Damaging discourses: why meanings matter in migration & health research, advocacy, and action

•

1 like•59 views

Jo Vearey

Input made at the CESSMIR conference needs and care practices of refugees and migrants, September 2018

Health & Medicine

Damaging discourses
why meanings matter in migration & health
research, advocacy, and action
Jo Vearey, PhD
Associate Professor
African Centre for Migration & Society
University of the Witwatersrand
17th September 2018
jovearey@gmail.com
@jovearey
@mahp_sa www.mahpsa.org

Through a series of unique research and public engagement projects, maHp aims
to generate and communicate knowledge in order to improve responses to
migration, health and wellbeing in the southern African region.
@mahp_sa
www.mahpsa.org
Policy
Research methodology
Knowledge production, communication and uptake
Lived experiences
Communicable diseases
Labour and livelihoods
Non-communicable diseases
Maternal and child health
Health systems

“The increasing complexity of global, regional, and national
migration trends, as well as disagreements about the correct way
to define and label different types of migrants, create additional
difficulties within an already tense and politically contested research
domain.”

Migration & health: meanings matter
Migrant, migration
• Internal, cross-border, domestic, international
• Bodies, populations
• Long-term, short-term, circular
• Time, space, transit, journey, trajectory
• For work & study, to seek work, for asylum-seeking
• Documentation, regularity
Language, voice, labelling, definitions, representation
• Vulnerability, stereotypes, deservingness, fear
• Moral panics, crisis,’ trafficking’, smuggling
• Securitisation, health security, borders, boundaries, containment
Global, national, regional, continental, local
• Low-income, high-income, power, geopolitical context, global context, nation
state, sovereignty, policy processes
Health, wellbeing, public health, population health
• Social determinants of health, equity, equality, socio-economic status, gender,
age, race, nationality, epidemiological context, violence -direct and structural
Who has the
loudest voice?
Who determines
the (global)
agenda?

Where’s the internal migrant & processes of internal migration?
Do not exceptionalise cross-border migrants & cross-border
migration.
• Internal migrants are greater in number and a larger development
challenge, and in some contexts are worse off than cross-border migrants
• Improved nomenclature is needed
South Africa –
internal mobility
South Africa –
cross-border mobility

Migrant friendly v’s migration aware
Migrant friendly
•“Right to health”
•Limited systems response
•Cross-border/non-national
focus: an assumed
homogenous group
•Exceptionalises
•Individual level focus
•Intercultural / cultural
sensitivity
Migration aware
•Mobility-sensitive
•Heterogeneity of migrant
populations: considers internal
movement
•Systems response
•Spatially sensitive
•“Health for all”
•Public health approach
•Regionally-aware

1. The document advocates for a migration-aware approach to public health in southern Africa rather than a migrant-friendly approach. A migration-aware approach considers migration and mobility as social determinants of health across populations rather than exceptionalizing migrants. 2. Southern Africa experiences complex mixed migration flows including internal, cross-border, forced, and urban migration that current public health responses do not adequately address. 3. A migration-aware approach would integrate migration dynamics into health systems planning rather than focusing on cultural competency or rights at facilities, better engaging issues like continuity of chronic care and communicable disease control.

Do you speak "health care"?

Jacqueline Leskovec

This document summarizes a presentation about health disparities and resources for addressing them. It discusses how racial, ethnic, sexual, and other minority groups experience health disparities, as well as those in rural areas, women, children, the elderly and disabled. It provides resources for health information in multiple languages, including MedlinePlus, RHIN, EthnoMed, DiversityRx and Healthy Roads Media. The presentation emphasizes understanding different cultural beliefs and practices and their impact on health and healthcare.

Moving forward: (re)engaging with migration, mobility and HIV in southern Africa

Jo Vearey

Navigating

linda519

This document provides information about the 37th Annual Fall Conference hosted by the Houston Metropolitan Educational Diagnosticians' Association (HouMet) in partnership with Region 4 Education Service Center. It introduces the HouMet officers and committees and explains that HouMet is a local chapter of the Texas Educational Diagnosticians' Association (TEDA) that promotes professional development for diagnosticians. It also notes there will be a vendor fair, information on a conference wiki, and reminders about meals, sign-in, and certificates of completion.

Building a Culturally Competent Organization: The Quest for Equity in Health ...

Nathan (Andy) Bostick

Cultural competency in health care describes the ability of systems to provide care to patients with diverse values, beliefs and behaviors, including the tailoring of health care delivery to meet patients' social, cultural and linguistic needs. A culturally competent health care system is one that acknowledges the importance of culture, incorporates the assessment of cross-cultural relations, recognizes the potential impact of cultural differences, expands cultural knowledge, and adapts services to meet culturally unique needs. Ultimately, cultural competency is recognized as an essential means of reducing racial and ethnic disparities in health care. This guide explores the concept of cultural competency and builds the case for the enhancement of cultural competency in health care.

