User talk:Smartin gpp/sandbox

Josh's Peer Review
I bolded words that I added or switched up.

Sector
[There are various barriers to 'both(Remove)' accessing healthcare and attaining treatment or services that many refugees experience upon entering the country. In efforts to access care, obtaining the correct documentation may make it difficult to qualify for care in the first place (**find source**). Even with documentation, navigating the healthcare system and their health insurance policies can make obtaining treatment confusing and difficult. The US health insurance system is complicated - especially for refugees - in that they only receive 8 months of general care after resettlement and there are many different federal, private, and nonprofit organizations that are involved in this process.[4] If individuals need any form of more specialized care, it is difficult to obtain.[4] Once gaining coverage, utilizing the available care introduces other obstacles. Language may serve as another complication, because if an individual is unable to communicate with their medical provider, receiving appropriate treatment would be difficult. Having access to an interpreter and one that speaks the appropriate language is generally uncommon.[4] Many find it difficult to have the money and the means of transportation to get coverage and treatment, as well.[3] In the case of treatment, especially among individuals with chronic or mental health conditions, having care that is culturally appropriate can impact the refugee experience with healthcare. Difference in cultural background and experience can mean that refugees may have different ideas about when to ask for care, assessing health concerns and associated treatment.[5] As a result, many refugees are less inclined to access care because the United States healthcare model may not align with their cultural beliefs or values.[4]

In a 2017 study done by Ann Phillbrick, a Somali woman's struggle to get pills that were Kosher in order to respect her religious beliefs is an example of how culturally appropriate care and treatment is a barrier to refugee individuals adequately being treated by the healthcare system.[2]]

[With these barriers in mind, there are steps being taken to improve the process for acquiring care and promote a positive healthcare experience.] For improving refugee health [instance], [there are] individuals who can act as "cultural brokers" could [to] help refugees to access medical services, locate pharmacies, learn about their medications, and schedule follow-up treatment.[14] Establishing communication between policymakers, frontline providers of refugee medical care, and refugees can allow for improvements in refugee health policy outcomes.[14] Also, making sure that refugees receive continuing, thorough assessments of their mental and physical health, health promotion materials in their own language, and access to specialist services (especially in cases of torture or violence) can improve the standard of health among refugee populations.[12]

Awesome Job with this Section!! you have definitely added relevant information to the introduction and you explicitly point out what some of the special challenges refugee women face. I think it is great that you provide both the special concern e.g. language, and then have a potential solution e.g. materials in their own language.

I agree with the removal of the 2 studies from the intro because they are out of place. However, I think that these studies are relevant to the topic in general and maybe relocating them to another relevant section or creating another section dedicated to case studies would work here. If you are going to relocate all of the studies to another section, you may also want to consider putting the Phillbrick study in another section. I think it could fit well under "diet" and there is not much there at the moment.

Area
Refugee women have unique and challenging concerns in terms of accessing healthcare after resettlement in the United States. This includes reproductive and maternal health, mental health, and domestic violence. Culturally influenced gender roles may influence health concerns and access to treatment for female refugees.(**find more source material related to this??**) It can be difficult to obtain appropriate preventative or specialized care to treat these medical concerns with the limited healthcare options available to refugee women. This is especially apparent in terms of reproductive healthcare, where there is a low number of women screened for cervical and breast cancer compared to the large women with reproductive health needs.[6] These screenings, in addition to other preventative services like STD testing and birth control options, are important ways to assess sexual health, but many women are not able to receive these services for cultural or systemic reasons and may suffer more serious health conditions as a result. Mental health is another issue faced by many refugee women which may result from their experience in their home country and the process of migrating and settling in the US. In a study conducted by Chris Brown in 2010, the results highlight that language proficiency, economic stress, and maternal stress all impact the mental health of Vietnamese female refugees. They also point out that much of this stress can be associated with the traumatic experiences or the stress to adapt and conform to the new culture of the United States that these women have experienced.[7] Another health issue that affects refugee women disproportionately due to gender and cultural norms is domestic violence. In addition to the experience of domestic violence experienced by refugee women, attaining care can be difficult due to failure to report these issues because of cultural taboo or unstable home life and the lack of support and service related to domestic violence and receiving help as reported by the refugee women.[8]

This is a lot of great information that is not already on the page. Are you planning on putting it in the introduction or spread throughout different sections of the article? Also in your sector you talked about potential solutions, are there any ways to address these health issues refugee women face? I also found that in the Refugee Health page their is a section on women's health. maybe find a way to link these two pages together?

Joshsminer (talk) 18:15, 31 October 2018 (UTC)