country
$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket? Book Your Assignment at The Lowest Price Now!

Unmet Need Of Afghani Refuee In Australia

tag 0 Download11 Pages / 2,565 Words tag Add in library Click this icon and make it bookmark in your library to refer it later. GOT IT

Question:

Discuss about the Iincrease health care utilization among Afghani refugees in Australia.
 
 

Answer:

Title

Planning health promotion program to increase health care utilization among Afghani refugees in Australia Aims of the project:

The main objectives of the project are as follows:

  • To identify and address unmet needs of Afghan refugee in Australia
  • To consider and plan health promotion program to optimize health outcome in Afghani refugees.
  • To consider the implication of the program in improving the delivery of health care among Afghani community in Australia.

Problem/unmet community health need for the identified group

Afghans have been migrating to Australia since the 1860s and currently the number of Afghan community in Australia is 35000. The number is rising mainly through humanitarian program. They have been a victim of many civil war and human right abuses. Hence, most of the Afghanistan-born people settled in Australia are mostly asylum seekers and refugees with history of trauma and displacement. Many health practices in Afghan refugees differ from that of Australian Community. Firstly, they are unfamiliar with the Australian health care system and they are reluctant to seek health care services too. Even if they seek health services, there is a preference to be seen by the health care staffs of the same gender (Afghan community profile 2017).

The review of literature on unmet needs of Afghani refugee in Australia reveals that mental health issues disproportionately affects Afghan refugees due to prolonged exposure to war. Refugees are in general vulnerable to high psychological distress and in Afghan refugees, it is mostly due to pre-migration and post-migration traumas. The problem is intensified as they do not receive any prior psychological support in their own country due to weak mental health infrastructure. Their experience of atrocities, loss of family members and stressful escape experience is the reason for high comorbidity of mental illness. Hence, the mental health problem is mediated by mental health and language conflicts. Low utilization of mental health care is also high due to attitudes of stigma and lack of trust in Australian health care methods (Alemi et al. 2014). Therefore, this finding suggests that there is a need to adapt medical health problem that promotes utilization of mental health care services among Afghan refugees living in Australia.

 


Valibhoy et al., (2017) gave another insight into the experience of Afghan refugees in Australian mental health service and the survey with young refugees gave the answer to the research question. Mental health service utilization in this group was particularly influenced by the young refugee’s preconceptions about mental health practitioner, sociocultural context and help-seeking attitudes. They had a stigmatizing concept about being a mental health client and another barrier to service utilization was the poor narration of personal experience and symptoms of health care staffs. Therefore, the need for cultural sensitivity in delivering mental health service mainly arose in this research study as socio-cultural context mainly influenced their service utilization pattern. There is an urgent need to establish a condition that promotes therapeutic relationship between mental health service and Afghan refugees.

Afghan refugees settled in Australia are highly vulnerable to post-traumatic stress disorder (PTSD).  An analysis of the beliefs regarding the causes and risk of PTSD among two refugee groups in Australia showed that Afghan refugees regard coming from a war-torn country as a major reason for the development of PTSD. The participant’s response also indicated that they regarded the role of higher order powers in the etiology of mental health problems. This proves that impact of religious and spiritual teaching also influence utilization rate of health care services among this group (Slewa-Younan et al., 2017). This finding is also consistent with the research by Toar et al., (2009) which also reveals the prevalence of PTSD, depression and anxiety among asylum seekers and refugees. The rate of utilization of health care service in this group was done by means of assessment of frequency of contact with health care practitioners, number of hospital admissions in last one year and use of prescribed medication in the past two weeks. The study finding gives the idea that high post migration stressors along with presence of one or more chronic disease leading to PTSD and anxiety in refugees. Despite high self-reported problem of psychological disorder in this group, majority of them are not utilizing Australian mental health services adequately.

 


As Afghan refugees are one of the largest source of refugee settlement in Australia, there a need to promote better health outcome in this group. The review of recent evidence regarding the problems/ or unmet needs in this group illustrates high prevalence of psychological distress and mental illness in this group. Another major unmet need is that despite high psychological disorder, the health service utilization rate is too low. This is mainly because of poor awareness regarding Australian health care system and impact of sociocultural context in treatment choices. Hence, the analysis of the reason for these problems in Afghan refugees indicates that the implementation of targeted health promotion program in this group by putting special attention to cultural sensitivity in health care delivery. This is important to preserve the diversity of the nature and deliver culturally competence services (Haintz, Graham,  & Mckenzie, 2015).