97 muster2014 Rysdale

Muster2014

This document discusses developing cultural self-efficacy in health professional learners regarding Aboriginal populations. It outlines that nearly half of Ontario's Aboriginal population lives in Northwestern Ontario. It also lists competencies around understanding Aboriginal health status, socio-demographics, traditional healing practices, and improving access to culturally appropriate services. The goal is to increase awareness, knowledge and skills for functioning in culturally diverse situations and working with priority populations. Effective learning experiences and strategies for assessing cultural self-efficacy and the impact of experiences are discussed.

Cafe Scientifique: Cultural Competency and Safety

National Aboriginal Health Organization

Recruiting Students of Color and Their Impact in Grad Programs

Texas Association of Graduate Admissions Professionals

This document outlines a presentation given by Sean Guinyard and John E. Smith Jr. on recruiting students of color to graduate programs and their impact. It discusses barriers that discourage blacks from pursuing graduate education such as GRE score gaps and lack of knowledge about funding opportunities. Best practices for support include outreach, collaborating across campus, and involvement in professional organizations for underrepresented groups. The presenters encourage discussion on preparing and recruiting students of color.

Mr. Ringo defines indigenous knowledge as the accumulated knowledge and skills passed down through generations that allow people to live sustainably in their local environment. Disaster management incorporates planning and actions at all levels to prevent, reduce risk of, respond to, and recover from disasters. Indigenous knowledge has historically been used by communities around the world to mitigate disasters through practices like weather prediction, food storage, early warning systems, and coping strategies. However, challenges include the marginalization of indigenous knowledge, failure to systematically document it, risk of it disappearing, difficulties in management and reconciliation with western science.

Students In One Health: Recent developments and moving forward

Neil Vezeau

The Globalized Patient

diversityRx

The document discusses improving health care services for mobile, migrant and minority populations by addressing challenges like communication barriers and cultural differences through practices like language services and cultural support staff, supportive policies at international, national and local levels, and strategic alliances between stakeholders to promote engagement and comprehensive action. The goal is to provide quality health care for globalized patients from diverse backgrounds.

Linking local And Global knowledge: lessons on improving the links between tr...

Sarah Cummings

ANTH326 Meeting 12

Alexandre Enkerli

Epistemology of cultural Competence in Nursing ppt

nashhaija

This document defines key terms related to cultural competence in nursing such as culture, cultural awareness, cultural competence, cultural sensitivity, transcultural nursing, and ethnocentrism. It also describes Campinha-Bacote's model of cultural competence, which views it as an ongoing process involving cultural awareness, knowledge, skills, encounters, and desire. The document instructs students to reflect on an example of culturally competent or incompetent nursing care.

Communicating Research Beyond Academia A researchers perspective

monicaduke

PACAC Counseling the Transfer Student

J. Scott Myers

This document discusses trends in student transfer and some of the challenges transfer students face. It notes that approximately one-third of students transfer at least once before earning a degree. Nearly half of undergraduates are enrolled at community colleges, and 50-80% of community college students intend to transfer. While most vertical transfers (from 2-year to 4-year institutions) are successful, only 25% of students who intend to transfer actually do so. The key challenges transfer students face include navigating the transfer process, finding the right institutional fit, and determining if transfer is feasible. Effective advising is important to help students address questions around these challenges.

Using Social Media to Tailor Public Health Responses

Dr. Ebele Mogo

2016 JRE Resume

James Ellsworth

James Ellsworth has over 5 years of experience in environmental advocacy and policy work. He has held roles organizing engagement for the Oregon League of Conservation Voters, as a legislative assistant in the Oregon State Legislature, and organizing student voter registration campaigns. Ellsworth also has experience in grant writing, budgeting, and watershed analysis. He holds a Bachelor's degree in Environmental Studies from Southern Oregon University.

Leaving no-one behind? Responding to migration, mobility and health in southe...

Jo Vearey

Researching the research: producing, communicating and using knowledge to im...

Jo Vearey

Urban health and migration in South(ern) Africa: a regional public health pr...

Jo Vearey

Migration and health: disrupting the narrative

Jo Vearey

3rd National Consultation on Migration and Health in South Africa

Jo Vearey

1) The document discusses migration and health issues in Southern Africa. It notes that the region experiences complex migration flows and public health responses have not adequately addressed migration and mobility. 2) Healthcare systems in the region are overburdened and migrants often struggle to access healthcare. South Africa also experiences xenophobic attitudes which negatively impact migration management and health. 3) The document calls for developing migration-sensitive approaches to public health that consider both cross-border and internal migration in order to achieve equitable access to healthcare for all people in the region.

Health Disparities: Don't Despair, Be Aware

Jacqueline Leskovec

This document discusses health disparities and resources for promoting health equity. It defines health disparities as significant disparities in disease rates or health outcomes between populations compared to the general population. It identifies four population groups that experience health disparities: African Americans, Hispanics/Latinos, immigrants/refugees, and American Indian/Alaskan Natives. The document outlines unique health issues that affect these and other groups. It also describes several resources for finding health information, including MedlinePlus, the CDC, and databases like PubMed.

