Health examinations of child migrants in Europe: screening or assessment of healthcare needs?

Background More than 800 000 asylum-seeking children were registered in Europe during 2015–2017. Many of them arrived with accumulated needs of healthcare. In this study, we examined the legislation for health examinations on arrival for migrant children in the EU/EAA area.Methods We did a survey to...

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Main Authors: Anders Hjern, Liv Stubbe Østergaard, Marie-Louise Nörredam
Format: Article
Language:English
Published: BMJ Publishing Group 2019-12-01
Series:BMJ Paediatrics Open
Online Access:https://bmjpaedsopen.bmj.com/content/3/1/e000411.full
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author Anders Hjern
Liv Stubbe Østergaard
Marie-Louise Nörredam
author_facet Anders Hjern
Liv Stubbe Østergaard
Marie-Louise Nörredam
author_sort Anders Hjern
collection DOAJ
description Background More than 800 000 asylum-seeking children were registered in Europe during 2015–2017. Many of them arrived with accumulated needs of healthcare. In this study, we examined the legislation for health examinations on arrival for migrant children in the EU/EAA area.Methods We did a survey to child health professionals within the EU-funded MOCHA project, supplemented by desktop research of official documents.Results In all but three surveyed countries in the EU/EEA, there were systematic health examinations of newly settled migrant children. In most eastern European countries and Germany, this health examination was mandatory; while in the rest of western and northern Europe it was mostly voluntary. All countries that had a mandatory policy of health examinations screened for communicable diseases to protect the host population. Almost all countries with a voluntary policy also aimed to assess a child’s individual healthcare needs, but this was rarely the case in countries with a mandatory policy.Conclusion Systematic health examinations of migrant children are routinely performed in most countries in the EU/EEA; but in many countries, it could be improved considerably by extending the focus from screening for communicable diseases to assessing and addressing individual needs of healthcare.
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spelling doaj-art-e69a69255b5a486b8984af29ecf4a8b52025-08-20T02:17:57ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722019-12-013110.1136/bmjpo-2018-000411Health examinations of child migrants in Europe: screening or assessment of healthcare needs?Anders Hjern0Liv Stubbe Østergaard1Marie-Louise Nörredam21 Centre for Health Equity Studies (CHESS), Karolinska Institutet, Stockholm University, Stockholm, Sweden3 Section for Health Services Research, Danish Research Centre for Migration, Ethnicity and Health (MESU), Copenhagen, Denmark3 Section for Health Services Research, Danish Research Centre for Migration, Ethnicity and Health (MESU), Copenhagen, DenmarkBackground More than 800 000 asylum-seeking children were registered in Europe during 2015–2017. Many of them arrived with accumulated needs of healthcare. In this study, we examined the legislation for health examinations on arrival for migrant children in the EU/EAA area.Methods We did a survey to child health professionals within the EU-funded MOCHA project, supplemented by desktop research of official documents.Results In all but three surveyed countries in the EU/EEA, there were systematic health examinations of newly settled migrant children. In most eastern European countries and Germany, this health examination was mandatory; while in the rest of western and northern Europe it was mostly voluntary. All countries that had a mandatory policy of health examinations screened for communicable diseases to protect the host population. Almost all countries with a voluntary policy also aimed to assess a child’s individual healthcare needs, but this was rarely the case in countries with a mandatory policy.Conclusion Systematic health examinations of migrant children are routinely performed in most countries in the EU/EEA; but in many countries, it could be improved considerably by extending the focus from screening for communicable diseases to assessing and addressing individual needs of healthcare.https://bmjpaedsopen.bmj.com/content/3/1/e000411.full
spellingShingle Anders Hjern
Liv Stubbe Østergaard
Marie-Louise Nörredam
Health examinations of child migrants in Europe: screening or assessment of healthcare needs?
BMJ Paediatrics Open
title Health examinations of child migrants in Europe: screening or assessment of healthcare needs?
title_full Health examinations of child migrants in Europe: screening or assessment of healthcare needs?
title_fullStr Health examinations of child migrants in Europe: screening or assessment of healthcare needs?
title_full_unstemmed Health examinations of child migrants in Europe: screening or assessment of healthcare needs?
title_short Health examinations of child migrants in Europe: screening or assessment of healthcare needs?
title_sort health examinations of child migrants in europe screening or assessment of healthcare needs
url https://bmjpaedsopen.bmj.com/content/3/1/e000411.full
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