The Institute for Global Health and Development
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/9
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Item Care as Resistance, Care as Agency, Care as a Burden: A Relational Exploration of the Impact of Giving and Receiving Care on Refugees’ Lives(Oxford University Press, 2025-09-23) Baillot, Helen; Vera Espinoza, Marcia; Yurdakul, G.; Beaman, J.; Mügge, L.; Scuzzarello, S.; Sunanta, S.This chapter discusses the multidimensionality and multidirectionality of care and its impact upon refugees’ pathways toward inclusion. Drawing on qualitative data collected during workshops and interviews with 55 recently recognized refugees in Scotland, the chapter explores how care in multiple forms is experienced, given, and negotiated. The chapter draws from ideas around care that conceptualize it as a means to resist restrictive government policies, as an expression of agency within familial and social contexts, and as a burden that affects people differentially as they seek to rebuild lives in new country contexts. In exploring the multiple dimensions and directions of care and the ways it intersects with gender and immigration status, among other social locations, we highlight conceptual and empirical parallels between care and integration. One, the text suggests, should not be understood without full consideration of the other. The chapter concludes by calling for care to be accorded a greater importance in explorations of refugees’ integration experiences, in ways that fully encompass care’s potentialities and limitations for the people who provide and receive it.Item Refugee integration in national health systems of low- and middle-income countries (LMICs): evidence synthesis and future research agenda(Elsevier, 2025-09-12) Olabi, Amina; Palmer, Natasha; Bertone, Maria Paola; Loffreda, Giulia; Bou-Orm, Ibrahim; Sempé, Lucas; Vera Espinoza, Marcia; Dakessian, Arek; Kadetz, Paul; Ager, Alastair; Witter, SophieThis paper reviews evidence on healthcare responses for refugees, documenting the different approaches and their effectiveness and impact in particular in relation to supporting integrating refugees into national health systems. The review adopted a purposeful, iterative approach, utilizing electronic databases, grey literature, and reference lists from relevant studies. A total of 167 studies, primarily from low- and middle-income countries (LMICs), focusing on refugees and forcibly displaced persons with empirical data, were included. The review highlights a substantial literature on refugee health and healthcare access, with well-covered areas including delivery models, access barriers, gaps in coverage, and specific health services such as psychosocial care, non-communicable diseases, mental health, and maternal and child health. However, less attention is given to integration models, health system responses, and their impact on system resilience and social cohesion. Few studies examine the costs, feasibility, or sustainability of integration models, and little research focuses on health system perspectives or comparative analyses. Moreover, the host health system's status, capacity, and needs are often underexplored. Some countries are particularly well-represented in studies, e.g. Turkey, Jordan, Lebanon, Bangladesh, Democratic Republic of Congo (DRC), and Uganda. There is however a paucity of data that would provide the basis for more quantitative or analytical evaluation from a systems perspective. This gap highlights the need for further research on effective integration models, their operational aspects, and their long-term impact on local health systems' resilience and sustainability. To support this research agenda, we propose a conceptual framework to provide analytic guidance for future research on healthcare responses for refugees and health system integration.Item International migration and displacement(Routledge, 2025-03-25) Vera Espinoza, Marcia; Reyes Muñoz, Vania; Halvorsen, SamThis chapter explores key dynamics of the geographies of international mobility in Latin America. By focusing on the different spaces in which mobility is produced, experienced and managed, this chapter provides an overview of international migration dynamics in the region. Drawing on examples of regional migration, the chapter examines the dynamics of mobility, including stages, drivers (socioeconomic, conflict, persecution, survival, climate change, etc.) and patterns (intra-regional, forced migration, feminisation of migration and care chains) of migration in Latin America, and then explores the experiences of those who migrate in relation to bordering practices. The chapter briefly discusses, and provides examples of, the management and governance of migration in the region, and then discusses the experiences of resilience and processes of migrant inclusion and resistance.Item Editorial: Exploring the links between social connections, care and integration(Frontiers Media, 2024-10-08) Vera Espinoza, Marcia; Dakessian, Arek; Boeyink, ClaytonItem Migrants’ entangled socio-political and biological lives during the COVID-19 emergency in Brazil(Taylor and Francis Group, 2024-09-04) Castro, Flávia Rodrigues; Zapata, Gisela P.; Vera Espinoza, Marcia;For migrants in Brazil, the COVID-19 global health crisis meant a considerable worsening of living conditions, with increased basic material needs. The reduction of individuals' existence to the mere search for survival had important repercussions on the activities of Civil Society Organisations (CSOs) in the country, whose work became increasingly focused on the distribution of emergency assistance for these populations. Drawing on 25 interviews with actors from CSOs, this paper unpacks the entanglement between the political and the biological aspects of migrants' lives. It argues that the pandemic brought to the fore the prominence of biological life to the detriment of migrants’ political and social lives in humanitarian responses to the health crisis. In this context, CSOs working with migrant populations in Brazil were pushed to reaffirm this dichotomy, while also contesting and reminding us that the impoverishment of migrants’ political and social lives can endanger the biological life that they meant to prioritise.Item Migration Governance in South America: Change and Continuity in Times of “Crisis”(Springer, 2023-12-28) Vera Espinoza, Marcia; Crawley, Heaven; Teye, Joseph KofiThis chapter provides an overview of recent South America migration governance. Recent migration dynamics in South America have been marked by intra-regional and extra-regional