1. Columbia University Mailman School of Public Health 23 June 2016 Refugee Health

2. 65.3 MILLION Forcibly displaced people 24.5 MILLION Refugees & asylum seekers 4.8 MILLION Syrian refugees & asylum seekers TRENDS

3. Refugee Law 1951 Convention 1967 Protocol Regional Instruments Universal Declaration of Human Rights International Covenant on Economic, Social & Cultural Rights LEGAL FRAMEWORK

4. TRENDS Morbidity & Mortality Communicable diseases Chronic and non-communicable diseases Health science & facilities Caseload geography

5. The public health role of UNHCR is more complex and less well defined in non-camp settings. ADVOCACY, SUPPORT, MONITORING & EVALUATION

6. UNHCR Principles of Non-camp Refugee Health Care

7. ACCESS Ensure that refugees access services in similar ways and at similar or lower costs to that of nationals.

8. INTEGRATION Advocate that public health services for refugees are made sustainable by being integrated within the national public system whenever feasible.

9. EQUITY Establish special assistance arrangements for vulnerable refugees and individuals with specific needs so that they can access services equitably.

10. PRIORITIZATION Ensure refugees access essential primary health care services and emergency care; these take precedence over referral to more specialised medical care.

11. PRIORITIZATION Priority Primary & Emergency Health Services Package Emergency medical, surgical and trauma care (48 hours) Services for infants and young children Reproductive health Communicable disease control Non-communicable disease services Nutrition Health and hygiene promotion

12. RATIONALIZATION Support the rationalisation of health services by identifying and supporting a select number of quality health service providers and facilities.

13. PARTNERSHIP Partner with a wide range of actors to ensure the availability of quality public health services for refugees.

14. PARTICIPATION Promote the capabilities of refugees who participate in meeting health challenges in their communities to allow these principles to be fully realised.

15. COMMUNICATION Establish effective communication mechanisms to improve access to priority primary health care services and to improve health status of refugees.

16. EVIDENCE-BASED DECISION-MAKING Promote the establishment and utilisation of information systems to improve health policies and to increase the prioritisation and impact of programmes.

17. New Directions

18. INNOVATION Amplify. Connect. Explore. Information & communication technology Cash-based interventions Health financing schemes Leaving no one behind

19. http://innovation.unhcr.org