{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:51:29Z","timestamp":1785325889308,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T00:00:00Z","timestamp":1617580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify health needs and healthcare access barriers of accompanied refugee and asylum\u2010seeking (RAS) children in the North East of England, and pilot a new service model to address these.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Mixed\u2010methods study (retrospective analysis of routinely collected service data, qualitative data from focus groups) of children who attended a hospital\u2010based specialist clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over two years, 80 children were referred to this service. Most frequent diagnoses (total <jats:italic>n<\/jats:italic>\u00a0=\u00a0104) were anaemia (<jats:italic>n<\/jats:italic>\u00a0=\u00a017), neurodevelopmental (<jats:italic>n<\/jats:italic>\u00a0=\u00a012), respiratory (<jats:italic>n<\/jats:italic>\u00a0=\u00a012) and mental health (<jats:italic>n<\/jats:italic>\u00a0=\u00a09) conditions. Mild\u2013moderate stunting (23%), overweight and obesity (41%), stunting with obesity (9%) and micronutrient deficiencies (vitamin D (66%), vitamin A (40%) and manifest (14%) or latent (25%) iron deficiency anaemia) were highly prevalent. 62% of children had experienced psychological trauma, and 39% had abnormal results in psychosocial wellbeing screening. 21% of children required secondary or tertiary care, 8% mental health referrals, and 47% were followed up in this specialist clinic. Focus groups with families and the community report unaddressed health needs and substantial barriers of access to health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Refugee and asylum\u2010seeking children have substantial health needs and healthcare access barriers that are not routinely addressed. 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