Proposed health promotion program

To address the problem of the prevalence of psychological distress in Afghan refugees and poor rate of service utilization in this group, it is proposed to implement a culturally sensitive health promotion program to raise awareness about mental health in Afghan refugees and the importance of seeking help from mental health care professionals and community nurses. This would help to bridge the gap between current use of mental health care services and the knowledge and beliefs regarding treatment in Afghan refugees (Renzaho et al., 2013). To improve the mental health of refugees, it is planned to provide trauma-based CBT (Cognitive behavioral therapy) intervention to highly vulnerable people. It is feasible in reducing PTSD among refugees (Unterhitzenberger et al., 2015). Furthermore, to enhance the rate of utilization of mental health service among this group, Andersen’s model will be applied in the health promotion program. The model will help staffs to understand the needs of patients in care and identify the barrier and facilitators to help-seeking behavior among Afghan refugees. This will make health professionals sensitive to cultural and clinical needs of Afghan refugees and enhance the access to service (Dhingra et al., 2010). It is proposed to achieve the desired outcome of high mental health service utilization and positive health outcome for Afghan refugees through culturally sensitive health care program within one year.

 

Resources needed to implement the health promotion program

The following are the resource needed for the implementation of the proposed health promotion program-

  • Venue- Community mental health centers in Australia
  • Staff- Community nurse, mental health professionals and therapist for delivering CBT.
  • Culturally and linguistically competent health promotion material- Training resource for staff such as projector, handout of socio-cultural detail, linguistic status, beliefs and treatment preference of Afghan refugees and printed or audio-visual format on instruction related to the procedure for culturally sensitive health care delivery.
  • Health promotion message related to risk reduction and community action for preventing mental health problems.
  • Engaging community partners in health promotion program and giving extensive cultural sensitive training to staffs.

Justifying the benefits and relevance of proposed health promotion program

The implementation of the culturally sensitive health promotion program by the utilization of the Andersen model is considered important for the Afghan refugees because it would help to narrow the gap in mental health service utilization rate which according due to socio-cultural beliefs of refugees.  The analysis of the unmet needs in Afghan refugees residing in Australia revealed lack of refugee focused health service in Australia. Although the mental health services are available, however they are not conducive to socio-cultural preference of this group. Besides this, stigmatizing beliefs about mental illness also discourages Afghan refugees to seek adequate support from mental health service. Hence, with this problem, the culturally sensitive health care program has the scope to bring improvement in current process of health care delivery and align it to the cultural needs of the target group (Netto et al., 2010).

The implementation of the proposed program is a step ahead toward refugee focused mental health care system so that all barrier and facilitating factors in care for Afghan refugees are recognized. Refugees face problem in accessing and utilizing the primary health care service due to their attitude and beliefs about illness. The engagement of the community by means of culturally sensitive health care program will help to enhance partnership between Afghan refugees and mental health services (Cheng et al., 2015). The culturally sensitive health promotion will be given by means of language assistant service, verbal and written instructing informing patients about the risk factor associated with mental illness and importance of revealing personal factors in life to achieve targeted intervention.  It will help in the interpretation of challenges in Afghan refugees and address them in a systematic manner. By this means, patient-desired intervention can be provided to make them comfortable with western clinical methods and establish trusting relationship with health care staffs and community (Tucker et al., 2011). This is important because review of barriers has revealed that many refugees do not seek support from health care service due to lack of trust (Alemi et al. 2014).

 


The important element of community level health practices involves promotion of healthy living in target group, prevention of health issues, treatment of disorders, rehabilitation and evaluation of outcome. The health promotion program is unique and specific to the needs of the Afghan refugees. It is in relevance with the Neuman’s care model which is based on the assumption that many unknown and universal stressors exist in client, which further aggravate their health status and each client have their own way of responding to the environment (George, 2011).  With this concept, the resistance to seeking help behavior is high in Afghan refugees due to the presence of post and pre-migration stressors in their life. Hence, staff training in cultural sensitive care and awareness and knowledge about mental health among Afghan refugees is deemed to bring favorable outcome as expected from the objective of the project.

