Impact of Ebola and COVID-19 on maternal, neonatal, and child health care among populations affected by conflicts: a scoping review exploring demand and supply-side barriers and solutions
Conflict and Health,
Год журнала:
2024,
Номер
18(1)
Опубликована: Янв. 30, 2024
Abstract
Introduction
Armed
conflicts
have
a
severe
impact
on
the
health
of
women
and
children.
Global
emergencies
such
as
pandemics
disease
outbreaks
further
exacerbate
challenges
faced
by
vulnerable
populations
in
accessing
maternal,
neonatal,
child
healthcare
(MNCH).
There
is
lack
evidence
that
summarizes
conflict-affected
pregnant
women,
mothers,
children
MNCH
services
during
global
emergencies,
mainly
Ebola
COVID-19
pandemics.
This
scoping
review
aimed
to
analyze
studies
evaluating
addressing
barriers
comprehensive
affected
conflict.
Methods
The
search
was
conducted
PubMed,
Scopus,
Web
Science
databases
using
terms
related
COVID-19,
conflicts,
MNCH.
Original
published
between
1990
2022
were
retrieved.
Articles
MNCH-related
settings
included.
Thematic
analysis
performed
categorize
findings
identify
solutions.
Results
Twenty-nine
met
inclusion
criteria.
Challenges
identified
various
domains,
including
antenatal
care,
intrapartum
postnatal
vaccination,
family
planning,
management
childhood
illnesses.
Ebola-related
supply-side
concerned
accessibility
issues,
workforce
constraints,
adoption
stringent
protocols.
has
resulted
access
pertaining
workforce,
new
service
adoption.
On
demand-side,
Ebola-
COVID-19-related
risks
apprehensions
leading
care.
Community
constraints
utilizing
caused
trust
awareness.
Demand-side
included
fear
disease,
language
barriers,
communication
difficulties.
Strategies
partnerships,
strengthening
systems,
innovation,
community-based
initiatives
been
employed
overcome
these
barriers.
Conclusion
amplify
populations.
Cultural,
linguistic,
factors
are
key
affecting
domains.
Community-sensitive
enhancing
primary
care
(PHC),
mobile
clinics,
or
outreach
programs,
integration
into
PHC
delivery
should
be
implemented.
Efforts
prioritize
well-being
empowerment
Addressing
crucial
for
achieving
universal
coverage
Sustainable
Development
Goals.
Язык: Английский
“Emotional stress is more detrimental than the virus itself”: A qualitative study to understand HIV testing and pre‐exposure prophylaxis (PrEP) use among internal migrant men in South Africa
Journal of the International AIDS Society,
Год журнала:
2024,
Номер
27(3)
Опубликована: Март 1, 2024
Abstract
Introduction
South
Africa
has
one
of
the
highest
rates
internal
migration
on
continent,
largely
comprised
men
seeking
labour
in
urban
centres.
African
who
move
within
country
(internal
migrants)
are
at
higher
risk
than
non‐migrant
acquiring
HIV
yet
less
likely
to
test
or
use
pre‐exposure
prophylaxis
(PrEP).
However,
little
is
known
about
mechanisms
that
link
and
challenges
engaging
services.
Methods
We
recruited
30
migrant
(born
outside
Gauteng
Province)
during
August
2022
for
in‐depth
qualitative
interviews
two
sites
Johannesburg
(Gauteng)
where
migrants
may
gather,
a
factories
workplace
homeless
shelter.
Interviewers
used
open‐ended
questions,
based
Theory
Triadic
Influence,
explore
experiences
with
testing
and/or
PrEP.
A
mixed
deductive
inductive
content
analytic
approach
was
review
data
explain
why
participants
not
these
Results
Migrant
come
find
work,
but
unreliable
income,
daily
stress
time
constraints
limit
their
availability
seek
health
While
awareness
high,
fear
positive
diagnosis
often
overshadows
benefits.
In
addition,
many
lack
knowledge
opportunity
PrEP
should
they
negative,
though
express
interest
medication
after
learning
it.
Additionally,
struggle
adjusting
life,
social
support
potential
stigma.
Finally,
necessity
prioritize
work
combined
long
wait
times
clinics
further
restricts
access
Despite
challenges,
also
presents
opportunities
services
men,
such
as
greater
anonymity
information
city
compared
rural
homes
origin.
Conclusions
Bringing
community
ease
burden
accessing
Including
counselling
alongside
encourage
test,
particularly
if
integrated
into
livelihood
coping
strategies,
well
navigating
Johannesburg.
Язык: Английский
Uncovering multi-level mental healthcare barriers for migrants: a qualitative analysis across China, Germany, Netherlands, Romania, and South Africa
BMC Public Health,
Год журнала:
2024,
Номер
24(1)
Опубликована: Июнь 14, 2024
Forced
displacement
is
a
significant
issue
globally,
and
it
affected
112
million
people
in
2022.
Many
of
these
have
found
refuge
low-
middle-income
countries.
