Article

Ukrainian refugees in Romania: perception and social challenges

Authors:
  • Institute of Geography, Romanian Academy
  • Romanian Academy, Institute of Geography
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Abstract

Millions of people from Ukraine have been forced to flee their homes to seek safety, protection, and assistance owing to armed conflict. This study aims to draw a parallel between the meaning and importance of the initial impact of Russian military aggression in February 2022 and the recent plight of Ukrainian refugees on Romania's territory. It is based on the results of a dedicated thematic survey of Ukrainian refugees as part of fieldwork carried out by the authors between March and April 2022 and a survey launched by the United Nations Refugee Agency in Romania between October 2022 and August 2023. The study emphasises the importance of raising awareness and building solidarity and support to counterbalance the effects of the crisis with respect to: (i) refugees in their hometowns and losses incurred; (ii) refugees' needs, help provided, and expectations; (iii) the need to integrate refugees into different fields of daily life; and (iv) a return to Ukraine.

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Background During the last years, Europe experienced an increase in immigration due to a variety of worldwide wars and conflicts, which in turn resulted in a greater number of physical and mental health issues present among the refugees. These factors place high demands not only on the refugees, but also on healthcare professionals who meet the refugees in different situations. Information about the refugees’ experiences of the healthcare systems in their host countries is urgently needed to improve the quality of healthcare delivered, as well as to provide opportunities for better access. The aim of this scoping review is to compile research about the experiences that the refugees have with the healthcare systems in their host countries. Methods This study was conducted as a scoping review and the methodology is derived from Levac et al. and with inspiration from the framework of Arksey & O’Malley. A systematic article search was done in Medline, Cinahl and Psychinfo. A total of 619 articles were found in the search and finally 26 articles met the inclusion criteria and were included. ResultsThe results show that communication between healthcare professionals and refugees is important, however, insufficient language knowledge acts as an effective communication barrier. There is a need for more information to be given to the refugees about the reception country’s healthcare system in both oral and written formats, as well as the right to healthcare. Support from healthcare professionals is also important for refugees to have a positive experience with healthcare. In some of the studies included, refugees experienced discrimination due to low proficiency in the language of the host country, and/or because of their race or accent, which shows that culturally appropriate healthcare is needed for them. Conclusions Since refugees are suffering from poor mental and physical health and could therefore be at a greater risk of morbidity and mortality in comparison to the rest of the population of the host country, there is an urgent need for improvements in communication, interpretation, support, and deliverance of culturally appropriate healthcare.
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