a male partner, 70.04% reported ever experiencing physical IPV by a male partner, 48.58% reported ever experiencing sexual IPV by a male partner, and 40.89% reported ever experiencing psychological, physical, and sexual IPV by a male partner. Further, I found that 55.87% of women reported ever having had an open case with CPS. Multivariable logistic regression analyses revealed that women who had experienced lifetime sexual IPV had significantly higher odds of ever being involved with CPS than women in the study who had never experienced sexual IPV (OR: 1.81; 95% CI: 1.09, 3.01). Similarly, women who experienced multiple forms of IPV (psychological, physical, and sexual) also had significantly higher odds of being involved with CPS (OR: 1.81; 95% CI: 1.07, 3.04). However, these associations did not hold in adjusted models. Paper 2 (Women ASPIRE) aims to (1) compare the prevalence of mental health symptomology (anxiety, depression, and PTSD) among Syrian refugee women with children under age 18 living outside camps in Jordan who have and who have not experienced physical and/or sexual IPV in the past year; and (2) examine the relationship between IPV and mental health symptomology among Syrian refugee women with children living outside camps in Jordan. Based on ecological theory as my conceptual framework, I hypothesized that Syrian refugee women with children who had experienced IPV in the past year would have significantly higher odds of meeting screening criteria for anxiety, depression, and PTSD as compared to Syrian refugee women with children who had not experienced IPV in the past year. I found high rates of IPV, anxiety, depression, and PTSD among women in the sample (N=412). Furthermore, using multivariable logistic regression models from the Women ASPIRE dataset, I found that women with children who had experienced physical and/or sexual IPV in the past year had significantly higher odds of meeting screening criteria for all three mental health conditions – anxiety (aOR: 3.68, CI: 2.28-5.94, p<0.001), depression (aOR: 3.03, CI: 1.83-4.99, p<0.001), and PTSD (aOR: 6.94, CI: 3.75-12.84, p<0.001) – than women with children who had not experienced IPV in the past year. Despite these findings, at least one-fifth of women with children reported an unmet need for mental health or protective services, and less than one-third of women were aware of the availability of these services in their local communities. The third paper (Women ASPIRE) aims to (a) examine the prevalence of physical and sexual IPV among health service-seeking Syrian refugee women with children in non-camp settings in Jordan and (b) compare the differences in health service use between women with children who had and who had not experienced IPV (N=412). Informed by experiences across levels of ecological theory, I hypothesized that women with children who had ever experienced IPV would have lower odds of using each type of health service (i.e., general, specialist, reproductive, mental health, and emergency health services) – and would have higher odds of using limited numbers of services – than women with children who had never experienced IPV. I tested my hypothesis using binary logistic regression models and an independent samples t-test. I found that nearly 60% of Syrian refugee women with children living outside camps in Jordan had ever experienced physical and/or sexual IPV by their current or most recent husband. Contrary to my hypotheses, I found that women with children who had ever experienced IPV had over three times the odds of using mental health services and were significantly more likely to use a greater variety of health services (including mental health services) than women who had not experienced IPV (aOR: 3.10, 95% CI: 1.92-5.00, p<0.001; mean 3.26 vs. 2.84 types of services respectively, t [410] = 03.71, p<0.001). Findings affirm that IPV is a serious public health issue among the affected populations and that access to needed services remains crucial to affected populations. Results fill gaps in existing literature by confirming that women with children in each study population have high odds of system involvement, particularly with CPS and mental health service systems, thereby offering social workers within those systems opportunities to intervene effectively. Thus, this dissertation can help social work practitioners and clinicians offer more responsive, accessible, and relevant services to clients within the study populations. Policymakers and administrators can fund development and testing of interventions across multiple ecological levels to promote the safety, health, and well-being of women and their children. Researchers can build on these findings through quantitative and qualitative studies on intervention effectiveness and accessibility among women engaged with system.