The main unmet need of the Afghan refugees living in Australia is that of poor utilization of health care services and to address this problem, the application of Andersen model into the health promotion program has been proposed. The rational for including this model in the program is that this program will facilitate identifying conditions that can promote utilization in this group (Alexander, Brijnath, & Mazza, 2015). According to this framework, a client’s pattern of accessing and using the health service can be understood three characteristics- predisposing factors (health belief, social structure and demographic), enabling factors (available health facilities, personal factors and psychological characteristics) and need factors (the conditions under which the health service is utilized (Smith & Scheid, 2014; 2013). Hence, the utilization of this framework in health promotion program will have great implications for community level clinical practice. It will increase awareness about refugee group belief about the cause of mental health problems and this will modify the choice of interventions delivered to Afghan refugees.

Evaluation of the desired outcome                   

To evaluate the outcome of the health promotion program on increasing mental health utilization rate among Afghan refugees, self-reported data will be collected from participants six months after the program. The survey by means of self-reported response of participants will evaluate the change in beliefs about the cause of psychological disorder in this group and analyse the change in their health beliefs and health seeking behavior after the program. Another important aspect of the evaluation process will to collect data from mental health clinic regarding the increase in number of visits of Afghan refugees for treatment compared to last six months data. By this means, the success of the program can be evaluated. Furthermore, participants experience regarding the health promotion program will help to identify any limitation or weak area where more corrective actions. This will help to collect the required information regarding the bridge in gap between current intervention and health beliefs of the Afghan refugee groups.

 

Reference

Afghan community profile.  (2017). www.dss.gov.au [online] Available at: https://www.dss.gov.au/sites/default/files/files/settle/communityprogiles/community-profile-afghan_access.pdf [Accessed 1 Apr. 2017].

Alemi, Q., James, S., Cruz, R., Zepeda, V., & Racadio, M. (2014). Psychological distress in afghan refugees: A mixed-method systematic review. Journal of Immigrant and Minority Health, 16(6), 1247-1261. doi:10.1007/s10903-013-9861-1

Alexander, K. E., Brijnath, B., & Mazza, D. (2015). Parents' decision making and access to preventive healthcare for young children: Applying andersen's model. Health Expectations, 18(5), 1256-1269. doi:10.1111/hex.12100

Cheng, I., Wahidi, S., Vasi, S., & Samuel, S. (2015). Importance of community engagement in primary health care: The case of afghan refugees. Australian Journal of Primary Health, 21(3), 262. doi:10.1071/PY13137

Dhingra, S. S., Zack, M., Strine, T., Pearson, W. S., & Balluz, L. (2010). Determining prevalence and correlates of psychiatric treatment with Andersen's behavioral model of health services use. Psychiatric Services, 61(5), 524-528.

George, J. B. (2011). Nursing Theories: The Base for Professional Nursing Practice, 6/e. Pearson Education India.

Haintz, G. L., Graham, M., & Mckenzie, H. (2015). Navigating the ethics of cross-cultural health promotion research. Health Promotion Journal of Australia: Official Journal of Australian Association of Health Promotion Professionals, 26(3), 235-240. doi:10.1071/HE15050

Netto, G., Bhopal, R., Lederle, N., Khatoon, J., & Jackson, A. (2010). How can health promotion interventions be adapted for minority ethnic communities? Five principles for guiding the development of behavioural interventions. Health Promotion International, 25(2), 248-257.

Renzaho, A. M. N., Romios, P., Crock, C., & Sønderlund, A. L. (2013). The effectiveness of cultural competence programs in ethnic minority patient-centered health care—a systematic review of the literature. International Journal for Quality in Health Care, 25(3), 261-269.

Slewa-Younan, S., Guajardo, M. G. U., Yaser, A., Mond, J., Smith, M., Milosevic, D., . . . Jorm, A. F. (2017). Causes of and risk factors for posttraumatic stress disorder: The beliefs of iraqi and afghan refugees resettled in australia. International Journal of Mental Health Systems, 11(1) doi:10.1186/s13033-016-0109-z

Smith, G. H., & Scheid, T. L. (2014;2013;). An application of the andersen model of health utilization to the understanding of the role of race-concordant doctor-patient relationships in reducing health disparities. (pp. 187-214) Emerald Group Publishing Limited. doi:10.1108/S0275-4959(2013)0000031011

