ABSTRACT
Uganda is considered as a relatively favorable environment for refugees compared to other places in the world because refugees have free movement in the country and have better access to most rights. With 1.35 million refugees and asylum seekers, the country is ranked as the third largest refugeehosting nation in the world. Refugees come from neighboring countries such as the Democratic Republic of Congo (DRC), South Sudan, Rwanda, Burundi, Ethiopia, Sudan, Eritrea, and Somalia. Although Uganda's Government's refugee policy requires refugees to settle in delineated settlements for them to access both Government and UNHCR assistance, over 100,000 refugees currently live on the outskirts of Kampala city and other towns in Uganda. Urban centers attract refugees due to perceived opportunities for decent employment, education, and good infrastructure. Nevertheless, refugees who choose to live in urban centers are supposed to be self-sufficient in achieving all their needs. In this chapter, we examine the psychosocial consequences of COVID-19 on urban refugees in Uganda. We also explore indications of resilience among urban refugees. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
The Covid-19 crisis and its aftermath challenged economies and societal sectors globally. Refugees in developing countries are particularly vulnerable to the socio-economic impacts of the Covid-19 pandemic. In Uganda, refugees significantly compose the marginalized urban population, dependent largely on the informal sector, and are severely affected by the crisis amidst limited social protection interventions. This article draws on key informant interviews with refugees and refugee-led organizations to examine the diverse ways through which social capital within refugees and host communities in Kampala enabled and shaped digitally mediated responses to sustain livelihoods, social wellbeing, and access to information and economic resources in the wake of the pandemic. The findings indicate that digitally enabled and mediated social networks and/or connections through bonds, bridges, and links are crucial in supporting refugees to cope with crisis effects. Networks of friends, families, and institutions are sustained by digital spaces that support the everyday lives of urban refugees through communication, social protection, livelihood continuity and recovery, and service improvisation during and after the crisis. The fragmented digital infrastructure, digital divide, limited government support, language barrier, and circulation of fake news challenged the utility of digital social networks in mobilizing support for refugees during the crisis. Digital technologies offer opportunities to strengthen social support and potentially mobilize refugee livelihoods in cities with fluid programs for displaced communities. The best practices around sustained multi-platform communications, technological innovations, data collection, and robust community engagement should be leveraged to garner the opportunities offered by technologies towards stimulating inclusive crisis responses.
ABSTRACT
BACKGROUND: Recent research shows that psychological distress is on the rise globally as a result of the COVID-19 pandemic and restrictions imposed on populations to manage it. We studied the association between psychological distress and social support among conflict refugees in urban, semi-rural and rural settlements in Uganda during the COVID-19 pandemic. METHODS: Cross-sectional survey data on psychological distress, social support, demographics, socio-economic and behavioral variables was gathered from 1014 adult refugees randomly sampled from urban, semi-rural and rural refugee settlements in Uganda, using two-staged cluster sampling. Data was analyzed in SPSS-version 22, and statistical significance was assumed at p < 0.05. RESULTS: Refugees resident in rural/semi-rural settlements exhibited higher levels of psychological distress [F(2, 1011) = 47.91; p < 0.001], higher availability of social interaction [F(2, 1011) = 82.24; p < 0.001], lower adequacy of social interaction [F(2, 1011) = 54.11; p < 0.001], higher availability of social attachment [F(2, 1011) = 47.95; p < 0.001], and lower adequacy of social attachment [F(2, 1011) = 50.54; p < 0.001] than peers in urban settlements. Adequacy of social interaction significantly explained variations in psychological distress levels overall and consistently across settlements, after controlling for plausible confounders. Additionally, adequacy of social attachment significantly explained variations in psychological distress levels among refugees in rural settlements, after controlling for plausible confounders. CONCLUSION: There is a settlement-inequality (i.e. rural vs. urban) in psychological distress and social support among conflict refugees in Uganda. To address psychological distress, Mental Health and Psychosocial Support Services (MHPSS) should focus on strategies which strengthen the existing social networks among refugees. Variations in social support are a key predictor of distress which should guide tailored need-adapted interventions instead of duplicating similar and generic interventions across diverse refugee settlements.
ABSTRACT
The rapid spread of COVID-19 has overwhelmed the existing health care systems, finding it challenging to provide essential health services besides the COVID-19 response interventions. Refugees are disproportionately affected by the COVID-19 pandemic because of the barriers they face to access health care. However, there is limited research that investigates how access to HIV/AIDS or TB care services by urban refugees is affected during pandemics such as the COVID-19. This study adopted a cross-sectional survey utilizing quantitative (N=229) and qualitative data (26 in-depth interviews and 8 key informant interviews) held among urban refugees living in Kampala, Uganda. Results revealed that more females (75%) than males (25%) were able to access TB or HIV/AIDS services during COVID-19 related lockdowns. A decrease in queues, delivery of drugs through Village Health Teams (VHTs), proximity to health facilities, supply of necessities like food and the reception at the health facilities facilitated access to TB or HIV/AIDS services. On the other hand, restrictions on public transport, high transport costs, unemployment and subsequent poverty were barriers to access to TB or HIV/AIDS services. Results offer major insights into the effect of COVID-19 control measures on disruption of access to services particularly in relation to being able to access service points. The findings suggest that recognizing structural barriers to uninterrupted or continued access to HIV/AIDS or TB services during pandemics such as COVID-19 can go a long way in helping stakeholders to design measures that make it possible for more urban refugees to access HIV/AIDS or TB services.
ABSTRACT
The health of urban refugees and asylum seekers (URAS) in Bangkok has been neglected and health policies for USAR have not materialized. This study aimed to explore the views of stakeholders on policies to protect URAS well-being in Thailand. This study conducted a mixed-methods approach comprising both in-depth interviews and Delphi survey. The interview findings revealed six main themes: (1) the government position on URAS; (2) opinions on Thailand becoming a party of the 1951 Refugee Convention; (3) NGOs on health promotion for URAS; (4) options on health insurance management for URAS; (5) working potential of URAS; and (6) uncertainty of future life plans for URAS. The Delphi survey showed that URAS should have the right to acquire a work permit and be enrolled in the public insurance scheme managed by the Ministry of Public Health. Moreover, the ideology of national security was more influential than the concept of human rights. The ambiguity of the central authorities' policy direction to take care of URAS creates haphazard legal interpretations. The Delphi survey findings suggested the need for a more inclusive policy for URAS, however actual policy implementation requires further research on policy feasibility and acceptance by the wider public.