Exploring migration, mobility and health in South Africa: key public health i...

Jo Vearey

The document discusses key public health issues related to migration and mobility in South Africa. It notes that (1) South Africa experiences complex migration flows that current public health systems do not adequately address, (2) public health systems are already overburdened yet must also serve migrants, and (3) xenophobic attitudes present challenges. The document calls for improving data on migration and health, advocating for migration-sensitive public health responses, and addressing the health needs of both internal and cross-border migrants.

Migration and health: opportunities for pane physicians to help change the na...

Jo Vearey

1. Migration is a central determinant of health, with a bidirectional relationship between migration and health. Social determinants greatly impact health outcomes for migrants. 2. Migration and health is a global public health priority that requires consideration of migrant health, public health, health systems responses, governance, social justice, and ethics in developing migration-aware and mobility-competent responses. 3. Structural violence in the form of damaging discourses, xenophobia, racism, and scapegoating negatively impact migrant health, as there are competing agendas around securitization of migration versus universal healthcare coverage and migration for development.

What's hot

Contours of disability in America

Hamish Robertson

COVID19 Research Opportunities “same-same but different”

Francois Stepman

Ypard- A movement by youth, for youth, for agricultural development.

SIANI

Dr. Obumneke Amadi-Onuoha scripts-23

Discover Health Global Initiative

indigenous knowledge

MugishaMuta

Students In One Health: Recent developments and moving forward

Neil Vezeau

The Globalized Patient

diversityRx

Linking local And Global knowledge: lessons on improving the links between tr...

Sarah Cummings

ANTH326 Meeting 12

Alexandre Enkerli

Epistemology of cultural Competence in Nursing ppt

nashhaija

Communicating Research Beyond Academia A researchers perspective

monicaduke

PACAC Counseling the Transfer Student

J. Scott Myers

Using Social Media to Tailor Public Health Responses

Dr. Ebele Mogo

2016 JRE Resume

James Ellsworth

What's hot (14)

Contours of disability in America

COVID19 Research Opportunities “same-same but different”

Ypard- A movement by youth, for youth, for agricultural development.

Dr. Obumneke Amadi-Onuoha scripts-23

indigenous knowledge

Students In One Health: Recent developments and moving forward

The Globalized Patient

Linking local And Global knowledge: lessons on improving the links between tr...

ANTH326 Meeting 12

Epistemology of cultural Competence in Nursing ppt

Communicating Research Beyond Academia A researchers perspective

PACAC Counseling the Transfer Student

Using Social Media to Tailor Public Health Responses

2016 JRE Resume

Similar to Damaging discourses: why meanings matter in migration & health research, advocacy, and action

Leaving no-one behind? Responding to migration, mobility and health in southe...

Jo Vearey

Researching the research: producing, communicating and using knowledge to im...

Jo Vearey

Urban health and migration in South(ern) Africa: a regional public health pr...

Jo Vearey

Migration and health: disrupting the narrative

Jo Vearey

3rd National Consultation on Migration and Health in South Africa

Jo Vearey

Health Disparities: Don't Despair, Be Aware

Jacqueline Leskovec

Exploring migration, mobility and health in South Africa: key public health i...

Jo Vearey

Migration and health: opportunities for pane physicians to help change the na...

Jo Vearey

Khalil West presentation (MESMAC)

Khalil West

The document summarizes HIV statistics in the UK. It reports that in 2012, men who have sex with men (MSM) had the highest HIV prevalence rate at 47 per 1,000 people. New HIV diagnoses among MSM reached a record high of 3,250 that year. Black African men and women had the second highest prevalence rate at 38 per 1,000. An estimated 1,000 Black African people acquired HIV in the UK annually over the past five years.

Reason for separate two units (human rights unit and Protection Unit) - CU-B

Jhuma Halder

The document discusses the roles and responsibilities of the Human Rights Unit and proposed Protection Unit/Section of Concern Universal in Bangladesh. The Human Rights Unit promotes rights-based approaches and protects vulnerable groups from exploitation, trafficking, and violence. The Protection Unit aims to protect marginalized people's rights and prevent sex and gender-based violence. Both units work to uphold dignity, promote rights, and reduce violence, though the Protection Unit focuses more on rapid response and risk assessment while the Human Rights Unit emphasizes empowerment and accessibility. The units partner on initiatives like anti-trafficking projects and early warning systems.

Hiv prevention and care for transgender and gender non conforming individuals

Jai Smith

This document provides information on HIV prevention for transgender and gender non-conforming individuals. It discusses definitions of key terms, data on HIV rates from the 2015 US Transgender Survey showing that transgender women have disproportionately high rates of HIV. It also outlines risk factors, barriers to care, and voices from the transgender community. The document recommends best practices for inclusive HIV prevention, including taking an intersectional approach, engaging the community, assessing needs, increasing access to inclusive healthcare, and advocating for structural changes.

