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 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 Walking a tightrope between policy and scholarship: reflections on integration principles in a hostile environment(Taylor and Francis Group, 2024-07-26) Phillimore, Jenny; Morrice, Linda; Strang, AlisonThe term ‘integration’ has received considerable academic attention, much of it critical. Yet it continues to be widely used in policy and practice to capture the processes of change that occur following migration from one country to another. In an environment of increasing hostility and anti-migrant sentiment, we outline the process of working with the UK Home Office and a wide range of stakeholders to revise the original Home Office Indicators of Integration framework [Ager and Strang (2008). “Understanding Integration: A Conceptual Framework.” Journal of Refugee Studies 21: 166–191]. We directly engage with some of the key criticisms of integration by offering four core, co-developed principles: shared responsibility, context, multi-dimensionality and multi-directionality. We believe these principles cut through the institutional cultural bias of policymakers and offer a new framework for thinking about integration policy, practice and scholarship. Our work underlines the importance of scholars taking the opportunity to engage with policy and to present scientific evidence as a mechanism to confront hostile immigration practices and address the social injustices that usually accompany migration.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 “I just try my best to make them happy”: the role of intra-familial relationships of care in the integration of reunited refugee families(Frontiers Media S.A., 2023-09-27) Baillot, HelenMigration through managed routes such as spousal and work visas has been conceptualized as being a pragmatic choice driven by the needs of families rather than individuals. In contrast, studies of refugee integration post-migration have tended to analyse integration processes through the perspective of the individual rather than through a family lens. Drawing from data collection using a social connections mapping tool methodology with recently reunited refugee families supported by a third sector integration service in the UK, in this paper the author makes a valuable contribution to addressing this theoretical gap. The author explores the ambivalent ways in which family relationships, and the care that flows between family members, influence emotional, and practical aspects of refugees' integration. Empirically the inclusion of accounts from people occupying different positions within their families, including from children, adds depth to our understanding of integration from a refugee perspective. Conceptually, the paper argues that a focus on familial relationships of care re-positions refugees not as passive recipients of care, but active and agentive subjects who offer care to others. The paper ends with a call for integration to be understood in a family way that fully encompasses the opportunities and limitations offered by familial care.Item Participation by conflict-affected and forcibly displaced communities in humanitarian healthcare responses: A systematic review(Elsevier, 2020-12-09) Rass, Ella; Lokot, Michelle; Brown, Felicity L; Fuhr, Daniela C; Asmar, Michèle Kosremelli; Smith, James; McKee, Martin; Bou-Orm, Ibrahim; Yeretzian, Joumana Stephan; Roberts, BayardBackground Community participation in health responses in humanitarian crises is increasingly promoted by humanitarian actors to support adoption of measures that are relevant and effective to local needs. Our aim was to understand the role of community participation in humanitarian health responses for conflict-affected populations (including forcibly displaced populations) in low- and middle-income countries and the barriers and facilitators to community participation in healthcare responses. Methods Using a systematic review methodology, following the PRISMA protocol, we searched four bibliographic databases for publications reporting peer-reviewed primary research. Studies were selected if they reported how conflict-affected populations were involved in healthcare responses in low- and middle-income settings, and associated changes in healthcare responses or health outcomes. We applied descriptive thematic synthesis and assessed study quality using study design-specific appraisal tools. Results Of 18,247 records identified through the database searching, 18 studies met our inclusion criteria. Various types of community participation were observed, with participation mostly involved in implementing interventions rather than framing problems or designing solutions. Most studies on community participation focused on changes in health services (access, utilisation, quality), community acceptability and awareness, and ownership and sustainability. Key barriers and facilitators to community participation included political will at national and local level, ongoing armed conflict, financial and economic factors, socio-cultural dynamics of communities, design of humanitarian responses, health system factors, and health knowledge and beliefs. Included studies were of mixed quality and the overall strength of evidence was weak. More generally there was limited critical engagement with concepts of participation. Conclusion This review highlights the need for more research on more meaningful community participation in healthcare responses in conflict-affected communities, particularly in framing problems and creating solutions. More robust research is also required linking community participation with longer-term individual and health system outcomes, and that critically engages in constructs of community participation.Item Understanding the resilience of health systems(Springer, 2020-02-26) Blanchet, Karl; Diaconu, Karin; Witter, Sophie; Bozorgmehr, Kayvan; Roberts, Bayard; Razum, Oliver; Biddle, LouiseGlobally, displacement is now at the highest level ever recorded with 68.5 million people being forcibly displaced due to violence, political instability or poor economic conditions. Migration towards neighbouring countries or more distant high-income settings in Europe is creating new challenges for national health systems. This chapter explores health systems resilience, i.e. the capacity of health systems to adapt and transform themselves in response to challenges. We offer reflections and a new conceptual framework on resilience based on systems thinking and complexity theories. The chapter also offers examples of migration-related challenges and resilience responses in health systems and policies in order to illustrate the utility and relevance of the developed conceptual framework for European and neighbouring health systems faced by population flows and conflict. Finally, we make recommendations for a new research agenda.