Medical care for migrant children in Europe: a practical recommendation for first and follow-up appointments

Eur J Pediatr. 2019 Sep;178(9):1449-1467. doi: 10.1007/s00431-019-03405-9. Epub 2019 Jun 26.

Abstract

Between 2015 and 2017, an estimated 200,000 to 400,000 children were seeking asylum each year in EU/EEA countries. As access to high-quality health care is important, we collected and compared current recommendations across Europe for a consensus recommendation on medical care for migrant (asylum-seeking and refugee) children. Existing recommendations were collected from published literature and identified through national representatives from paediatric societies of 31 EU/EEA countries through the European Academy of Paediatrics (EAP). Recommendations were systematically extracted and collected in a database. Those mentioned in at least one recommendation were evaluated for inclusion, and evidence on recommendations was specifically identified in literature searches focused on recent evidence from Europe. For eight EU/EEA countries, a national recommendation was identified. Growth and development, vision and hearing impairment, skin and dental problems, immunisations, anaemia, micronutrient deficiency, helminths, hepatitis B and C, human immunodeficiency virus, malaria, schistosomiasis, syphilis, tuberculosis, mental health disorder and sexual health were most frequently mentioned and therefore selected for inclusion in the recommendation.Conclusion: The current document includes general recommendations on ethical standards, use of interpreters and specific recommendations for prevention or early detection of communicable and non-communicable diseases. It may serve as a tool to ensure the fundamental right that migrant children in Europe receive a comprehensive, patient-centred health care.

Keywords: Asylum-seeking children; Check-up; Health care; Immigrant; Immunisation; Refugee; Tuberculosis; Unaccompanied minor; Vaccination.

Publication types

  • Practice Guideline

MeSH terms

  • Adolescent
  • Aftercare / methods
  • Aftercare / standards
  • Child
  • Child Health Services / standards*
  • Child, Preschool
  • Europe
  • Health Services Accessibility / standards
  • Humans
  • Infant
  • Infant, Newborn
  • Patient-Centered Care / methods
  • Patient-Centered Care / standards*
  • Pediatrics / methods
  • Pediatrics / standards*
  • Refugees*
  • Societies, Medical