Search Results (83)

Background: Migrant agricultural workers in Italy often experience social and health vulnerabilities, including unstable housing and limited access to primary care. In Southern Italy, many live in informal settlements and seek care through outreach services. This study describes patterns of pharmacological treatment in this population and examines how they relate to the clinical conditions managed in mobile clinics. Methods: We analyzed routinely collected data from 2928 unique patients (8547 clinical encounters; 8965 treatment occurrences) managed by Doctors with Africa CUAMM mobile clinics in 12 informal settlements in Apulia, Italy, between 2017 and 2026. Diagnoses were grouped into clinical categories, and pharmacological treatments were classified by therapeutic class. We conducted a descriptive analysis of the distribution of diagnostic categories and associated treatments. Results: The population was predominantly male (96.5%), young (81% <45 years), and largely excluded from regular primary care (93.5% without a General Practitioner). Musculoskeletal disorders and fatigue were the leading diagnostic category (34.0%), followed by gastrointestinal (13.5%) and respiratory conditions (13.0%). Non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics were the most frequently recorded treatments (32.6% of treatment occurrences). Among musculoskeletal presentations, NSAIDs were used in 76% of cases. Gastroprotective agents were documented in 52% of encounters with gastrointestinal symptoms. Among cardiovascular presentations, 87.7% of treatment occurrences involved chronic management with antihypertensives or beta-blockers. Conclusions: In this outreach setting, medication use provides a descriptive picture of common health problems and treatment responses among migrant agricultural workers living in informal settlements. The prominent use of symptomatic pharmacological relief, particularly NSAIDs in musculoskeletal conditions, suggests that care is often focused on managing pain and acute complaints in a population facing barriers to continuous primary care. These findings support the need for stronger inclusion of migrant workers in the National Health Service and for policies that address underlying social and structural determinants of health. Full article

This article examines how media discourse in South Korea constructed Filipino caregivers as a legitimate yet conditional solution to the country’s care crisis. Moving beyond approaches that treat media coverage as a neutral reflection of policy debate, it analyzes news discourse as part of the broader politics of immigrant integration, showing how narratives of care, foreignness, affordability, and utility helped define the terms under which migrant caregivers could be welcomed. Drawing on a qualitative discourse analysis of English- and Korean-language newspaper coverage, the article traces how Filipino caregivers were alternately represented as desirable care providers, disciplined service workers, classed household resources, and ultimately precarious migrants whose social legitimacy remained revocable. The findings show that media and policy languages worked together to normalize a form of conditional belonging in which migrant caregivers were incorporated as useful labor but not recognized as fully deserving social subjects. Across the coverage, affordability emerged as a key discursive filter through which rights, value, and inclusion were negotiated, while competing narratives pushed the care regime toward more selective, informalized, and stratified forms. The article argues that secondary citizenship in this case was not only a legal or labor-market condition but also a discursive accomplishment produced through the intertwined narration of care needs, migrant labor, and unequal integration. Full article

Background and Aims: Changes in hepatitis delta virus (HDV) epidemiology have been highlighted recently in the context of increasing worldwide migrations. The lack of comprehensive real-world data on HDV in the Valencia region highlights the need for a structured registry to accurately estimate disease prevalence and burden and to generate robust real-world evidence on clinical outcomes and therapeutic effectiveness. We aimed to better understand the barriers for successful HDV patient care in our region by establishing a registry as well as linking previously under-recognized or lost to follow-up (FU)cases to care. Methods: After a search of all possible HDV cases in a Spanish region, attempts were made (through letters and phone calls) to relink to care those lost to FU. Two approaches were undertaken: (i) search of the Microbiology Labs Database, and (ii) clinical chart review from adult patients attending the Hepatology or Infectious Disease (ID) Units outpatient clinics of the three participant hospitals between January 2011 and June 2021. Results: Only one third of anti-HDV positive patients without adequate clinical management could be successfully linked or re-linked to care, highlighting a substantial gap in follow-up. Among 243 HDV cases detected (7.5% of HBsAg-positive patients), 111 belonged to the hospitals’ health department, and after excluding deceased or transplanted individuals, the final study cohort consisted of 84 patients. Of these, 27.4% were adequately followed in Hepatology or Infectious Disease Clinics, 11.9% had been inadequately followed recently, 45.2% had been lost to follow-up for several years, and 15.5% had never been evaluated in outpatient clinics. Overall, only a third of the patients without adequate clinical management could be successfully linked/relinked to care. Conclusions: In our setting, only a minority of anti-HDV positive patients are adequately managed in specialized outpatient clinics, with unsuccessful attempts to link many patients to care, particularly among young migrant men. These findings underscore the need for alternative strategies, such as decentralized testing, reflex testing, and the involvement of patient navigators or social workers, to strengthen linkage to care and improve retention. Full article