One of the consequences of the ethnic hatred between Hutu and Tutsi in Burundi is that around 10% of Burundians were forced to flee to Tanzania for their safety. Three decades after the creation of Ulyankulu Settlement through the joint efforts of the Tanzanian government, the United Nations High Commission for Refugees (UNHCR), and the Tanganyika Christian Refugee Service (TCRS) it is assumed that these refugees are fully assimilated and feel at home. However, this dissertation argues that they do not feel at home and consequently long to return to their homeland. This study is an attempt to understand the experience of refugees in Ulyankulu Settlement and the contribution of this experience towards their craving for their homeland. It also explores the role played by Anglican Church in shaping these refugees' experience. Finally the study proposes ways of improving the church's ministry among these refugees. / Christian Spirituality, Church History and Missiology / M.Th. (Missiology)

Since the early 1990s Oregon has witnessed an economic and politically based influx of immigrants and refugees. Most refugees resettled in Oregon initially settled in the greater Portland metro area, and Portland currently ranks eleventh among cities around the country that resettle international refugees. This research focuses on the reception and resettlement experiences of one sub-group of refugees and immigrants: those from Somalia. In the Portland area, Somalis are a largely marginalized social group. They live on the peripheries of society and are often segregated (physically as well as culturally) in what is historically a racially and culturally homogenous state. To date, limited research has focused on the reception experiences and adjustment challenges of the local Somali community. The intent of this descriptive case study is to explore and record the arrival and adjustment experiences and perspectives of Somali refugees and immigrants, so as to understand their journey of displacement and resettlement holistically. It investigates the context of their acclimatization into US society via the Portland urban area. It, more specifically, explores the nature of the arrival and adjustment experiences of the community, as well as the factors influencing them. It attempts to understand how these factors and the overall experience of adjustment influence the negotiation and construction of individual and collective identity of the local Somalis. In understanding the overall experience of resettlement within the community, the study also explores how well the needs of the community are met when it comes to support services and other resources for adaptation. Seventeen participants were interviewed from the community, and they indicated that the journey of adjustment is an on-going one that needs to be understood holistically while incorporating all the stages of exile: from displacement to resettlement. Identity formation and negotiation is a key process that emerged within the narratives, through which the experience of resettlement is maneuvered. Within the local community, identity informs the participation of Somalis within social networks, as well as the myriad social roles they take on as individuals, family members, and community members. This study finds some important similarities and differences in the experiences of the local Somalis with other local and national immigrant and refugee groups.

One of the consequences of the ethnic hatred between Hutu and Tutsi in Burundi is that around 10% of Burundians were forced to flee to Tanzania for their safety. Three decades after the creation of Ulyankulu Settlement through the joint efforts of the Tanzanian government, the United Nations High Commission for Refugees (UNHCR), and the Tanganyika Christian Refugee Service (TCRS) it is assumed that these refugees are fully assimilated and feel at home. However, this dissertation argues that they do not feel at home and consequently long to return to their homeland. This study is an attempt to understand the experience of refugees in Ulyankulu Settlement and the contribution of this experience towards their craving for their homeland. It also explores the role played by Anglican Church in shaping these refugees' experience. Finally the study proposes ways of improving the church's ministry among these refugees. / Christian Spirituality, Church History and Missiology / M.Th. (Missiology)

The purpose of the study is to investigate lived experiences of refugees when accessing healthcare services in Pretoria, South Africa. A qualitative phenomenological research approach was followed which assisted in exploring and describing the day-to-day lives of refugees living in Pretoria regarding their health outcomes. Face-to-face interviews were conducted on purposively selected participants, representing refugees from different African countries ranging from age 27 to 58 years. Collected data were transcribed, coded, and relevant themes were extracted and analysed by employing Colaizzi's seven-step analysis framework. Main findings demonstrated that the public healthcare services accessed by refugees, compared to private healthcare services, can be described as mostly dysfunctional. Also, healthcare providers from public healthcare services are often hostile towards refugees of African descent. Failure to speak a local language, unofficial documentation as viewed by a healthcare provider on duty, being a foreigner, and failure to pay undue consultation fees led to refugees being denied access to healthcare or receiving negative treatment in the public healthcare sector. Recommendations for programmes to promote human rights and refugee awareness in healthcare facilities could subsequently contribute to alleviating complications around access to healthcare services, which would denote improved health outcomes for the refugees. / Health Studies / M. P. H. (Health Studies)

