Health rights in the post-2015 development agenda: including non-nationals

Brolan, Claire E; Dagron, Stéphanie; Forman, Lisa; Hammonds, Rachel; Latif, Laila Abdul; Waris, Attiya

doi:10.2471/blt.13.128173

Cited by 12 publications

(13 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, in recent years developed countries have made significant efforts to measure the actual impact of immigration on healthcare systems [ 3 , 5 – 8 ]. However, while the WHO’s statements recommend improvements to universal coverage [ 3 , 9 ], some of the world’s richest countries have moved in the opposite direction, limiting access to healthcare [ 10 ], especially for immigrants [ 2 , 4 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Global healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay

et al. 2016

View full text Add to dashboard Cite

BackgroundThe healthcare of immigrants is an important aspect of equity of care provision. Understanding how immigrants use the healthcare services based on their needs is crucial to establish effective health policy.MethodsThis retrospective, observational study included the total population of Aragon, Spain (1,251,540 individuals, of whom 11.9 % were immigrants). Patient-level data on the use of primary, specialised, hospital, and emergency care as well as prescription drug use in 2011 were extracted from the EpiChron Cohort and compared between immigrants and nationals. Multivariable standard or zero-inflated negative binomial regression models were generated, adjusting for age, sex, length of stay, and morbidity burden.ResultsThe annual visit rates of immigrants were lower than those of nationals for primary care (3.3 vs 6.4), specialised care (1.3 vs 2.7), planned hospital admissions/100 individuals (1.6 vs 3.8), unplanned hospital admissions/100 individuals (2.7 vs 4.7), and emergency room visits/10 individuals (2.3 vs 2.8). Annual prescription drug costs were also lower for immigrants (€47 vs €318). These differences were only partially attenuated after adjusting for age, sex and morbidity burden.ConclusionIn a universal coverage health system offering broad legal access to immigrants, the global use of healthcare services was lower for immigrants than for nationals. These differences may be explained in part by the healthy migration effect, but also reveal possible inequalities in healthcare provision that warrant further investigation.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3127-5) contains supplementary material, which is available to authorized users.

show abstract

Section: Introductionmentioning

confidence: 99%

Global healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay

et al. 2016

View full text Add to dashboard Cite

show abstract

“…United Nations (UN) agencies have articulated the need for migration-related determinants of health to be explicitly included in the post-2015 Millennium Development Agenda through the UN general assembly’s High Level Dialogue on International Migration and Development, and through the Global Migration Group [ 11 ]. The International Organization for Migration (IOM) and the World Health Organization (WHO) have led global efforts to stimulate member states to adopt migrant sensitive health systems and enable policies and practices to ensure realization of the right to health for migrant and mobile populations [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Risk of mental health and nutritional problems for left-behind children of international labor migrants

et al. 2015

View full text Add to dashboard Cite

BackgroundOne-in-ten Sri Lankans are employed abroad as International Labor Migrants (ILM), mainly as domestic maids or low-skilled laborers. Little is known about the impact their migration has on the health status of the children they ‘leave behind’. This national study explored associations between the health status of ‘left-behind’ children of ILM’s with those from comparative non-migrant families.MethodsA cross-sectional study design with multi-stage random sampling was used to survey a total of 820 children matched for both age and sex. Socio-demographic and health status data were derived using standardized pre-validated instruments. Univariate and multivariate analyses were used to estimate the differences in mental health outcomes between children of migrant vs. non-migrant families.ResultsTwo in every five left-behind children were shown to have mental disorders [95%CI: 37.4-49.2, p < 0.05], suggesting that socio-emotional maladjustment and behavioural problems may occur in absence of a parent in left-behind children. Male left-behind children were more vulnerable to psychopathology. In the adjusted analyses, significant associations between child psychopathological outcomes, child gender and parent’s mental health status were observed. Over a quarter (30%) of the left-behind children aged 6–59 months were ‘underweight or severely underweight’ compared to 17.7% of non-migrant children.ConclusionsFindings provide evidence on health consequences for children of migrant worker families in a country experiencing heavy out-migration of labour, where remittances from ILM’s remain as the single highest contributor to the economy. These findings may be relevant for other labour ‘sending countries’ in Asia relying on contractual labor migration for economic gain. Further studies are needed to assess longitudinal health impacts on the children left-behind.

show abstract

“…The principle of ‘progressive realization’ was also vague, potentially allowing some Member States to exploit the vagueness as an excuse for failing to fulfill the ‘minimum core obligations’. Go4Health research identified concerns around the right to health and its derivation from International Human Rights, with some Member States reluctant to comply with health obligations which may potentially clash with their socio-cultural norms [ 11 , 22 , 39 , 44 , 45 , 47 , 51 ]. Lastly, the measurability of achievement of progressive realization was seen to be a challenge for states, especially in demonstrating progress towards transformative goals [ 55 ].…”

Section: Findings and Discussionmentioning

confidence: 99%

What did the Go4Health policy research project contribute to the policy discourse on the sustainable development goals? A reflexive review

Floden

Hussain

et al. 2018

Global Health

View full text Add to dashboard Cite

BackgroundIn 2012, the European Commission funded Go4Health—Goals and Governance for Global Health, a consortium of 13 academic research and human rights institutions from both Global North and South—to track the evolution of the Sustainable Development Goals (SDGs), and provide ongoing policy advice. This paper reviews the research outputs published between 2012 and 2016, analyzing the thematic content of the publications, and the influence on global health and development discourse through citation metrics.Findings and discussionAnalysis of the 54 published papers showed 6 dominant themes related to the SDGs: the formulation process for the SDG health goal; the right to health; Universal Health Coverage; voices of marginalized peoples; global health governance; and the integration of health across the other SDGs. The papers combined advocacy---particularly for the right to health and its potential embodiment in Universal Health Coverage—with qualitative research and analysis of policy and stakeholders. Go4Health’s publications on the right to health, global health governance and the voices of marginalized peoples in relation to the SDGs represented a substantial proportion of papers published for these topics. Go4Health analysis of the right to health clarified its elements and their application to Universal Health Coverage, global health governance, financing the SDGs and access to medicines. Qualitative research identified correspondence between perceptions of marginalized peoples and right to health principles, and reluctance among multilateral organizations to explicitly represent the right to health in the goals, despite their acknowledgement of their importance. Citation metrics analysis confirmed an average of 5.5 citations per paper, with a field-weighted citation impact of 2.24 for the 43 peer reviewed publications. Citations in the academic literature and UN policy documents confirmed the impact of Go4Health on the global discourse around the SDGs, but within the Go4Health consortium there was also evidence of two epistemological frames of analysis—normative legal analysis and empirical research—that created productive synergies in unpacking the health SDG and the right to health.ConclusionThe analysis offers clear evidence for the contribution of funded programmatic research—such as the Go4Health project—to the global health discourse.

show abstract

Health rights in the post-2015 development agenda: including non-nationals

Cited by 12 publications

References 3 publications

Global healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay

Global healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay

Risk of mental health and nutritional problems for left-behind children of international labor migrants

What did the Go4Health policy research project contribute to the policy discourse on the sustainable development goals? A reflexive review

Contact Info

Product

Resources

About