印度恰蒂斯加尔邦境内移徙者获得保健的机会:关于保健公平和城市发展问题的关键观点

IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Shriyuta Abhishek, N. Kannuri
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引用次数: 0

摘要

目的移民面临一些独特的医疗保健挑战,而卫生系统往往没有解决这些挑战。本研究的目的是从健康公平的角度确定恰蒂斯加尔邦移民获得医疗保健的机会。设计/方法/方法这项研究是在印度恰蒂斯加尔邦比拉斯布尔区的一个政府建造的综合住房和贫民窟开发项目中进行的。这是一项混合方法研究,采用了调查方法、焦点小组讨论、深度访谈、半结构化访谈和非参与者对该地区卫生设施的观察。受访者包括居民(移民)和其他当地利益相关者,如该地区的首席医疗官、当地政府的民选代表和一线卫生工作者。本文主要从定性研究的角度对研究结果进行分析。发现将生活在贫民窟的人重新安置到城市外围对他们获得医疗保健产生了负面影响。他们发现很难获得公共卫生服务,因为这些服务集中在城市。妇女、老年人和残疾人在获得基本生殖健康服务和慢性病护理方面面临更多挑战。获得医疗保健的公平性与健康的各种社会决定因素有关,包括获得住房和社会保障的机会。然而,提交人发现,移民社区被剥夺了适当的住房设施和社会保障。原创性/价值本文探讨了印度恰蒂斯加尔邦国内移民在城市发展的大背景下获得医疗保健的机会,重点是健康公平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Access to health care among internal migrants in Chhattisgarh, India: critical perspectives on the question of health equity and urban development
Purpose Migrants face some unique health-care challenges, which often remain unaddressed by the health system. The purpose of this study is to determine health-care access among migrants in Chhattisgarh, from a lens of health equity. Design/methodology/approach This study was conducted in a government-built tenement under the Integrated Housing and Slum Development program in Bilaspur district of Chhattisgarh state of India. It is a mixed-methods study which used a survey method, focus group discussion, in depth-interviews, semi-structured interviews and non-participant observations of health facilities in the area. Respondents included residents (migrants) and other local stakeholders like the Chief Medical Officer of the district, elected representatives of the local government and frontline health workers. This paper focuses on the findings from the qualitative component of the study. Findings The move to resettle the people living in the slums to the periphery of the city had a negative impact on their health-care access. They find it difficult to access public health services, given the services are concentrated in the city. Women, elderly people and disabled people grapple with additional challenges in being able to access basic reproductive health services and care for chronic illnesses. Equity in health-care access is linked to various social determinants of health including access to housing and social security. However, the authors found that the migrant community is being deprived of appropriate housing facilities and social security. Originality/value This paper explores the health-care access of internal migrants in Chhattisgarh state of India in the larger context of urban development with a focus on health equity.
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来源期刊
International Journal of Migration Health and Social Care
International Journal of Migration Health and Social Care PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.30
自引率
0.00%
发文量
21
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