scholarly journals Healthcare of Undocumented Migrants

Author(s):  
Jussi S. Jauhiainen ◽  
Miriam Tedeschi

AbstractFinnish authorities provide undocumented migrants with at least emergency healthcare services, but very few (if any) undocumented migrants use these or other public healthcare services. There are challenges to accessing healthcare, including language, culture or communication, inadequate information, difficult opening times, lack of specialised services, fear of using such services, and lack of networks relating to social and healthcare services. The provision of wider healthcare services and prevention of illnesses is actually less expensive for countries than providing undocumented migrants with only emergency healthcare.This chapter discusses the undocumented migrants’ access to healthcare and their use of healthcare services. The Constitution of Finland guarantees emergency healthcare services for everyone staying in Finland, including undocumented migrants; however, the actual provision of healthcare (emergency or otherwise) for undocumented migrants varies greatly among local municipalities. Furthermore, few migrants use these available services. The majority turn to unofficial services, with some risk for themselves and the local community. The chapter highlights issues regarding the mental and physical health of undocumented migrants, who often suffer from trauma, which is not properly treated. It also discusses the effect of the COVID-19 pandemic on undocumented migrants in Finland.

Author(s):  
Nouria Ouali

The essay examines one type of state-sponsored violence against undocumented migrants (especially women and children), which have been implemented since the late 1980s to control migration flows in Belgium. These policies are based on two pillars: the detention of undocumented migrants and their forced eviction. The examination of these practices reveals the systemic violence of this policy and the many violations of the fundamental rights. The author raises the question of the status of the regime of violence inflicted on undocumented migrants and their children in administrative detention centers: is it a case of abuse or torture? Regarding the detrimental effects on the mental and physical health of migrants (and their children), as powerful as those resulting from torture, the author suggests that, in some case, abuses designated by the courts could be called torture.


Author(s):  
Abubakar Abdullahi ◽  
Nalika Gunawardena

Background: Ensuring access to healthcare facilities is a high priority need in developing countries. This research aimed to determine the influence of socio-demographic and economic characteristics of the urban population in Nigeria to access to public healthcare facilities. Methods: We conducted a community-based study in 400 households across the three urban areas of Gombe state, Nigeria. Access to healthcare facilities was quantified in a composite index which considers availability, accessibility and affordability. The head of families was interviewed for information related to access and for the socio-demographic and economic status of the residences. The influence of socio-demographic and economic characteristics was determined using a chi-square test with a significance level of <0.05. Results: Most of the population interviewed within the selected urban areas had good access (84%) to public healthcare facilities. Socio-demographic and economic characteristics of household representatives such as age (p = 0.02), religious status (p = 0.00), level of education (p =0 .00), employment (p = 0.00) and possession of healthcare insurance (p = 0.00) were found to significantly influence access to healthcare facilities in urban areas. Conclusion:  Access to public healthcare facilities within the urban areas was good and the study revealed some modifiable socio-demographic and economic factors that influence access. We recommend the intervention to address the factors to further improve access to public healthcare facilities and to achieve universal healthcare coverage.


2001 ◽  
Vol 43 (4) ◽  
pp. 331-347 ◽  
Author(s):  
Lisa Klepac Lockhart ◽  
Jamila Bookwala ◽  
Angela Fagerlin ◽  
Kristen M. Coppola ◽  
Peter H. Ditto ◽  
...  

The current study had two primary goals, to determine whether: 1) self-rated mental and physical health, pain, and experience with health problems were predictors of elderly adults' attitudes toward death; and 2) death attitudes predict end-of-life medical treatment concerns. Participants were 109 adults, 65 years of age and older ( M=78.74 years), recruited from the local community. Regression analyses indicated that poorer perceived physical health predicted a greater likelihood of viewing death as an escape, and poorer perceived mental health predicted a greater fear of death. Viewing death as an escape and fearing death predicted end-of-life medical treatment concerns; a greater endorsement of either attitude predicted more concern. Possible explanations for the links between perceived health, attitudes toward death, and concern about end-of-life issues are suggested.


2019 ◽  
Vol 34 (7) ◽  
pp. 499-507 ◽  
Author(s):  
Maria S V Albuquerque ◽  
Tereza M Lyra ◽  
Ana P L Melo ◽  
Sandra A Valongueiro ◽  
Thalia V B Araújo ◽  
...  

Abstract The Congenital Zika Syndrome (CZS) epidemic took place in Brazil between 2015 and 2017 and led to the emergence of at least 3194 children born with CZS. We explored access to healthcare services and activities in the Unified Health Service (Sistema Único de Saúde: SUS) from the perspective of mothers of children with CZS and professionals in the Public Healthcare Network. We carried out a qualitative, exploratory study, using semi-structured interviews, in two Brazilian states—Pernambuco, which was the epicentre of the epidemic in Brazil, and Rio de Janeiro, where the epidemic was less intense. The mothers and health professionals reported that healthcare provision was insufficient and fragmented and there were problems with follow-up care. There was a lack of co-ordination and an absence of communication between the various specialized services and between different levels of the health system. We also noted a public–private mixture in access to healthcare services, resulting from a segmented system and related to inequality of access. High reported household expenditure is an expression of the phenomenon of underfunding of the public system. The challenges that mothers and health professionals reported exposes contradictions in the health system which, although universal, does not guarantee equitable and comprehensive care. Other gaps were revealed through the outbreak. The epidemic provided visibility regarding difficulties of access for other children with disabilities determined by other causes. It also made explicit the gender inequalities that had an impact on the lives of mothers and other female caregivers, as well as an absence of the provision of care for these groups. In the face of an epidemic, the Brazilian State reproduced old fashioned forms of action—activities related to the transmitting mosquito and to prevention with an emphasis on the individual and no action related to social determinants.


2008 ◽  
Vol 11 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Craig Hadley ◽  
Sandro Galea ◽  
Vijay Nandi ◽  
Arijit Nandi ◽  
Gerald Lopez ◽  
...  

AbstractObjectivesTo measure the occurrence and correlates of hunger and to evaluate the association between hunger and three health indicators among undocumented Mexican immigrants.DesignNon-probability cross-sectional sample.SettingNeighbourhoods within New York City.SubjectsFour hundred and thirty-one undocumented Mexican immigrants living in the USA.ResultsHunger was indicated by approximately 28% of respondents. In a multivariate model, working as a day labourer was associated with hunger (odds ratio (OR) 3.33, 95% confidence interval (CI) 1.83–6.06) while receiving public assistance protected against hunger (OR 0.23, 95% CI 0.06–0.88). In multivariate models, respondents who reported experiencing hunger also reported poorer overall health (OR 1.69, 95% CI 0.95–3.02) and more days of poor mental (P= 0.045) and physical health (P< 0.0001). Greater amount of time lived in the USA was also associated with worse overall health (P= 0.054) and more days of poor mental and physical health (P< 0.01).ConclusionsThe present study shows that food insecurity and hunger may be problems among undocumented migrants living in the USA. Uncertain and unpredictable work schedules and limited access to public assistance may contribute to high levels of hunger, which in turn may also negatively affect mental and physical health. Increasing amount of time lived in the USA is also associated with poorer health indicators. Programmes that provide undocumented migrants with emergency access to resources may reduce food insecurity and lead to improved health outcomes among this vulnerable population.


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