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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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    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.
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    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, Victoria
    This 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.
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    Health system governance in settings with conflict-affected populations: a systematic review
    (Oxford University Press, 2022-03-22) Lokot, Michelle; Bou-Orm, Ibrahim; Zreik, Thurayya; Kik, Nour; Fuhr, Daniela C; El Masri, Rozane; Meagher, Kristen; Smith, James; Asmar, Michele Kosremelli; McKee, Martin; Roberts, Bayard
    Health system governance has been recognized as critical to strengthening healthcare responses in settings with conflict-affected populations. The aim of this review was to examine existing evidence on health system governance in settings with conflict-affected populations globally. The specific objectives were (1) to describe the characteristics of the eligible studies; (2) to describe the principles of health system governance; (3) to examine evidence on barriers and facilitators for stronger health system governance; and (4) to analyse the quality of available evidence. A systematic review methodology was used following Preferred Reporting Items for Systematic Review and Meta-Analysis criteria. We searched six academic databases and used grey literature sources. We included papers reporting empirical findings on health system governance among populations affected by armed conflict, including refugees, asylum seekers, internally displaced populations, conflict-affected non-displaced populations and post-conflict populations. Data were analysed according to the study objectives and informed primarily by a governance framework from the literature. Quality appraisal was conducted using an adapted version of the Mixed Methods Appraisal Tool. Of the 6511 papers identified through database searches, 34 studies met eligibility criteria. Few studies provided a theoretical framework or definition for governance. The most frequently identifiable governance principles related to participation and coordination, followed by equity and inclusiveness and intelligence and information. The least frequently identifiable governance principles related to rule of law, ethics and responsiveness. Across studies, the most common facilitators of governance were collaboration between stakeholders, bottom-up and community-based governance structures, inclusive policies and longer-term vision. The most common barriers related to poor coordination, mistrust, lack of a harmonized health response, lack of clarity on stakeholder responsibilities, financial support and donor influence. This review highlights the need for more theoretically informed empirical research on health system governance in settings with conflict-affected populations that draws on existing frameworks for governance.
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    Lessons from refugees: Research ethics in the context of resettlement in South America
    (Berghahn, 2020-06-01) Vera Espinoza, Marcia
    Refugees are the main experts on their own experiences of displacement. They constantly challenge academic research practice and ethical guidelines, as their own lives are under study. This article shares some reflections from research with Colombian and Palestinian resettled refugees in Chile and Brazil, shedding light on refugees’ agency in determining what constitutes safe and ethical research practices.