scholarly journals What are the challenges in the vaccination of migrants in Norway from healthcare provider perspectives? A qualitative, phenomenological study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040974
Author(s):  
Anna Socha ◽  
Jörn Klein

BackgroundMigrant populations in the European Union (EU) suffer a disproportionate burden of infectious diseases and may be particularly vulnerable due to poor conditions in countries of origin or throughout transit to the host country. Given the rising level of migration into Europe, the vaccination of migrant populations has become a key priority, with European countries committing to equitably extending the benefits of vaccination to all. However, in Norway, little is known about the vaccination of migrant populations.ObjectiveThe aim of this qualitative research study was to explore the process of vaccinating migrant populations in Norway and elucidate any challenges as perceived by healthcare providers. This involved exploring the challenges faced by healthcare providers in delivering vaccinations to migrants as well as potential barriers faced by migrants in accessing vaccinations in Norway, from the perspectives of healthcare providers.MethodsIn June 2019, the authors conducted semi-structured interviews with seven healthcare providers who are involved in vaccinating migrants in South-Eastern and Western Norway. This included healthcare providers working in general practice, public health and infectious disease clinics, migrant health clinics, and local public health institutes.ResultsAn inductive, exploratory analysis identified key themes that were reviewed and analysed in light of existing literature. According to the informants, the Childhood Immunisation Programme is effective in including migrant children within the national vaccination schedule. However, gaps in vaccination appear to exist with regards to adult migrants as well as working migrants. There is currently no consistent or structured approach to vaccinating adult migrants in Norway, including no guidelines from governing bodies on how to organise vaccination to adult migrants in municipalities. Furthermore, reasons why adult vaccination is not prioritised were provided, such as tuberculosis screening and treatment taking precedence and the common assumption among healthcare providers that vaccinations are dealt with in childhood.ConclusionThe development of equitable immunisation programmes requires an understanding of the multifactorial barriers to immunisation, such as those posed by policies, structures and governance bodies, or lack thereof. It also entails understanding the administration of such policies and the perspectives of those who are responsible for the delivery of vaccination, namely healthcare providers. This qualitative research study demonstrated that challenges exist in the vaccination of migrants in Norway and that they are coherent with those experienced throughout the EU, principally the presence of gaps in vaccinating adult migrants, working migrants and internal EU migrants. This research provides direction for future investigations and highlights the need for the inclusion of migrant status in the Norwegian Immunisation Registry.

2016 ◽  
Vol 35 (1) ◽  
pp. 47-59
Author(s):  
Chee-Hoo Lum

This qualitative research study seeks to examine definitions of Singapore music, music by Singapore composers and musics of/in Singapore through the eyes of tertiary music educators in a local institute of teacher education, and to determine pedagogical implications of such definitions in the space of the music classroom. Extensive informal interviews with seven tertiary music educators (key informants) serve as the methodological base for this phenomenological study. Findings suggest that music educators should give focus to the historical, socio-cultural and musical characteristics of the lived and living musical practices that comprise Singapore while being cognizant of contradictions brought forth by recent migratory flows and the emergence of a global city identity.


Author(s):  
Laurel Shaler ◽  
Lori Goss-Reaves ◽  
Jeffrey Boatner ◽  
Steve Johnson ◽  
Katherine Atkins

We designed this qualitative research study to better understand the experiences of college students in a United States context who do not seek counseling for their perceived need for help, and to address barriers that prevent them from doing so. The results of this phenomenological study indicate three barriers: negative feelings based upon ones’ past-experience with counseling, the stigma that surrounds a need for counseling, and the messages participants received from their parents regarding counseling. This research paper will elaborate on this study and will provide helpful information related to breaking these barriers.


Author(s):  
Liz Joseph ◽  
Sharif A. Ismail ◽  
Meghan Gunst ◽  
Kate Jarman ◽  
Dina Prior ◽  
...  

Introduction: As of January 2020, 115,600 refugees remain in Greece; most are Afghani, Iraqi or Syrian nationals. This qualitative research study explores the views of key stakeholders providing healthcare for refugees in Greece between 2015 and 2018. The focus was on identifying key barriers and facilitators to healthcare access for refugees in Greece. Methods: 16 interviewees from humanitarian and international organisations operating in Greece were identified through purposive and snowball sampling. Semi-structured interviews were conducted between March and April 2018. Data were analysed using the Framework Method. Results: Key themes affecting healthcare access included the influence of socio-cultural factors (healthcare expectations, language, gender) and the ability of the Greek health system to respond to existing and evolving demands; these included Greece’s ongoing economic crisis, human resource shortages, weak primary healthcare system, legal barriers and logistics. The evolution of the humanitarian response from emergency to sustained changes to EU funding, coordination and comprehensiveness of services affected healthcare access for refugees. Conclusion: The most noted barriers cited by humanitarian stakeholders to healthcare access for refugees in Greece were socio-cultural and language differences between refugees and healthcare providers and poor coordination among stakeholders. Policies and interventions which address these could improve healthcare access for refugees in Greece with coordination led by the EU.


2010 ◽  
Author(s):  
Amy Pearson ◽  
Maureen Rigney ◽  
Anitra Engebretson ◽  
Johanna Villarroel ◽  
Jenette Spezeski ◽  
...  

2009 ◽  
Vol 149A (11) ◽  
pp. 2378-2386 ◽  
Author(s):  
Mary M. Jenkins ◽  
Erika Reed-Gross ◽  
Sonja A. Rasmussen ◽  
Wanda D. Barfield ◽  
Christine E. Prue ◽  
...  

2014 ◽  
Vol 21 (12) ◽  
pp. 560-568 ◽  
Author(s):  
Wesam Darawsheh

Background The value of qualitative research is increasingly acknowledged in health studies, as well as the demand for employing rigorous strategies. Although the literature recognises that reflexivity is a valuable and rigorous strategy, few studies unravel the practical employment of reflexivity as a strategy for ensuring rigour and quality in qualitative research. Aim To present a practical example of how reflexivity can be employed as a strategy for ensuring rigour by reviewing 13 narratives from the author's reflexive diary on qualitative research. Methods Content analysis and narrative analysis were used to approach and analyse data. Findings Analysis of the posited qualitative research study found five main outcomes of the influence of reflexivity as a strategy to establish criteria of rigour. Conclusions Further research is needed to show how reflexivity can be employed as a strategy in qualitative research to: i) establish criteria of rigour; ii) monitor the researcher's subjectivity in generating credible findings.


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