Experiences of Immigrant Women Accessing Health Care in Punta Arenas, Chile

Ojeda, Mackarena Alejandra Antilef; Santos, Evanguelia Kotzias Atherino dos; Damiani, Pattrícia da Rosa

doi:10.1590/1980-265x-tce-2019-0276

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…It should be noted that in the case of the participants in this study, free access to the health system was highlighted as one of the factors that favor the adaptation process. This result differs from that found in a study carried out with immigrant women in Chile 25 , starting with the fact that health services are not public there. Furthermore, even though they paid, some participants reported discrimination in the treatment received and lack of personal care, resulting in late consultations due to health complications, making it difficult to adapt to the new socio-sanitary context.…”

Section: /14contrasting

confidence: 99%

Perspective of Immigrants on Personal and Family Integration in Brazilian Society

Ratuchnei

Barreto

Barbieri‐Figueiredo

et al. 2023

Texto contexto - enferm.

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Objective: to describe the experiences of immigrants and their families related to integration in Brazil. Method: this is a descriptive study, with a qualitative approach, carried out in a municipality in southern Brazil. The informants were 13 immigrants who had lived in Brazil between six months and five years and who were able to communicate in Portuguese, English or Spanish. Data were collected between May and November 2021, through semi-structured interviews, audio-recorded and subjected to thematic content analysis. Results: the 13 participants were aged between 27 and 65 years (mean age 36 years), nine of whom were women, seven from Venezuela and the others from countries in South, Central America and Africa. Three categories emerged which show the adversities experienced, especially in relation to jobs (low wages, labor exploitation, non-recognition of academic titles), communication difficulties and distance from family. On the other hand, they also show satisfaction with public safety, health care and the possibility of personal and professional development. To maintain family unity and their origins, people in an immigration situation financially help members who could not migrate, make typical foods and use the native language in the home environment. Conclusion: integration into Brazilian society is permeated by challenges, namely the absence/distance from family of origin and/or constituted, lack of understanding of language, work and financial problems and social support network weakness. However, immigrants seek to maintain an adequate family functioning based on the support of institutions and the maintenance of the culture of origin.

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Section: /14contrasting

confidence: 99%

Perspective of Immigrants on Personal and Family Integration in Brazilian Society

Ratuchnei

Barreto

Barbieri‐Figueiredo

et al. 2023

Texto contexto - enferm.

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“…The primary findings show that health systems in Latin American countries and professional activities with immigrants/refugees are determined by the hegemonic, curative and disease-centered biomedical model (Aizenberg et al, 2015). In addition, there is lack of formal health policies aimed at caring for immigrants/refugees (Aizenberg et al, 2015), adequate infrastructure, inputs, and human resources for care (Barbosa et al, 2020;Duden & Martins-Borges, 2021), and health services that are more articulated and less bureaucratic (Carneiro-Junior et al, 2018;Carneiro-Junior et al, 2022;Motizuki et al, 2019;Ojeda et al, 2020). As a consequence, immigrants/ refugees face difficulties accessing health services (Aizenberg et al, 2015;Arcos et al, 2018;Calderón et al, 2020;Giraldo et al, 2021;Ramírez-Santana et al, 2019), especially primary care services (Pedrozo et al, 2021;Pinto et al, 2019), compelling them, especially undocumented ones, to extensivily use emergency units as a gateway (Agudelo-Suárez et al, 2022;Barreto et al, 2019;Giraldo et al, 2021;Pedrozo et al, 2021).…”

Section: Theme (I) Macro-context Of Healthcarementioning

confidence: 99%

“…Providers Unpreparedness. Providers do not feel prepared and secure to meet the health demands of immigrants/refugees (Barreto et al, 2019;Bernales et al, 2017;Calderón et al, 2020;Delamuta et al, 2020;Motizuki et al, 2019;Ramírez-Santana et al, 2019), recognizing the lack of experience and cultural skills to work with this population (Duden & Martins-Borges, 2021;Ojeda et al, 2020) and establish a welcoming acceptance (Duden & Martins-Borges, 2021;Motizuki et al, 2019), based on an effective communication process (Barreto et al, 2019;Duden & Martins-Borges, 2021).…”