mobility patterns. While such intra-regional movements have had as their destination mainly countries of the Southern Cone—such as Argentina, Chile and Brazil—recent mobility has also changed migration patterns in countries such as Peru, Colombia and Ecuador. In particular, the exodus of more than seven million Venezuelans has led to significant changes in migration flows and policies in the region. This chapter reflects on the changes in migration governance in South America in the last decade, and how it has been framed and justified through the lens of “multiple crises”. The chapter argues that South America has been developing a patchwork approach to migration governance, characterised by fragmented and reactive measures, with practices that evidence both continuity and change. The development of this approach is leading to more control, the criminalisation of migration, increased migrant irregularity and less protection for people on the move.Item The Role of Social Connections, Time and Place in Refugees’ Pathways to Inclusion: Final Report 2020 - 2023(Queen Margaret University, 2023-12) Kerlaff, Leyla; Baillot, Helen; Palombo, Gianluca; Fernandes, Marcus; Vera Espinoza, Marciahis report outlines overall findings from the ABM3 New Scots: A Pathway to Social and Economic Inclusion Project which was funded by the Asylum Migration Integration Fund (AMIF) and delivered in three phases from October 2020 to December 2023. Here we focus on the third and final phase of the research conducted in 2023 while drawing on learning from Phase 1 (see Baillot et al., 2022) and from Phase 2 (Vidal and Palombo, 2022). More in-depth information is also available in our academic publications (see Käkelä et al., 2023; Vera Espinoza et al., 2023) and our interim reports. The three phases of the project and their respective aims are represented in the Timeline at figure 1. The ABM3 New Scots: Pathways to Social and Economic Inclusion Project is a partnership between researchers based at Queen Margaret University’s Institute for Global Health and Development and three third sector organisations who deliver specialist services: Scottish Refugee Council (integration planning), Workers’ Educational Association (English language assessment and learning) and Bridges Programmes (employability support). These practice partners have engaged with the research team to facilitate data collection, interpret findings and share mutual learning. The research component of the ABM3 project has explored the following research questions: 1. What is the role of social connections in refugees’ pathways to social and economic inclusion? 2. What meaning(s) do refugees ascribe to connections at different stages in their pathways? Building on our learning over the first two phases of the project, and to support our partners to adapt to the needs of their growing and changing client group,1 in the third phase we have focused in on the role of time and place in building social connections towards economic and social inclusion. The research team’s objectives for the project extension period were therefore to: • Explore how time and place impact the social connections that support specific means and markers of integration, including housing and employability; • Analyse the role of place in facilitating social connections between more recently arrived refugee people and more established residents in Scottish Local Authority (LA) areas; and • Discuss the contribution of AMIF partners to participants’ integration journeys. Names used in this report are all pseudonyms, to protect the identity and confidentiality of our participants.Item The shifting grammar of durable solutions in Latin America(Edward Elgar, 2023) Vera Espinoza, Marcia; Jacobsen, Karen; Majidi, NassimItem Weakening Practices Amidst Progressive Laws: Refugee Governance in Latin America during COVID-19(Taylor and Francis Group, 2023-10-05) Zapata, Gisela P.; Gandini, Luciana; Vera Espinoza, Marcia; Prieto Rosas, VictoriaThis paper develops a comparative assessment of the state of asylum in Brazil, Chile, Mexico, and Uruguay. It argues that an accelerated weakening of refugee protection, exacerbated during the pandemic, has taken place across the region. Faced with growing mixed flows, the region’s refugee framework has either been used as an ad hoc regularization mechanism or not been broadly used. Also, pandemic mitigation measures have further weakened access to asylum, through militarization and border closures, and a platitude of deterrence practices. These regressive practices may result in the undermining, abandonment and/or replacement of the region’s widely praised refugee governance.Item Actors, Ideas, and International Influence: Understanding Migration Policy Change in South America(SAGE Publications, 2023-05-01) Brumat, Leiza; Vera Espinoza, MarciaThis article analyzes the role of ideas, domestic actors, and international influences in migration policy change (MPCh) in Argentina, Brazil, and Chile. Building on 67 in-depth interviews with key actors in migration governance, public declarations of government representatives, and relevant legislation, we argue that the increased power of “securitist” actors within national bureaucracies shaped MPCh in all three countries. Between 2015 and 2019, these actors promoted a set of programmatic ideas and policy proposals that linked migration to security issues and distinguished between “good” and “bad” immigrants, emulating Global North countries. This set of ideas resulted in policy change at the country level, but at the same time, national-level policy change coexisted with continuity at the regional level. This article contributes to the literature on migration governance, first, by extending the geographical focus of migration policy studies, which frequently focus on party politics, coalitions, and public opinion, beyond the Global North. Second, we further current explanations of MPCh and policy contradictions by differentiating between continuity and change in programmatic ideas, policy proposals, and public philosophies. Third, we advance the regional migration policy literature by distinguishing between different groups of actors within national bureaucracies and enhancing understanding of these actors’ roles at both the national and international levels. Across its sections, this article shows that policy ideas—where and from whom they come—matter. By unpacking the different types of ideas that influence policy shifts and the actors who promote them, we can better understand apparent contradictions in migration policy.
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