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Article
Publication date: 15 September 2020

Dirk Lafaut and Gily Coene

Undocumented migrants experience major legal constraints in their health-care access. Little is known on how undocumented migrants cope with these limitations in health-care…

Abstract

Purpose

Undocumented migrants experience major legal constraints in their health-care access. Little is known on how undocumented migrants cope with these limitations in health-care access as individuals. The purpose of this study is to explore the coping responses of undocumented migrants when they experience limited health-care access in face-to-face encounters with health-care providers.

Design/methodology/approach

The authors conducted multi-site ethnographic observations and 25 semi-structured in-depth interviews with undocumented migrants in Belgium. They combined the “candidacy model” of health-care access with models from coping literature on racism as a framework. The candidacy model allowed them to understand access to health care as a dynamic and interactive negotiation process between health-care workers and undocumented migrants.

Findings

Responses to impaired health-care access can be divided into four main strategies: (1) individuals can react with a self-protective response withdrawing from seeking further care; (2) they can get around the obstacle; (3) they can influence the health-care worker involved by deploying discursive or performative skills; or (4) they can seek to confront the source of the obstacle.

Research limitations/implications

These findings point to the importance of care relations and social networks, as well as discursive and performative skills of undocumented migrants when negotiating barriers in access to health care.

Originality/value

This study refines the candidacy model by highlighting how individuals respond on a micro-level to shifts towards exclusionary health policies and, by doing so dynamically, change provision of health-care services.

Details

International Journal of Migration, Health and Social Care, vol. 16 no. 3
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 10 June 2021

Ron Bridget T. Vilog and Carlos M. Piocos III

The purpose of this paper is to examine the effects of states’ pandemic responses to the conditions and vulnerabilities of undocumented Filipino migrants in Italy and the UK. It…

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Abstract

Purpose

The purpose of this paper is to examine the effects of states’ pandemic responses to the conditions and vulnerabilities of undocumented Filipino migrants in Italy and the UK. It also explores the role and strategies of migrant organisations in addressing the issues and concerns of undocumented workers.

Design/methodology/approach

Qualitative approaches are used to collect and analyse the narratives of the migrants and migrant organisations. This paper used government reports, policy briefs and documents from international organisations in analysing the socio-political vulnerabilities of undocumented migrants in the context of the global pandemic. In addition, we interviewed leaders of migrant organisations, which are involved in supporting irregular migrants.

Findings

The study reveals that states have exercised a regime of legitimate violence against undocumented workers in Italy and the UK. This regime is imposed not only by the stringent laws and policies that directly and indirectly cause economic, social and even cultural suffering to the migrants but also by the “symbolic violence” manifested in structural and social inequalities, and the exploitative economic order amid the pandemic. Responding to the “regime of fear”, migrant organisations provide immediate relief and “safe spaces” for the undocumented workers.

Originality/value

The paper contributes to the ongoing conversation on state practices in regulating migration by framing the conditions of undocumentation as legal violence that structurally deprives irregular migrants access to health care and human rights amid global health crisis.

Details

International Journal of Human Rights in Healthcare, vol. 14 no. 3
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 9 September 2014

Frida Gullberg and Monne Wihlborg

– The purpose of this paper is to investigate how nurses’ working in emergency health care in Sweden experience their encounter with undocumented migrants.

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Abstract

Purpose

The purpose of this paper is to investigate how nurses’ working in emergency health care in Sweden experience their encounter with undocumented migrants.

Design/methodology/approach

A total of 16 qualitative interviews were conducted and analyzed using a phenomenographic approach, aiming at describing various ways in which nurses experienced undocumentedness.

Findings

The process of assessment involves formal regulations as well as interpersonal features, leading to uncertainty, conflicts and dilemmas when judging such situations. Nurses’ conceptions concerned the undocumented migrantsmigrant status and social existence; second, conflicts in encountering undocumentedness pertaining to an identification systems and judgments and emotional reactions; and thrid, shifts within and between arbitrary boundaries, with unclear conditions for interaction and creative maneuvering.

Research limitations/implications

Further research is needed to develop guidelines or other structures to support nurses who deal with this kind of assessment in their daily work, to reduce ethical dilemmas and the risk of inequitable treatment.

Practical implications

Guidelines to support nurses need to be further debated and discussed and implemented in health care education, as well as in clinical contexts.

Social implications

Increased knowledge and awareness among nurses concerning migrants’ status and rights, might lead to better working conditions for nurses and thus more secure judgments.

