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For generations, migration moved in one direction at a time: migrants to host countries, and money to families left behind. The Labor of Care argues that globalization has changed all that. Valerie Francisco-Menchavez spent five years alongside a group of working migrant mothers. Drawing on interviews and up-close collaboration with these women, Francisco-Menchavez looks at the sacrifices, emotional and material consequences, and recasting of roles that emerge from family separation. She pays particular attention to how technologies like Facebook, Skype, and recorded video open up transformative ways of bridging distances while still supporting traditional family dynamics. As she shows, migrants also build communities of care in their host countries. These chosen families provide an essential form of mutual support. What emerges is a fascinating portrait of today's transnational family—sundered, yet inexorably linked over the distances by timeless emotions and new forms of intimacy.
This salient volume surveys the state of access to primary care and preventive health services by migrants, refugees, and asylum seekers across Europe. Experts in public health and allied fields identify obstacles to healthcare interventions for migrants, including costs, legal status, health-related behaviors and beliefs, and cultural and language barriers. The book includes the latest data concerning access to specific preventive services (e.g., vaccinations, colorectal screenings), specific issues of women and sexual minorities, and the potential for health promotion in prevention. Best practices for improving access are outlined as a basis for public health and policy directives toward reducing health disparities between migrant and native populations. Among the topics covered: Access to medical examination for prevention among migrants Access and barriers to infant vaccinations, female cancer screening and colorectal screening among migrant populations Provision and policy gap between the primary and preventive care required by and the care provided to LGBTQ+ migrants, refugees, and asylum seekers. Health related lifestyles and intermediate health conditions of migrants. Quality of primary healthcare and preventive health services provided to migrants Adaptations of primary health care for migrants Access to primary health care and policies on migration and health at a time of economic crisis Dedicated to bridging research and policy gaps in this vital area, Primary Care Access and Preventive Health Services of Migrants is intended for an international audience of academics, researchers, policymakers, and practitioners in public health and related disciplines.
In this time of large-scale global migration at levels unrivalled since World War II, primary care practitioners are providing the first line of care to economic immigrants and refugees. In doing so, they face daily the considerable challenges that this heterogenic group brings in terms of communication, culture, and legal status as well as physical and mental health. This accessible book has been carefully crafted to enable primary health care professionals to develop the skills and competencies required to deliver appropriate services to this diverse group of patients and, in turn, to ensure equity in health care for all. Key features: Highly practical focus, with clinical cases, learning objectives, concept and ‘What this Means in Practice’ boxes, and ‘Practical Tools for Meeting the Patient’ sections Covers widely applicable themes in health care including health literacy, communication, the cultures and sub-cultures of systems Fully referenced, combining policy, academic literature and practical advice with a broad international scope Prestigious author team with chapters written by international contributors with in-depth subject expertise curated by expert editors Endorsed and supported by the WONCA Special Interest Group on Migrant Care, International Health and Travel Medicine The book satisfies the urgent need for a hands-on guide to support and help general practitioners and other members of the primary health care team improve their provision of care not only to immigrants, but to other vulnerable groups and the whole society.
Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop.
As the U.S. population ages and as health care needs become more complex, demand for paid care workers in home and institutional settings has increased. This book draws attention to the reserve of immigrant labor that is called on to meet this need. Migrants Who Care tells the little-known story of a group of English-speaking West African immigrants who have become central to the U.S. health and long-term care systems. With high human capital and middle-class pre-migration backgrounds, these immigrants - hailing from countries as diverse as Cameroon, Sierra Leone, Ghana, Nigeria, and Liberia - encounter blocked opportunities in the U.S. labor market. They then work in the United States, as home health aides, certified nursing assistants, qualified disability support professionals, and licensed practical and registered nurses. This book reveals the global, political, social, and economic factors that have facilitated the entry of West African women and men into the health care labor force (home and institutional care for older adults and individuals with physical and intellectual disabilities; and skilled nursing). It highlights these immigrants’ role as labor brokers who tap into their local ethnic and immigrant communities to channel co-ethnics to meet this labor demand. It illustrates how West African care workers understand their work across various occupational settings and segments in the health care industry. This book reveals the transformative processes migrants undergo as they become produced, repackaged, and deployed as health care workers after migration. Ultimately, this book tells the very real and human story of an immigrant group surmounting tremendous obstacles to carve out a labor market niche in health care, providing some of the most essential and intimate aspects of care labor to the most vulnerable members of society.
