Abstract:Drawing on detailed interviews with 60 recent migrants to Ireland, we discuss the extent and nature of patient mobility. The paper is framed by the typology of patient mobility outlined by Glinos et al (2010), which highlights patient motivation and funding. We pay particular attention to four key areas: availability of health care for migrants living in Ireland; affordability of care as a push factor for patient mobility; how migrants' perceptions of care affect their decision about where to avail of care; and the impact of familiarity on patient mobility. We provide empirical support for this typology. However, our research also highlights the fact that two factors -availability and familiarity -require further elaboration. Our research demonstrates the need for greater levels of awareness of culture specificity on the part of both migrants and healthcare providers. It also highlights the need to investigate the social and spatial activities of migrants seeking health care, both within and beyond national boundaries.
The new South African Constitution, together with later policies and legislation, affirm a commitment to gender rights that is incompatible with the formal recognition afforded to unelected traditional authorities. This contradiction is particularly evident in the case of land reform in many rural areas, where women's right of access to land is denied through the practice of customary law. This article illustrates the ways in which these constitutional contradictions play out with particular intensity in the 'former homelands' through the example of a conflict over land use in Buffelspruit, Mpumalanga province. There, a number of women who had been granted informal access to communal land for the purposes of subsistence cultivation had their rights revoked by the traditional authority. Despite desperate protests, they continue to be marginalized in terms of access to land, while their male counterparts appropriate communal land for commercial farming and cattle grazing. Drawing on this protest, we argue that current South African practice in relation to the pressing issue of gender equity in land reform represents a politics of accommodation and evasion that tends to reinforce gender biases in rural development, and in so doing, undermines the prospects for genuinely radical transformation of the instituted geographies and institutionalized practices bequeathed by the apartheid regime.
Within the EU, efforts in relation to integration are generally directed towards migrants from outside the EU. However, there is evidence that intra-EU migrants face similar obstacles to integration to those of non-EU citizens. Since Ireland has a large EU migrant population, this paper critically explores EU migrants' integration in Ireland. Drawing on a wider longitudinal study, the paper focuses on the lived experiences of 39 migrants from EU Member States living in Ireland. Focusing on domains of integration, we explore the different pathways by which EU migrants move to Ireland and become part of Irish society. Cultural and social pathways -including language, study, adventure and social relationships -are important as the original motivation for migration. Contrary to popular perception, economic factors such as employment were mostly seen as enabling social and cultural interests. However, economic but also social pathways came to the fore during the recession, when securing one's livelihood and networks took on a new importance. We show that migrants developed various tactics to intensify their contact with Irish society and to develop feelings of being 'at home', despite a deteriorating economic situation. Despite these individual efforts, EU migrants continue to face obstacles to integration in Ireland: obstacles that need to be acknowledged at addressed within Ireland and across the EU more broadly.
The study of migration within geography takes a variety of forms. While geographers traditionally studied push and pull factors in migration, this approach was challenged for its reliance on quantitative methods and its emphasis on economic factors. New approaches to the study of migration in geography have thus incorporated qualitative techniques and focused on migrant identities and migrant subjectivities. They have also provided new theorizations of the relationship between mobility and belonging, particularly through the concepts of transnationalism and translocalism, and through scales of belonging that range from citizenship to the home. Despite claims of the demise of the nation-state under globalization, the role of the nation-state in regulating migration and migrants, and in managing and policing borders, highlights its ongoing importance. Similarly, the potential centrality of place to the ongoing study of migration is highlighted by recent research on cities and regions. This foregrounds the negotiated and mutable nature of place in the context of transformations at a variety of interconnected scales.
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