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孟加拉国罗兴亚难民的风险因素、当代挑战和心理健康:政策意义。

Risk factors, contemporary challenges and psychological well-being of the Rohingya refugees in Bangladesh: Policy implications.

机构信息

Department of Sociology, Begum Rokeya University, Rangpur, Bangladesh.

Sydney Medical School, University of Sydney, Sydney, Australia.

出版信息

Int J Health Plann Manage. 2022 Jul;37(4):1912-1917. doi: 10.1002/hpm.3472. Epub 2022 Apr 10.

Abstract

Over the last few years, the number of Rohingya refugees in Bangladesh has increased exponentially. On arrival, they experience poor mental health and psychological well-being. This commentary explores the risk factors and contemporary challenges that deteriorate Rohingyas' psychological well-being in Bangladesh. The onslaught of Covid-19 compounds the pre-existing psychological health conditions of the Rohingyas living in cramped and flimsy camps. The recent relocation to Bhashan Char may likely trigger tensions and eventually exacerbates their existing psychological well-being. The relocation to Bhashan Char has presumably happened against their volition. Meanwhile, the Myanmar military's coup has added additional fear about their bleak future of a safe and dignified return from Bangladesh to Myanmar. All these have contributed to the worsening of their existing psychological well-being. In order to subside their psychological health challenges, this commentary suggests: (a) the immediate execution of 'National Deployment and Vaccination Plan for Covid-19 Vaccines and initiation of vaccine rollout among the refugees; and (b) involving Rohingyas in economic activities and making them a self-reliant and economically empowered community. We suggest that safe and dignified repatriation is the only solution to the challenges they have been going through in Bangladesh and to preserve their psychological well-being.

摘要

在过去的几年中,孟加拉国的罗兴亚难民人数呈指数级增长。抵达后,他们的心理健康和心理幸福感较差。这篇评论探讨了恶化罗兴亚人在孟加拉国的心理健康的风险因素和当代挑战。Covid-19 的爆发使生活在狭小脆弱营地中的罗兴亚人的先前存在的心理健康状况恶化。最近搬迁到巴沙纳 Char 可能会引发紧张局势,并最终加剧他们现有的心理健康状况。搬迁到巴沙纳 Char 可能是违背他们的意愿进行的。与此同时,缅甸军方的政变增加了他们对从孟加拉国安全和有尊严地返回缅甸的黯淡未来的额外恐惧。所有这些都导致了他们现有心理健康状况的恶化。为了缓解他们的心理健康挑战,本评论建议:(a) 立即执行“Covid-19 疫苗国家部署和接种计划”,并在难民中启动疫苗接种;(b) 让罗兴亚人参与经济活动,使他们成为一个自给自足和经济赋权的社区。我们认为,安全和有尊严的遣返是解决他们在孟加拉国所面临的挑战并维护他们心理健康的唯一办法。

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