The Nutritional Status of Populations in Refugee/Internally Displaced Camps that Include Refugees from the Same National Origin as Refugees in DeKalb County, GA A Review of the Literature Public

Abstract

Abstract

Introduction: Undernutrition remains a major public health problem in developing countries. This issue is even more apparent in refugee populations who are displaced from war torn areas to neighboring countries and are exposed to factors that put them at an increased risk for undernutrition than the general population. Those who suffer from undernutrition have lower resistance to infection, impaired learning ability as well as work capacity and reduced economic productivity. Children under five are the most vulnerable population. Assessment in this age group is believed to be indicative of the condition in the general population.

Purpose: This literature review is to look at the nutritional status of populations in refugee camps that include the same national origin as refugees in DeKalb County, Georgia. It will also present assessment, treatment, risk groups and risk factors leading to the poor nutritional status of this population. This literature review is conducted in hopes of serving as a foundation for future analysis of data collected by the DeKalb County Refugee Health Services. It looks at the biases in anthropometric measurement collection in the clinic and gives recommendations for better anthropometric measurements based on the results of the literature review.

Methods:I conducted a review of the literature from September 2010 to March of 2011 to characterize the nutritional status in refugee populations having the same national origin as refugees settling in DeKalb County. Articles published after 1995 through 2010 were included in this review.

Results:Results from the literature review showed that populations of the same national origin as the majority of refugees in DeKalb County have a high prevalence of undernutrition, especially in children younger than 5 years of age. Observations of anthropometric measurement in the clinic indicated that protocol and standardization of data intake are necessary for appropriate assessment.

Discussion and Conclusion:The literature demonstrated a high prevalence of undernutrition in the camps that include refugees from the same national origin as refugees in DeKalb County, Georgia. Additionally, it also discussed some of the factors that contribute to the poor nutritional status of this population.

Table of Contents

Table of Contents

List of Abbreviations...............................................................................................................vii List of Tables........................................................................................................................viii List of Figures.......................................................................................................................xi Chapter 1: Introduction........................................................................................................ 1 Introduction..........................................................................................................................1 Purpose................................................................................................................................2 Methods...............................................................................................................................3

Chapter 2: Background .........................................................................................................5

Classification of Undernutrition/Malnutrition.................................................................................5

Anthropometric and Screening..................................................................................................7

Treatment and Therapy...........................................................................................................11 At Risk Populations.................................................................................................................15 Refugees and Internally Displaced Populations..............................................................................15 Children 0-59 Months..............................................................................................................18 Risk Factors and Outcomes......................................................................................................19 Mortality Rates......................................................................................................................22 United States Refugee Resettlement Process...............................................................................23

Chapter 3: Results ................................................................................................................27

The National Origin of Refugees in DeKalb County.........................................................................27

South Central Asia.................................................................................................................28

Middle East and Iraq...............................................................................................................34 Sub-Saharan Africa................................................................................................................38

Chapter 4: Discussion, Conclusion and Recommendations .......................................................47

Discussion............................................................................................................................47 Future Direction....................................................................................................................53 Conclusion...........................................................................................................................57 Recommendations.................................................................................................................58

References.........................................................................................................................5

Appendix A .........................................................................................................................5

Appendix B .........................................................................................................................5

Appendix C .........................................................................................................................5

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Nutrition
Mot-clé	Georgia Refugees Nutrition DeKalb A Comprehensive Literature Review
Committee Chair / Thesis Advisor	Rochat, Roger, Emory University
Committee Members	Cookson, Susan Temporado, Emory University
Partnering Agencies	Georgia state or local health department State or local governmental agency (not a health department and not in Georgia) CDC

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