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This study evaluates a grassroots, refugee-led initiative promoting equity, resilience, and social cohesion, using participatory action research to co-develop 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ckaf180.177  \n420 Empowering refugee female healthcare workers: a community-driven approach to advancing equity and inclusion  \nRouham Yamout1, Joanna Khalil1, Wesam Mansour2, Fouad Fouad2, Joanna Raven2  \n1American University of Beirut, Beirut, Lebanon  \n2Liverpool School of Tropical Medicine, Liverpool, United Kingdom  \n2nd World Congress on Migration, Ethnicity, Race & Health Abstract Book vi65  \nOP 27: Refugees and Asylum Seekers 3, B210 (FCSH), September  \n4, 2025, 16:00-17:00  \nAim: Lebanon’s healthcare system is in crisis, disproportionately affecting informal healthcare workers, particularly refugee women who entered the health job market massively during the multicritical situation in Lebanon. These women play a crucial role in delivering essential health services within refugee communities but face systemic barriers, including gender discrimination, economic precarity, and exclusion from formal labor protections. This study examines a grassroots initiative advocating for the rights and well-being of female refugee informal health workers, promoting equity to reach amore just health system while enhancing their resilience and social cohesion.  \nMethods: A Participatory Action Research approach engaged Syrian refugee female healthcare workers employed informally in workshops to identify key challenges and co-develop interventions. Asa result, the group decided to create a support group “Working Women”. Subsequent reflective meetings and focus group discussions assessed the impact of a refugee-led support network on participants’ self-efficacy, work conditions, and life quality. A thematic analysis was used to interpret the data  \nResults: PAR facilitated collective problem-solving, enabling women to advocate for their rights and operate collective services. Over 18 months, Working Women recruited 200 members, developed a strategic plan, and received training through local NGO partnerships.  \nThe group established a daycare network, engaged in advocacy for legal recognition and fair wages, and produced a documentary to raise awareness about their struggles. These efforts strengthened social activism and institutional linkages, enhancing their visibility within Lebanon’s health sector and facilitating their life and working conditions.  \nConclusion: Grassroots initiatives like Working Women offer scalable solutions to integrate refugee women into healthcare services while fostering their economic and social resilience. Recognizing and institutionalizing their contributions is essential to building equitable and sustainable health systems. Policies must move beyond viewing refugee women as passive beneficiaries to acknowledging them as key stakeholders in shaping inclusive healthcare frameworks.","cbCaiubqEqHjdhpM","https://ap.wps.com/l/cbCaiubqEqHjdhpM","pdf",71309,"English","# Aim\n# Methods\n# Results\n# Conclusion","[{\"question\":\"What problem does the study address?\",\"answer\":\"It addresses how Lebanon’s healthcare crisis disproportionately affects informal healthcare workers, particularly refugee women, who face gender discrimination, economic precarity, and exclusion from formal labor protections.\"},{\"question\":\"How was the initiative developed and evaluated?\",\"answer\":\"A participatory action research approach engaged Syrian refugee women working informally in workshops to identify challenges and co-develop interventions, followed by reflective meetings and focus group discussions.\"},{\"question\":\"What were the main outcomes of “Working Women”?\",\"answer\":\"Over 18 months, the group recruited 200 members, created a strategic plan, received training via local NGO partnerships, established a daycare network, advocated for legal recognition and fair wages, and produced a documentary.\"},{\"question\":\"What does the conclusion recommend for healthcare policy?\",\"answer\":\"It recommends recognizing and institutionalizing refugee women’s contributions by moving beyond treating them as passive beneficiaries and acknowledging them as key stakeholders in inclusive healthcare frameworks.\"}]","420 Empowering refugee female healthcare workers - a community-driven approach to advancing equity and inclusion | PDF",1790728680]