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Despite the many benefits of refugee health workers for health systems, they commonly face challenges integrating into host country workforces. The Global Code of Practice on International Recruitment of Health Personnel, which should monitor and protect migrant health workers, offers little guidance for refugees and research is needed to inform strategy. Based on interviews with 34 refugee health workers and 10 leaders across two settlements supporting populations fleeing the humanitarian crisis in South Sudan since 2013, we describe the governance and social dynamics affecting South Sudanese refugee health worker employment in Uganda. Refugees in Uganda legally have the right to work but face an employment crisis. Refugee health workers report that systemic discrimination, competition from underemployed domestic workers, unclear work permit rules and expensive credentialling processes exclude them from meaningful work in public health facilities and good jobs in the humanitarian response. This pushes them into unchallenging roles in private clinics, poorly remunerated positions on village health teams or out of the health sector altogether. Health system strengthening initiatives in Uganda to integrate humanitarian and government services and to deter the domestic workforce from emigration have overlooked the potential contributions of refugee health workers and the employment crisis they face. More effort is needed to increase fairness in public sector recruitment practices for refugee health workers, support credentialling, training opportunities for professional and non-professional cadres, job placements, and to draw attention to the public benefits of refugee health worker employment alongside higher spending on human resources for health.

Titel:	From humanitarian crisis to employment crisis: The lives and livelihoods of South Sudanese refugee health workers in Uganda.
Autor/in / Beteiligte Person:	Palmer, J ; Sokiri, S ; Char, JNB ; Vivian, A ; Ferris, D ; Venner, G ; Dak, JJ
Link:	Zum Volltext
Zeitschrift:	The International journal of health planning and management, Jg. 39 (2024-05-01), Heft 3, S. 671-688
Veröffentlichung:	Chichester, Sussex, England : Wiley, c1985-, 2024
Medientyp:	academicJournal
ISSN:	1099-1751 (electronic)
DOI:	10.1002/hpm.3777
Schlagwort:	Uganda Humans South Sudan Altruism Female Male Interviews as Topic Adult Middle Aged Refugees Health Personnel Employment
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Int J Health Plann Manage] 2024 May; Vol. 39 (3), pp. 671-688. <i>Date of Electronic Publication: </i>2024 Feb 07. MeSH Terms: Refugees* ; Health Personnel* ; Employment* ; Uganda ; Humans ; South Sudan ; Altruism ; Female ; Male ; Interviews as Topic ; Adult ; Middle Aged References: WHO. World Report on the Health of Refugees and Migrants; 2022. Accessed 28 September 2023. https://www.who.int/publications/i/item/9789240054462. ; Palmer JJ, Robert O, Kansiime F. Including refugees in disease elimination: challenges observed from a sleeping sickness programme in Uganda. Conflict Health. 2017;11(1):22. https://doi.org/10.1186/s13031‐017‐0125‐x. ; Duclos D, Fouad FM, Blanchet K. When refugees care for refugees in Lebanon: providing contextually appropriate care from the ground up. 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From humanitarian crisis to employment crisis: The lives and livelihoods of South Sudanese refugee health workers in Uganda.