Responding to Increasing Health and Social Needs of Unprotected Unaccompanied Minors in Paris in the Context of COVID-19: A Mixed Methods Case Study

Gautier, Lara; Wakap, Stéphanie Nguengang; Verrier, Florian; Miranda, Érica da Silva; Négré, Victoria; Hamza, Jalel; Poveda, Juan-Diego; Bouchon, Magali

doi:10.1080/15562948.2022.2027057

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…Analysis of the migrants’ narratives showed how these negative effects on their social, physical, and psychological well-being converged during the lockdown. Our study findings are consistent with similar studies conducted in France [ 2 , 3 , 41 ]. First, the gap in mental and physical healthcare for migrants only worsened during the lockdown as migrants were cut off from their regular social networks of volunteers and aid workers.…”

Section: Discussionsupporting

confidence: 93%

“…The vaccine rollout added another layer of complexity as the French government was hesitant to offer vaccinations to undocumented migrants [ 42 ]. Aid organizations once again stepped in to fill the gaps in healthcare left by the state, and in July 2021, Médecins Sans Frontières (Doctors Without Borders) began offering vaccines to migrants [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

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“Living in Confinement, Stopped in Time”: Migrant Social Vulnerability, Coping and Health during the COVID-19 Pandemic Lockdown in France

Jesús

Moumni

Sougui

et al. 2022

IJERPH

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The COVID-19 pandemic has exposed health and social inequities among migrant populations. Less empirical evidence exists about the impact of COVID-19 lockdown measures on migrants. This study aimed to investigate the impact of the first lockdown in France between March and May 2020 on migrants’ lives and livelihoods. We adopted a social vulnerability framework to conceptualize how the pandemic and the consequential lockdown in France contributed to a ‘compounded crisis’ for asylum seekers and undocumented migrants. This crisis encompassed health, protection, and socio-economic challenges for migrants and exposed the shortcomings of existing government policies that exclude migrants and do not address the root causes of health inequities. The study draws on in-depth qualitative interviews conducted with 75 asylum seekers and undocumented migrants during the pandemic lockdown in the French regions of Auvergne-Rhône-Alpes and Île-de-France. The findings of this paper highlight the importance of implementing a cohesive pandemic response approach that views health as a fundamental inclusive right for all human beings and all policies as health policies to promote well-being for all.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

“Living in Confinement, Stopped in Time”: Migrant Social Vulnerability, Coping and Health during the COVID-19 Pandemic Lockdown in France

Jesús

Moumni

Sougui

et al. 2022

IJERPH

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“…Unaccompanied minors are a vulnerable population often left unprotected by their host country because they are not considered to be minors. 82 They must negotiate health systems without family support and could be at elevated risk of infection through their vulnerability, dangerous migration routes, and substandard living conditions. 40,82 For example, a 2017-18 study of unaccompanied minors attending a dedicated migrant medical consultation service in Paris, France, showed that 87% had a health problem and 52% had an infectious disease (schistosomiasis [22%], latent tuberculosis infection [22%], intestinal parasitosis [16%], chronic hepatitis B [8%]; median age 15 years [interquartile range 14−16 years]).…”

Section: Barriers To Accessing Preventive Health Services For Migrant...mentioning

confidence: 99%

“…82 They must negotiate health systems without family support and could be at elevated risk of infection through their vulnerability, dangerous migration routes, and substandard living conditions. 40,82 For example, a 2017-18 study of unaccompanied minors attending a dedicated migrant medical consultation service in Paris, France, showed that 87% had a health problem and 52% had an infectious disease (schistosomiasis [22%], latent tuberculosis infection [22%], intestinal parasitosis [16%], chronic hepatitis B [8%]; median age 15 years [interquartile range 14−16 years]). 83 Of 776 unaccompanied minors from highprevalence countries, 8% tested positive for hepatitis B in a 2016-17 cross-sectional study in Germany.…”

Section: Barriers To Accessing Preventive Health Services For Migrant...mentioning

confidence: 99%

Prevention and treatment of infectious diseases in migrants in Europe in the era of universal health coverage

Baggaley

Zenner

Bird

et al. 2022

The Lancet Public Health

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How did support systems in Western countries transform and adapt to meet underserviced and marginalized migrants' needs? A scoping review

Borvil,

Gautier

2022

Alterstice

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Prior studies on the impacts of the COVID-19 pandemic on migrants with precarious immigration status (refugees, asylum seekers, and undocumented migrants who arrived in a host country fewer than five years ago) have shown that they have been disproportionately affected by the pandemic because of their migration and socioeconomic status. Across the world, support systems for these marginalized migrants at local levels had to be reinvented to face the pandemic and ensure continuity of services. The objective of this systematic review was to provide a portrait of the interventions that were set up to address underserviced and marginalized migrants’ needs in Western countries during the pandemic and to categorize them by area of intervention. We identified peer-reviewed papers published in English and French between March 2020 and February 2022 in MEDLINE, Embase, PubMed and Web of Science. We included original research studies, commentaries, essays and editorials. For grey literature, we searched in Google Scholar and the websites of major health organizations and institutions that worked with underserviced and marginalized migrants. We also consulted the articles’ list of references. We included 31 publications: 15 peer-reviewed articles and 16 grey literature documents. Our results indicated that in order to address vulnerable newcomers’ needs, support systems intervened in the following areas: immigration, health and social services; raising awareness about COVID-19, food security, primary and secondary basic needs; and mental health and control of COVID-19 infection in settings with high concentrations of underserviced and marginalized migrants. Selected interventions adopted a collaborative approach between actors in different sectors. Most of the interventions were carried out by community-based organizations. Our scoping review highlights the role of community-based organizations in improving the living conditions of migrants with precarious immigration status during the pandemic and emphasizes the relevance of intersectoral collaboration as a strategy to respond effectively to the needs of underserviced and marginalized migrants in times of crisis.

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Responding to Increasing Health and Social Needs of Unprotected Unaccompanied Minors in Paris in the Context of COVID-19: A Mixed Methods Case Study

Cited by 3 publications

References 12 publications

“Living in Confinement, Stopped in Time”: Migrant Social Vulnerability, Coping and Health during the COVID-19 Pandemic Lockdown in France

“Living in Confinement, Stopped in Time”: Migrant Social Vulnerability, Coping and Health during the COVID-19 Pandemic Lockdown in France

Prevention and treatment of infectious diseases in migrants in Europe in the era of universal health coverage

How did support systems in Western countries transform and adapt to meet underserviced and marginalized migrants' needs? A scoping review

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