'The South Australian African Communities health advisory Committee (SAACHAC)...

Australian Federation of AIDS Organisations

Migration as a global public health priority: towards an Africa-focused resea...

Jo Vearey

This document discusses migration and health, focusing on an Africa-centered research agenda. It notes renewed global focus on migration through frameworks like the SDGs and WHO, but also competing political agendas around securitization of migration. Four priority areas are identified for achieving the WHO resolution on migrant health: monitoring health, partnerships, sensitive health systems, and policy frameworks. The document then focuses on migration trends in Southern Africa involving mixed flows, vulnerabilities, and implications for public health responses and overburdened systems. Structural violence and anti-foreigner attitudes are also raised as challenges. It concludes by calling for a public health approach, renewed regional conversation, and scaling up of good practices.

sociocultural context of health and health care delivery 2017

Chantal Settley

South African population features: • Population and demography (definitions): fertility, mortality, migration, birthrate, death rate, immigration rate, infant mortality rate, life expectancy –pg 31-32 in Pretoruis. • 2 main factors that shape death rates and life expectancy. Race & Ethnicity: • Definitions • Prejudice and discrimination- pg 50 in Pretoruis. • Strategies for working with diverse clients- pg 52-53 in Pretoruis. Age: • Ageism- pg 58 in Pretoruis. • Problems in inter-age interaction and how these manifest in health care- 58 in Pretoruis. • Adhering to principles- pg 59 in Pretoruis Disability: • Medical model- pg 61 in Pretoruis • Social model- pg 63 in Pretoruis • Definitions of disability and stigma- pg 64 in Pretoruis. • Strategies detrimental to patients who are disabled- pg 66 in Pretoruis + students to read through ‘preferred terminology’- pg 67 in Pretoruis Gender: • Gender socialization- pg 69 in Pretoruis • Defining ‘gender’- pg 70 in Pretoruis • The gender experience of health, illness and health care: Gender differences in respect of understanding and experiencing sickness and disease- pg 71 in Pretoruis, Gender differences in respect of morbidity and mortality- pg 71 in Pretoruis • Maternal health and reproductive health (MDG’s) + causes- pg 73 in Pretoruis

Vicki Wade

NACCHOpresentations

Clinical interactions and communication are key factors for improving chronic disease self-management for Aboriginal and Torres Strait Islander peoples with rheumatic heart disease. Improving communication requires effective two-way and cross-cultural communication between patients, community members, and healthcare providers. Strategies like clinical yarning and developing cultural health capital can help build rapport and understanding between patients and providers to support self-management. Addressing social and cultural factors is important for meaningful patient-provider interactions and successful self-management.

Global health trends and lessons learned towards better advocacy and develo...

Farooq Khan

Written from the perspective of a Canadian Emergency Medicine Resident in July 2013 as a presentation to peers and colleagues for academic purposes only. Part 1: Advocacy in Emergency Medicine - Patients, communities and the world at large Part 2: Global Health trends - Political, social, economic and environmental determinants - Emergency Medicine as a global priority Part 3: Examples of Emergency Medicine development and activism - Global Emergency Care Collaborative - Uganda - International Emergency Medicine research at WHO - Getting involved without leaving the country

Global nursing: the Dance between Health and Development

Mary Ellen Ciptak

Meeting Australia's targets for HIV prevention and treatment

Australian Federation of AIDS Organisations

Marilyn Wise (Health Public Policy Centre for Health Equity Training and Evaluation) delivered the keynote address at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012. She reflected on what she described as the 'system' of complex, multiple responses, that has evolved in Australia to contain HIV, and what we can learn from our successes in order to address the goals of the UN Political declaration on HIV and meet Australia's targets for HIV prevention and treatment.

Spring_GHUCCTS_Newsletter_1st_edition

Alexander V. Libin

This newsletter summarizes the work of GHUCCTS, a partnership between five organizations focused on clinical and translational research. It supports about 170 studies annually with nearly 2,000 research participants. The newsletter highlights a study called STRIDE that aims to help HIV+ heroin users maintain treatment to reduce virus transmission, and introduces Yanira Cruz who advocates for the needs of older Hispanic adults through her role on the Community Advisory Board.

Saharaskillsintroduction

Nicholas Jacobs

This document outlines a research study on vulnerabilities of men who have sex with men (MSM) and gays in Eastern and Southern Africa. The study aims to develop an evidence base to advocate for more inclusive HIV/AIDS policies and programming. It involves a desktop literature review, focus group meetings in the region, and an international dialogue. The overall goals are to encourage quality prevention and care for MSM communities and influence policies related to their rights.

Similar to Damaging discourses: why meanings matter in migration & health research, advocacy, and action (20)

Leaving no-one behind? Responding to migration, mobility and health in southe...

