New Zealand accepts 750 ‘quota’ refugees annually, who arrive in groups of 125 six times each year. Additionally up to 300 family reunion cases plus approximately 250 asylum seekers annually seek refugee status in New Zealand. The quota refugees are taken to Mangere Refugee Resettlement Centre (MRRC) on arrival and stay there for 6 weeks. The MRRC has been receiving quota refugees since 1979 and detained asylum seekers since 2001.
The Auckland Regional Public Health Service (ARPHS) is a mainstream provider of public health services in the Auckland region. ARPHS itself is sited within the Auckland District Health Board (ADHB) organisation. ARPHS provides a range of Refugee Health Services to the Auckland region. This includes a medical clinic at MRRC, which provides a medical screening and referral service for ‘quota’ refugees and asylum seekers detained at MRRC. They also provide medical screening for those asylum seekers not detained and living in the community. There is a part-time general practitioner at the centre providing primary care during their stay at MRRC.
There are five different organisations on the MRRC site.
The medical screening involves history, physical examination and investigations such as urine, stool, blood tests, Mantoux and chest x-ray. The Refugee Health Service (RHS) screening tool has evolved over time in response to developments in medical knowledge, expert advice and changes in the prevalence of certain conditions amongst refugee populations. Additional tests are done when needed. The doctors at the medical clinic treat what conditions they can and refer others to the specialist clinics.
Click here for the screening flow chart along with the list of investigations.