Italy’s Health Divide

2021 ◽  
Vol 18 (5) ◽  
pp. 507-518
Author(s):  
Sebastian Carlotti

Restrictive migration policies often have a major impact on migrants’ access to healthcare services and their capacity to protect their health. During the COVID-19 pandemic, securitised migration policies in Italy led to a severe health divide that exacerbated the already acute living conditions of many migrant communities. This article examines Italy’s migration policy with a focus on the Security Decree and its consequences during the COVID-19 state-wide lockdown. Over the last decade, the surge in support for anti-immigration parties has fostered the portrayal of migrants as dangerous vectors of disease. In 2018, the Italian government approved the Security Decree which curtailed the already poor medical and sanitary conditions of the state’s healthcare services provided to migrants and asylum seekers. This study outlines the characteristics of the Italian health divide during the COVID-19 outbreak and suggests a link between securitised migration policies and increased vulnerability of migrant communities during the pandemic.

Author(s):  
Athanassios Vozikis ◽  
Theodoros Fouskas ◽  
Symeon Sidiropoulos

Asylum seekers, refugees, and migrants, who are living in RICs, are faced with multiple challenges and vulnerabilities that must be taken into consideration when responding to the COVID-19 pandemic. The chapter focuses on the COVID-19 pandemic concerns over increasing cases recorded in the RICs in Greece. The impact of migration on public health is of particular concern to Greek migration policy, as migrants in the country have a completely different epidemiological profile and higher risks to public health due to the poor living conditions in their countries of origin and during their stay. They live mostly in overcrowded reception and identification centers and accommodation centers under deplorable conditions, lack of proper shelter, extremely unhygienic living conditions. The urgent decongestion of the overcrowded RICs and accommodation centers is required to avoid the risk of rapid spread of the infection.


Author(s):  
Athanassios Vozikis ◽  
Theodoros Fouskas ◽  
Symeon Sidiropoulos

Asylum seekers, refugees, and migrants, who are living in RICs, are faced with multiple challenges and vulnerabilities that must be taken into consideration when responding to the COVID-19 pandemic. The chapter focuses on the COVID-19 pandemic concerns over increasing cases recorded in the RICs in Greece. The impact of migration on public health is of particular concern to Greek migration policy, as migrants in the country have a completely different epidemiological profile and higher risks to public health due to the poor living conditions in their countries of origin and during their stay. They live mostly in overcrowded reception and identification centers and accommodation centers under deplorable conditions, lack of proper shelter, extremely unhygienic living conditions. The urgent decongestion of the overcrowded RICs and accommodation centers is required to avoid the risk of rapid spread of the infection.


2020 ◽  
Vol 28 (3) ◽  
pp. 301-310
Author(s):  
Sabrina Germain ◽  
Adrienne Yong

AbstractOur commentary aims to show that the COVID-19 pandemic has amplified existing barriers to healthcare in England for ethnic minority and migrant women. We expose how the pandemic has affected the allocation of healthcare resources leading to the prioritisation of COVID-19 patients and suspending the equal access to healthcare services approach. We argue that we must look beyond this disruption in provision by examining existing barriers to access that have been amplified by the pandemic in order to understand the poorer health outcomes for women in ethnic minority and migrant communities. The reflection focuses on racialised medical perceptions, gendered cultural norms including information barriers and stigma, and specific legal barriers.


2018 ◽  
Vol 15 (1) ◽  
pp. 113-124 ◽  
Author(s):  
Basak Bilecen ◽  
Dilara Yurtseven

The recent increase in the migratory flows of Syrian asylum-seekers has drawn attention to the causes and, more fundamentally, to the consequences of such mobility patterns in both the European Union and in Turkey. In this paper we explore the healthcare system in Turkey and, particularly, Syrians’ access to healthcare services. Bringing together the literature on healthcare and on mobility from conflict zones, this paper advances our understanding of the challenges in access to healthcare facilities faced by a vulnerable population – namely displaced persons from Syria living in Turkey. Based on an analysis of secondary literature and social policies, we observe three main challenges faced by Syrians in Turkey in accessing healthcare services: registration procedure, navigation of the system and language barriers.


