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Alireza Shoghli; Azam Maleki; Mohammad Reza Masjedi (et al.)
The study was done to examine the effectiveness of peer-to-peer education on increasing health literacy, knowledge s, and observance of coronavirus disease (COVID-19) health prevention protocols in vulnerable adolescents. The study was a one-group intervention (before and after the intervention) that was performed on 1200 vulnerable adolescents living in varamin. The educational intervention was presented to adolescents in a face-to-face session. In the next step, the adolescents were taught the information received by three members of their families. Data were evaluated using a self-designed questionnaire before, and three months after the intervention. The paired t-test was used to compare scores of health literacy, compliance, and knowledge before and after the intervention at a 0.05 confidence level. The Multiple linear regression model was used to determine the predictive factors of observance of COVID-19 preventive behaviors.
Ateeb Ahmad Parray; Muhammad Riaz Hossain; Rafia Sultana (et al.)
Flurina Potter; Katalin Dohrmann; Brigitte Rockstroh (et al.)
Accumulating evidence highlights the importance of pre- and post- migration stressors on refugees’ mental health and integration. In addition to migration-associated stressors, experiences earlier in life such as physical abuse in childhood as well as current life stress as produced by the COVID-19-pandemic may impair mental health and successful integration – yet evidence on these further risks is still limited. The present study explicitly focused on the impact of severe physical abuse in childhood during the COVID-19 pandemic and evaluated the impact of these additional stressors on emotional distress and integration of refugees in Germany. The sample included 80 refugees, 88.8% male, mean age 19.7 years. In a semi-structured interview, trained psychologists screened for emotional distress, using the Refugee Health Screener, and integration status, using the Integration Index. The experience of severe physical abuse in childhood was quantified as a yes/no response to the question: “Have you been hit so badly before the age of 15 that you had to go to hospital or needed medical attention?” Multiple hierarchical regression analyses further included gender, age, residence status, months since the start of the COVID-19 pandemic and length of stay in Germany to predict emotional distress and integration.
Sally Youssef; Nicola Jones; Agnieszka Małachowska (et al.)
Syrian refugee adolescents in crisis-stricken Lebanon are facing growing challenges to their overall well-being, including their psychosocial well-being. With almost all the Syrian population in Lebanon sinking into severe poverty, the country’s compound crisis is taking a heavy toll on the mental health and psychosocial well-being of ever more vulnerable Syrian refugees. Isolation and mental health problems have been increasing among Syrian refugees, particularly adolescents and young people, as a direct result of the pressures caused by the economic crisis. Stigma surrounding mental health and lack of access to support services threatens the psychosocial well-being of all adolescents, but especially married girls. This report explores the impacts of this compound crisis on Syrian refugee adolescents’ psychosocial well- being and their opportunities to exercise voice and agency in their family and community. Drawing on a capabilities approach, the report presents findings from participatory research undertaken with 30 Syrian refugee adolescent girls and boys in Lebanon between 2019 and 2022. It explores gendered differences in voice and agency, and psychosocial well-being, by focusing on adolescents’ lived experiences amid the turbulent and deteriorating socioeconomic and political environment. It concludes with recommendations for policy and programming so that refugee adolescents can be supported to reach their full capabilities.
Vulnerable Lebanese and Palestinian refugee adolescents in crisis-stricken Lebanon, amid a global pandemic, face the most enormous challenges to their education. With increasing socioeconomic vulnerabilities and shrinking opportunities, and the ever more fragile education sector, adolescents’ education is increasingly at risk. In 2021, an estimated 260,000 Lebanese children and 440,000 refugee children dropped out of school. This report focuses on Palestinian and Lebanese adolescents’ access to education and learning, and their opportunities to exercise voice and agency, highlighting the impact of the Lebanese crisis on their lives. It draws on findings from the Gender and Adolescence: Global Evidence (GAGE) longitudinal study, involving adolescents from Syrian and Palestinian refugee communities and vulnerable Lebanese host communities. Using interactive participatory tools, including participatory photography, GAGE aims to gain a better understanding of ‘what works’ to empower different groups of adolescents (especially girls) in conflict-affected contexts.
While youth are routinely lauded as “changemakers” in society, they are often unsupported in refugee responses. As the Rohingya mark five years of exodus in Bangladesh, what is the state of youth inclusion across sectors? Do youth and adolescents feel supported, or are they being ignored and left behind? To assess, information from three data streams was used: (a) desk research of available literature on youth participation and inclusion in humanitarian programming; (b)key informant interviews with practitioners from national and international non-overnment organizations and UN agencies, specifically individuals leading or coordinating sectors and working groups engaged with youth programming; and (c)focus group discussions and key informant interviews with refugee individuals and groups across 11 camps.
Kenneth E. Miller; Alexandra Chen; Gabriela V. Koppenol-Gonzalez (et al.)
