scholarly journals Better migrant health services with glocal context

2020 ◽  
Vol 83 (6) ◽  
pp. 520-520
Author(s):  
Liang-Kung Chen
Keyword(s):  
Health Services ◽  
Migrant Health

Access and utilization of health services by migrant domestic helpers in Cyprus: the role of the employer

2019 ◽  
Vol 15 (1) ◽  
pp. 46-60 ◽  
Author(s):  
Marios Kantaris ◽  
Mamas Theodorou ◽  
Daphne Kaitelidou
Keyword(s):  
Health Services ◽  
Negative Impact ◽  
Dominant Role ◽  
Healthcare Services ◽  
Migrant Health ◽  
Health Needs ◽  
Sufficient Information ◽  
Healthcare Provision ◽  
Content Type

Purpose The dominant role of the employer regarding the access and use of healthcare services by migrant domestic helpers (MDH) often has a negative impact on healthcare provision for migrants in Cyprus. Research relating to the perceptions of MDH employers remains scarce. The purpose of this paper is to investigate the role of employers on the access and use of healthcare services by their MDH. Design/methodology/approach Three studies were carried out using semi-structured interviews with MDH (n=13) and employers of MDH (n=12) and structured questionnaires with MDH (n=625). Content analysis for qualitative findings was carried out using QSR Nvivo 10 and for quantitative using Statistical Package for Social Sciences version 17. Findings Findings provide information about migrant health needs from different views leading to improved documentation via multiple triangulation. Employers play a key gatekeeping role but are not in position to provide sufficient information and guidance to their MDH. MDH reported a need for health services which was not met (18 percent), attributing this to their employers not granting them permission. Originality/value The role of the employer is critical and has an impact on the quality of care provided to this migrant group. The involvement of the employer in MDH health matters functions as a barrier. A significant gap exists between employers and MDH regarding the health needs of the latter.

scholarly journals The Adaptation of Turkish Health Literacy Scale for Literate Syrian Adult Refugees Living in Turkey: A Reliability-Validity Study

2021 ◽  
Author(s):  
Sevkat Bahar-Ozvaris ◽  
Bahar Guciz-Dogan ◽  
Hande Konsuk Unlu ◽  
Gamze Aktuna ◽  
Tacettin Inandi ◽  
...  
Keyword(s):  
Health Literacy ◽  
Health Services ◽  
Short Form ◽  
Migrant Health ◽  
Syrian Refugees ◽  
Cronbach’S Alpha ◽  
Host Countries ◽  
Cronbach's Alpha ◽  
Health Literacy Level ◽  
Literacy Level

Abstract BackgroundThere is a big Syrian refugee population which counts more than 3.5 million since the year 2011, and continuously growing. This situation causes various problems, mainly while obtaining health services. In planning the migrant health services, for the policy makers of host countries, health literacy level of migrants is an important measure. Determination of health literacy level of Syrian refugees in Turkey would be supportive for planning some interventions to increase health services utilization, and health education and health communication programs. An “original health literacy scale" for 18–60 years of age Turkish literate adults (Hacettepe University Health literacy Scale-HLS) was developed to be used as a reference scale in 2018. It would be useful to compare the health literacy level of Turkish adults and Syrian adult refugees resided in Turkey with an originally developed scale. For this reason, it was aimed to adapt the HLS-Short Form in Syrian refugees.MethodsThis methodological study was carried out between 2019–2020 in three provinces of Turkey where the Syrians live intensively. The data was collected by pre-trained, Arabic speaking 12 interviewers and three supervisors via a questionnaire on household basis. At first, the original Scale and questionnaire were translated into Arabic and backtranslated. The questionnaire and the Scale was pre-tested on 30 Syrian refugees in Ankara Province. A total of 1254 refugees were participated to the main part of study; 47 health-worker participants were excluded from the validity-reliability analysis. Confirmatory factor analysis (CFA) was performed. Cronbach’s alpha and Spearman-Brown coefficients were calculated.ResultsOf the participants, 52.9% was male; 26.1% had secondary level or less; almost half of them had moderate economic level; 27.5% could not speak Turkish. The Cronbach’s Alpha was 0.75, Spearman-Brown Coefficient was 0.76; RMSEA = 0.073, CFI = 0.93, TLI = 0.92 and GFI = 0.95 for the Scale. The Cronbach’s Alpha was 0.76, Spearman-Brown Coefficient was 0.77; RMSEA = 0.085, CFI = 0.93, TLI = 0.91 and GFI = 0.95 for self-efficacy part.ConclusionIn conclusion, the adapted HLS would be a reliable instrument to evaluate the health-literacy level of Syrians living in Turkey and could give an opportunity to compare the host country’s HL with the refugees by using the same scale.

scholarly journals Strengthening the migrant-friendliness of Thai health services through interpretation and cultural mediation: a system analysis