China’s rapid urbanization has created the world’s largest internal migration, increasingly shaped by women’s participation. Co-migrant mothers—rural women who bring their children to cities—occupy complex roles as workers, wives, and caregivers. Existing studies focus on left-behind mothers or individual coping, but little is known about how co-migrant mothers collectively reshape motherhood through urban spatial and social change. Based on fieldwork in a Guangzhou migrant community, this study develops the “disembedding–re-embedding–reconstruction” framework to show how mobility reconfigures motherhood. Moving from villages to cities disembeds mothers from the moral surveillance that enforces self-sacrificing norms. Community-based organizations (CBOs) then serve as re-embedding sites where women form new maternal subjectivities through mutual support and reflection, producing a locally rooted idea of self-caring motherhood. This idea reframes care as reciprocal rather than self-depleting and affirms mothers’ emotional and bodily well-being as part of family life. Finally, these values are reconstructed in households through subtle temporal and spatial negotiations that adjust gendered divisions of labor without open conflict. Highlighting collective empowerment and spatial transformation, this study moves motherhood research beyond individualized lenses and reveals grounded, pragmatic forms of gendered agency in China’s rural–urban migration. Full article

In the last few decades, Italy has emerged as an important destination for South Asian migrants, particularly from Pakistan, India, Bangladesh, Sri Lanka, and Nepal. While these groups contribute heavily to essential sectors such as agriculture, logistics, care work, and construction, they are often found in insecure, informal, and low-protection jobs. But at the same time, many migrants indicated moderate to high levels of job satisfaction even under such adverse circumstances. This study examines multidimensional job satisfaction among South Asian migrants in Italy and examines the effects of structural and demographic characteristics (region, nationality, sex, household size, and year of arrival) on the outcomes of satisfaction of job dimensions. A three-phase quantitative approach was applied: descriptive analysis to identify satisfaction distributions across five aspects of work; Multiple Correspondence Analysis (MCA) and cluster analysis to identify typologies of satisfaction profiles; and multinomial logistic regression to estimate the likelihood of belonging to low, medium, or high satisfaction categories. The results demonstrate the presence of three different latent clusters of satisfaction; namely, high, moderate, and low, and indicate that regional location and nationality are the best predictors of satisfaction in most areas of the job. Such factors as sex and year of arrival had little impact. Comparing the self-evaluation of migrants with their structural positions, the study provides new empirical data on the problem of the migrant satisfaction paradox and draws more attention to the necessity of policies that can mitigate regional labor market inequalities and improve the general quality of job of migrant workers. Full article

This paper evaluates the Enhancing Mobile Populations’ Access to HIV and AIDS Services, Information and Support (EMPHASIS) programme implemented by CARE International across Bangladesh, India, and Nepal. Using individual-level data, we estimate the programme’s impact on HIV-related knowledge and preventive behaviours among migrant workers. Results show that participation in EMPHASIS significantly increased correct knowledge of HIV transmission, reduced misconceptions, and improved partner communication. These informational gains translated into higher condom use and fewer unsafe sexual practices, with stronger effects among women. The findings provide evidence that peer-led, information-based interventions can improve health behaviours among mobile populations. Integrating such approaches with gender empowerment and mobile health services offers a promising model for addressing HIV vulnerability in cross-border migration settings. Full article

Background/Objectives: Human trafficking is a serious violation of human rights, with migrant women being among the most affected groups. This study aimed to explore the experiences of health, legal, and social professionals involved in the care of migrant women victims of trafficking and sexual violence in southern Spain. Methods: A qualitative design was applied, using semi-structured interviews with 47 professionals from hospitals, NGOs, and legal institutions. Results: The analysis identified common challenges such as language barriers, limited resources, and the absence of standardized protocols. Health professionals highlighted the need for continuous training and culturally sensitive care; legal professionals emphasized flexibility in procedures and the importance of confidential interviews for early detection; and social workers stressed the value of coordinated action across sectors. Conclusions: The findings underline the need for an integrated approach that combines health, social, and legal responses in order to improve protection and support for migrant women victims of trafficking. Full article

The objective of the study is to describe the health status and use of public healthcare services by undocumented migrant sex workers (UMSWs) attended in Catalonia between 2013 and 2018. This study utilized a descriptive observational research design. Non-parametric tests were applied to estimate differences in the use of public healthcare services, and incidence and prevalence of selected sexually transmitted diseases (STDs) according to gender and region of origin. Out of 1464 women and 199 men UMSWs, 855 (51.4%) contacted primary care services once or more, and 378 (22.7%) used emergency services. Differences between regions of origin were found in the use of primary care services (Sub-Saharan Africa had 65.9% while Europe and Central Asia 43.0%, p < 0.001). Facilitating early diagnosis and improving access to healthcare resources among key populations such as men who have sex with men or transgender women can be achieved through interventions such as community-led point-of-care testing, which increases the frequency of HIV and STD screening and may also prove effective among UMSWs. Full article

