HealthIntro - Health Perspective in the Introduction Program

Study Overview
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Brief Summary
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Health problems seem one major reason for why not all refugees, especially women, fulfill the introduction program (IP) and enter the labour market after the end of the program. This challenges integration, and can lead to increased inequalities in society. The HealthIntro pilot-project and existing knowledge point towards a mismatch between the IP's goal to integrate as many refugees as possible into the labour market as soon as possible, and the demanding situation refugees with complex (health) challenges face after resettlement in the host country. Particular barriers seem related to the little flexibility of the introduction law, difficulties with collaboration between public services and with involving refugees in decision-making regarding program adjustments. It is known that refugees have more health problems than the rest of the population. Additionally, current trends in integration policy result in increasing numbers of refugees with complex challenges in municipalities, often families in which one or several members have health problems. It is therefore of high importance to develop strategies that enable municipalities to work more effectively with these most vulnerable group of refugees in the early phase of resettlement and during the IP. In collaboration with three North Norwegian municipalities and refugees, the investigators will explore how health problems interconnect with program participation on the national level, the municipal level and in a family context. Moreover, the investigators will use this knowledge to collaboratively generate ideas on how to improve the strategic work in municipalities with refugees with health problems. More specifically, the investigators will link registerdata on a national level, conduct explorative qualitative studies addressing the system level in municipalities, and the family and everday life context of refugee families, and conduct an action research inspired study to initiating change in municipalities.

Detailed Description
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This study is funded by The Norwegian Research Council (project number 319050)

Official Title
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HealthIntro - a Study to Increase the Successful Participation of Refugees With Health Problems in the Introduction Program

Conditions
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Refugee Health

Intervention / Treatment
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* Other: no intervention


Participation Criteria
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Eligibility Criteria
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Work package 1: Inclusion criteria: refugee status participate or have participated in the introduction program in Norway Exclusion criteria not refugee status not participated in the introduction program in Norway Work package 2: Inclusion criteria, sample 1 refugee status participate in the introduction program in Harstad, Senja, or Sør-Varanger municipality during the project period and since at least one year at enrollment have a self-reported health problem Exclusion criteria, sample 1 no refugee status do not participate in the introduction program do not have a health problem Inclusion criteria, sample 2 has professional experience with refugees in Harstad, Senja, or Sør-Varanger municipality currently working in Harstad, Senja, or Sør-Varanger municipality above 18 years of age Exclusion criteria, sample 2 under 18 years of age not currently working in Harstad, Senja, or Sør-Varanger municipality Work package 3: Inclusion criteria: refugee status living together with family including one or more children participate in the introduction program in Harstad, Senja, or Sør-Varanger municipality during the project period and since at least one year at enrollment have a self-reported health problem within the family Exclusion criteria_ no refugee status do not participate in the introduction program do not live together with family do not have a health problem within the family

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| work package 1<br>all participants in Norwegian introduction program and their family relations | Other: no intervention<br>* this is not an intervention study<br>|
| work package 2<br>strategic sample of refugees with health problems currently participating in the introduction program | Other: no intervention<br>* this is not an intervention study<br>|
| work package 3<br>3-6 families from which one or more participate in the introduction program and one or more have health problems | Other: no intervention<br>* this is not an intervention study<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Work package 1: Number of refugees dropping out of the introduction program or being unemployed after the end of the program; diagnoses associated with drop out of the program . | Work packages 2-4 are qualitative studies and cannot be described in terms of outcome measures due to methodological reasons | WP 1: 5-10 years after having finished the introduction program | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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immigration, refugees, introduction program, health