Originality/value

Research with a specific focus on emergency nurses’ conceptions of undocumentedness and their strategies for handling the ensuing practical and ethical dilemmas has not been conducted in Sweden before using a qualitative method.

Details

International Journal of Migration, Health and Social Care, vol. 10 no. 3
Type: Research Article
ISSN: 1747-9894

Keywords

Open Access
Article
Publication date: 18 April 2018

Kati Turtiainen

Nation states’ neoliberal policies do not regard asylum seekers and undocumented migrants as deserving of a good life. Social work in welfare states is highly connected to the…

3344

Abstract

Purpose

Nation states’ neoliberal policies do not regard asylum seekers and undocumented migrants as deserving of a good life. Social work in welfare states is highly connected to the policies of nation states. There is a need to address theories in social work that have a transnational focus at the local level. Axel Honneth’s recognition theory enables an approach to forced migration from the direction of personal relations and personhood itself. The core idea is that if people cannot gain recognition, this causes harm to their self-realisation. The purpose of this paper is discuss how the recognition theory overcomes a national focus in social work.

Design/methodology/approach

This paper is theoretical. The relations of recognition are discussed in the context of transnational social work in welfare states with forced migrants.

Findings

The theory of recognition in social work practice with people who do not have a residence permit is best articulated by an understanding of rights concerning all the attributes of the person, i.e. as a needy being, autonomous and particular in a community.

Originality/value

Forced migrants’ backgrounds provide a specific backdrop for misrecognition, which may harm self-relations. The relations of recognition contribute to social work by providing the sensitivity required to evaluate the complexity of views and attitudes that affect the way we encounter service users. The relations of recognition (care, respect and esteem) give normative criteria for communication in order to take another person as a person, which, in turn, contributes to healthy self-relations of forced migrants.

Details

International Journal of Migration, Health and Social Care, vol. 14 no. 2
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 12 November 2020

Isaac Alex Sampson, Glenn Michael Miles and Eliza Piano

This paper is designed to provide primary research which illuminates both the motivations for Cambodian migration as well as the risks entailed in undertaking migration.

Abstract

Purpose

This paper is designed to provide primary research which illuminates both the motivations for Cambodian migration as well as the risks entailed in undertaking migration.

Design/methodology/approach

This paper gathered its information through a structured interview with 49 respondents aged between 17–29 years of mixed gender. The questionnaire comprised 18 questions in addition to a demographics section. Findings were subsequently analysed in order to extract commonalities amongst the experiences and perceptions of migrants.

Findings

The present research study found that the migration of Cambodians to Thailand is largely forced in the sense that there is a lack of economic opportunities within Cambodia. Of the respondents, 88% indicated that their preference would be to remain in Cambodia. What is more, the authors found that the migration is fraught with insecurity and risk, with a range of security issues faced by respondents including not being paid, being abused and being overworked.

Research limitations/implications

This response group is not a representative sample of Cambodians who work in Thailand. The study’s respondents in Cambodia were at a deportation centre, where migrants caught by Thai authorities worked without documentation, which had a clear impact upon migration experience. Additionally, the study’s respondents in Pattaya, Thailand, were accessed via an associate of a colleague, so this too is not a representative sample of Cambodians working in Thailand.

Practical implications

This can have practical use for a variety of stakeholders by providing quantitative information as well as analysis into the migration of Cambodians to Thailand. Within the Recommendations section, it is illustrated how a temporary migrant worker programme can be beneficial to the host and receiving countries and individual migrants. Individual migrants can benefit from being employed by legitimate, accountable employers and hence result in higher provision of human rights for this demographic.

Social implications

There is a highly entrenched culture of migration within Cambodia's bordering provinces. Through changes to the personal health, well-being and prosperity of migrants in Thailand because of reduced exploitation and increased pay. Host communities in Cambodia are also likely to receive higher levels of remittances, which can stimulate development in Cambodian communities.

Originality/value

Deepened understanding of the motivations for migration and highlighted lack of desire amongst Cambodians to migrate continue to demonstrate the persistent need for effective and substantial development policies within Cambodia. The proposal of a temporary migrant worker scheme is in its short-term nature and reflects the necessity of this demographic to migrate irrespective of whether they can receive official working papers.