2021 ◽  
Vol 3 (11) ◽  
pp. 84-96
Author(s):  
Lina Taysir Alzouabi ◽  
Ayat Jebril Nashwan

Since the Syrian crisis began ten years ago, 5.6 million Syrians have been forced to flee to neighboring countries. Jordan is not a member of the 1951 Geneva Refugee convention, so Syrians are treated as asylum seekers rather than refugees. This study explores Syrian asylum seekers’ experiences and challenges in Jordan, including the sectors of housing, education, healthcare services, and employment to understand why they are motivated to seek asylum in Europe. Through semi-structured interviews with 30 Syrian asylum seekers living in four Jordanian governorates outside camps, the goal is to elucidate the drivers that motivate them to seek asylum in Europe. The findings emphasize the importance of education and work permits both of which are considered major push factors or drivers for immigration. The narratives provide a contextual understanding of the immigration crisis from the voices of the refugees themselves, which in turn will contribute to the knowledge base of immigration literature and enhance the support for the Syrian asylum seekers in the host community of Jordan.


2014 ◽  
Vol 1 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Jan Basche

While calling for culturally sensitive healthcare services in migrant communities, the international nursing literature on intercultural care predominantly describes nursing staff as lacking cultural competences and immigrant customers as lacking cleverness to navigate the labyrinths of national healthcare systems. Congruences in language, culture and religion in the customer-caregiver relationship can decisively improve the quality of care. However, they do not automatically guarantee smooth working processes in monocultural in-home settings. On the contrary, new problems occur here for Turkish caregivers which are unknown to the legions of native professionals who feel challenged by migrants and which go beyond differences such as age, sex, income or education. While no cultural or religious brokering is necessary between customers and personnel in the given context in Germany, new challenges arise when caregivers are expected to legally broker between customers and insurance companies or doctors. Conflicting expectations of customers and management as well as their own colliding social and professional roles put the caregivers in a quandary and must be competently managed.


This volume highlights the challenges of contemporary policymaking and scholarship on high-skilled migration. Both areas often focus rather narrowly on migration policy without considering systematically and rigorously other economic, social, and political drivers of migration. These structural drivers are often equally or sometimes even more important than migration policies per se. To be successful in recruiting on the global skill market, countries have to implement coherent whole-of-government immigration policy packages which are to be embedded in a country’s broader economic, social, and political structures and the broader context of international migration processes and dynamics. Societies and economies that are able to create a welcoming environment for people, attractive professional conditions for workers, and a business climate for employers are likely to succeed in attracting and recruiting skilled workers that are in demand. The chapter concludes with some proposals aimed at improving the efficiency of the global skill market.


Author(s):  
Ronald Skeldon

After a consideration of who the skilled are, this chapter pursues four main themes. First, direct policies to attract skilled migrants are secondary to indirect policies designed to establish the industries and services that will lead to the employment of the skilled. Second, direct policies to attract the skilled need to be integrated into wider policies that see the immigration of the less skilled also to be important. Third, attempts to retain the skilled need to be framed in the context of a high turnover of the skilled, a turnover facilitated by the nature of the channels through which they move. Fourth, a consideration of the global production of the skilled through education and training and how that impacts on the flows. These four themes are closely interrelated and provide a basis for a broader interpretation of skilled migration policy.


Author(s):  
Duygu Ayhan Baser ◽  
Özge Mıhcı ◽  
Meltem Tugce Direk ◽  
Mustafa Cankurtaran

Abstract Aim: The aim of this study was to describe the attitudes, views and solution proposals of family physicians (FPs) about primary healthcare problems of Syrian refugee patients. This study would be the very first study for Turkey that evaluates the attitudes, views and solution proposals of FPs about primary healthcare problems of Syrian refugee patients. Background: Following the anti-regime demonstrations that started in March 2011, the developments in Syria created one of the biggest humanitarian crises in the world and the largest number of asylum seekers continue to be hosted in Turkey. There are some studies evaluating asylum seekers’ access to healthcare services in Europe, and the common result is that refugees have free access to primary healthcare services in most countries; however, they face many obstacles when accessing primary healthcare services. While there are studies in the literature evaluating the situation of access to primary healthcare services from the perspective of asylum seekers; there are few studies evaluating the opinions/views of FPs. Methods: A qualitative methodology informed by the grounded theory was used to guide the research. A total of 20 FPs were interviewed face to face through semi-structured interviews, using 12 questions about their lived experience and views caring of refugee population. Interviews were analysed thematically. Finding: The following themes were revealed: Benefiting from Primary Health Care Services, Benefiting from Rights, Differences Between the Approach/Attitudes of Turkish Citizens and Refugees, Barriers to Healthcare Delivery, Training Needs of Physicians, Solution proposals. FPs reported that there is a need for support in primary care and a need for training them and refugees in this regard and they specified refugee healthcare centres are the best healthcare centres for refugees; however, the number of these and provided services should be increased.


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