Refugees: do not forget the basics

Abstract

This article describes the main challenges faced by relief workers in meeting the needs of refugees in terms of their health and nutritional status. The main causes of refugee deaths in "emergencies" have been documented and identified. This has allowed the definition of technical principles for health interventions in refugee settings: a multi-sectoral approach; involving the refugees; meeting specific needs of refugee children and women; instituting a simple and reliable health information system; and ensuring proper management and coordination among all partners. Two examples selected from UNHCR field operations illustrate how important it is to adhere to the basic technical principles. Finally, the article also emphasizes that health assistance in refugee situations takes place in a context which is complex and comprises many variables. In addition to their qualifications and experience, health professionals must also be aware of the global dynamics of a conflict situation. Their leading principle should be that all human beings have the right to appropriate health care.