Health in the post-2015 development agenda: The importance of migrants’ health for sustainable and equitable development

Mosca, Davide; Rijks, Barbara; Schultz, Caroline

doi:10.18356/8cc382ec-en

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, evidence shows that many care providers lack appropriate competence and knowledge in caring for culturally diverse patients ( 19 – 21 ). The attitudes and degree of training of health professionals and other staff working with migrants are major determinants of migrants’ likelihood to utilize health services efficiently ( 10 , 29 ). Because the screening is often the first contact migrants have with the Swedish health care system, it is vital that nurses who screen migrants get appropriate training and develop competence, to avoid high expectations and a poor image that could impede future utilization ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the delay in screening described in this study adds to the problem as it can contribute to the spread of infection and make it difficult to ascertain whether some migrants were infected before migration or afterwards ( 9 , 10 ). Finally promoting screening without adequate consideration of actual health and care needs, and guarantee of access to appropriate care and continuity of treatment does not only raise serious ethical issues, but is also counterproductive from a public health perspective ( 29 ). There is a need for further research to assess the effectiveness of the screening program and new approaches to offer screening in a more ethical way.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

‘It is a dilemma’: perspectives of nurse practitioners on health screening of newly arrived migrants

Nkulu-Kalengayi

Hurtig

Nordstrand

et al. 2015

Global Health Action

View full text Add to dashboard Cite

BackgroundScreening newly arrived migrants from countries with high burden of communicable diseases of public health significance is part of the Swedish national strategy against the spread of these diseases. However, little is known about its implementation.ObjectiveThis study aimed at exploring caregivers’ experiences in screening newly arrived migrants to generate knowledge that could inform policy and clinical practice.DesignUsing an interpretive description framework, we conducted semistructured interviews between November and December 2011 in four Swedish counties, with 15 purposively selected nurses with experience in screening migrants. Data were analyzed using thematic analysis.ResultsParticipants described a range of challenges including discordant views between migrants and the nurses about medical screening, inconsistencies in rules and practices, and conflicting policies. Participants indicated that sociocultural differences resulted in divergent expectations with migrants viewing the participants as agents of migration authorities. They also expressed concern over being given a new assignment without training and being expected to share responsibilities with staff from other agencies without adequate coordination. Finally, they indicated that existing policies can be confusing and raise ethical issues. All these were compounded by language barriers, making their work environment extremely complex and stressful.ConclusionsThese findings illuminate complex challenges that could limit access to, uptake, and delivery of health screening and undermine public health goals, and highlight the need for a multilevel approach. This entails avoiding the conflation of migration with health issues, harmonizing existing policies to make health care services more accessible and acceptable to migrants, and facilitating health professionals’ work in promoting public health, improving interagency collaboration and the skills of all staff involved in understanding and effectively responding to migrants’ needs, and improving migrants’ health literacy through community outreach interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

‘It is a dilemma’: perspectives of nurse practitioners on health screening of newly arrived migrants

Nkulu-Kalengayi

Hurtig

Nordstrand

et al. 2015

Global Health Action

View full text Add to dashboard Cite

show abstract

“…The mobile populations are at an increased risk of exposure to malaria, and it is highly suspected that they are more likely than other groups to carry and spread resistant parasites [ 6 ]. In Myanmar a mobile migrant aggregate may comprise workers as well as their families including children, and seasonal migrants may frequently move from one place to the other, with a prolonged interval at times, based on the availability of work and/or security of their livelihoods [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Spatial distribution, work patterns, and perception towards malaria interventions among temporary mobile/migrant workers in artemisinin resistance containment zone

Wai

Kyaw

et al. 2014

BMC Public Health

View full text Add to dashboard Cite

BackgroundMobile populations are at a high risk of malaria infection and suspected to carry and spread resistant parasites. The Myanmar National Malaria Control Programme focuses on preventive interventions and vector control measures for the temporary mobile/migrant workers in Myanmar Artemisinin Resistance Containment Zones.MethodsA prospective cross-sectional study was conducted in 2012 in Kawthaung and Bokepyin townships of Tanintharyi Region, Myanmar, covering 192 mobile/migrant aggregates. The objectives were to identify the spatial distribution of the mobile/migrant populations, and to assess knowledge, attitudes, perceptions, and practices concerning malaria prevention and control, and their preferred methods of interventions. The structure of the192 migrant aggregates was investigated using a migrant mapping tool. Individual and household information was collected by structured interviews of 408 respondents from 39 aggregates, supplemented by 12 in-depth interviews of health care providers, authorities, volunteers, and employers. Data were analyzed by triangulating quantitative and qualitative data.ResultsThe primary reasons for the limitation in access to formal health services for suspected malaria within 24 hours were identified to be scattered distribution of migrant aggregates, variable working hours and the lack of transportation. Only 19.6% of respondents reported working at night from dusk to dawn. Among study populations, 73% reported a perceived risk of contracting malaria and 60% reported to know how to confirm a suspected case of malaria. Moreover, only 15% was able to cite correct antimalarial drugs, and less than 10% believed that non-compliance with antimalarial treatment may be related to the risk of drug resistance. About 50% of study population reported to seeking health care from the public sector, and to sleep under ITNs/LLINs the night before the survey. There was a gap in willingness to buy ITNs/LLINs and affordability (88.5% vs. 60.2%) which may affect their sustained and consistent use. Only 32.4% across all aggregates realized the importance of community participation in effective malaria prevention and control.ConclusionsCommunity-based innovative approaches through strong collaboration and coordination of multi-stakeholders are desirable for relaying information on ITNs/LLINs, rapid diagnostic test, and artemisinin combination therapy and drug resistance successfully across the social and economic diversity of mobile/migrant aggregates in Myanmar.

show abstract

Health in the post-2015 development agenda: The importance of migrants’ health for sustainable and equitable development

Cited by 2 publications

References 0 publications

‘It is a dilemma’: perspectives of nurse practitioners on health screening of newly arrived migrants

‘It is a dilemma’: perspectives of nurse practitioners on health screening of newly arrived migrants

Spatial distribution, work patterns, and perception towards malaria interventions among temporary mobile/migrant workers in artemisinin resistance containment zone

Contact Info

Product

Resources

About