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Hathairat Kosiyaporn ◽  
Sataporn Julchoo ◽  
Mathudara Phaiyarom ◽  
Pigunkaew Sinam ◽  
Watinee Kunpeuk ◽  
...  
Keyword(s):  
Health Services ◽  
Migrant Workers ◽  
System Analysis ◽  
Central Government ◽  
Monitoring And Evaluation ◽  
Migrant Health ◽  
Cultural Barriers ◽  
Snowball Sampling ◽  
Cultural Mediation ◽  
Legal Provisions

Abstract Background In addition to healthcare entitlements, ‘migrant-friendly health services’ in Thailand include interpretation and cultural mediation services which aim to reduce language and cultural barriers between health personnel and migrants. Although the Thai Government started implementing these services in 2003, challenges in providing them still remain. This study aims to analyse the health system functions which support the interpretation and cultural mediation services of migrant health worker (MHW) and migrant health volunteer (MHV) programmes in Thailand. Methods In-depth interviews were conducted in two migrant-populated provinces using purposive and snowball sampling. A total of fifty key informants were recruited, including MHWs, MHVs, health professionals, non-governmental organisation (NGO) staff and policy stakeholders. Data were triangulated using information from policy documents. The deductive thematic analysis was classified into three main themes of evolving structure of MHW and MHV programmes, roles and responsibilities of MHWs and MHVs, and supporting systems. Results The introduction of the MHW and MHV programmes was one of the most prominent steps taken to improve the migrant-friendliness of Thai health services. MHWs mainly served as interpreters in public facilities, while MHVs served as cultural mediators in migrant communities. Operational challenges in providing services included insufficient budgets for employment and training, diverse training curricula, and lack of legal provisions to sustain the MHW and MHV programmes. Conclusion Interpretation and cultural mediation services are hugely beneficial in addressing the health needs of migrants. To ensure the sustainability of current service provision, clear policy regulation and standardised training courses should be in place, alongside adequate and sustainable financial support from central government, NGOs, employers and migrant workers themselves. Moreover, regular monitoring and evaluation of the quality of services are recommended. Finally, a lead agency should be mandated to collaborate with stakeholders in planning the overall structure and resource allocation for the programmes.

scholarly journals Workshop: Leaving no one outside: strategies for improving delivery of care undocumented migrants in Europe

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Health Services ◽  
Service Delivery ◽  
Sex Workers ◽  
Underserved Populations ◽  
Migrant Health ◽  
People Who Use Drugs ◽  
Undocumented Migrants ◽  
Design Strategies ◽  
Practical Tool ◽  
Underserved Groups

Abstract A number of recent publications, including WHO’s Report on the health of refugees and migrants in the WHO European region: no public health without refugee and migrant health (2018) and the report of the UCL-Lancet Commission on migration and health have underscored the ways in which vulnerability to poor health outcomes can be exacerbated due to factors related to migration and migration status. This workshop will explore opportunities to improve delivery of health care, using a practical tool intended to support the design of inclusive health services. This checklist has been elaborated by a coalition of organisations (“Nobody Left Outside” platform) centred on the situation and needs of underserved populations, including the homeless, sex workers, prisoners, people who use drugs and undocumented migrants. This workshop will aim to test and validate the tool, looking at a particular population: people who are undocumented. The workshop will aim to: Improve understanding of factors that undermine delivery of health services to severely underserved groups, focusing on the specific example of people with insecure residence status.Promote understanding of service-design strategies that broadly benefit these groups, applying and validating a practical tool to support inclusive service delivery. Format: The workshop will aim to be as interactive as possible. Following opening interventions from experts, participants will be invited to share their insights and expertise to validate the service delivery design checklist that will be shared with them, and to identify the necessary policies and practices that wold ensure its effective implementation. Key messages Test a solutions-based model for the design of health services that addresses underserved groups, focusing on undocumented migrants. Identify policies and actors needed to enable effective delivery to “left behind” populations.

scholarly journals Evaluation of the Medical Interpreter and Patient Guidance Training in the Migrant Health Services: The Case Study in Turkey

2019 ◽  
Vol 2 (2) ◽  
pp. 57
Author(s):  
Şenel Tekin ◽  
Afsun Ezel Esatoğlu
Keyword(s):  
Health Services ◽  
Training Program ◽  
Nutrition Education ◽  
Health Sector ◽  
Migrant Health ◽  
World Health ◽  
Medical Terminology ◽  
Access To Health Services ◽  
Access To Health ◽  
Post Test

Turkey is a country that embraces many migrants from Africa and the Middle East especially in the last 10 years due to its geopolitical position. The number of Syrian refugees in Turkey as of February 2019 is reported to be 3.644.342. In particular, benefiting from the most basic human rights such as nutrition, education and health of migrants is an issue given the importance by the Republic of Turkey. In this context, important cultural differences arise for the immigrants. Language is an important obstacle to access to health services, especially in Arabic speaking patients. In order to facilitate access to health services and to improve the quality, a project has been developed covering the training and employment of medical interpreters and patient guides by the Turkey’s Ministry of Health and the World Health Organization. With this project, 960 medical translators were employed and trained 2016 to 2019. The research provides an evaluation covering the training phase of this project. In this context, the aim of the study is to evaluate the effectiveness of the training program. In the study, an interactive training program, including medical terminology, health sector organization of Turkey, communication skills and medical ethics was implemented to the bilingual interpreters and patient guides. Participants completed a 50-question pre-test and post-test designed to evaluate the effectiveness of the training. Training was deemed successful as all participants scored higher on the post-test than the pre-test. The results obtained from the research include important lessons that guide the planning of similar trainings.

