Person: Cabieses, Báltica
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Publication Acceso a servicios de salud para personas migrantes internacionales durante la pandemia por COVID-19: estudio cualitativo(2023) Obach, Alexandra; Blukacz, Alice; Cabieses, Báltica; CARREÑO CALDERON, ALEJANDRA; Stefoni, Carolina; Pérez, ClaudiaObjective: To explore the experience and perception of international migrants in Chile regarding access to health services during the pandemic. Method: Collective case study following the qualitative paradigm. Forty semi-structured interviews were carried out with 30 migrants from different countries in Latin America and the Caribbean and 10 key actors from the health or social sector in November and December 2020. The interviews were analyzed thematically. Results: Perceived facilitators for general access to health services are related to formal work, support networks, and good treatment, while barriers are linked to immigration status, information gaps, discrimination, lack of cross-cultural skills, and personal limits of the system. In the context of access to COVID-19 diagnosis and treatment, the main barriers identified are: cultural approach to the disease, communication gaps, experiences of discrimination, costs, and lack of support networks. Conclusion: Access to health services is related to social vulnerability and violation of international migrants rights.Publication Condiciones de vida de la población migrante venezolana en situación irregular y percepciones sobre la respuesta sanitaria brindada durante la pandemia de SARS-CoV-2 en Chile(2023) Cabieses, Báltica; Larenas, Daniel; Torres, Irene; Cubillos, Andrés; Arroyo, JuanEl presente estudio tiene como objetivo identificar percepciones sobre la situación de la población migrante venezolana en situación irregular durante la pandemia de COVID-19 en Chile y de las estrategias desarrolladas para responder a sus necesidades de salud. Para esto, se desarrolló un análisis temático de 19 entrevistas semi-estructuradas. Se identificó un círculo vicioso de barreras que dificultan la regularización y el acceso al trabajo. Esto produce necesidades de vivienda y dificultades de acceso a salud. No obstante, se reconocen estrategias de acceso a atención y cobertura, capacitación del personal y difusión de información realizadas en el país. Se requiere desarrollar estrategias locales y regionales para resolver los problemas relacionados a la criminalización de las personas migrantes en situación irregular, las trabas de los procesos de regularización, las necesidades básicas no cubiertas y las dificultades asociadas a la garantía del goce del derecho a la salud. O presente estudo tem como objetivo identificar as percepções sobre a situação da população migrante venezuelana em situação irregular durante a pandemia de COVID-19 no Chile e as estratégias desenvolvidas para responder às suas necessidades de saúde. Para isso, foi desenvolvida uma análise temática de 19 entrevistas semiestruturadas. Com base nisso, identificou-se um círculo vicioso de barreiras que dificultam a regularização e o acesso ao trabalho. Isso produz carências habitacionais e dificuldades de acesso à saúde. No entanto, são reconhecidas as estratégias de acesso à atenção e cobertura, capacitação de pessoal e divulgação de informações realizadas no país. É necessário desenvolver estratégias regionais e locais para resolver os problemas relacionados com a criminalização de migrantes em situação irregular, os obstáculos ao processo de regularização, as necessidades básicas não cobertas e as dificuldades associadas à garantia do gozo do direito à saúde.Publication Emergency preparedness and response sensitive of migrant populations in Chile: postpandemic perspectives(2024) Blukacz, Alice; Cabieses, Báltica; Obach, Alexandra; CARREÑO CALDERON, ALEJANDRA; Mezones, EdwardOn August 31, 2023, the Chilean government ended the health alert for COVID-19. This milestone invites us to reflect on lessons learned in emergency preparedness and response regarding migrant populations in the country. In this context, three perspectives are presented. The first focuses on avoiding pointing to individual responsibility for non-compliance with prevention measures, as this approach ignores structural and historical inequities. Emergency recommendations should be constructed considering a collective approach and diverse sociocultural and political contexts. The second perspective calls for considering and addressing migration as a social determinant of health. During the pandemic, changes in the governance of migration around the world made migration processes more precarious, with risks to the physical and mental health of migrants, which needs better planning and evidence-based decision-making in future pandemics. The third perspective focuses on promoting intercultural health, as effective communication of contagion risks and preventive measures were hampered among migrant populations with diverse worldviews and interpretations of health and disease processes. Responding to the needs of historically marginalized communities requires establishing ways of life that respect diversity in narratives and everyday practices. Governments and health systems must incorporate migration into their emergency preparedness and response strategies, creating the conditions for optimal compliance.