Ethical imperatives in migration health: Justice and care in forced migration contexts.

IF 0.9 3区哲学 Q3 ETHICS

Developing World Bioethics Pub Date : 2025-04-01 DOI:10.1111/dewb.12482

Akm Ahsan Ullah

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引用次数: 0

Abstract

This article examines the ethical imperatives of migration health, focusing on displaced populations such as the Rohingya and Syrian refugees. Forced migration, driven by conflict, persecution, and climate disasters, presents profound ethical challenges to global healthcare systems. Utilizing deontological ethics, utilitarianism, and human rights-based approaches, the research addresses key principles like justice, equity, autonomy, and non-maleficence in healthcare provision for refugees. Empirical insights reveal significant barriers to healthcare access for displaced populations, including systemic discrimination, resource scarcity, and cultural constraints. Ethical dilemmas are particularly evident in resource allocation, prioritization of acute over chronic conditions, and neglect of mental health services. Through case studies from Rohingya camps in Bangladesh and Syrian refugee settings in Turkey and Jordan, the study highlights inequities in healthcare delivery, exacerbated by cultural and logistical challenges. The article emphasizes on culturally sensitive training, participatory healthcare design, and equitable resource distribution as critical pathways to ethical healthcare. Policy recommendations include prioritizing mental health, harmonizing national policies with international human rights law, and fostering global accountability frameworks.

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移民健康中的伦理要务：强迫移民背景下的正义与关怀。

本文以罗兴亚人和叙利亚难民等流离失所人群为重点，探讨了移民健康的伦理要求。冲突、迫害和气候灾害导致的强迫移民给全球医疗保健系统带来了深刻的伦理挑战。本研究利用道义伦理学、功利主义和基于人权的方法，探讨了为难民提供医疗保健服务时的公正、公平、自主和非恶意等关键原则。经验性见解揭示了流离失所人口在获得医疗保健服务方面的重大障碍，包括系统性歧视、资源匮乏和文化限制。在资源分配、急性病优先于慢性病、忽视心理健康服务等方面，伦理困境尤为明显。通过对孟加拉国罗兴亚难民营以及土耳其和约旦的叙利亚难民环境的案例研究，该研究强调了医疗保健服务中的不公平现象，而文化和后勤方面的挑战又加剧了这种不公平现象。文章强调，文化敏感性培训、参与式医疗保健设计和公平的资源分配是实现道德医疗保健的关键途径。政策建议包括优先考虑心理健康、将国家政策与国际人权法相协调，以及促进全球问责框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developing World Bioethics 医学-医学：伦理

CiteScore

4.50

自引率

4.50%

发文量

审稿时长

>12 weeks

期刊介绍： Developing World Bioethics provides long needed case studies, teaching materials, news in brief, and legal backgrounds to bioethics scholars and students in developing and developed countries alike. This companion journal to Bioethics also features high-quality peer reviewed original articles. It is edited by well-known bioethicists who are working in developing countries, yet it will also be open to contributions and commentary from developed countries'' authors. Developing World Bioethics is the only journal in the field dedicated exclusively to developing countries'' bioethics issues. The journal is an essential resource for all those concerned about bioethical issues in the developing world. Members of Ethics Committees in developing countries will highly value a special section dedicated to their work.