Modern social work is inseparable from the provision of timely and practical assistance to vulnerable populations, including forced migrants. In the context of increasing geopolitical instability and the growing influx of displaced people, social workers are increasingly required to serve this group not as exceptional but as regular clients. However, significant barriers—such as restrictive social policies and the inadequate preparation of social workers—limit forced migrants’ access to quality support services. This article examines the strengthening of core social work competencies in the learning process (e.g., through developing intercultural communication skills and applying experiential learning and trauma-informed methods). The article presents the results of an empirical study implemented within the Erasmus+ project “Improved Social Workers” in Lithuania and Cyprus. A mixed-methods research strategy combining observations, psychodiagnostic techniques, and reflexive analysis was employed in this study. Quantitative data revealed an increase in social workers’ communicative tolerance and a reduction in ethnocentrism. At the same time, qualitative analysis highlighted significant growth in both professional and personal aspects of the participants’ lives. Following training, both Lithuanian and Cypriot social workers reported improved intercultural communication, increased sensitivity to trauma, and enhanced professional skills. The findings underscore the importance of training social workers to effectively address the complex needs of forced migrants. Full article

Following the 2022 Russian invasion of Ukraine and the resulting refugee crisis, this study investigates innovative and flexible forms of trans-local care among communities of Ukrainian refugees living with HIV in host countries, particularly Germany and Poland. The study adopts a community-based participatory research approach to understand how trans-local community-based organizations (CBOs) support access to HIV care for Ukrainian refugees in Germany and Poland, and what roles activists and peer networks play in overcoming barriers to healthcare in the context of forced displacement. It is based on semi-structured interviews with refugee activists, community members, healthcare professionals, social workers, and subject-matter experts—52 interviews in total conducted in 2023–2024. The research identifies emerging configurations of community networks that facilitate access to healthcare, including community-based, mixed-type, and bridge-type organizations. Activists play a central role in navigating unfamiliar healthcare systems, advocating for migrant-sensitive services, and developing grassroots solutions to both individual and structural barriers to HIV care in contexts of forced displacement. Migrant organizations are instrumental in facilitating community-based linkage to HIV care for refugees. In the case of Ukrainian transnational communities, these organizations draw on previously acquired experiences, knowledge, and skills to support their peers. The involvement of community-led initiatives is essential to reducing disparities in healthcare access and promoting the well-being of forced migrants. Full article

Background: Loneliness and social isolation among older people are currently widespread and recognized as the foremost public health problems globally and locally. Hong Kong, which exhibits a rapid aging trend and an expanding elderly population, is inevitably facing these issues. This study explored the lived experiences of loneliness among older adults in Hong Kong. Methods: Qualitative interviews were conducted among older adults in the community aged 60 or above who were cared for by migrant domestic workers and presented varying levels of loneliness. Purposive sampling was used to select subjects for face-to-face, semi-structured individual interviews, with consent for audio recording, which led to the inclusion of 19 older adults, among whom five were male, nine lived with a spouse, and three lived with their children. Interpretative phenomenological analysis was adopted. Results: We identified a core theme, “Should I stay at home alone?”, and the following four interrelated themes: (1) experience of inadequate social support and networks, (2) altered family dynamics and support, (3) deterioration in physical functions and mobility limitations, and (4) experience of negative and complex emotions. Conclusions: Based on our investigation into the lived experience of loneliness among older adults locally, we recommend that the government, non-governmental organizations, and healthcare institutions establish appropriate strategies and integrated services to address the social, physical, familial, and emotional issues in this population to foster healthy aging, improve their quality of life, and encourage support from families and communities. Full article

Introduction: This study was conducted from July 2021 to December 2022. We propose a scale to measure the right to health among international migrants in primary care settings. The scale aims to highlight and objectively assess the elements integrated into the delivery of healthcare services by health personnel. Objective: Our aim was to develop and evaluate the psychometric properties of a measurement scale assessing the right to health in primary care for migrant populations in Chile, from the perspective of healthcare workers. Methods: An instrumental psychometric study was conducted. The sample comprised 339 primary healthcare workers from the Antofagasta, Biobío, and Metropolitan regions of Chile. The stages of the process included a theoretical review, conceptual definition, item construction, initial qualitative evaluation, and scale administration. Results: The initial 55-item model exhibited unsatisfactory fit indices (χ² = 2608.693; df = 1271; p < 0.001; RMSEA = 0.056; CFI = 0.931; TLI = 0.919; SRMR = 0.054), whereas the refined 19-item model achieved satisfactory fit (χ² = 441.72, df = 146, p < 0.001; RMSEA = 0.07; CFI = 0.95; TLI = 0.94; SRMR = 0.05). Conclusions: The scale demonstrates robust internal consistency and offers a valuable tool for evaluating primary healthcare delivery to international migrants based on the right to health framework. Full article