scholarly journals Access to healthcare services for the Roma and undocumented migrants in the EU in light of the Covid-19 pandemic

2020 ◽  
Vol 2 (2) ◽  
pp. 4
Author(s):  
Bernadett Mária Varga
Keyword(s):  
Health Services ◽  
Healthcare Services ◽  
Migrant Health ◽  
Health Policies ◽  
Undocumented Migrants ◽  
Health Coverage ◽  
The European Union ◽  
Increased Risk ◽  
Legal Entitlement ◽  
The Eu

Background. The rising number of the EU Roma citizens from the CEE countries, non-EU Roma citizens from the Western-Balkans, and of undocumented migrants in the European Union makes it interesting to see that most of them face barriers when accessing health services [with a European Health Insurance Card (EHIC)] or have no health coverage at all [no legal entitlement]. European migrant health policies are seemingly well structured and responsive to the needs of migrants, however, results of recent studies raise the question whether the legislations are responsive enough to the needs of the Roma and undocumented migrants when accessing health services. Given the circumstances of the Covid-19 pandemic these groups are now at an increased risk and they might not be able to understand how the virus transmits and how they can protect themselves from it.  Methods. Literature review focusing on the access to health services and migrant health policies in the EU and the UK was carried out. The target groups of this research were Roma citizens and third-country national undocumented migrants residing in the European Union. Results. In theory the legal entitlement for accessing healthcare for migrants in general is satisfactory, while in practice these groups face difficulties, such as prejudice, discrimination and other barriers (language, logistical) when approaching health services. Migrants lack trust in the health system and the healthcare professionals, and are not aware of their fundamental rights to healthcare either.  Conclusions. Legal entitlements for EU migrant citizens do not differ within EU countries but they significantly vary for undocumented migrants Europe-wide and there seems to be a mismatch between the legal entitlements for undocumented migrants in theory and their implementation in practice. Given the circumstances of the pandemic these groups are at an increased risk and therefore their health inclusion through health literacy programs should take place, as well as health workers should be trained on diversity in order to establish diversity adapted EU health systems. Seeking adaptive practices to establish cultural diversity within the healthcare settings, and introducing the universal health coverage scheme Europe-wide in order for undocumented migrants and EU citizens without employment to benefit from proper healthcare services is encouraged and necessary. 

scholarly journals A Cross-Sectional Survey on Professionals to Assess Health Needs of Newly Arrived Migrants in Spain

2021 ◽  
Vol 9 ◽  
Author(s):  
Núria Serre-Delcor ◽  
Inés Oliveira ◽  
Ruben Moreno ◽  
Begoña Treviño ◽  
Eva Hajdók ◽  
...  
Keyword(s):  
Health Services ◽  
Health System ◽  
Healthcare Professionals ◽  
Healthcare Access ◽  
Migrant Health ◽  
Health Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Study Results ◽  
Competence Training

Heightened conflicts and lack of safety due to reasons related to economic, social, ethnic, religious, sexual orientation, political, or nationality matters have increased migratory movements during the last, few decades. Unfortunately, when migrants arrive in new territories, they can face many barriers. For example, in Spain, some migrants have difficulties in accessing health services. The main objective of this study was to describe, from the perspective of social and healthcare professionals, health needs and barriers faced among migrants who recently arrived in Spain when accessing the health system. To accomplish this aim, we carried out a cross-sectional descriptive study using a newly created self-administered questionnaire. Statistical analysis was done using the SPSS 23.00® program. Survey collection was from April 2018 to October 2018, and the cohort comprised a total of 228 professionals. Most participants were females (76%), with an average age of 35 years [interquartile range (IQR) 29.8–43.0]. The most represented profession in the cohort was physician (48%), followed by social care professionals (32%), nursing (11%), and other (8%). Of these individuals, 61% stated having either little or limited knowledge of international migrant health rights, and 94% believed migrants must overcome barriers to receive health services. The four most reported barriers were as follows: language, cultural differences, administrative issues, and fear of being undocumented. Additionally, by order of importance, professionals viewed mental health disorders and infectious diseases as the most common contributors to disease burden in this group. The four most popular strategies implemented by professionals to improve healthcare access further for migrants included intercultural competency training for professionals; access to community health agents; access to translators; and development of health system navigation skills among those newly arrived. Study results suggest that governments should make greater efforts to provide social and healthcare professionals with more effective tools that overcome communication barriers and cultural competence training modules.

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