Details

International Journal of Sociology and Social Policy, vol. 41 no. 7/8
Type: Research Article
ISSN: 0144-333X

Keywords

Article
Publication date: 2 July 2018

Gianfrancesco Fiorini, Cesare Cerri, Antonello E. Rigamonti, Silvia Bini, Nicoletta Marazzi, Alessandro Sartorio and Silvano G. Cella

The purpose of this paper is to evaluate gender-related differences in the use of drugs for chronic diseases in undocumented migrants.

Abstract

Purpose

The purpose of this paper is to evaluate gender-related differences in the use of drugs for chronic diseases in undocumented migrants.

Design/methodology/approach

The authors analyzed the databases of two charitable organizations providing medical help and medicines to undocumented migrants. Data were available for 9,822 patients in the period 2014–2016. The authors grouped medicines according to the Anatomical Therapeutic Chemical (ATC) classification. We considered the ATC group as an indicator of a group of diseases.

Findings

Both males and females needed medicines for chronic diseases in a comparable manner. When we analyzed the age distribution, The authors noticed that males showed a tendency to begin to be affected at an earlier age; however, this cumulative difference was not statistically significant. But when we looked at six groups of drugs separately (cardiovascular, respiratory, anti-thrombotic, neurologic, psychiatric, anti-diabetic), the authors found that females always needed drugs for chronic diseases at a later age, always with a significant difference (p<0.0001 for cardiovascular, antithrombotic, antidiabetic and psychoactive drugs; p<0.002 for neurologic products; p<0.04 for drugs used in chronic respiratory conditions).

Research limitations/implications

This is a retrospective study based on the analysis of existing databases, but the peculiar features of this population (undocumented migrants) do not allow at the moment controlled studies.

Practical implications

Our observations could be important when planning public health strategies, especially in the field of prevention.

Originality/value

This is the first report of gender differences in the use of medicines for chronic diseases within a large sample of undocumented migrants.

Details

International Journal of Migration, Health and Social Care, vol. 14 no. 3
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 20 August 2019

Janroj Yilmaz Keles, Eugenia Markova and Rebwar Fatah

Building upon previous studies on the factors shaping undocumented migrants’ experiences on the host labour markets, the purpose of this paper is to expand the theoretical…

Abstract

Purpose

Building upon previous studies on the factors shaping undocumented migrants’ experiences on the host labour markets, the purpose of this paper is to expand the theoretical understanding of labour market participation and ethnic solidarity networks, accounting for the sending context of war and political persecution, and the trajectory to irregularity.

Design/methodology/approach

This paper extends the understanding of the role of ethnic solidarity networks on the labour market participation of migrants with insecure legal status. It draws on data from a questionnaire survey of 178 Iraqi-Kurdish migrants with insecure legal status, four focus groups and ten expert interviews. Working conditions and sectors of employment are explored alongside strategies for accessing work and the role of ethnic solidarity networks.

Findings

The analysis of the data provides strong support for the theoretical expectations outlined above, assuming that the conflict-generated diaspora communities display a very distinct solidarity among its members, embedded in a shared history of conflict, persecution and identity struggles. Ethnic solidarity is put to the ultimate test in times of intensified enforcement of employment and immigration law. It stretches to accommodate the risks that employers take to provide work to their insecure co-ethnics, facing the tangible threat of raids, business closure, defamation and colossal fines, to mention but a few. In this context, the authors have defined “stretched solidarity” as a form of support and resource sharing among certain conflict-generated ethnic groups, embedded not only within a shared history of displacement, collective memory and trauma, and shared culture, language, loyalties, obligations and experiences but also in the “reception context”, which may limit ethnic solidarity through restrictive immigration controls.

Research limitations/implications

The authors recognise the limits of the paper, which are that analysis is mainly based on experiences of the majority of whom were young and male migrants with insecure migration legal status, rather than employers.

Social implications

This paper has identified the social phenomenon of “stretched solidarity” and has set out a model for understanding its embeddedness within conflict-generated diasporic networks. By drawing together research insights and data on Iraqi-Kurdish migrants with insecure legal status, it addressed the central research question how “unauthorised” migrants get access to the segmented labour market at a time of increased in-border controls in the UK.

Originality/value

The paper contributes towards an enhanced understanding of the complex phenomenon of “stretched solidarity” and its role in migrants’ gaining access to and maintaining employment in the host labour market. The notion of “stretched solidarity” developed here provides a platform for identifying a number of emerging areas for further empirical study and policy thinking. This requires advanced research not only into the processes of migrants’ access to the host labour market but also into the role of ethnic networks, resources and structures that enable migrants in precarious situations to survive.