Background: During the COVID-19 pandemic, migrant populations remained under-immunized due to limited access to health care, language barriers, and vaccine hesitancy. The USAID-funded MOMENTUM Routine Immunization Transformation and Equity project supported the government in collaborating with various local health and non-health partners to identify and vaccinate migrants. This case study examines the roles of project partners and the strategies each entity implemented to increase COVID-19 vaccine uptake among migrants, as well as the perceptions regarding the effectiveness of these strategies. Methods: We designed a qualitative explanatory case study guided by the Behavioral and Social Drivers framework and RE-AIM implementation science frameworks. We conducted 31 focus group discussions and 50 in-depth interviews with migrants, project partners, community leaders, and government stakeholders in Tamil Nadu and Punjab. Results: In both states, partnerships with health departments, private employers, and community-based organizations were essential for identifying and vaccinating un- and under-vaccinated migrant groups. In Tamil Nadu, collaboration with the Department of Labor and mobile medical units facilitated vaccination camps at construction sites. In Punjab, religious institutions organized sessions at places of worship, and the Border Security Force enabled health workers to reach migrants living near the border. In both states, key strategies—involving influencers to discuss the importance of vaccine safety and value, bringing vaccination services to migrants’ workplaces and homes at flexible times and mandating workplace vaccination to encourage vaccination—shifted perceptions towards vaccination and increased vaccine uptake among migrants. Conclusions: The strategies and partnerships identified in this study highlight the broader implications for future public health interventions, demonstrating that collaboration with the private sector and faith-based organizations can enhance routine immunization efforts, particularly when localized to organizations that understand community needs and can address specific barriers and motivators. Full article

Background/Objectives: Loneliness among older individuals is widespread globally, leading to increasing public health and policy concerns. Migrant domestic workers (MDWs) offer continuous services for older adults worldwide, recompensing for dwindling support from family members. The study objectives were to explain how the quality of dyadic relationships with MDWs is associated with older adults’ loneliness and further explore older adults’ perceived experiences of care by MDWs. Methods: A mixed-methods study was conducted from 2021 to 2023. Convenience and snowball samplings of older adults aged ≥60 living with MDWs were recruited by elderly community centers in Hong Kong for a survey, and purposive sampling of in-depth interviews followed. The survey comprised several well-validated scales assessing loneliness, perceived social networks, and the quality of dyadic relationships. Face-to-face in-depth interviews were audio-recorded and transcribed for preliminary content analysis. A total of 288 older adults participated in the first phase of the survey interviews. Among them, 19 joined the in-depth interviews in the second phase. Results: There is a high prevalence of loneliness among older adults being cared for by MDWs in Hong Kong. In addition, the results showed that social loneliness negatively and significantly correlated with perceived dyadic relationship quality and social network. Two major interrelated themes were identified along with eight subthemes: (1) established relational interaction with MDWs and (2) enjoyed functional assistance and support from MDWs. Conclusions: Our study findings illustrated that good dyadic relationships among MDWs and older adults enhance older adults’ social connections and networking, alleviating loneliness and social isolation. Appropriate strategies are suggested to strengthen older adults’ social support and improve the quality of dyadic relationships with MDWs, which may reduce loneliness among older adults. Full article

The recent enhancement of working conditions and social security for domestic service workers in Spain has enabled the integration of this group of female workers into the same legal framework as other employees. Despite the progress already made and the optimistic forecast that the ratification of Convention 189 in 2022 has opened, domestic workers continue to be one of the groups that suffer the most precariousness in Spain. Added to the laxity of the implementation of legislation is the strong presence of the underground economy and a care management model that facilitates the expansion of the deregulated market and the recruitment of irregular migrant women to occupy these precarious labor niches (live-in domestic workers). This article aims to identify the impact of psychosocial working conditions on the physical and mental health of female migrants who are live-in domestic workers in Madrid and Barcelona, Spain. The research employs semi-structured, in-depth interviews to understand the representations and experiences in migrant women’s health, by unveiling the meanings of their experiences through a thematic content analysis. The study concludes with a reflection on which psychosocial, legislative, and policy-level interventions are needed to improve the health and well-being of this population of migrant women. Full article