Vulnerability of migrant women during disasters: a scoping review of the literature

International Journal for Equity in Health, Год журнала: 2023, Номер 22(1)

Опубликована: Июль 22, 2023

Disasters have an unequal impact on the population because of differences in conditions vulnerability, exposure, and capacity. Migrants women are among groups that at greater risk for disproportionately affected by disasters. However, despite large body evidence analyzes their vulnerability separately, disaster research targets migrant is scant. The aim this scoping review was to analyze published scientific literature concerning consequent negative they experience during A search conducted December 15th, 2021 Pubmed, Scopus, Web Science databases. No time filter applied search. Information regarding article's main characteristics design, migration experience, as well about type collected. factors responsible outcomes experienced a were extracted inductively clustered themes reflecting several pathways. followed Joanna Briggs Institute methodology reviews relied Preferred Reporting Items Systematic Reviews Meta-Analyses extension Scoping (PRISMA-ScR). After full text review, 14 articles met inclusion criteria. All them adopted qualitative focused COVID-19. pandemic negatively women, triggering numerous drivers increased level exposure vulnerability. Overall, six been identified: legal status, poverty conditions, pre-existing health limited agency, gender inequality language cultural barriers. These resulted nine impacts: worsening mental poor access care, physical fraud, exacerbation poverty, gender-based violence, jeopardization educational path, unfulfillment religious needs. This provided analysis pathways leading disaster. COVID-19 demonstrated equity goal still far reach. post-pandemic era should constitute momentum thoroughly addressing social determinants systematically marginalize most vulnerable groups.

Язык: Английский

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Health and well-being of refugees, asylum seekers, undocumented migrants, and internally displaced persons under COVID-19: a scoping review

Frontiers in Public Health, Год журнала: 2023, Номер 11

Опубликована: Апрель 26, 2023

The objective of this scoping review was to identify what is known about the impact COVID-19 on physical and mental well-being refugees, asylum seekers, undocumented migrants, internally displaced persons. aim also barriers influencing access treatment or prevention.

Язык: Английский

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Negotiating Borders through a Politics of Scale: Municipalities and Urban Civil Society Initiatives in the Contested Field of Migration

Geopolitics, Год журнала: 2023, Номер 29(2), С. 714 - 740

Опубликована: Янв. 2, 2023

In contrast to the increasingly repressive migration policies at national and supranational scales, new pro-migrant policies, networks, practices of support have been initiated local scale. numerous European municipalities, political visions concrete experiences inclusive approaches in field emerged recent years that combine questions right global freedom movement social rights. While studies examined these "politics scale" scale-making level different places, this forum aims further debates by reflecting entanglement movements civil society organisations with municipalities across Europe bringing analyses diverse initiatives into discussion. We therefore examine practices, relations institutions politics re-negotiate bypass borders but also create boundaries processes. With multidisciplinary forum, we aim advancing empirical analysis as well theoretical wider geopolitics. Each contribution deals a case challenges emerge contexts – focusing on "host societies" Austria, Belgium, Denmark, Germany analytical concepts are key understanding cases linking them broader societal structures dynamics.

Язык: Английский

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Barriers to and Recommendations for Equitable Access to Healthcare for Migrants and Refugees in Aotearoa, New Zealand: An Integrative Review

Journal of Immigrant and Minority Health, Год журнала: 2023, Номер 26(1), С. 164 - 180

Опубликована: Сен. 4, 2023

The health system in Aotearoa New Zealand is predicated on equity access to services as a fundamental objective yet barriers equitable for migrant and refugees continue exist. There paucity of studies that synthesise the experiences realities migrants, healthcare providers hinder provide recommendations improve services. This review synthesised these recommendations, with an aim migrants refugees. An integrative 13 peer-reviewed research from EBSCOhost databases published between January 2016 September 2022. Studies included: (i) related Aotearoa; (ii) had focus delivery refugees; (iii) full English text available. PRISMA framework guided reporting review. findings were thematically analysed presented using narrative empirical synthesis. organised into three broad themes: attitudinal barriers, structural recommendations. Attitudinal included lack culturally competent providers, discrimination by personal, social, cultural attributes. Structural referred policies frameworks regulated accessibility such cost healthcare, acceptability interpreter services, length allocated appointments long waiting times appointment, difficulties navigating system, logistical barriers. Recommendations focused promoting sense belonging, enabling whole-of-society approach brings together all sectors involved providing care collective impact, advocating government create addresses core service needs. provides rich context-specific proposed interventions enhance outcomes Aotearoa. contributes relevant policy decisions has practical implications build responsive systems which are inclusive, best address needs populations diverse backgrounds.

