Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study
| Autor: | An De Sutter, Ilse Ruyssen, Bob Mash, Sunanda Ray, Peter Decat, Els Bekaert, Samuel Lietaer, Wouter Vanhove, Farai D. Madzimbamuto, Patrick Van Damme, Jan De Maeseneer, Charlotte Scheerens, Akye Essuman |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Civil society
Economic growth family doctors Health Toxicology and Mutagenesis 030231 tropical medicine Population Exploratory research climate change migration Sub-Saharan Africa primary care healthcare health Context (language use) Article 03 medical and health sciences 0302 clinical medicine Sciences sociales Political science Health care Medicine and Health Sciences Humans Uganda 030212 general & internal medicine education Africa South of the Sahara education.field_of_study business.industry Public Health Environmental and Occupational Health Physicians Family Capacity building Focus group Sciences humaines LANCET COMMISSION Earth and Environmental Sciences Medicine Perception business Delivery of Health Care Nexus (standard) |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 12 International Journal of Environmental Research and Public Health, Vol 18, Iss 6323, p 6323 (2021) INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH International Journal of Environmental Research and Public Health, 18 (12 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph18126323 |
| Popis: | Although family physicians (FPs) are community-oriented primary care generalists and should be the entry point for the population’s interaction with the health system, they are underrepresented in research on the climate change, migration, and health(care) nexus (hereafter referred to as the nexus). Similarly, FPs can provide valuable insights into building capacity through integrating health-determining sectors for climate-resilient and migration-inclusive health systems, especially in Sub-Saharan Africa (SSA). Here, we explore FPs’ perceptions on the nexus in SSA and on intersectoral capacity building. Three focus groups conducted during the 2019 WONCA-Africa conference in Uganda were transcribed verbatim and analyzed using an inductive thematic approach. Participants’ perceived interactions related to (1) migration and climate change, (2) migration for better health and healthcare, (3) health impacts of climate change and the role of healthcare, and (4) health impacts of migration and the role of healthcare were studied. We coined these complex and reinforcing interactions as continuous feedback loops intertwined with socio-economic, institutional, and demographic context. Participants identified five intersectoral capacity-building opportunities on micro, meso, macro, and supra (international) levels: multi-dimensional and multi-layered governance structures improving FP training and primary healthcare working conditions health advocacy in primary healthcare collaboration between the health sector and civil society and more responsibilities for high-income countries. This exploratory study presents a unique and novel perspective on the nexus in SSA which contributes to interdisciplinary research agendas and FP policy responses on national, regional, and global levels. |
| Databáze: | OpenAIRE |
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