Researching the research: producing, communicating and using knowledge to im...

Urban health and migration in South(ern) Africa: a regional public health pr...

Migration and health: disrupting the narrative

3rd National Consultation on Migration and Health in South Africa

Health Disparities: Don't Despair, Be Aware

Exploring migration, mobility and health in South Africa: key public health i...

Migration and health: opportunities for pane physicians to help change the na...

Khalil West presentation (MESMAC)

Reason for separate two units (human rights unit and Protection Unit) - CU-B

Hiv prevention and care for transgender and gender non conforming individuals

'The South Australian African Communities health advisory Committee (SAACHAC)...

Migration as a global public health priority: towards an Africa-focused resea...

sociocultural context of health and health care delivery 2017

Vicki Wade

Global health trends and lessons learned towards better advocacy and develo...

Global nursing: the Dance between Health and Development

Meeting Australia's targets for HIV prevention and treatment

Spring_GHUCCTS_Newsletter_1st_edition

Saharaskillsintroduction

More from Jo Vearey

One year on: reflecting on migration and Covid-19 in South Africa

Jo Vearey

1. The document reflects on the challenges faced by migrant groups in South Africa during the COVID-19 pandemic, noting that existing inequities in access to basic services were amplified for non-citizens. 2. It argues for migration-aware and mobility-competent public health responses that engage with issues of migration and do not further marginalize or endanger migrants. 3. However, competing agendas around politics, security, and fear of outsiders have led South Africa and other countries in the region to adopt more restrictive immigration policies and securitized responses to COVID-19 that risk undermining public health goals.

Migration, health and development: leaving no-one behind?

Jo Vearey

Contribution to workshop on 'Disrupting Global Health Narratives: Alternative Perspectives on the World Bank's Influence on Global Health' where I suggest that we need to include engagement with migration & migrant health & the World Bank's interests in migration for development. What does this mean for Universal Healthcare Coverage and the right to good health, v's seeing the migrant body as a commodity?

'Hidden spaces' and heath for all: ethical challenges in researching migratio...

Jo Vearey

Johannesburg Migrant Health Forum: input to 3rd National Migration & Health C...

Jo Vearey

This document describes the Johannesburg Health and Migration Project, which has been running informal quarterly policy dialogues on migration and health in South Africa since 2008. It engages civil society, researchers, international organizations, and healthcare providers to produce information sheets and fact sheets on issues related to migrant health and submit policy recommendations to the government. Going forward, it plans to continue hosting policy dialogues, engaging with state authorities to develop evidence-based health responses for migrants, and collaborating with other stakeholders working on migration and health in Southern Africa.

Ways of seeing

Jo Vearey

- The document discusses the MoVE research project, which takes a broad approach to health and social justice issues in South Africa through participatory visual methodologies. - It explores topics like identity, power, mobilities, work, health determinants, violence, and inequalities. Researchers aim to involve marginalized communities and challenge established knowledge through mixed methods and multi-disciplinary partnerships. - The project grapples with questions around ethics, representation, knowledge production, and ensuring research has real impact through dissemination and advocacy.

Visual research methods: some reflections

Jo Vearey

This document summarizes Jo Vearey's research interests and approach to visual research methods. It discusses contexts like social justice, identity, and inequalities. It outlines an approach involving participation, collaboration, iterative and grounded processes, and dissemination. It also addresses ethics considerations around consent and ownership. The document provides examples of visual artifacts and shares links to related projects and online publications exploring visual research methods.

Creative resistance - John Marnell

Jo Vearey

The document outlines a participatory pedagogical approach to engage queer communities in Southern Africa. The objectives are to create safe spaces for reflection, involve communities in knowledge production, and empower queer leaders. The approach is grounded in intersectionality and inspired by liberatory pedagogies. Activities include building trust, analyzing social expectations, reflecting on experiences, and creating visual advocacy products to share struggles like violence, religion, family and gender expression. Quotes from participants illustrate resistance and strength in facing challenges. Benefits include support networks, but the process requires ongoing support and safety amid resistance and structural barriers.

Reflections on research with migrant sex workers conducted at the ACMS - El...

Jo Vearey

This document discusses reflections on research conducted with migrant sex workers. It discusses how the research helped participants feel empowered by having their stories heard and helping them see themselves as people with valuable experiences to share. It also discusses how the research workshops helped build community and support among participants. The workshops taught important skills like narrative writing, interviewing, using quotations and details to better document experiences. Participants felt the skills improved their advocacy work and ability to report human rights abuses. The research challenged norms by facilitating discussion of marginalized groups' lives and experiences.

Researching the research

Jo Vearey

This document discusses considerations for conducting research on migration and health in southern Africa. It addresses topics such as the appropriate use of visual methods, participatory research approaches, knowledge production and ethics. Specifically, it emphasizes the importance of power dynamics, collaboration with partners, disseminating findings through advocacy, and ensuring research benefits the communities involved. The overall goal is to produce knowledge that can inform responses to migration and health challenges in a way that promotes social justice and equity.

