Emergency preparedness and response sensitive of migrant populations in Chile: post-pandemic perspectives.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Alice Blukacz, Báltica Cabieses, Alexandra Obach, Alejandra Carreño, Edward Mezones-Holguín
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引用次数: 0

Abstract

On August 31, 2023, the Chilean government ended the health alert for COVID-19. This milestone invites us to reflect on lessons learned in emergency preparedness and response regarding migrant populations in the country. In this context, three perspectives are presented. The first focuses on avoiding pointing to individual responsibility for non-compliance with prevention measures, as this approach ignores structural and historical inequities. Emergency recommendations should be constructed considering a collective approach and diverse sociocultural and political contexts. The second perspective calls for considering and addressing migration as a social determinant of health. During the pandemic, changes in the governance of migration around the world made migration processes more precarious, with risks to the physical and mental health of migrants, which needs better planning and evidence-based decision-making in future pandemics. The third perspective focuses on promoting intercultural health, as effective communication of contagion risks and preventive measures were hampered among migrant populations with diverse worldviews and interpretations of health and disease processes. Responding to the needs of historically marginalized communities requires establishing ways of life that respect diversity in narratives and everyday practices. Governments and health systems must incorporate migration into their emergency preparedness and response strategies, creating the conditions for optimal compliance.

智利移民的应急准备和反应敏感性:大流行后的视角。
2023 年 8 月 31 日,智利政府结束了 COVID-19 的健康警报。这一里程碑式的事件促使我们反思在针对国内流动人口的应急准备和响应中汲取的经验教训。为此,我们提出了三个观点。第一种观点侧重于避免将不遵守预防措施的责任归咎于个人,因为这种方法忽视了结构性和历史性的不平等。在提出紧急建议时,应考虑到集体方法以及不同的社会文化和政治背景。第二种观点要求将移民作为健康的社会决定因素加以考虑和解决。在大流行病期间,世界各地移民管理的变化使移民过程更加不稳定,给移民的身心健康带来风险,这就需要在未来的大流行病中进行更好的规划和循证决策。第三个视角侧重于促进跨文化健康,因为在世界观以及对健康和疾病过程的理解各不相同的移民群体中,传染风险和预防措施的有效沟通受到阻碍。要满足历史上被边缘化社区的需求,就必须建立尊重叙事和日常做法多样性的生活方式。各国政府和卫生系统必须将移徙问题纳入其应急准备和响应战略,为最佳合规创造条件。
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来源期刊
Medwave
Medwave MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
8.30%
发文量
50
审稿时长
12 weeks
期刊介绍: Medwave is a peer-reviewed, biomedical and public health journal. Since its foundation in 2001 (Volume 1) it has always been an online only, open access publication that does not charge subscription or reader fees. Since January 2011 (Volume 11, Number 1), all articles are peer-reviewed. Without losing sight of the importance of evidence-based approach and methodological soundness, the journal accepts for publication articles that focus on providing updates for clinical practice, review and analysis articles on topics such as ethics, public health and health policy; clinical, social and economic health determinants; clinical and health research findings from all of the major disciplines of medicine, medical science and public health. The journal does not publish basic science manuscripts or experiments conducted on animals. Until March 2013, Medwave was publishing 11-12 numbers a year. Each issue would be posted on the homepage on day 1 of each month, except for Chile’s summer holiday when the issue would cover two months. Starting from April 2013, Medwave adopted the continuous mode of publication, which means that the copyedited accepted articles are posted on the journal’s homepage as they are ready. They are then collated in the respective issue and included in the Past Issues section.
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