Parenting interventions in humanitarian settings have prioritized the acquisition of parenting knowledge and skills, while overlooking the adverse effects of stress and distress on parenting—a key mediator of refugee children's mental health. We evaluated the effectiveness of the Caregiver Support Intervention (CSI), which emphasizes caregiver wellbeing together with training in positive parenting. This research conducted a two-arm randomized controlled trial of the CSI with Syrian refugees in Lebanon, with an intent-to-treat design, from September 2019–December 2020. A total of 480 caregivers from 240 families were randomized to the CSI or a waitlist control group (1:1). Retention from baseline to endline was 93%. Data on parenting and caregiver psychological wellbeing were collected at baseline, endline, and three-month follow-up.
Nicola Jones; Jude Sajdi; Elizabeth Presler-Marshall (et al.)
Most of the research on refugee economic participation has focused on adult refugee populations, particularly men. Data on adolescents and youth, particularly girls and young women, is limited. This report aims to fill some of these research gaps and contribute to efforts to support refugee youth to realise their potential in line with the commitments enshrined in both the Sustainable Development Goals (SDGs), to ‘leave no one behind’, and in the Global Compact on Refugees, to ‘enhance refugee self-reliance’. Focusing on male and female youth aged 15–24 years from Syrian and Palestinian refugee communities in Jordan, as well as vulnerable Jordanians in host communities, the report captures their aspirations and experiences in building independent and sustainable livelihoods. It incorporates a gender lens to identify and analyse the factors that promote or hinder youth participation in the labour market, paying particular attention to gender norms and roles.
Nicola Jones; Elizabeth Presler-Marshall; Agnieszka Małachowska (et al.)
Echoing global trends, where the absolute number of displaced persons continues to grow in tandem with the proportion of people living in protracted displacement, the vast majority of both Syrian and Palestinian refugee communities in Lebanon have been there for 10 years or longer. So, how can decision-makers lay the foundations for gender-responsive education systems and economic empowerment for refugee youth in Lebanon? The collapse of Lebanon’s GDP by 58% during recent years has resulted not only in an explosion of demand for humanitarian assistance, but also created growing concerns about meeting SDG targets. Questions arise over how best to support adolescents and young people to transition into adulthood in the midst of such intertwined, and escalating, crises. This ODI Report began with an extensive review of secondary data, and uses primary qualitative data collected from Syrian and Palestinian refugees living in Lebanon over the first half of 2021. Our research aims to identify programming proposals and recommended actions for donor and policy-makers to facilitate the economic and educational success for all young refugees living permanently outside their country's borders.
Worldwide, more people are on the move now than ever before, yet many refugees and migrants face poorer health outcomes than the host populations. Addressing their health needs is, therefore, a global health priority and integral to the principle of the right to health for all. The key is to strengthen and maintain health systems by ensuring that they are refugee- and migrant-sensitive and inclusive. Health outcomes are influenced by a whole host of determinants. However, refugees and migrants face additional determinants such as precarious legal status; discrimination; social, cultural, linguistic, administrative and financial barriers; lack of information about health entitlements; low health literacy; and fear of detention and deportation. This groundbreaking publication outlines current and future opportunities and challenges and provides several strategies to improve the health and well-being of refugees and migrants. It is an advocacy tool for national and international policy-makers involved in health and migration.
Mariana Rodo; Lucy Singh; Neal Russell (et al.)
The impacts of COVID-19 are unprecedented globally. The pandemic is reversing decades of progress in maternal, newborn, child health and nutrition (MNCHN), especially fragile and conflict-affected settings (FCAS) whose populations were already facing challenges in accessing basic health and nutrition services. This study aimed to investigate the collateral impact of COVID-19 on funding, services and MNCHN outcomes in FCAS, as well as adaptations used in the field to continue activities. A scoping review of peer-reviewed and grey literature published between 1st March 2020–31st January 2021 was conducted. It analysed 103 publications using a narrative synthesis approach. 39 remote semi-structured key informant interviews with humanitarian actors and donor staff within 12 FCAS were conducted between October 2020 and February 2021. Thematic analysis was undertaken independently by two researchers on interview transcripts and supporting documents provided by key informants, and triangulated with literature review findings.
Katherine Meyer; Monique Abimpaye; Jean de Dieu Harerimana (et al.)
Sarah Baird; Maureen Murphy; Jennifer Seager (et al.)
Nadia Kutscher; Jana Hüttmann; Michi S. Fujii (et al.)
The evaluation focuses on specific rights: the right to seek and enjoy asylum; the right to health; protection against sexual and gender-based violence (GBV); child protection and family reunification; the rights of persons with specific needs; and access to information. The Management Group for this evaluation includes the Evaluation Units of UNHCR, Ministry of Foreign Affairs of Finland, Governments of Colombia and Uganda, and the humanitarian system network ALNAP. The evaluation team is headed by Itad in partnership with VALID Evaluations and is a collaborative effort including a network of evaluators and academic institutions. This paper provides only a short, high-level summary of the emerging themes from the data collection period (August-October 2021). Some of the triangulation and analysis of data is still ongoing, and this paper outlines only emerging findings to date.
UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.
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