Ways of knowing, ways of seeing: experiences of visual methodologies in Joha...

Jo Vearey

This document summarizes a presentation on visual methodologies used in Johannesburg, South Africa. The researchers used qualitative methods like participant observation and interviews as well as quantitative surveys. They collaborated with sex workers, advocates, and policymakers. Their goals were to give voice to marginalized groups, challenge representations of communities, and inform policy. They discussed ethics challenges and gaining consent. Visual methods made power dynamics and issues more visible. Their future work will require more time, funding, and training a new generation of activist scholars.

Migration, inequality and urban health in SADC: learning from Johannesburg

Jo Vearey

This document discusses migration, inequality, and urban health in Southern African cities. It first provides context on urban growth, migration patterns, and health inequities across diverse Southern African Development Community (SADC) contexts. It then focuses on Johannesburg as a case study, noting its complex urban dynamics including high levels of inequality, migration, and informal settlements which experience overlapping vulnerabilities and higher HIV prevalence. The document calls for actions like healthy urban governance, intersectoral collaboration, localized responses, pro-poor policies, and cross-border cooperation to better address the social determinants of health and reduce inequities experienced by urban poor groups.

Migration and health in South Africa: National Consultation on Migration & H...

Jo Vearey

This document discusses migration and health in South Africa. It provides background on migration patterns and health concerns for migrants in South Africa and the Southern African region. Key points include: 1) South Africa experiences significant internal and cross-border migration that impacts health. Migrants face challenges accessing care despite some protective legislation. 2) Migration is a social determinant of health. Migrants are vulnerable to communicable diseases, mental health issues, and face barriers to sexual/reproductive healthcare. 3) Emerging issues include the need for cross-border collaboration, addressing rights around sexuality and migration, and involving multiple levels of governance and private sector in migrant health responses.

Framing concepts and debates: urbanisation, migration, urban health equity a...

Jo Vearey

This document provides an introduction and agenda for a symposium on urbanization, inequality, and HIV in South Africa. It discusses key concepts around urbanization, migration, and the social determinants of health. Specifically, it notes that urbanization is driven by both rural-urban migration and natural population growth in cities. It also highlights that urbanization in South Africa must be understood in the context of historical and ongoing population movements within and across borders. The document then outlines how urban inequality and inequities in access to health services negatively impact vulnerable groups in cities and exacerbate the HIV epidemic.

Policy dialogue: towards pro-poor policy responses to migration and urban vu...

Jo Vearey

The document summarizes a policy dialogue on urban health, HIV and migration in Johannesburg held on November 22nd, 2012. The dialogue aimed to: 1) discuss current health challenges faced by migrants, 2) share responses addressing urban migrant needs, and 3) develop recommendations to strengthen responses to urban vulnerabilities of migrants. Key topics included migration trends, health vulnerabilities of migrants, legislation protecting migrant health, and recommendations around data collection, regional coordination, and migration-sensitive health systems.

Vearey drimie migurbfoodsec 27nov2012

Jo Vearey

This document discusses a presentation by Jo Vearey and Scott Drimie at a conference on urbanization, migration, food security and HIV in South African cities. The presentation explores the links between these issues, with a focus on Johannesburg. It challenges common assumptions about urban health, provides an overview of population movements in South Africa, and considers the role of local governments in responding to migration, informal settlements, food insecurity and HIV through strengthened, localized responses.

Migrant friendly or migration aware? The challenges of a key populations app...

Jo Vearey

This document discusses migration and health in South Africa. It argues that a "key populations" approach, which views migrants as a homogenous group and exceptionalizes their needs, has unintended negative consequences. Instead, it advocates for a "migration aware" approach that embeds migration as a key social process and considers the heterogeneity of migrant populations. A migration aware approach would support mobility-sensitive health systems, spatially sensitive responses, and continuity of care for both internal and cross-border movement. Properly implementing laws regarding migrants' right to health could improve outcomes for all.

Migration and health in Johannesburg

Jo Vearey

The document discusses migration and health in Johannesburg, South Africa. It addresses several key topics: 1) Migration patterns in Johannesburg, including both internal and cross-border migration for livelihood opportunities. Migrants tend to be healthier upon arrival but face challenges accessing health services. 2) South African policy protects the right to basic health care, including ART, for refugees, asylum seekers and other migrants. However, implementation challenges remain regarding documentation, awareness of rights, and restrictive immigration policies. 3) Recommendations for Johannesburg include understanding social determinants of health, improving data collection, ensuring all understand migration's implications, and implementing protective health policies for both citizens and migrants.

