Language barriers: incorrect interpreters provided, incorrect bills Children, Bangladeshi charged to patients, difficulty in engaging parents, not enough Arabic interpreters GP lack of knowledge of referral pathways for free/bulk billing Rohingya / Refugee, services, tests, bilingual workers, etc. Arabic Dissatisfaction with GPs, low ownership of GPs of their patients Bangladeshi, Women (Note: Many were satisfied with their GPs) Low follow up attendance for child health Bangladeshi Poor health service identification of/response to delayed child Children development (especially GPs) Limited child developmental and screening advice provided to Children, Chinese, parents (especially by GPs) Bangladeshi Suspected high level of autism in children Table : Service needs according to ability to access What is the problem? Who does it affect? Ability to perceive (Health literacy; Health beliefs; Trust and expectations) Health service navigation – lack of knowledge of how availability Rohingya, of and how to use health services; “too early” and “too late” Children/ paediatric presentations at ED Families Mistrust of government and institutions (including health Rohingya authorities) Disability and associated stigma/fear of losing children if seeking Children/ General help Ability to seek (Personal and social values, culture, gender, autonomy) Reports of some mothers presenting at ED with sick child only Arabic, Rohingya, Women, Families once husband home. Cost and lack of support services e.g. child care, extra-curricular Children (school-aged), Women, activities, empowerment, stress management Arabic Ability to reach (Living environments; Transport; Mobility; Social support) Reports of some mothers presenting at ED with sick child only Arabic, Rohingya, Women, Families once husband home. Transportation to health services (particularly for sicker patients Women, People with a disability e.g. renal) Housing: High rent, Loss of social connections shifting for cheaper Families, Chinese rent. Ability to pay (Income; Assets; Social capital; Health insurance) Cost of accessing health services e.g. specialists Women, Chinese, Arabic Ability to engage (Empowerment; Information; Adherence; Caregiver support) Limited health knowledge and education; desire to learn health Rohingya, Chinese, Women, Arabic information. Urban rental accommodation does not support positive Children, Bangladeshi parenting and child development
Language barriers: incorrect interpreters provided, incorrect bills charged to patients, difficulty in engaging parents, not enough interpreters Children, Bangladeshi Arabic GP lack of knowledge of referral pathways for free/bulk billing services, tests, bilingual workers, etc. Rohingya / Refugee, Arabic Dissatisfaction with GPs, low ownership of GPs of their patients (Note: Many were satisfied with their GPs) Bangladeshi, Women Low follow up attendance for child health Bangladeshi Poor health service identification of/response to delayed child development (especially GPs) Children Limited child developmental and screening advice provided to parents (especially by GPs) Suspected high level of autism in children Children, Chinese, Bangladeshi Table : Service needs according to ability to access What is the problem? Who does it affect? Ability to perceive (Health literacy; Health beliefs; Trust and expectations) Health service navigation – lack of knowledge of how availability of and how to use health services; “too early” and “too late” paediatric presentations at ED Rohingya, Children/ Families Mistrust of government and institutions (including health authorities) Rohingya Disability and associated stigma/fear of losing children if seeking help Children/ General Ability to seek (Personal and social values, culture, gender, autonomy) Reports of some mothers presenting at ED with sick child only once husband home. Arabic, Rohingya, Women, Families Cost and lack of support services e.g. child care, extra-curricular activities, empowerment, stress management Children (school-aged), Women, Arabic Ability to reach (Living environments; Transport; Mobility; Social support) Reports of some mothers presenting at ED with sick child only once husband home. Arabic, Rohingya, Women, Families Transportation to health services (particularly for sicker patients e.g. renal) Women, People with a disability Housing: High rent, Loss of social connections shifting for cheaper rent. Families, Chinese Ability to pay (Income; Assets; Social capital; Health insurance) Cost of accessing health services e.g. specialists Women, Chinese, Arabic Ability to engage (Empowerment; Information; Adherence; Caregiver support) Limited health knowledge and education; desire to learn health information. Rohingya, Chinese, Women, Arabic Urban rental accommodation does not support positive parenting and child development Children, Bangladeshi
4.%20Can%20Get%20Health%20Consultation%20Report%202016.docx