title: Refugees in and out North Africa: a study of the Choucha refugee camp in Tunisia.
abstract: In recent years, North African (NA) countries ceased to be emigration-only countries and are now on the verge of becoming immigration as well as transit countries for economic migrants and refugees. Contextual as well as structural long-term factors are driving these changes. The ongoing crises in Africa and the Middle East are prompting strong outflows of refugees, which are likely to induce NA countries to share some common public policy and public health concerns with European countries in a near future. This article highlights some aspects of these changes, from the study of the consequences of the 2011 Libyan crisis in Tunisia. It addresses individual trajectories and health concerns of refugees in and out North Africa from a study of the Choucha camp in Tunisia. The camp opened to immigrants from Libya during the 2011 crisis and accommodated the bulk of the refugees flow to Tunisia until July 2012. The study includes a monographic approach and a qualitative survey in the Choucha camp refugees. We describe the crisis history and the health response with a focus on the camp. We then address refugees' trajectories, and health needs and concerns from the interviews we collected in the camp in April 2012.
authors.affiliation: 1 IRDES (Institut de Recherche et Documentation en Economie de la Santé) Paris, France.
authors.forename: Paul
authors.initials: P
authors.lastname: Dourgnon
authors.affiliation: 2 Laboratory, History of Mediterranean economies and societies, Faculté of Humanities at Tunis/Center of studies and prospective research, Tunis, Tunisia dourgnon@irdes.fr.
authors.forename: Hassène
authors.initials: H
authors.lastname: Kassar
mesh_terms: D000328:Adult; D000352:Africa, Northern / Q000208:ethnology; D003906:Developing Countries; D004641:Emigration and Immigration / Q000706:statistics & numerical data*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data* / Q000639:trends; D006304:Health Status; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D008297:Male; D011634:Public Health / Q000379:methods* / Q000639:trends; D036301:Qualitative Research; D012036:Refugees / Q000706:statistics & numerical data*; D014416:Tunisia / Q000208:ethnology