Responding to the Ukraine refugee health crisis in the EU

There is currently insufficient data to know if people are adequately accessing health services, including continuity of care for infectious and non-communicable diseases and essential maternal and child health services,5 such as vaccines and pregnancy-related care.6 Although access to health servic...

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Bibliographic Details
Published inThe Lancet (British edition) Vol. 399; no. 10341; pp. 2084 - 2086
Main Author Spiegel, Paul B
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 04.06.2022
Elsevier Limited
Subjects
Aggression
Communication
Community involvement
Community participation
Continuity of care
Coronaviruses
COVID-19 diagnostic tests
COVID-19 vaccines
Decision making
Disease
Emergencies
Health care
Health services
Humanitarianism
Maternal & child health
Mental health
Public health
Refugees
Risk communication
Poland
Afghanistan
Europe
Ukraine
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Summary:There is currently insufficient data to know if people are adequately accessing health services, including continuity of care for infectious and non-communicable diseases and essential maternal and child health services,5 such as vaccines and pregnancy-related care.6 Although access to health services for Ukrainian refugees is the same as for EU nationals, the rules vary by country, including those for co-payments, dental coverage, and mental health treatment. Furthermore, in many host countries there are an insufficient number of general practitioners, who are the gatekeepers to the health-care system.7 Unique workarounds, such as Ukrainian Medical Points, have been instituted in some countries to allow Ukrainian refugees to see nationally licensed Ukrainian health-care providers, but an examination of how health systems and financing need to adapt due to the refugee influx is needed. Mental health and psychosocial support, gender-based violence, and risk communication and community engagement are three essential and multisectoral issues whose importance was repeated throughout my missions in the region.6,9,10 The provision of adequate mental health and psychosocial support to the refugees will remain constrained due to insufficient numbers of existing national psychiatrists and psychologists, language issues, and implementation of policies that eventually allow Ukrainian refugee health-care workers to practise in EU countries.
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ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(22)00841-8