Health of Ethnic Minority Commun by pengxiang

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									Health of Ethnic Minority Communities in Wigan

         Linda Adhana
  Health Development Officer
      BME Communities
   Public Health Department
  Ashton Leigh & Wigan PCT
            BME communities in Wigan

• Long term resident communities – predominantly S. Asian and
  Chinese communities
• Gypsy and traveller communities
• Asylum seekers and refugees – wide range of nationalities from
  around the world
• New migrants from Europe – European Accession Countries
  (Poland, Slovakia, Czech Republic, Lithuania, Estonia, Latvia,
  Slovenia, Hungary)
• International students
                    Health Inequalities


• Health Survey for England 2004 :

   – Prevalence of cardiovascular disease increased from 4.8% to 9.1%
     in Pakistani men between 1999 and 2004

   – Diabetes four times as prevalent in Bangladeshi men and three
     times as prevalent in Pakistani and Indian men than the general
     population
    Health Inequalities : Gypsy and Traveller
                 Communities
•   Women live 12 years less and
    men 10 years less than the
    general population
•   High incidence of stillbirths,
    perinatal and infant mortality
•   Higher incidence of childhood
    accidents
•   Children may not be immunised
•   Insecure and poor living
    conditions on unregulated sites
•   Cultural and attitudinal barriers
    in accessing services
•   Low literacy rates and poor
    attendance at school
    Health Inequalities : Asylum Seekers and
                    Refugees
•   Health needs related to past
    experiences of war, detention,
    torture, rape, physical and mental
    trauma
•   Poverty and poor quality living
    conditions
•   Lack of social support
•   Language and cultural barriers, not
    understanding how the health
    system works
•   Mental stress of constant
    uncertainty over asylum claim and
    future life
•   Homelessness and destitution – can
    occur at all stages of the asylum
    process
   Health Inequalities : New Migrants from
                    Europe

• Workers Registration Scheme – loss of employment in the first
  year can lead to homelessness and destitution
• Housing – poor quality, overcrowded
• Risk of exploitation and poor working conditions
• Language and cultural barriers, not understanding how health
  and social care systems work
• Roma communities – poor health related to persecution in home
  country
     Complex Health and Social Care Needs

•   Varied and complex health and
    social care needs
•   Immigration status can make
    care and support more
    complicated
•   Language and cultural barriers
•   Lack of awareness of how
    services work
•   Staff not familiar with working
    cross-culturally, and with
    interpreters. May not be familiar
    with specific health and social
    care needs, and systems and
    regulations relating to asylum
    and immigration
         Safeguarding Women and Children

•   Education – some countries children
    do not have to attend school
•   Different cultural expectations
    regarding discipline and safety
•   FGM (Female Genital Mutilation/
    Female Circumcision) – widely
    practiced in the Horn of Africa
•   Risk of exploitation and abuse of
    women and children who become
    homeless and destitute
•   High mobility – less able to trace
    children
•   Trafficking of women and children
•   Domestic violence
                  Public Health Issues

•   Mental health
•   Physical Health
•   Health Protection and Health Promotion
•   Sexual Health
•   Poverty and Destitution
•   Housing, Homelessness
•   Domestic Violence
•   Child Protection
•   Workplace Health
•   Links to Benefits and Advice Services
                          Project Proposal

•   Health Visitor (Band 7) and two Support Workers (Band 5) : As part of an
    expanded homeless and vulnerable persons team
•   Benefits :
     – Able to build up specialist knowledge of cultural issues and complex health
        and social care needs
     – Able to support mainstream services with specialist knowledge and advice –
        liaison and signposting role
     – Innovative practice for health improvement and health promotion , eg
        gender based sessions, language based sessions, attend community ‘drop
        ins’, ‘health trainers’ from gypsy & traveller communities
     – Support child protection functions and promote child welfare
     – Support BME Health Development Team in preventative health and
        improving health inequalities
                      Photo Credits

1.   Meissner, N. UNHCR
2.   UNHCR
3.   Chalasami, R. UNHCR.
4.   Pagetti, F. UNHCR
5.   Chalasami, R. UNHCR.

								
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