Since the 1951 United Nations Convention, nations have dealt with refugee issues in various ways. In the United States, since the Vietnam War, there has been great debate and a significant amount of research on issues of refugee resettlement, with these discourses inherently involving issues of power and ideology. English language training and the promotion of economic self-sufficiency have been interventions used to integrate and assimilate refugees into American culture and society. These two interventions were the subject of the current investigation. The purpose of this study was to look into the way federal refugee resettlement policy mandated by the Office of Refugee Resettlement (ORR) construes the notion of self-sufficiency in policy documents; and whether or not that constructed version of self-sufficiency is reflected or reinforced in the local attendant English language training, provided by the Immigrant and Refugee Community Organization's (IRCO) Pre-Employment Training's English language training courses. Through a combination of Critical Discourse Analysis and analytic techniques influenced by Corpus Linguistics, this study was able to investigate the construal of self-sufficiency in ORR refugee resettlement policy and its reflection in IRCO PET ELT. The ORR policy Title 45: Public Welfare, Part 400: Refugee Settlement Program and the lesson plans and materials of IRCO's PET's SPL levels 2 and 3 were analyzed with a textual analysis, process analysis, and social analysis. The ORR policy also underwent a collocation comparison analysis that employed the Corpus of Contemporary American English (COCA). The results of this qualitative study indicate that the federal resettlement policy exploits a common connotation of self-sufficiency to mask its underlying subjugating policies that position resettled refugees into early employment positions with little opportunities for higher education or occupational advancement. The ELT provided by IRCO's PET program reflects and reinforces the ORR's construed notion of self-sufficiency as well as its underlying hegemonic agenda. These findings this relate to broader discourses of immigration, neoliberalism, and education in the United States. Conclusions drawn from this investigation have pedagogical implications and applications that are discussed.

The purpose of this study was to analyse the support systems for refugees in Southern Africa with specific reference to the Republic of Botswana. Qualitative framework as described by Lofland and Lofland (1984), Schensus and Schensus (1992) was used to conduct the investigation. Interviews were conducted with thirty refugees who currently living in Botswana as a refugee or asylum seeker. Focus group discussion was also held with twenty-six refugee workers. Interview findings were derived using Glaser and Straus' (1976) and Van Maanen, (1979) constant comparative method of qualitative analysis and were grouped into four major categories. Among the most significant findings were that the subjects agreed that on paper and by design, there are structures for providing the different services to refugees but refugees are not provided with adequate services. The second finding is that the support systems for refugees in Botswana are more focused on the provision of material support with little attention given to the psychosocial needs of the refugees. The third finding is that the Botswana government withheld some of the Articles of the 1951 UN refugee Convention, which deal with the socio-economic rights of refugees in Botswana. The fourth finding is that refugee workers need specialised training to enable them to address a wide rage of psychosocial issues affecting refugees. Last major finding is that there is no established clear system of service delivery in the participating agencies. The researcher concluded that because of trauma and stress experienced by refugees and refugee workers, there is a need to improve on the psychosocial support provided to refugees and refugee workers in Botswana by improving the knowledge and skills of refugee workers and promoting refugee participation. The researcher recommends two urgent actions that should be taken. First, the refugee management in Botswana need to improve on its service quality control mechanism, including evaluating its legal and operational framework. Second, psychosocial components need to be integrated into every aspect of the refugee programmes. This will support recovery for the many traumatised refugees and refugee workers in Botswana. / Social work / DPHIL (SOCIAL WORK)