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Yes / Pregnant women seeking asylum in the UK may be particularly vulnerable with poor underlying health, more complex pregnancies and an increased risk of maternal and perinatal mortality. Studies have shown that some women seeking asylum have poor experiences of maternity care. This is despite the implementation of NICE guidelines to improve care for women with complex social factors. This article reports on a phenomenological study undertaken in West Yorkshire, aiming to explore the maternity care experiences of local pregnant asylum seeking women, to inform service development. Six women were interviewed over a three-month period. The findings focused more broadly on their experiences of living in the UK whilst being an asylum seeker and pregnant rather than focusing on maternity care, although this was included. Five key themes emerged: ‘pre-booking challenges’, ‘inappropriate accommodation’, ‘being pregnant and dispersed’, ‘being alone and pregnant’ and ‘not being asked or listened to’. These findings could be used as the basis for training midwives to understand how the difficulties women experience can impact on their health and social needs.

Yes / In this chapter we explore issues of psychosocial resilience and risk related to asylum seeking and refugee women during the perinatal period, drawing on experiences from three diverse European countries; the United Kingdom (UK), Malta and the Netherlands. First we define the terms asylum seekers and refugees to allow us to focus on the issues that pertain specifically to women experiencing this form of migration. We also note the prevalence of migration in contemporary society. We explore recent research on asylum seeking and refugee women in the perinatal period to identify; the barriers women face in accessing care in their reception countries and their experiences of perinatal care. Through this work, the challenges faced by healthcare professionals to provide culturally appropriate and high quality care to these women who face a range of psychosocial challenges are also highlighted. We suggest possible ways to address some of these challenges including how health professionals can actively build on the resilience of asylum seeking and refugee women to improve their perinatal experiences. We conclude by focusing on the implications of these findings; drawing on examples of good practice from the UK, Netherland and Malta to provide recommendations for practice and service development.

Yes / In this report we focus on refugee and asylum seekers views on receiving, understanding and improving messages about public health advice. Refugees and asylum seekers as a group have incomplete access to television and WIFI or data to access the information they need in they way they prefer. Refugees and asylum seekers have constructive suggestions on how to improve key messages so they can be better understood. There is an ongoing risk to refugee and asylum seeker health, and population health if people are unable to receive official messages in a way that is relevant to them. / University of Bradford, NHS England

Yes / Community-based peer volunteer interventions are increasingly used with people who are asylum seekers and refugees accessing health services. There is a dearth of evidence evaluating the benefits of volunteering for asylum seeking or refugee volunteers. Volunteers may have poor mental health and feel socially isolated due to their experiences as refugees and asylum seekers and may struggle or be unable to obtain paid employment. Volunteering in other contexts has been found to be beneficial to the health and well-being of the volunteer. This paper reports on an aspect of a wider study evaluating the community-based Health Access for Refugees Project, with the aim of exploring the impact of volunteering on the health and well-being of the peer (asylum seeker or refugee) volunteer. In 2020, we conducted qualitative semistructured interviews by phone with 15 volunteers who were asylum seekers or refugees. The interviews were audio recorded, data were transcribed verbatim and the data set was thematically analysed. We found that the positive relationships which developed and the training received through volunteering boosted volunteers' mental well-being. They felt motivated and confident in helping others, felt a sense of belonging and this reduced their social isolation. They also believed they benefited personally, helping their access to health services, and preparing them for future education, training or a career. In light of the beneficial nature of volunteering identified in this study, establishing more volunteering opportunities for this population and other marginalised groups with poor mental health is recommended. However, more research is needed to assess both the long-term impact of the role in terms of the peer volunteer's health and well-being, and the societal benefit of people moving on, integrating and contributing to society. / Refugee Council

Every year, an increasing number of displaced people arrive at the United States of America's border to request asylum. Several groups are working to help migrants by providing them with essential items and services, housing, and legal advice. Drawing on ethnographic findings, this work presents a situated perspective of how citizen responders utilize technological systems to provide relief to those affected by the immigration crisis. Often, these citizens with common goals come together to form organizations. This study investigates how social media and technology support on-the-ground work, advocacy work, care-work, and invisible work of these organizations. Further, I highlight how technological systems fail organizations and how the emergence of care-work replaced these systems. Finally, I make design recommendations to social media and technological systems' design to boost the efficacy of collective crisis response by citizens. / Master of Science / Every year, an increasing number of displaced people arrive at the United States of America's border to request asylum. Several groups are working to help migrants by providing them with essential items and services, housing, and legal advice. Drawing on ethnographic findings, this work presents a situated perspective of how citizen responders utilize technological systems to provide relief to those affected by the immigration crisis. Often, these citizens with common goals come together to form organizations. This study investigates how social media and technology support on-the-ground work, advocacy work, care-work, and invisible work of these organizations. Further, I highlight how technological systems fail organizations and how the emergence of care-work replaced these systems. Finally, I make design recommendations to social media and technological systems' design to boost the efficacy of collective crisis response by citizens.