Toar, M., O'Brien, K. K., & Fahey, T. (2009). Comparison of self-reported health & healthcare utilisation between asylum seekers and refugees: An observational study. BMC Public Health, 9(1), 214-214. doi:10.1186/1471-2458-9-214

Tucker, C. M., Marsiske, M., Rice, K. G., Nielson, J. J., & Herman, K. (2011). Patient-centered culturally sensitive health care: Model testing and refinement. Health Psychology, 30(3), 342-350. doi:10.1037/a0022967

Unterhitzenberger, J., Eberle-Sejari, R., Rassenhofer, M., Sukale, T., Rosner, R., & Goldbeck, L. (2015). Trauma-focused cognitive behavioral therapy with unaccompanied refugee minors: A case series. BMC Psychiatry, 15(1), 260. doi:10.1186/s12888-015-0645-0

Valibhoy, M. C., Kaplan, I., & Szwarc, J. (2017). “It comes down to just how human someone can be”: A qualitative study with young people from refugee backgrounds about their experiences of australian mental health services. Transcultural Psychiatry, 54(1), 23-45. doi:10.1177/1363461516662810

Download Sample

Get 100% money back after download, simply upload your unique content* of similar no. of pages or more. We verify your content and once successfully verified 100% value credited to your wallet within 7 days.

Upload Unique Document

Document Under Evaluation

Get Credits into Your Wallet

*The content must not be available online or in our existing Database to qualify as unique.

Cite This Work

To export a reference to this article please select a referencing stye below:

My Assignment Help. (2018). Unmet Need Of Afghani Refuee In Australia. Retrieved from https://myassignmenthelp.com/free-samples/unmet-need-of-afghani-refuee-in-australia.

" Unmet Need Of Afghani Refuee In Australia." My Assignment Help, 2018, https://myassignmenthelp.com/free-samples/unmet-need-of-afghani-refuee-in-australia.

My Assignment Help (2018) Unmet Need Of Afghani Refuee In Australia [Online]. Available from: https://myassignmenthelp.com/free-samples/unmet-need-of-afghani-refuee-in-australia
[Accessed 05 July 2020].

My Assignment Help. ' Unmet Need Of Afghani Refuee In Australia' (My Assignment Help, 2018) <https://myassignmenthelp.com/free-samples/unmet-need-of-afghani-refuee-in-australia> accessed 05 July 2020.

My Assignment Help. Unmet Need Of Afghani Refuee In Australia [Internet]. My Assignment Help. 2018 [cited 05 July 2020]. Available from: https://myassignmenthelp.com/free-samples/unmet-need-of-afghani-refuee-in-australia.


MyAssignmenthelp.com has become one of the leading assignment help provider in New York City and Boston. We provide top class auditing assignment help. Not only auditing, but we also cover more than 100 subjects and our writers deal with all types of assignments with utmost expertise. To make writing process faster and accurate, we have segmented our assignment experts' teams as per their expertise on writing different types of assignments. We guaranteed that students who buy our assignment online get solutions worth their investment.

Latest Nursing Samples

NURS1003 Imagining Health In Social And Cultural Contexts 2

Download : 0 | Pages : 3

Answer: Script: Australian government has developed policies for the refugees and the health care of these people and this policy is about the Royal Australasian College of Physicians (RACP) statement. The statement states health assessments, access to healthcare, promoting long-term health in the community, and asylum seekers and held detention would be the four factors for the refugees in the country. College Policy and Advocacy Committee (...

Read More arrow Tags: Australia 42 imagining health in social and cultural contexts Curtin University 

HLTENN009 Implement And Monitor Care For A Person With Mental Health Conditions 2

Download : 0 | Pages : 7

Answers: Simulated Mental Health client care setting Identify Psychological aspects relevant to Mental health The term psychological means both emotional mental rather than physical, it determines the ways a person thinks, feels and acts. It also determines the ability of a person to deal with stress and make healthier life decisions. During mental illness, there is deterioration in the mental and emotional wellbeing of a person. He lose...

