The impact of COVID-19 on Venezuelan migrants' access to health: A qualitative study in Colombian and Peruvian cities.
| Autor: | Zambrano-Barragán P; Inter-American Development Bank, 1300 New York Avenue NW, Washington DC, 20577, United States., Ramírez Hernández S; Princeton University, 119 Julis Romo Rabinowitz Building, Princeton, NJ, 08540, United States., Freier LF; Political and Social Sciences Department, Universidad del Pacífico, Jr. Gral. Luis Sanchez Cerro, 2141, Jesus Maria, Lima, Peru., Luzes M; Centro de Investigación, Universidad del Pacífico, Jr. Gral. Luis Sanchez Cerro, 2141, Jesus Maria, Lima, Peru., Sobczyk R; Faculty of Political Science and Sociology, Department of Sociology, University of Granada, C/ Rector López Argüeta s/n, 18071 Granada, Spain., Rodríguez A; Oraloteca - Universidad del Magdalena, Carrera 32 No 22 - 08 Santa Marta D.T.C.H, Colombia., Beach C; University College London, 14 Taviton Street, London WC1H 0BW, United Kingdom. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of migration and health [J Migr Health] 2020 Dec 09; Vol. 3, pp. 100029. Date of Electronic Publication: 2020 Dec 09 (Print Publication: 2021). |
| DOI: | 10.1016/j.jmh.2020.100029 |
| Abstrakt: | This research seeks to understand how COVID-19 has affected access to healthcare among migrants in Latin American cities. Using ethnographic research methods, we engaged with Venezuelans living in conditions of informality in four Colombian cities-Barranquilla, Cucuta, Riohacha, and Soacha-and three Peruvian cities-Lima, Trujillo, and Tumbes. We conducted 130 interviews of both Venezuelan migrants and state and non-governmental actors within the healthcare ecosystems of these cities. We found that forced migrants from Venezuela in both Colombia and Peru face common obstacles along their access trajectories to healthcare, which we summarize as legal, financial, and relating to discrimination and information asymmetry. By limiting effective access to care during the pandemic, these obstacles have also affected migrants' ability to cover the costs of basic needs, particularly food and housing. Our study also found a prevalent reliance on alternative forms of care, such as telemedicine, easy-to-access pharmacies, and extralegal care networks. We conclude that COVID-19 has exacerbated preexisting conditions of informality and health inequities affecting Venezuelan migrants in Colombia and Peru. Competing Interests: The opinions expressed in this publication are those of the authors and do not necessarily reflect the views of the Inter-American Development Bank, its Board of Directors, or the countries they represent. (© 2020 The Authors. Published by Elsevier Ltd.) |
| Databáze: | MEDLINE |
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