A systematic literature review on the use and outcomes of maternal and child healthcare services by undocumented migrants in Europe

Jong, L. de; Pavlova, Milena; Winters, Marjolein; Rechel, Bernd

doi:10.1093/eurpub/ckx181

Cited by 55 publications

(69 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As previous studies in the country have shown [7], these women experience unstable employment conditions and di culties accessing health care services due to their irregular status. This situation has been observed in other studies conducted on the immigrant population, con rming the vulnerability of this group [25]. Being pregnant, together with economic di culties and their status as irregular immigrants, hinders their empowerment and places them in a situation of social and emotional dependence on other people and sometimes their partners.…”

Section: Discussionsupporting

confidence: 63%

Gender-based violence and social determinants in undocumented pregnant Venezuelans living in Barranquilla, Colombia: a qualitative approach

Isaza-Arias

Agudelo‐Suárez

Chicangana

et al. 2020

Preprint

View full text Add to dashboard Cite

Background gender-based violence is considered a phenomenon of importance in the field of public health and social sciences. From a social determinants’ perspective, it seems important to study this topic in social groups considered as vulnerable, in order to establish prevention strategies. This study aims to explore the experiences of gender-based violence and its social determinants in a group of undocumented pregnant women in the city of Barranquilla, Colombia.Methods qualitative study based on 15 semi-structured interviews with undocumented pregnant Venezuelans residing in the district of Barranquilla. The interview guide included various dimensions in order to discover the opinions and experiences of each participant related to their migration process, their health during pregnancy, experiences of gender-based violence, individual and institutional responses to violence and, lastly, the health care they have received in Colombia. Narrative contents analysis was carried out by means of emergent categories from the perspective of the interviewed women. Ethical considerations for gender-based violence studies were taking into consideration.Results interviewed women migrated from Venezuela to Barranquilla in Colombia motivated to improve their quality of life and for their families. In the adaptation process, some women reported having been victims of physical, psychological, sexual and economic violence, which can be associated with their vulnerability conditions related to their pregnancy and motherhood, economic dependency, lack of networks of support and insecurity of the sectors in which they resided. This situation affected their physical, mental and psychosocial health.Conclusion immigrant pregnant women in Barranquilla are in an especial situation of social vulnerability considering their experiences about gender-based violence, and its social determinants related to the migratory process and their adaptations to the Colombian territory.

show abstract

Section: Discussionsupporting

confidence: 63%

Gender-based violence and social determinants in undocumented pregnant Venezuelans living in Barranquilla, Colombia: a qualitative approach

Isaza-Arias

Agudelo‐Suárez

Chicangana

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The health of migrant children depends on their health status before their journey, the conditions during their journey and various forms of the trauma they may experience including war, violence, separation from their family, and exploitation. 1,10 Although the UN gathered in New York for a summit (on September 19, 2016) to agree on a "coordinated and humane approach" to the migrant and refugee issue, the truth is that migrants experience violent events such as physical violence by authorities in 13% of the cases, bad treatment by smugglers in 11%, kidnapping in 6%, and violence by the community in 5% of the cases. 6,11 In this study, no migrant ever reported violence as a trauma cause; however, due to their living conditions and their mistrustful relations toward authorities, in our opinion, violence cannot be ruled out with certainty.…”

Section: Discussionmentioning

confidence: 99%

Child Migrant Health: The Role of Pediatric Surgery in the Migrants' Route across Balkan Countries to North-West Europe

et al. 2018

View full text Add to dashboard Cite

Introduction Child migrants are the most vulnerable population, prone to various health conditions due to trauma and the bad living conditions that they experience during their migration. The objective of this study was to determine the pediatric surgical conditions of migrant children treated in our hospital on their way toward North-West Europe. Materials and Methods A retrospective analysis was performed on all admitted migrants in one tertiary and one secondary level hospital from 2016 to 2018. Only migrant children with surgical issues who had been hospitalized or treated in outpatient clinics were included in the study. Results There were 47 migrants admitted to hospitals and outpatient clinics; 32 from Afghanistan, 11 from Iraq, 1 from Syria, 2 from Iran, and 1 from Algeria. There were 27 boys and 20 girls, average age 7.96 years (range: 3 months–17 years). The average length of hospitalization was 14.1 days (range: 1–48), and average stay in the intensive care unit (ICU) was 7.4 days (range: 1–15). There were 29 migrants treated in outpatient clinics, and 18 were hospitalized. The cause of seeking surgical treatment was trauma in 33 and non-traumatic surgical problems in 14. The most common types of trauma were isolated fractures which occurred in one, followed by isolated head injury in eight. Polytrauma occurred in five. A lethal outcome occurred in one 9-year-old boy from Afghanistan due to severe polytrauma. Conclusion Trauma, predominantly fractures and head injuries, was the leading cause of morbidity in migrant children treated in these two hospitals.

show abstract

“…Internationally care affordability has been identified as a challenge for undocumented pregnant mothers in countries that do not provide free care to this group [22]. Women in most of…”

Section: Other Factorsmentioning

confidence: 99%

Choosing where to give birth: Factors influencing migrant women’s decision making in two regions of Thailand

et al. 2020

View full text Add to dashboard Cite

Background Choosing where to give birth can be a matter of life and death for both mother and child. Migrants, registered or unregistered, may face different choices and challenges than nonmigrants. Despite this, previous research on the factors migrant women consider when deciding where to give birth is very limited. This paper addresses this gap by examining women's decision making in a respective border and urban locale in Thailand. Methods We held focus group discussions [13] with 72 non-Thai pregnant migrant women at nongovernment clinics in a rural border area and at two hospitals in Chiang Mai, a large city in Northern Thailand in 2018. We asked women where they will go to give birth and to explain the factors that influenced their decision. Results Women identified getting the relevant documentation necessary to register their child's birth, safe birth and medical advice/quality care, as the top three factors that influenced their care seeking decision making. Language of service, free or low cost care, language of services, proximity to home, and limited alternate options for care were also identified as important considerations. Conclusion Understanding factors that migrant women value when choosing where to deliver can help health care providers to create services that are responsive to migrants' preferences and encourage provision of relevant information which may influence patient decision making.

show abstract

A systematic literature review on the use and outcomes of maternal and child healthcare services by undocumented migrants in Europe

Abstract: Despite major methodological differences between included studies, the results of this review indicate that the status of undocumented migrants exacerbates known health risks and hampers service use.

Cited by 55 publications

References 26 publications

Gender-based violence and social determinants in undocumented pregnant Venezuelans living in Barranquilla, Colombia: a qualitative approach

Gender-based violence and social determinants in undocumented pregnant Venezuelans living in Barranquilla, Colombia: a qualitative approach

Child Migrant Health: The Role of Pediatric Surgery in the Migrants' Route across Balkan Countries to North-West Europe

Choosing where to give birth: Factors influencing migrant women’s decision making in two regions of Thailand

Contact Info

Product

Resources

About