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

Activity

  • Ingvild Fossgard Sandøy replied to Manon Gay-Crosier
    Waiting room

    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?

  • Ingvild Fossgard Sandøy made a comment
    Third consultation

    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?

  • Ingvild Fossgard Sandøy made a comment
    Infectious disease outpatient clinic

    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!

  • Ingvild Fossgard Sandøy replied to Ole Johan Furset
    Averting serious threats

    @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.

  • Ingvild Fossgard Sandøy replied to Dawn Fiori
    Averting serious threats

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

  • Ingvild Fossgard Sandøy replied to Wim Pelt
    Averting serious threats

    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?

  • Ingvild Fossgard Sandøy replied to Malene Mehus
    Asking the right questions

    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.

  • Ingvild Fossgard Sandøy replied to Dona Salomone
    Risk groups, signs & symptoms

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

  • Ingvild Fossgard Sandøy replied to Robert Wheldon-Holmes
    End of week reflection

    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.

  • Ingvild Fossgard Sandøy replied to Rolf Dieterich
    End of week reflection

    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.

  • Ingvild Fossgard Sandøy replied to Lena Weng
    End of week reflection

    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.

  • Ingvild Fossgard Sandøy made a comment
    How can signs of torture be documented accurately and what is the aim of doing so?

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

  • Ingvild Fossgard Sandøy replied to Juliet O
    Waiting room

    I agree, @JulietO

  • Ingvild Fossgard Sandøy replied to Juliet O
    What is torture?

    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...

  • Ingvild Fossgard Sandøy replied to Rolf Dieterich
    Third consultation

    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.

  • Ingvild Fossgard Sandøy made a comment
    Common psychological signs of torture

    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.

  • Ingvild Fossgard Sandøy made a comment
    Second consultation

    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...

  • Ingvild Fossgard Sandøy made a comment
    Waiting room

    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...

  • Ingvild Fossgard Sandøy replied to Frances W
    Overcoming language barriers

    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.

  • Ingvild Fossgard Sandøy made a comment
    Different forms of violence and peace

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

  • Ingvild Fossgard Sandøy replied to Lena Weng
    Overcoming language barriers

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

  • Ingvild Fossgard Sandøy replied to [Learner left FutureLearn]
    Right to health and health care for refugees and asylum seekers

    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...

  • Ingvild Fossgard Sandøy replied to Nicola James
    Example consultation with case finding

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

  • Ingvild Fossgard Sandøy replied to Rolf Dieterich
    Risks and limitations of medical peace work

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

  • Ingvild Fossgard Sandøy replied to Nicola James
    Multi Agency Risk Assessment Conference

    Yes, I agree, @NicolaJames

  • Ingvild Fossgard Sandøy made a comment
    Averting serious threats

    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]
    Danger assessment tools

    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 https://www.dangerassessment.org/FAQ.aspx:
    "Unfortunately...

  • Ingvild Fossgard Sandøy replied to Nicola James
    Example consultation with case finding

    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]
    Risk groups, signs & symptoms

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

  • Ingvild Fossgard Sandøy replied to Nicola James
    A global health problem

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

  • Ingvild Fossgard Sandøy replied to fatma Durmush
    Flashback

    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

  • Ingvild Fossgard Sandøy replied to Barbara Hill
    Legal aspects

    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.

  • Ingvild Fossgard Sandøy replied to Juliane Mayers
    Mental health care for refugees

    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. :-)

  • Ingvild Fossgard Sandøy replied to Juliane Mayers
    Mental health care barriers for refugees and asylum seekers

    Thanks a lot for sharing an interesting case/article!

  • Ingvild Fossgard Sandøy replied to Paula Chapman
    Interview: The role of the health system

    Which country are you from, @PaulaChapman ?

  • Ingvild Fossgard Sandøy replied to Celeste Joyce
    Interview: The role of the health system

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

  • Ingvild Fossgard Sandøy replied to Juliane Mayers
    Interview: The role of the health system

    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?

  • Ingvild Fossgard Sandøy replied to fatma Durmush
    Welcome to Week 2

    yes, this is unfortunately the harsh reality for many refugees

  • Ingvild Fossgard Sandøy replied to Celeste Joyce
    Overcoming language barriers

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

  • Ingvild Fossgard Sandøy replied to Caroline Kemball
    Mental health care barriers for refugees and asylum seekers

    Very true, @CarolineKemball

  • Ingvild Fossgard Sandøy made a comment
    Infectious disease outpatient clinic

    Thanks for the good examples!

  • Ingvild Fossgard Sandøy made a comment
    Refugees' access to health and health care

    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

  • Ingvild Fossgard Sandøy replied to Rose Lieke
    Refugees' access to health and health care

    @RoseLieke , yes, it is very true that unfortunately it tends to be countries that have their own problems that receive the higher number of refugees and asylum seekers, both in Europe and other parts of the world. The European Union has not had a fair system for sharing the burden of receiving refugees and asylum seekers.

  • Ingvild Fossgard Sandøy replied to Jacqui Round
    Refugees' access to health and health care

    Thanks for sharing! Are these costs the same as for the local population?

  • Ingvild Fossgard Sandøy made a comment
    Interview: The role of the health system

    Thanks for sharing these cases, Caroline!

  • Ingvild Fossgard Sandøy replied to Caroline Kemball
    Unaccompanied refugee children

    Yes, this is very true. All this pressure may make it difficult for them to try to integrate in their new community

  • Ingvild Fossgard Sandøy made a comment
    Overcoming language barriers

    In most countries it costs money to use professional interpreters and it is costly for health care facilities to pay for this. In Germany professional interpreters are therefore not available in all situations. In other settings professional interpreters are unaffordable and never available.

    What do you think are the best solutions to overcome language...