The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks

First two themes found in research with number of mentions by participants and key informants

(Featured image shows first two themes out of a total five from this research)

Authors: Pramod R. Regmi, Edwin van Teijlingen, Preeti Mahato, MSc; Nirmal Aryal, Navnita Jadhav, Padam Simkhada, Quazi Syed Zahiruddin, and Abhay Gaidhane

International Journal of Environmental Research and Public Health, https://doi.org/10.3390/ijerph16193655, (Published Sep 2019).

Current research on Nepali migrant workers in India neglects work, lifestyle, and health care access in favor of focusing on sexual health. This article aims to gain a broader sense of migrant workers’ health by conducting focus groups and interviews. The researchers analyzed their data and determined five different themes:

  1. Accommodation
  2. Lifestyle, networking, and risk-taking behaviours
  3. Work environment
  4. Support from local organisations
  5. Health service utilisation

This qualitative study demonstrates that health risks for Nepali migrant workers’ emerge because of a wide range of factors. The authors recommend a larger quantitative study to gain more insight.

Read the full article here.

Major depressive disorder prevalence and risk factors among Syrian asylum seekers in Greece

Graph that shows the more time spent in camp the higher the probability of MDD

Danielle N. Poole, Bethany Hedt-Gauthier, Shirley Liao, Nathaniel A. Raymond, & Till Bärnighausen

BMC Public Health, https://doi.org/10.1186/s12889-018-5822-x, (Published July 2018).

This research provides necessary information on the mental health (specifically major depressive disorder or MDD) of refugees from Syria, as this information has not been collected or analyzed thoroughly as of yet. The researchers surveyed 135 Syrian refugees in a camp in Greece, specifically screening for MDD. The authors found that 44% of participants had symptoms of major depression. They found that women had an increased likelihood of MDD, and that time spent in the camp had a trend towards increased risk of depression.

“The development of depression during the asylum process is likely to undermine individual and societal functioning, which are essential for the survival and eventual resettlement of forced migrants. Depression is also likely to lead to adverse acculturation outcomes.”

To read the full article, click here.

‘And when a certain health issue happen, they try to cover it’: Stakeholder perspectives on the health of temporary foreign workers and their families

Bukola Salami, RN, PhD; Kathleen Hegadoren, RN, PhD; Anna Kirova, PhD; Salima Meherali, RN, MN, PhD; Christina Nsaliwa, PhD; & Yvonne Chiu, LLD

Social Work in Health Care, https://doi.org/10.1080/00981389.2017.1379458 (Published Sep 2017).

Like our other recent highlighted articles, this one again focuses on Alberta, Canada. This research was an exploratory study into the health and wellbeing of temporary foreign workers (TFWs) in the province.

They asked two primary research questions:

  • “What are the perspectives of stakeholders on the health and well-being of TFWs and their families in Alberta?”
  • “What do they see as potential threats to child and family health in this population?”

The authors found that stakeholders perceive TFWs as experiencing several different types of specific health challenges: mental health, family health, and occupational health. They also found that workers confront barriers in accessing mental health services as well as the fact that income and social status are social determinants of health.

If you wish to read the rest of the article, click here. Institutional access restrictions apply.

Sense of community belonging among immigrants: perspective of immigrant service providers

B. Salami, J. Salma, K. Hegadoren, S. Meherali, T. Kolawole, E. Diaz

Public Health, https://doi.org/10.1016/j.puhe.2018.10.017 (Published Feb 2019)

In this article, authors interviewed immigrant service providers in Alberta, Canada, to discuss how their clients experience belonging on a day-to-day basis. The research showed that there are two different groups within which migrants experience belonging; their specific ethnocultural group, and the mainstream society of Canada. The researchers saw that migrants feel more belonging in an ethnic group before becoming comfortable with people who live near them. The authors argue that lack of ethnocultural diversity in local organizations adds to this distance from Canadian society.

If you wish to read the rest of the article, click here. Institutional access restrictions apply.