Poverty, housing and health in Johannesburg

Jo Vearey

The document discusses poverty, housing, and health inequalities within Johannesburg. It aims to explain the determinants of health, show how health differs across the city, highlight the impacts of poor health on the urban poor living in informal settlements, and suggest actions needed. Key points are that communicable and non-communicable diseases disproportionately affect the urban poor; informal settlements have high HIV prevalence, poor food security and access to services; and an integrated, respectful approach is needed to address the linked challenges faced in informal settlements.

Csvr policy workshop 13 june 2011

Jo Vearey

The document discusses a research project exploring the psychosocial and health rights of forced migrants in Johannesburg. The project aims to 1) review legislation on migrants' rights, 2) document experiences of migrants accessing their rights, and 3) determine challenges migrants face in accessing rights. Methods include interviews and focus groups. Preliminary findings suggest migrants face challenges in healthcare access due to issues like documentation, language barriers, and daily stressors negatively impacting mental health. A policy brief will be developed to advocate for change.

Ensuring migrant rights to health: lessons from a study assessing non-citiz...

Jo Vearey

The document summarizes a study assessing non-citizen access to antiretroviral treatment (ART) in Johannesburg, South Africa. The study found that while numbers of international migrants needing ART are small, they are significant. Existing protective legislation ensuring migrant access to healthcare is not being uniformly applied across public institutions, resulting in a dual public/NGO healthcare system that presents challenges. The study recommends ensuring all migrants' right to health regardless of status, uniform application of protective policies, and availability of language appropriate migrant counselors.

More from Jo Vearey (20)

One year on: reflecting on migration and Covid-19 in South Africa

Migration, health and development: leaving no-one behind?

'Hidden spaces' and heath for all: ethical challenges in researching migratio...

Johannesburg Migrant Health Forum: input to 3rd National Migration & Health C...

Ways of seeing

Visual research methods: some reflections

Creative resistance - John Marnell

Reflections on research with migrant sex workers conducted at the ACMS - El...

Researching the research

Ways of knowing, ways of seeing: experiences of visual methodologies in Joha...

Migration, inequality and urban health in SADC: learning from Johannesburg

Migration and health in South Africa: National Consultation on Migration & H...

Framing concepts and debates: urbanisation, migration, urban health equity a...

Policy dialogue: towards pro-poor policy responses to migration and urban vu...

Vearey drimie migurbfoodsec 27nov2012

Migrant friendly or migration aware? The challenges of a key populations app...

Migration and health in Johannesburg

Poverty, housing and health in Johannesburg

Csvr policy workshop 13 june 2011

Ensuring migrant rights to health: lessons from a study assessing non-citiz...

Recently uploaded

Cervical Disc Arthroplasty ORSI 2024.pptx

LEFLOT Jean-Louis

pharmacy exam preparation for undergradute students.pptx

AdugnaWari

June 2024 Oncology Cartoons By Dr Kanhu Charan Patro

Kanhu Charan

What is Obesity? How to overcome Obesity?

Healthmedsrx.com

Ageing, the Elderly, Gerontology and Public Health

phuakl

Breast cancer: Post menopausal endocrine therapy

Dr. Sumit KUMAR

Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options. Diagnosis and Staging The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells. Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions. Treatment Options Endocrine Therapy Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include: Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events. Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen. Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops. Combination Therapies Combining endocrine therapy with other treatments enhances efficacy. Examples include: Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer. Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors. Chemotherapy Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.

Top Travel Vaccinations in Manchester

NX Healthcare

Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk

Tele Optometry (kunj'sppt) / Basics of tele optometry.

Kunj Vihari

How to Control Your Asthma Tips by gokuldas hospital.

Gokuldas Hospital

Pollen and Fungal allergy: aeroallergy.pdf

Chulalongkorn Allergy and Clinical Immunology Research Group

Public Health Lecture 4 Social Sciences and Public Health

phuakl

KENT'S REPERTORY by dr niranjan mohanty.pptx

SravsPandu1

Nano-gold for Cancer Therapy chemistry investigatory project

SIVAVINAYAKPK

chemistry investigatory project The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications. Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.

Pharmacology of 5-hydroxytryptamine and Antagonist

Dr. Nikhilkumar Sakle

5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness. It is mostly found in the brain, intestines, and blood platelets. 5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin. It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.

What are the different types of Dental implants.

Gokuldas Hospital

Are you looking for a long-lasting solution to your missing tooth? Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.

Skin Diseases That Happen During Summer.

Gokuldas Hospital

District Residency Programme (DRP) for PGs in India.pptx

CommunityMedicine46

Medical Quiz ( Online Quiz for API Meet 2024 ).pdf

Jim Jacob Roy

Travel Clinic Cardiff: Health Advice for International Travelers

NX Healthcare

Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk

PGx Analysis in VarSeq: A User’s Perspective

Golden Helix

Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings. The purpose of this webcast is to: Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis. Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting. Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.

Recently uploaded (20)

Cervical Disc Arthroplasty ORSI 2024.pptx

pharmacy exam preparation for undergradute students.pptx

June 2024 Oncology Cartoons By Dr Kanhu Charan Patro

What is Obesity? How to overcome Obesity?

