Ingvild Fossgard Sandøy

Ingvild Fossgard Sandøy

Professor of Public Health at the University of Bergen. Research interests: sexual and reproductive health; interpersonal violence. Teaching: Public Health, Medical Peace work, Epidemiology

Location Bergen, Norway


  • Thanks for sharing this information from Switzerland, @ManonGay-Crosier ! So does this mean that illegal immigrants have a right to access health care even if they have not paid for an insurance, but that the challenge is lack of information?

  • I think you have provided some very thoughtful reflections below about openended questions Dr Qureshi could have asked and about her body language. Do others have other suggestions for questions she could have started with?

  • Thank you for sharing these excellent examples of how people from different cultural backgrounds or with limited knowledge about health and diseases may interpret the information they receive in unexpected ways!

  • @OleJohanFurset, I agree with your comment about reporting to the Child protection service. But for victims older than 18 years, we are obliged to report to the police if we think a patient's life is at risk - like Anne Berit Lunde mentions in the video above.

  • Thanks for sharing! Which country to you work in @DawnFiori ?

  • When there are legal requirements to report violence, I am not aware of anywhere were they are restricted to women. But as was discussed in previous steps, the cultural barriers for recognizing and reporting violence towards men are higher. Would you agree with that?

  • You have suggested several good questions here. But as you will see later, it is better to avoid the term "rape" as many people who are exposed to sexual violence may not be willing to categorize it as such.

  • This is not routine in all countries. Which country are you referring to?

  • You are right. Failure to detect torture may be a sign of lack of awareness, or uncertainty, related to how to deal with the suspicion that someone has experienced torture.

  • I agree, @RolfDieterich . It is very good to ask open questions that do not make others feel criticized in order to make them reflect on their practices rather than becoming defensive.

  • Thanks, Lena, that sounds like a very good model. But I would suspect that a challenge could be that some clinicians may feel they are too busy to take part in such groups.

  • Thanks for the comment, Rolf! Anyone who would like to mention specific areas that would be important to highlight?

  • I agree, @JulietO

  • Thanks for sharing this information about important progress in the area of human rights and protection of torture victims in Nigeria @JulietO . It is encouraging that the House of Representatives has appreciated that there are many different actors who can be responsible for torture and that the legislation should reflect this. I hope the bill will be passed...

  • I agree with you, @RolfDieterich . It was also a bit risky to ask why she had been to prison. It could have stopped Peace from sharing relevant information because she could have been uncomfortable to talk about why she had been imprisoned.

  • Thanks to all of you for sharing your experiences. Rolf is right that many health professionals may have met victims of torture without being aware of it because they did not succeed in convincing the patient that they could be trusted and be of help, and thus the patient may have chosen to keep quiet about his/her experiences.

  • I agree with Robert that time pressure may have contributed to the doctor failing to give Peace proper attention, and that other patients with complex issues probably experience similar treatment.
    Do you think it is realistic to expect individual health professionals who work in a system that is under high pressure to see as many patients as possible within...

  • Thanks for sharing these details from different countries. Robert writes about different rules for primary and secondary care. Some countries such as Norway, distinguish between different degrees of urgency: emergency care should be offered to all, also to those without evidence of identity or immigration status, but access to elective care is restricted. Are...

  • Yes, that's a good point, @FrancesW . It is much easier to use an interpreter to translate questions when taking the medical history than to interpret full psychotherapy sessions.

  • Thanks to all of you for sharing some good reasons for why knowledge about peace work is relevant for health professionals

  • Thanks for sharing, @LenaWeng . Professional online/video interpreters sound very useful although I guess costs may be a barrier.

  • In the long run that may be possible, but in many cases health care workers may not have a valid license to work in the host country. And if the host country needs to fund the health care for the refugees, it may still require that resources are moved from the existing health care for the local population or from other parts of the budget. Is it desirable and...

  • @NicolaJames I think you have some very good points here.

  • Thanks a lot for sharing two good examples from everyday clinical practice, @RolfDieterich

  • Yes, I agree, @NicolaJames

  • Thanks to Nicola for sharing the legal obligations in the UK. Sounds like confidentiality can be breached if a patient's life is in danger. Is this the case also in other countries?

  • Ingvild Fossgard Sandøy replied to [Learner left FutureLearn]

    Thanks for bringing up this important question, @BenjaminOsaka ! It is very true that the perpetrator can also be a female. However, the tool referred to above is based on research on cases where the perpetrator was a male and the victim female. There is a comment about this on Dr Campbell's website

  • Thanks, Nicola. Do you think Marc should have spent more time trying to convince Zara to leave James? Could he have reasons for not emphazising this more?

  • Ingvild Fossgard Sandøy replied to [Learner left FutureLearn]

    Do you see other arguments in addition to getting more correct statistics?

  • Yes, Nicola, and there are many other aspects. The deaths are just the tip of the iceberg

  • Thank you for sharing this, @fatmaDurmush . I think it is an important reminder that disclosure can be very painful for victims of torture and health professionals have to be very careful and sensitive when asking questions about such experiences

  • You are right, @BarbaraHill . In order to hold governments accountable we depend on brave people who dare to speak up, and health professional can play an important role in bearing witness about the violations of human rights that they learn about through their work, and by assisting victims of torture.

  • That's very interesting. With new technology it may definitely be possible to improvise when an interpreter is not available. But most softwares available are still not as good as a human interpreter who is fluent in both languages - as everyone who has tried Google translate may have seen. :-)

  • Thanks a lot for sharing an interesting case/article!

  • Which country are you from, @PaulaChapman ?

  • Does this mean that the Medicaid also covers refugees and asylum seekers?

  • Do you think the rights of refugees and asylum seeker to health and health care are fulfilled in Australia now that the detention centres are closed?

  • yes, this is unfortunately the harsh reality for many refugees

  • thanks a lot for the information! Can you mention which state this is, @CelesteJoyce ?

  • Very true, @CarolineKemball

  • Thanks for the good examples!

  • Thanks a lot for sharing these different examples of challenges and services offered in different high income countries!
    In many low and middle income countries the additional challenge is that the rights of the local population to a healthy life and health services are frequently also not fulfilled