Язык: Английский

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Stakeholder participation in the COVID-19 pandemic preparedness and response plans: A synthesis of findings from 70 countries

Health Policy, Год журнала: 2024, Номер 142, С. 105013 - 105013

Опубликована: Фев. 8, 2024

Stakeholder participation is a key component of fair and equitable priority-setting in health. The COVID-19 pandemic highlighted the need for priority setting, hence, stakeholder participation. To date, there limited literature on development plans (including setting plans) that were rapidly developed during pandemic. Drawing global study national preparedness response plans, we present secondary analysis from 70 countries six WHO regions, focusing We found most prepared by Ministry Health acknowledged guidance, however less than half mentioned additional stakeholders involved. Few described strategy and/or accounted public plan preparation. However, diverse multiple governmental, non-governmental, international organizations) proposed to participate implementation plans. Overall, was lack transparency about who participated decision-making evidence meaningful community, including marginalized groups. critical relevance requires governments develop strategies pandemics such as COVID-19, routine healthcare setting.

Язык: Английский

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Barriers and drivers to COVID-19 protective behaviours of Forcibly Displaced Myanmar Nationals (FDMN)/ Rohingya refugees in Cox's Bazar, Bangladesh: A scoping review

Journal of Migration and Health, Год журнала: 2025, Номер 11, С. 100295 - 100295

Опубликована: Янв. 1, 2025

About 900.000 Forcibly Displaced Myanmar Nationals (FDMN)/ Rohingya refugees live in makeshift camps Cox's Bazar, Bangladesh. During the COVID-19 pandemic, protective behaviors were particularly important this setting of previous severe infectious disease outbreaks. To identify barriers, drivers and interventions for those behaviors, a scoping review MEDLINE, Embase, Web Science, Global Health grey literature was conducted October 2021 updated June 2024. The modified Capability-Opportunity-Motivation-Behavior (COM-B) framework Behavior Change Wheel used to organize available evidence. A total 4014 (3654 2021, 360 2024) records reviewed 51 (38 13 articles included. Articles reported on (as general concept), handwashing, social distancing, isolation/quarantine, mask wearing, testing, treatment vaccination. Barriers these spanned all four COM factors reflecting both individual environmental influences. Most frequently cited barriers found motivation (e.g. belief, fear, trust) physical opportunity information, camp environment) factors. Gaps evidence views health service providers, differences between population groups. focused education or training campaigns, community engagement) restructuring increased provision WASH facilities, isolation centres). recommendations interventions. There some implementation but little evaluation. This identified complex inter-related many address these. Addressing above-mentioned gaps would assist future development effective targeted interventions, tailored needs specific

Язык: Английский

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Spreading of SARS-CoV-2 among adult asylum seekers in refugee community shelters in Lübeck, Germany between 2020 and 2022: a mixed-cohort observational and repeated cross-sectional study

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Апрель 7, 2025

Abstract Introduction Housing and access to healthcare pose particular challenges asylum seekers refugees. The main study aim was assess their frequency of SARS-CoV-2 infection during the COVID-19 pandemic. Methods We provide a prospective on cases among adult seekers/refugees in Europe over 18 months. Acute antibody titers were determined refugees living shared accommodation Lübeck, Germany, fall 2020 (TP1) spring 2021 (TP2) compared results from local population-based cohort. In 2022 (TP3), we two years into pandemic one year vaccination. At TP3, additionally included third cohort recently arrived Ukraine. Results all three time points, detected marked increase refugee community shelters control group. Age, sex, or facility equipment did not impact results. Refugees with own children shelter significantly more often infected than those without. None PCR-positive at TP1 TP2 aware infection. One later, awareness having had an still much lower Only 32.9% willing be vaccinated 85.5% population beginning vaccination period. However, 90% same later. Among newly Ukraine, uncertainty towards increased group residing Conclusion accommodations represent vulnerable for transmission. This vulnerability does diminish time. Initial doubts regarding are higher While this reservation can overcome, work is paramount has start anew any new wave.

