An analysis of migration and implications for health in government policy of South Africa.
An analysis of migration and implications for health in government policy of South Africa.
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DOI：
10.1186/s12939-023-01862-1
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发表时间：
2023-05-08
影响因子：
4.8
通讯作者：
Walls, Helen
中科院分区：
文献类型：
--
作者：
Manji, Karima;Perera, Shehani;Hanefeld, Johanna;Vearey, Jo;Olivier, Jill;Gilson, Lucy;Walls, Helen
十多年来，全球卫生界推动了对移徙和卫生问题的政策参与，这反映在多项全球主导的倡议中。这些倡议呼吁各国政府向所有人提供全民医疗保险，不论其移徙和（或）法律的地位如何。南非是一个中等收入国家，跨境和国内移徙率很高，其《宪法》规定了健康权。《国家健康保险法案》还规定，南非的公共卫生系统必须实现全民健康保险，包括移民和移动的群体。我们对政府政策文件（来自卫生部门和其他部门）进行了研究，我们认为这些文件应与南非国家和国家以下各级的移徙和卫生问题有关。我们这样做是为了探讨主要政府决策者如何制定移民框架，并了解文件中的立场是否支持移民意识和移民包容性的方法，符合南非的政策承诺。该研究于2019年至2021年期间进行，分析了2002年至2019年的227份文件。不到一半的文件（101份）直接将移徙作为一个问题，表明在政策讨论中缺乏优先考虑。在这些文件中，我们发现，各级政府和各部门的语言或话语主要集中在移民的潜在负面影响上，包括在明确提到健康的政策中。讨论往往强调跨界移徙和疾病的流行，移民与安全风险之间的关系，以及移徙对卫生系统和其他政府资源的负担。这些立场将责任归咎于移民群体，可能助长民族主义和反移民情绪，并在很大程度上掩盖了国内流动问题，所有这些也可能破坏支持有效应对移民和健康问题所必需的建设性接触。我们就如何推动参与解决移徙和健康问题提出建议，以便南非和在移徙问题上情况类似的国家实现移徙者和移动的群体的包容和平等目标。在线版本包含补充材料，可通过10.1186/s12939-023-01862-1获取。
For over a decade, the global health community has advanced policy engagement with migration and health, as reflected in multiple global-led initiatives. These initiatives have called on governments to provide universal health coverage to all people, regardless of their migratory and/or legal status. South Africa is a middle-income country that experiences high levels of cross-border and internal migration, with the right to health enshrined in its Constitution. A National Health Insurance Bill also commits the South African public health system to universal health coverage, including for migrant and mobile groups. We conducted a study of government policy documents (from the health sector and other sectors) that in our view should be relevant to issues of migration and health, at national and subnational levels in South Africa. We did so to explore how migration is framed by key government decision makers, and to understand whether positions present in the documents support a migrant-aware and migrant-inclusive approach, in line with South Africa’s policy commitments. This study was conducted between 2019 and 2021, and included analysis of 227 documents, from 2002–2019. Fewer than half the documents identified (101) engaged directly with migration as an issue, indicating a lack of prioritisation in the policy discourse. Across these documents, we found that the language or discourse across government levels and sectors focused mainly on the potential negative aspects of migration, including in policies that explicitly refer to health. The discourse often emphasised the prevalence of cross-border migration and diseases, the relationship between immigration and security risks, and the burden of migration on health systems and other government resources. These positions attribute blame to migrant groups, potentially fuelling nationalist and anti-migrant sentiment and largely obscuring the issue of internal mobility, all of which could also undermine the constructive engagement necessary to support effective responses to migration and health. We provide suggestions on how to advance engagement with issues of migration and health in order for South Africa and countries of a similar context in regard to migration to meet the goal of inclusion and equity for migrant and mobile groups. The online version contains supplementary material available at 10.1186/s12939-023-01862-1.
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影响因子：
3.4
作者：
Baker, Peter A.
通讯作者：
Baker, Peter A.
DOI：
10.1016/s0140-6736(18)32114-7
发表时间：
2018-12-15
期刊：
Lancet (London, England)
影响因子：
--
作者：
Abubakar I;Aldridge RW;Devakumar D;Orcutt M;Burns R;Barreto ML;Dhavan P;Fouad FM;Groce N;Guo Y;Hargreaves S;Knipper M;Miranda JJ;Madise N;Kumar B;Mosca D;McGovern T;Rubenstein L;Sammonds P;Sawyer SM;Sheikh K;Tollman S;Spiegel P;Zimmerman C;UCL–Lancet Commission on Migration and Health
通讯作者：
UCL–Lancet Commission on Migration and Health
影响因子：
3.1
作者：
Elbe, Stefan
通讯作者：
Elbe, Stefan
DOI：
10.1080/14034950701355619
发表时间：
2007-08
期刊：
Scandinavian journal of public health. Supplement
影响因子：
--
作者：
Clark SJ;Collinson MA;Kahn K;Drullinger K;Tollman SM
通讯作者：
Tollman SM
影响因子：
3.2
作者：
Khan, Mishal S.;Durrance-Bagale, Anna;Hanefeld, Johanna
通讯作者：
Hanefeld, Johanna