The increasing number of refugees, asylum seekers, and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during, and after migration. The prevalence of psychotic, mood, and substance-use disorders in these groups varies but overall resembles that in the host populations. Refugees and asylum seekers, however, have higher rates of post-traumatic stress disorder. Poor socioeconomic conditions are associated with increased rates of depression five years after resettlement. Refugees, asylum seekers, and irregular migrants encounter barriers to accessing mental health care. Good practice for mental health care includes promoting social integration, developing outreach services, coordinating health care, providing information on entitlements and available services, and training professionals to work with these groups. These actions require resources and organizational flexibility.
Key Features: Bridges the gap between existing academic literature on refugee health and guidelines for health management in humanitarian emergencies Helps to develop an integrated approach to healthcare provision, allowing healthcare professionals and humanitarians to adapt their specialist knowledge for use in forced migration contexts and with refugees. Recognizes the complex and interconnected needs in displacement scenarios and identifies holistic and systems-based approaches. Covers public health theory, applied public health and clinical aspects of forced migration.
In this beautifully-argued book, Karen Cristensen and Ingrid Guldvik provide a comparatively-based insight to the historical context for public care work and show how migration policies, general welfare and long-term care policies (including the cash-for-care schemes) as well as cultural differences in values in the UK and Norway set the context for how migrant care workers can realise their individual life projects. Through viewing migrants as individuals who actively construct their lives within the options and conditions they are given at any time, they bring to the discussion an awareness of what might be called ‘a new type of migrant’ one who is neither a victim of the divide between the global north and the global south, nor someone leaving family behind, but individuals using care work as a part of their own life project of potential self-improvement.
In western countries, including the United States, foreign-trained nurses constitute a crucial labor supply. Far and away the largest number of these nurses come from the Philippines. Why is it that a developing nation with a comparatively greater need for trained medical professionals sends so many of its nurses to work in wealthier countries? Catherine Ceniza Choy engages this question through an examination of the unique relationship between the professionalization of nursing and the twentieth-century migration of Filipinos to the United States. The first book-length study of the history of Filipino nurses in the United States, Empire of Care brings to the fore the complicated connections among nursing, American colonialism, and the racialization of Filipinos. Choy conducted extensive interviews with Filipino nurses in New York City and spoke with leading Filipino nurses across the United States. She combines their perspectives with various others—including those of Philippine and American government and health officials—to demonstrate how the desire of Filipino nurses to migrate abroad cannot be reduced to economic logic, but must instead be understood as a fundamentally transnational process. She argues that the origins of Filipino nurse migrations do not lie in the Philippines' independence in 1946 or the relaxation of U.S. immigration rules in 1965, but rather in the creation of an Americanized hospital training system during the period of early-twentieth-century colonial rule. Choy challenges celebratory narratives regarding professional migrants’ mobility by analyzing the scapegoating of Filipino nurses during difficult political times, the absence of professional solidarity between Filipino and American nurses, and the exploitation of foreign-trained nurses through temporary work visas. She shows how the culture of American imperialism persists today, continuing to shape the reception of Filipino nurses in the United States.
Global inequalities make it difficult for parents in developing nations to provide for their children. Some determine that migration in search of higher wages is their only hope. Many studies have looked at how migration transforms the child–parent relationship. But what happens to other generational relationships when mothers migrate? Care Across Generations takes a close look at grandmother care in Nicaraguan transnational families, examining both the structural and gendered inequalities that motivate migration and caregiving as well as the cultural values that sustain intergenerational care. Kristin E. Yarris broadens the transnational migrant story beyond the parent–child relationship, situating care across generations and embedded within the kin networks in sending countries. Rather than casting the consequences of women's migration in migrant sending countries solely in terms of a "care deficit," Yarris shows how intergenerational reconfigurations of care serve as a resource for the wellbeing of children and other family members who stay behind after transnational migration. Moving our perspective across borders and over generations, Care Across Generations shows the social and moral value of intergenerational care for contemporary transnational families.