Ageing, the Elderly, Gerontology and Public Health

Breast cancer: Post menopausal endocrine therapy

Top Travel Vaccinations in Manchester

Tele Optometry (kunj'sppt) / Basics of tele optometry.

How to Control Your Asthma Tips by gokuldas hospital.

Pollen and Fungal allergy: aeroallergy.pdf

Public Health Lecture 4 Social Sciences and Public Health

KENT'S REPERTORY by dr niranjan mohanty.pptx

Nano-gold for Cancer Therapy chemistry investigatory project

Pharmacology of 5-hydroxytryptamine and Antagonist

What are the different types of Dental implants.

Skin Diseases That Happen During Summer.

District Residency Programme (DRP) for PGs in India.pptx

Medical Quiz ( Online Quiz for API Meet 2024 ).pdf

Travel Clinic Cardiff: Health Advice for International Travelers

PGx Analysis in VarSeq: A User’s Perspective

Damaging discourses: why meanings matter in migration & health research, advocacy, and action

1. Damaging discourses why meanings matter in migration & health research, advocacy, and action Jo Vearey, PhD Associate Professor African Centre for Migration & Society University of the Witwatersrand 17th September 2018 jovearey@gmail.com @jovearey @mahp_sa www.mahpsa.org

2. Through a series of unique research and public engagement projects, maHp aims to generate and communicate knowledge in order to improve responses to migration, health and wellbeing in the southern African region. @mahp_sa www.mahpsa.org Policy Research methodology Knowledge production, communication and uptake Lived experiences Communicable diseases Labour and livelihoods Non-communicable diseases Maternal and child health Health systems

3. “The increasing complexity of global, regional, and national migration trends, as well as disagreements about the correct way to define and label different types of migrants, create additional difficulties within an already tense and politically contested research domain.”

4. Migration & health: meanings matter Migrant, migration • Internal, cross-border, domestic, international • Bodies, populations • Long-term, short-term, circular • Time, space, transit, journey, trajectory • For work & study, to seek work, for asylum-seeking • Documentation, regularity Language, voice, labelling, definitions, representation • Vulnerability, stereotypes, deservingness, fear • Moral panics, crisis,’ trafficking’, smuggling • Securitisation, health security, borders, boundaries, containment Global, national, regional, continental, local • Low-income, high-income, power, geopolitical context, global context, nation state, sovereignty, policy processes Health, wellbeing, public health, population health • Social determinants of health, equity, equality, socio-economic status, gender, age, race, nationality, epidemiological context, violence -direct and structural Who has the loudest voice? Who determines the (global) agenda?

5. ?

6. Where’s the internal migrant & processes of internal migration? Do not exceptionalise cross-border migrants & cross-border migration. • Internal migrants are greater in number and a larger development challenge, and in some contexts are worse off than cross-border migrants • Improved nomenclature is needed South Africa – internal mobility South Africa – cross-border mobility

7. Migrant friendly v’s migration aware Migrant friendly •“Right to health” •Limited systems response •Cross-border/non-national focus: an assumed homogenous group •Exceptionalises •Individual level focus •Intercultural / cultural sensitivity Migration aware •Mobility-sensitive •Heterogeneity of migrant populations: considers internal movement •Systems response •Spatially sensitive •“Health for all” •Public health approach •Regionally-aware

8. Damaging discourses why meanings matter in migration & health research, advocacy, and action Jo Vearey, PhD Associate Professor African Centre for Migration & Society University of the Witwatersrand 17th September 2018 jovearey@gmail.com @jovearey @mahp_sa www.mahpsa.org

Damaging discourses: why meanings matter in migration & health research, advocacy, and action

Recommended

Recommended

More Related Content

What's hot

What's hot (14)

Similar to Damaging discourses: why meanings matter in migration & health research, advocacy, and action

Similar to Damaging discourses: why meanings matter in migration & health research, advocacy, and action (20)

More from Jo Vearey

More from Jo Vearey (20)

Recently uploaded

Recently uploaded (20)

Damaging discourses: why meanings matter in migration & health research, advocacy, and action

Damaging discourses : why meanings matter in migration & health research, advocacy, and action

Recommended

Recommended

More Related Content

What's hot

What's hot (14)

Similar to Damaging discourses : why meanings matter in migration & health research, advocacy, and action

Similar to Damaging discourses : why meanings matter in migration & health research, advocacy, and action (20)

More from Jo Vearey

More from Jo Vearey (20)

Recently uploaded

Recently uploaded (20)

Damaging discourses : why meanings matter in migration & health research, advocacy, and action

Damaging discourses: why meanings matter in migration & health research, advocacy, and action

Similar to Damaging discourses: why meanings matter in migration & health research, advocacy, and action

Similar to Damaging discourses: why meanings matter in migration & health research, advocacy, and action (20)

Damaging discourses: why meanings matter in migration & health research, advocacy, and action