Section: Theme (Ii) Closer Context To Health Carementioning

confidence: 99%

Experiences of Providers and Immigrants/Refugees with Health Care: A Meta-Synthesis of the Latin American Context

Barreto,

Wolf,

Souza

et al. 2023

Can J Nurs Res

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Introduction The experiences of providers and immigrants/refugees related to healthcare in the Latin American context have not yet been aggregated. This study aimed to synthesize the qualitative evidence on this theme. Method A systematic review of qualitative evidence with meta-synthesis. After identification, eligible studies were evaluated for methodological quality, and information was systematically analyzed. Results The sample comprised 26 articles. The meta-theme shows that the experiences of providers and immigrants/refugees are determined by multilevel factors. In a macro-context, these factors involve the vulnerabilities of immigrants/refugees and the healthcare system/model, and in a closer context, they involve the lack of professional training in cultural skills and communication; language barriers; and prejudice/xenophobia. Within healthcare, the relationship is mostly conflictual, asymmetric, and unable to solve problems, leading to negative repercussions for both. Conclusions Managers involved in developing public policies and providers must consider improving the interrelationship between healthcare services and the migrant population.

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“…Isso desafia o poder público e os profissionais de saúde a buscarem meios que possam favorecer a identificação de iniquidades sociais decorrentes de uma série de vulnerabilidades experienciadas em diversos contextos de vida do imigrante e sua família, com vistas a dirimi-las 24. Salienta-se que no caso dos participantes deste estudo, o acesso gratuito ao sistema de saúde foi destacado como um dos fatores que favorece o processo de adaptação. Este resultado difere do encontrado em estudo realizado com mulheres imigrantes no Chile 25 , a começar pelo fato de que lá os serviços de saúde não são públicos. Ademais, mesmo pagando, algumas participantes relataram discriminação no tratamento recebido e atendimento despersonalizado, resultando em consultas tardias diante de intercorrências na saúde, dificultando a adaptabilidade ao novo contexto socio-sanitário.…”

Section: /14unclassified

Perspectiva De Imigrantes Sobre a Integração Pessoal E Familiar Na Sociedade Brasileira

Ratuchnei

Barreto

Barbieri‐Figueiredo

et al. 2023

Texto contexto - enferm.

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RESUMO Objetivo: descrever as vivências de imigrantes e suas famílias relativas à integração no Brasil. Método: estudo descritivo, com abordagem qualitativa, realizado em município no Sul do Brasil. Os informantes foram 13 imigrantes que residiam no Brasil entre seis meses e cinco anos e que conseguiam se comunicar em português, inglês ou espanhol. Os dados foram coletados entre maio e novembro de 2021, mediante entrevistas semiestruturadas, audiogravadas e submetidas à análise de conteúdo temática. Resultados: os 13 participantes tinham idades entre 27 e 65 anos (média de 36 anos), sendo nove mulheres, sete provenientes da Venezuela e os demais de países da América do Sul, Central e África. Emergiram três categorias as quais mostram as adversidades experienciadas, sobretudo em relação a empregos (baixos salários, exploração de mão de obra, não reconhecimento de títulos acadêmicos), dificuldades de comunicação e distância da família. Por outro lado, mostram também a satisfação com a segurança pública, assistência à saúde e possibilidade de desenvolvimento pessoal e profissional. Para manter a união familiar e suas origens, as pessoas em situação de imigração ajudam financeiramente os membros que não puderam migrar, fazem comidas típicas e utilizam o idioma nativo no ambiente domiciliar. Conclusão: a integração à sociedade brasileira é permeada por desafios, nomeadamente pela ausência/distância da família de origem e/ou constituída, não compreensão do idioma, problemas laborais e financeiros e fragilidade na rede de apoio social. Contudo, os imigrantes buscam manter um adequado funcionamento familiar a partir do apoio de instituições e da manutenção da cultura de origem.

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Experiences of Immigrant Women Accessing Health Care in Punta Arenas, Chile

Cited by 5 publications

References 14 publications

Perspective of Immigrants on Personal and Family Integration in Brazilian Society

Perspective of Immigrants on Personal and Family Integration in Brazilian Society

Experiences of Providers and Immigrants/Refugees with Health Care: A Meta-Synthesis of the Latin American Context

Perspectiva De Imigrantes Sobre a Integração Pessoal E Familiar Na Sociedade Brasileira

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