3rd MHADRI newsletter [October 2019]

The 3rd MHADRI newsletter is available here

Transnationalism, parenting, and child disciplinary practices of African immigrants in Alberta, Canada

Dominic A. Alaazi, Bukola Salami, Sophie Yohani, Helen Vallianatos, Philomina Okeke-Ihejirika, Christina Nsaliwa

Child Abuse and Neglect, https://doi.org/10.1016/j.chiabu.2018.09.013 (Published December 2018)

This article focuses on the parental disciplinary practices of African migrants in Alberta, Canada. The authors themselves are members of the immigrant community and so were better able to research these practices in a supportive and reflexive manner.

“We found that African immigrant parents used corporal discipline, persuasive discipline, and a hybrid of the two, as well as emerging practices involving transnational fostering and emotional isolation of children who persistently misbehaved. These practices, in their totality, appeared to be influenced by the transnational experiences of parents and precepts that are traceable to Canada’s legal and educational systems.”

Child discipline is a controversial subject, and these authors nuance the topic of discipline in African immigrant households by examining how parents negotiate new environments and expectations by adjusting practices as needed.

Read the full article here. (Note that institutional restrictions on access apply).

Call for papers and multi-media contributions: BMJ series on Migration and Health

A collaboration with BMJ-MHADRI-IOM

September 2019 saw the launch of the BMJ’s migration health series, developed in collaboration with the Migration Health and Development Research Network (MHADRI) and the United Nations Migration agency. It aims to provide insights and perspectives by migrants and refugee communities, government authorities, researchers, policy makers, practitioners, civil society and industry groups in the issues, challenges and complexities in advancing migration health at national, regional and global levels.   

A call for papers!

The best pieces for The BMJ series will be policy and analytical pieces that develop new areas of thinking, challenge existing norms – taking on a major issue and offering new insights with data to support them. Papers that will take stock of the current state of evidence, debates and controversies, underscore advances, highlight critical gaps in evidence generation, and the key interventions needed for knowledge generation for advancing migration health polices and practice.

Papers of up to 1,500 words in length will be considered. BMJ encourages submissions from a diverse range of stakeholders as indicated. Perspectives from Low to Middle-Income Countries, and papers written collaboratively between researchers and policy makers are encouraged. Submissions should follow BMJ style guidelines. The series is calibrated along the axis of three perspectives: from the ‘individual’ migrant, the ‘health system’; and, the ‘political’- navigating policy, politics and diplomacy.

Political dimension: exploring the politics, power and governance around migration and health. Migration discourses continue to be at the forefront of political and social movements, dominating headlines and election campaigns, yet who is driving the migration and health agenda? How is migration health been framed as a public health priority? Where does it sit within health agendas at national, regional and global levels?

Health Systems dimension: Despite the mantra to ‘leaving no one behind on the path to universal health coverage’ non-citizens and migrant groups are often left-behind or left-out of health system plans…rethinking health systems responses, health care financing, health coverage to migration, human mobility and health…  

Individual dimension: What are the perspectives and experiences of migrants and refugees in navigating health care? What are underlying discourses of vulnerability and ‘othering’? What is the evidence on health impacts and what are strategies and sustainable solutions being explored?…

 This is by no means an exhaustive list, but serves as reflection of the catalytic questions along each axis!

Call for multi-media contributions!

The BMJ series will provide an opportunity for multi-media submissions. Those working in the migration health field with the expertise and experience of the lessons (un)learnt distilled from dedicated practice of providing/enabling health care or conducting research with migrants and refugees can contribute multi-media content for the series. Of course, the lived experiences and stories of migrants and refugees are highly encouraged. The submissions may include for instance photo essays, audio-visual story board narratives, audio recorded commentaries/interviews and visual artwork.

A short analytical piece must accompany all submissions anchored to the 3 themes of the series. It is essential for any submitted work, the person/s who is the subject of the photo, audio or video recording to have provided requisite consent/assent for use and sharing of their images, stories, artwork and audio-video content. The final editorial decision of which multi-media submissions to be posted on the BMJ-series will of course be made by the BMJ through peer-review processors. Members should contact us for pre-submission inquiries.

What would make a good topic for debate in the migration health field?

MHADRI would like to hear from you on ideas for debates on migration health related topics, that may be organised as podcasts in 2020. Please submit your ideas for debate questions and experts you feel that you will like to engage in such debates. Please contact MHADRI for pre-submission inquiries.