Migrants
refugees
face
complex
specialized
health
challenges,
particularly
the
area
mental
health.
This
study
aims
to
provide
an
in-depth
qualitative
assessment
multi-level
barriers
that
migrants
accessing
services
Germany,
Macao
(Special
Administrative
Region
China),
Netherlands,
Romania,
South
Africa.
The
ultimate
objective
inform
tailored
policy
management
practices
for
this
vulnerable
population.
Язык: Английский
Beyond medical xenophobia: Congolese and Somali refugees’ struggles, perceptions and responses to the COVID-19 pandemic in South Africa
Medical Humanities,
Год журнала:
2025,
Номер
unknown, С. medhum - 013172
Опубликована: Март 24, 2025
The
COVID-19
pandemic
was
an
unprecedented
crisis
characterised
by
widespread
disruption
and
significant
loss
of
life.
Governments
worldwide
responded
with
a
myriad
containment
measures
aimed
at
curbing
the
spread
this
deadly
virus.
In
South
Africa,
nation
accommodating
migrants
from
diverse
backgrounds,
mitigation
protocols
were
authorised
but
met
criticism
not
limited
to
local
citizens.
Cross-border
decried
these
as
manifestations
medical
xenophobia
'migrantcide',
engendering
reluctance
among
many,
particularly
migrants,
seek
treatment
public
healthcare
facilities.
This
article
delves
into
perspectives
beliefs
Congolese
Somali
asylum
seekers
refugees
living
in
particular
emphasis
on
their
perceptions
within
immigration
landscape
often
fraught
hostility.
central
argument
posits
that
animosity
state
negligence
time
socioeconomic
difficulty
exacerbated
migrants'
misconceptions
regarding
COVID-19,
contributing
hesitancy
using
African
facilities
during
pandemic.
profound
deficit
trust
between
practitioners,
stemming
inadequate
communication
channels,
further
exacerbates
existing
tensions
mistrust.
Based
extensive
fieldwork
conducted
2021
communities
Yeoville
Mayfair—two
suburbs
Johannesburg,
Africa
populated
migrants—this
paper
explores
various
meanings,
surrounding
It
examines
how
factors
contributed
rising
anxiety
fear,
well
responses
adopted
address
disease.
migrant
groups
assistance
led
them
explore
alternative
means
managing
symptoms.
While
some
approaches
occasionally
yielded
positive
outcomes,
they
fell
short
achieving
desired
results,
potentially
resulting
increased
number
infections
fatalities
remained
untested
unreported.
Язык: Английский
Forgotten and ignored: making digital health work for migrant population in Africa
Oxford Open Digital Health,
Год журнала:
2024,
Номер
2
Опубликована: Янв. 1, 2024
The
African
continent
has
experienced
an
alarming
increase
in
forcibly
displaced
individuals,
driven
by
socio-political
conflict,
economic
instability
and
climate-induced
calamities.
urgent
need
for
contextualized
adaptable
health
solutions
the
face
of
ongoing
conflicts
crises
underscores
importance
harnessing
digital
innovations
while
ensuring
inclusivity
equity
all.
This
commentary
explores
potential
to
address
healthcare
disparities
among
migrant
populations,
examining
barriers
adoption
providing
recommendations
policymakers
stakeholders
promote
improve
access.
While
emerged
as
a
promising
avenue
improving
access,
there
is
also
greater
necessity
tailoring
these
specific
needs
vulnerabilities
target
populations.
Язык: Английский
Coping Resources among Forced Migrants in South Africa: Exploring the Role of Character Strengths in Coping, Adjustment, and Flourishing
International Journal of Environmental Research and Public Health,
Год журнала:
2023,
Номер
21(1), С. 50 - 50
Опубликована: Дек. 29, 2023
This
phenomenological
qualitative
study
explored
how
forced
migrants
in
South
Africa
cope
with
violent,
traumatic
experiences
and
precarious
resettlement
conditions.
Data
came
from
a
larger
empirical
project
examining
migration,
psychological
distress,
coping.
In-depth
interviews
were
conducted
14
refugees
asylum
seekers
(Mage
=
30.27,
SDage
9.27;
male
71.43%)
who
migrated
five
African
countries
to
Durban,
Africa.
Despite
overwhelming
stressors,
participants
described
pathways
transcend
victimhood
hardship
through
engaging
character
strengths
ways
that
promote
post-traumatic
growth.
Qualitative
analysis
revealed
overarching
domains:
spirituality
religiousness,
love
kindness,
hope
optimism,
persistence
fortitude,
gratitude
thankfulness.
Findings
are
framed
within
positive
existential
psychology
dual-factor
understandings
of
mental
health,
which
attend
both
human
suffering
flourishing.
Limitations,
future
research
directions,
clinical
community
implications
discussed,
attention
the
role
adaptive
coping
well-being.
The
intergenerational
transmission
is
as
one
potential
means
buffering
trauma
impacts
promoting
family
Язык: Английский