Read More arrow Tags: Australia 16  Implement And Monitor Care For a Person With Mental Health Conditions Tafe NSW 

NURS2000 Behavioural Responses To Chronic Illness

Download : 0 | Pages : 7

Answer: Self-management of type 2 diabetes has been considered as a challenge that precedes the onset of complications. Hence, in a bid to identify factors that could facilitate adoption of effective self-management strategies, Dao, Spooner, Lo, and Harris (2019) carried out an exploratory study that aimed to unearth these factors. The researchers used a qualitative study approach to engage participants in semi-structured interviews. The parti...

Read More arrow Tags: Australia 16 NURS2000 Curtin University 

CNA150 Foundations For Professional Practice 1

Download : 0 | Pages : 9
  • Course Code: CNA150
  • University: University Of Tasmania
  • Country: Australia

Answer: Introduction: The World Health Organisation mentions communicative care to be one of the essential elements of the modern health care system (Redley, 2017). Hospital management requires the implementation of different methods, modules, and therapies to reach patients and to allow them to avail of utmost care. One of the important nursing strategies would be to impart care and provide supporting words to the patients. In the field of n...

Read More arrow Tags: Australia Sydney 16 Foundations for Professional Practice 1 University of Tasmania 

NURS2000 Behavioural Responses To Chronic Illnes

Download : 0 | Pages : 7

Answer: Introduction: a) The aim of the article is to explore the experiences of individuals with chronic obstructive pulmonary disease (COPD) who have high frequency of presentations to the Emergency Department (ED) and their carers (Robinson et al., 2017).   b) A mixed method study, descriptive qualitative phase was conducted for the researchers and conducted inIllawarra Shoalhaven Local Health District (ISLHD), located in souther...

Read More arrow Tags: Australia Melbourne Management University of Melbourne 
Next
watch

Save Time & improve Grade

Just share Requriment and get customize Solution.

question
We will use e-mail only for:

arrow Communication regarding your orders

arrow To send you invoices, and other billing info

arrow To provide you with information of offers and other benefits

1,355,831

Orders

4.9/5

Overall Rating

5,080

Experts

Our Amazing Features

delivery

On Time Delivery

Our writers make sure that all orders are submitted, prior to the deadline.

work

Plagiarism Free Work

Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.

time

24 X 7 Live Help

Feel free to contact our assignment writing services any time via phone, email or live chat.

subject

Services For All Subjects

Our writers can provide you professional writing assistance on any subject at any level.

price

Best Price Guarantee

Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.

Our Experts

Assignment writing guide
student rating student rating student rating student rating student rating 5/5

1592 Order Completed

96% Response Time

Jane Sima

Ph.D in Psychology with Specialization in Industrial-Organizational Psychology

Singapore, Singapore

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

1758 Order Completed

99% Response Time

William Martinez

MS in Biology

Washington, United States

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

134 Order Completed

95% Response Time

Thomas Nelson

MS in Information Systems Technology with Specialization in Database Administration

New Jersey, United States

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

2109 Order Completed

99% Response Time

Emma Zhong

Ph.D in Project Management with Specialization in Project Communications Management

Singapore, Singapore

Hire Me

FREE Tools

plagiarism

Plagiarism Checker

Get all your documents checked for plagiarism or duplicacy with us.

essay

Essay Typer

Get different kinds of essays typed in minutes with clicks.

edit

GPA Calculator

Calculate your semester grades and cumulative GPa with our GPA Calculator.

referencing

Chemical Equation Balancer

Balance any chemical equation in minutes just by entering the formula.

calculator

Word Counter & Page Calculator

Calculate the number of words and number of pages of all your academic documents.

Refer Just 5 Friends to Earn More than $2000

Check your estimated earning as per your ability

1

1

1

Your Approx Earning

Live Review

Our Mission Client Satisfaction

Very pleased with the work I get back from the assignment help. Thank you for the work provided.

flag

User Id: 455661 - 05 Jul 2020

Australia

student rating student rating student rating student rating student rating

Awesome fantastically ] perfect I loved his work right on time loved it thank you

flag

User Id: 452319 - 05 Jul 2020

Australia

student rating student rating student rating student rating student rating

I wasn’t impressed. I had to do a lot of editing and the writing is just not impressive

flag

User Id: 447023 - 05 Jul 2020

Australia

student rating student rating student rating student rating student rating

Quick turn-around. Easy to understand. All requirements covered. I will be using MAH again!

flag

User Id: 383727 - 04 Jul 2020

Australia

student rating student rating student rating student rating student rating
callback request mobile
Have any Query?