Details

Equality, Diversity and Inclusion: An International Journal, vol. 41 no. 7
Type: Research Article
ISSN: 2040-7149

Keywords

Article
Publication date: 15 August 2011

Charles Watters

This paper aims to first demonstrate the prevalence and methodological and theoretical limitations of approaches oriented towards either migrants entitlement or their access to…

Abstract

Purpose

This paper aims to first demonstrate the prevalence and methodological and theoretical limitations of approaches oriented towards either migrants entitlement or their access to health care; and, second, to demonstrate an alternative approach involving a conceptual and analytical framework that integrates these perspectives as levels of analysis within a holistic model.

Design/methodology/approach

The paper consists of three brief case studies each demonstrating particular difficulties in adopting either policy oriented “entitlement” approaches or practice driven orientations examining migrants access to health care. Each case study will examine briefly an aspect of the policy and legal frameworks within which health care is delivered to immigrants. The studies encompass the phenomenon of “hidden” immigrant children in Sweden, migrants crossing the Spanish border from North Africa, and asylum seekers in the UK.

Findings

The case studies form a basis for presenting an integrated model encompassing a multi‐level framework for examining the health care of migrant populations.

Originality/value

The international applicability of the model is discussed drawing further on the author's work as scientific advisor to the EU on immigrant health and as lead researcher in a four country EU study into refugee health and social care.

Details

International Journal of Migration, Health and Social Care, vol. 7 no. 3
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 9 April 2021

Sarah De Nardi and Melissa Phillips

The purpose of this paper is to draw on data from interviews with six Italian migrant service providers and media stories in Italy and Australia to weave a comparative snapshot of…

Abstract

Purpose

The purpose of this paper is to draw on data from interviews with six Italian migrant service providers and media stories in Italy and Australia to weave a comparative snapshot of the plight of precarious migrant and refugee communities in these two countries during the COVID-19 pandemic.

Design/methodology/approach

The article draws attention to prejudicial shortcomings towards vulnerable migrant communities enacted by the states of Italy and Australia in response to COVID-19.

Findings

While the unequal ecology of the pandemic has flared up the need for the State to strengthen participation and inclusion policies, it has also provided opportunities to foreground the disadvantages vulnerable communities face that also demand policy attention and sustained funding. Governments in migrant-receiving countries like Australia and Italy need to articulate culturally sensitive and inclusive responses that foreground agencies give vulnerable migrants, asylum seekers and refugees clear, supportive messages of solidarity leading to practical solutions.

Originality/value

This paper relays preliminary data from the coalface (migrant service providers) and media as the pandemic evolved in the two countries, whose support mechanisms had never before been critically compared and evaluated through the lens of racial inequality in the face of a health and social crisis.

Details

Equality, Diversity and Inclusion: An International Journal, vol. 41 no. 1
Type: Research Article
ISSN: 2040-7149

Keywords

Article
Publication date: 26 June 2020

Sophie Samyn, Sarah Adeyinka, Sami Zemni and Ilse Derluyn

This study aims to explore and discuss the ethical challenges that the authors encountered in the SWIPSER project, a study about the well-being of West-African women who work in…

Abstract

Purpose

This study aims to explore and discuss the ethical challenges that the authors encountered in the SWIPSER project, a study about the well-being of West-African women who work in the red-light district in Brussels.

Design/methodology/approach

The study was commissioned by the municipality of Schaerbeek and executed by a Nigerian–Belgian research team. Data were collected using a multi-method qualitative approach, predominantly through ethnographic fieldwork that consisted of detailed observations, informal interviews (with 38 participants), complemented by document analysis and stakeholder interviews.

Findings

The study presents the main ethical dilemmas in four themes: (1) representing diversity, i.e. how do we get access to all members of a migrant community that is inherently hierarchical?; (2) in the margin, i.e. how can we conduct research with undocumented migrants and what do we do when faced with violence and injustice?; (3) attraction and repulsion, i.e. what ethical consequences are involved when working in a multi-ethnic research team?; and (4) unveiling secrets, i.e. which ethical challenges are we faced with when presenting the results of research on vulnerable migrant communities?

Originality/value

This study goes beyond procedural research ethics and highlights the specific relational ethics (related to the relation between research(er) and participant) and the socio-political ethics (related to the relation between the research(er) and the socio-political context) involved in qualitative research with female migrants who work in prostitution.

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