Язык: Английский

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Pregnant women’s concern toward COVID-19 in Iraqi camps: differences between IDPs and refugees. A cross-sectional study

International Journal of Migration Health and Social Care, Год журнала: 2025, Номер unknown

Опубликована: Янв. 23, 2025

Purpose During the COVID-19 pandemic, there was growing concern about health status of vulnerable groups living in camps. This study aims to investigate differences perception and concerns pregnant women pandemic between two populations, i.e. internally displaced people (IDPs) refugees. In fact, although categories are often conflated, analysis their respective profiles requires more careful attention. Particularly Iraqi Kurdistan, these migrants have specific characteristics that this highlight. Design/methodology/approach A cross-sectional conducted on a sample 4,736 camps Kurdistan. Participants were asked questions self-perceived disadvantages COVID-19. Findings IDP concerned infection [odds ratio (OR) = 2.59; CI: 2.29–2.92] afraid visit centers (OR 3.79; 3.36–4.28), with reduction visits 0.76; 0.68–0.86). The main psychological pressure changes services available On contrary, refugee reported lockdown as one most negative effects, together economic situation unemployment. Originality/value Studies investigating generally underrepresented global research. shows needs IDPs refugees different, contextual, even when appear similar backgrounds. Tailored interventions, according type hosted camps, needed, especially during pandemic. Community volunteers can play paramount role supporting continuity care for populations.

Язык: Английский

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COVID-19 epidemiology and changes in health service utilization in Uganda’s refugee settlements during the first year of the pandemic

BMC Public Health, Год журнала: 2022, Номер 22(1)

Опубликована: Окт. 17, 2022

Abstract Background The COVID-19 pandemic has been characterized by multiple waves with varying rates of transmission affecting countries at different times and magnitudes. Forced displacement settings were considered particularly risk due to pre-existing vulnerabilities. Yet, the effects in refugee are not well understood. In this study, we report on epidemiology cases Uganda’s settlement regions West Nile, Center South, evaluate how health service utilization changed during first year pandemic. Methods We calculate descriptive statistics, testing rates, incidence UNHCR’s line list adjusted odds ratios for selected outcomes. changes services using monthly routine data from information system (January 2017 March 2021) apply interrupted time series analysis a generalized additive model negative binomial distribution, accounting long-term trends seasonality, reporting results as rate ratios. Findings case was registered Uganda 20, 2020, among refugees two months later May 22, 2020 Adjumani settlement. Incidence higher national level general population compared region overall. Testing capacity settlements lower level. Characteristics seem align global COVID-19. Only hospitalization than globally reported. indirect outcomes appear quite consistent across regions. Maternal child preventative have less affected consultations acute conditions. All reported decrease respiratory tract infections. Interpretation seemed average, but so capacity. Disruptions limited, mainly This focusing pandemic, warrants follow-up research investigate susceptibility evolved over time, whether could be maintained.

Язык: Английский

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Variations in COVID-19 Vaccine Attitudes and Acceptance among Refugees and Lebanese Nationals Pre- and Post-Vaccine Rollout in Lebanon

Vaccines, Год журнала: 2022, Номер 10(9), С. 1533 - 1533

Опубликована: Сен. 15, 2022

Vaccine hesitancy among displaced populations is associated with inequitable access to services and mistrust of authorities, other factors. This study evaluated variations in attitudes toward COVID-19 vaccines factors vaccine acceptance refugees Lebanese nationals accessing 60 International Medical Corps-supported health facilities through two cross-sectional surveys pre- (n = 3927; Survey 1) post- 4174; 2) rollout. Logistic regression was used assess predictors using the beliefs model. Refugees comprised 52.9% (Survey 54.2% respondents. low both groups 1 (25.9% vs. 23.1% nationals), but higher 2 (57.6%) versus (32.9%). Participants reported greater perceived benefits vaccination, susceptibility, lower vaccination barriers 1. Post-vaccine rollout, had odds compared (OR 0.50, 95%CI 0.41-0.60), while older age 1.37, 1.06-1.78, ≥51 years 18-30 years) acceptance. Health model variables were surveys. Tailored strategies respond dynamically changes vulnerable Lebanon are essential for equitable uptake.

Язык: Английский

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