Purpose of Review <p>Acknowledging health in all policies, this scoping review aims to describe and compare i) structural and social supports offered by countries participating in the United Nations refugee agency resettlement program and ii) refugees’ and service providers’ experiences with these supports.</p> Recent Findings <p>Structural supports in the 10 countries resettling the largest number of refugees in 2021 (United States [US], Canada, and 8 European nations) were summarized, using official national documentation. A scoping review of published literature (1995–2022) sourced from four databases was conducted to capture met and unmet needs of refugees and service providers related to these supports during the first year of resettlement. Study characteristics were enumerated, and needs were descriptively summarized.</p> <p>We found important differences in structural supports offered to resettled refugees by host countries and regions, particularly with access to healthcare, language training, employment and financial support. The 63 included studies originated from the US (34), Canada, (25) and the United Kingdom (UK) (4), with uneven sub-national distributions. Most studies focusing on healthcare reported unmet needs, with language barriers, lack of culturally sensitive care and logistical challenges described in all three countries. Insufficient language training and unmet economic needs were also often reported.</p> Summary <p>More research on resettled refugees' and service providers’ experiences with structural supports is needed, particularly in Europe and underrepresented regions in the US and Canada. A “Health in All Policies” approach to policies and programs related to resettlement should address unmet needs in healthcare, language training, employment and financial support.</p>

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Examining Structural and Social Supports Offered to Resettled Refugees in 10 Host Countries – A Scoping Review Acknowledging Health in All Policies

  • Lea S. Wenger,
  • Jessica Farangaiz Saifee,
  • Andrea Macikunas,
  • Janavi Shetty,
  • Karla Fredricks,
  • Veronika Wiemker,
  • Eric A. Russell,
  • Eline Skirnisdottir Vik,
  • Jessie Cunningham,
  • Astrid Guttmann,
  • Susitha Wanigaratne,
  • Julia Brandenberger

摘要

Purpose of Review

Acknowledging health in all policies, this scoping review aims to describe and compare i) structural and social supports offered by countries participating in the United Nations refugee agency resettlement program and ii) refugees’ and service providers’ experiences with these supports.

Recent Findings

Structural supports in the 10 countries resettling the largest number of refugees in 2021 (United States [US], Canada, and 8 European nations) were summarized, using official national documentation. A scoping review of published literature (1995–2022) sourced from four databases was conducted to capture met and unmet needs of refugees and service providers related to these supports during the first year of resettlement. Study characteristics were enumerated, and needs were descriptively summarized.

We found important differences in structural supports offered to resettled refugees by host countries and regions, particularly with access to healthcare, language training, employment and financial support. The 63 included studies originated from the US (34), Canada, (25) and the United Kingdom (UK) (4), with uneven sub-national distributions. Most studies focusing on healthcare reported unmet needs, with language barriers, lack of culturally sensitive care and logistical challenges described in all three countries. Insufficient language training and unmet economic needs were also often reported.

Summary

More research on resettled refugees' and service providers’ experiences with structural supports is needed, particularly in Europe and underrepresented regions in the US and Canada. A “Health in All Policies” approach to policies and programs related to resettlement should address unmet needs in healthcare, language training, employment and financial support.