Bakgrund: Flyktingar och asylsökande är personer som lämnat sina hemländer i syfte att bosätta sig permanent i ett annat land. Det finns många anledningar till att människor tvingas fly. Flyktingar och asylsökandes möte med hälso- och sjukvården är problematiskt på grund av tidigare erfarenheter och kulturskillnader. Med studien är förhoppningen att bättre förstå de utmaningar som denna grupp upplever och som sjuksköterska ge adekvat sjukvård.  Syfte: Syftet med litteraturstudien var att undersöka och beskriva flyktingars och asylsökandes erfarenheter av att söka vård. Metod: Litteraturstudien är genomförd med kvalitativ forskningsansats och följer Polit och Becks niostegsmodell. Materielat utgår från åtta originalartiklar från databaserna PubMed och CINAHL och har analyserats med hjälp av Graneheim och Lundmans innehållsanalysmodell.  Resultat: Resultatet beskrivs med två kategorier; Hinder med att vara flykting och Erfarenheter av att motta god vård.  Slutsats: Globalt anser flyktingarna och asylsökande att de får ett negativt bemötande, några upplever positivt bemötande och lokalt anser sjuksköterskorna att de ger ett adekvat bemötande men upplever patientgruppen som svårbemött. Förslag på integrering av konceptet TIC. Vidare forskning inom ämnet krävs för att förstå fler flyktingars och asylsökandes erfarenheter, positivt är om sjuksköterskors erfarenheter undersöks på samma enhet.  Nyckelord: Asylsökande, erfarenheter, flykting, traumatiska händelser, upplevelser / Background: Refugees and asylum seekers are people that have left their homeland to settle in a new country permanently. There are numerous reasons why people are forced to flee. Refugees and asylum seekers encounter with the healthcare system are problematic due to past experiences and cultural differences. Through this literary review, the expectation is to better understand the challenges refugees and asylum seekers experience and provide adequate nurse health care. Aim: The aim of this literary study was to examine and describe refugees and asylum seekers' experiences from seeking health care. Method: A qualitative research approach was used and the nine-step model from Polit and Beck was the fundamental model. The material was eight original articles found in the databases PubMed and CINAHL and have been analyzed using Graneheim and Lundmans qualitative content analysis. Results: The results are described using two categories; Obstacles with being a refugee and Experiences of receiving adequate care. Conclusion:  Globally, refugees and asylum seekers regard they receive a negative interaction, some of them experience the interaction as positive and locally nurses believe they preform adequate care, and this group of patients is complicated. Suggestions for interacting with the concept TIC. Further research is needed to understand more refugees' and asylum seekers' experiences, positive would be if nurses' experiences is investigated in the same unit.

Background: Perinatal depression disproportionately affects asylum seeking and refugee (AS&R) women, but they are less likely to receive support than other women. There is no published research which considers the assessment and support for symptoms of perinatal depression provided by midwives for AS&R women navigating England’s maternity services. Aim: To investigate how midwifery practice can be developed to support asylum seeking and refugee women with symptoms of perinatal depression. Methods: A post-colonial feminist inquiry consisting of a scoping survey (study one) and a qualitative research study (study two) using remote interviews with AS&R women and midwives. Qualitative data was analysed using reflexive thematic analysis. Findings: Study one demonstrated that midwives who care for AS&R women work within diverse roles and service structures across England. Study two identified that midwives lack the resources and support structures required to effectively recognise and support symptoms of perinatal depression in AS&R women. These factors were sometimes invisible to AS&R women, but still negatively affected their ability to effectively discuss perinatal depression with a midwife and access help for any symptoms. The lack of appropriate resources was harmful to both AS&R women and midwives. Conclusion: AS&R women and midwives who care for them navigate an inequitable maternity system in England. Midwives do not have the appropriate resources to provide a level of care which is equitable to women in the general maternity population. This leaves AS&R women’s perinatal mental health needs unrecognised and unmet, acting as a barrier to receiving effective support. / Mary Seacole research development scholarship