Analyzing health of forcibly displaced communities through an integrated ecological lens

Maia Tarnas , Carly Ching, Joleah B Lamb, Daniel M Parker, Muhammad H Zaman

Healthcare among forcibly displaced persons is frequently driven by siloed approaches. Aspects of the built environment, social factors, and the bi-directional relationship between the changing ecosystem and residents are often ignored in health policy design and implementation. While recognizing factors that create a preference for siloed approaches and appreciating the work of humanitarian agencies, we argue for a new data-driven and holistic approach to understand the health of the forcibly displaced. It should be rooted in the realities of the emergence of new diseases, dynamic demographics, and degrading environments around the displaced communities. Such an approach envisions refugee and internally displaced camps as dynamic and complex ecosystems that alter, and are altered by, spatial and temporal factors. At the root of this approach is the necessity to work across disciplines, to think holistically, to go beyond treating single ailments, and to develop ethical approaches that provide dignity to those who are forcibly displaced.