The aim of this study was to explore undocumented migrant women's subjective experiences of their health conditions and access to health care. The study is based on eight qualitative interviews with undocumented migrant women and eight qualitative interviews with health personnel at a health center for undocumented migrants in Oslo. The women were recruited by self-selection from patients at the health center. Both the women and the health professionals related the women's health problems to their living conditions. Even though all of the women had extremely difficult living situations, their living conditions varied. Some lived in an apartment with a partner. Some had to move among the homes of various friends and had to be out all day while those friends were at work. The women with paid work had more structured daily lives than the others, with living situations that gave them some opportunities for rest and privacy. Domestic work in the black market for labor was associated with health problems due to the heavy and repetitive tasks performed while cleaning private homes. Limited rights to health care, fear of being reported, financial difficulties and poor language skills were mentioned as barriers to health care. These barriers lead to delay in seeking medical care and use of alternative health-seeking strategies. Factors that indirectly affected the health of the women included a lack of knowledge of both their rights and the available services in Norway. The pregnant women were unaware of their right to receive prenatal care.
Objectives: Undocumented migrant children (UMC) are often affected by policies and practices that do not take their best interests into account. The aim of this study was to describe how public health nurses (PHNs) experienced challenges and dilemmas in ensuring the best interests of the undocumented migrant child.Design: This study had a qualitative descriptive design.Sample: Focus group interviews and semi-structured interviews were conducted with seven PHNs in four different child health centers (CHCs).Results: Qualitative content analysis was applied. Three main themes were identified: building trust, ensuring the best interests of the child, and dilemmas and challenges in ensuring the best interests of the child. The study revealed examples of immigration policy being prioritized over the best interests of the child. PHNs experienced frustration when the best interests of the child were not taken into account. Strategies for managing these conflicting demands were identified. Conclusion:Conflicting demands appeared when national immigration policies collided with fundamental human rights and ethical standards. Rules that exclude certain groups are incompatible with PHNs professional ethics. K E Y W O R D Sbest interests of the child, child convention act, public health nursing, undocumented migrant children BACKGROUNDAccording to the World Migrant Report 2020, there are approximately 13 million child refugees, 936,000 asylum-seeking children and 17
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