CARREÑO CALDERON, ALEJANDRA ANGELICA
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CARREÑO CALDERON, ALEJANDRA ANGELICA
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a.carreno@udd.cl
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Scopus Author ID
57216710153

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Barreras asociadas al acceso y uso del sistema público de salud para la prevención y detección del VIH/Sida en población joven del país: Documento de recomendaciones para la toma de decisiones en salud

2023 , OBACH KING, ALEXANDRA ALICE , CARREÑO CALDERON, ALEJANDRA ANGELICA , SABRITA CHANDÍA ESPINOSA , CABIESES VALDES, BALTICA BEATRIZ , Michelle Sadler , Ana María Alarcón , Antonia Roberts , Olga López , Matías Marín , Carolina Díaz , Marjorie Branif

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Publication

Trenzando las antropologías de la salud en Chile: temas, diálogos y desafíos

2023 , CARREÑO CALDERON, ALEJANDRA ANGELICA , OBACH KING, ALEXANDRA ALICE , Daniela Leyton , Michelle Sadler

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Barriers and facilitators to access sexual and reproductive health services among young migrants in Tarapacá, Chile: a qualitative study

2024 , OBACH KING, ALEXANDRA ALICE , Alice Blukacz , Michelle Sadler , CARREÑO CALDERON, ALEJANDRA ANGELICA , CABIESES VALDES, BALTICA BEATRIZ , Carolina Díaz

Abstract Background Chile has become a destination country for immigrants from Latin America, including youth. Guaranteeing access and use of sexual and reproductive health services for young migrants is crucial because of their overlapping experiences of transitioning to a new country and to adulthood. However, the existing evidence shows barriers to accessing sexual and reproductive healthcare among young migrant populations. In this context, the main objective of this article is to identify the barriers and facilitators that young migrants experience to access sexual and reproductive healthcare in the Tarapacá region of Chile. Methods A qualitative study was conducted in the Tarapacá region of Chile. Semi-structured interviews with 25 young migrants from Venezuela, Colombia, and Ecuador, as well as 10 health workers, were carried out. The interviews were transcribed and thematically analysed. The study was approved by the Ethics Committee of the Universidad del Desarrollo (#2019-22). Results Young migrants face barriers linked to structural shortcomings within the healthcare system, which may be similar to those faced by the local population. Barriers are also derived from reductionist sexual and reproductive health approaches, which prioritise the prevention of pregnancy, sexually transmitted infections, and HIV, with a predominantly heteronormative focus. The prevailing narratives from the health system are those of risk and lack of control and self-care among young people, and they are exacerbated in the case of migrants. Young migrants, especially from the Caribbean, are stereotyped as over-sexualised and liberal in comparison to the local population and believed to be engaging in riskier sexual behaviours that should be kept under check. This may translate into experiences of discrimination and mistreatment when receiving care. Facilitators include good-quality information and community-level interventions. Conclusions This study shows a limited approach to the sexual and reproductive health of young migrants in Chile, severely hampering their reproductive and sexual rights. Policies and initiatives must work towards removing structural barriers, changing narratives, and empowering young migrants regarding their sexual and reproductive health.

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Latin American Youths’ Migration Journeys and Settlement in the Tarapacá Region in Chile: Implications for Sexual and Reproductive Health

2022 , OBACH KING, ALEXANDRA ALICE , CARREÑO CALDERON, ALEJANDRA ANGELICA , Michelle Sadler

The sexual and reproductive health of young migrants has not been sufficiently addressed in mobility studies. In this article, we dwell on some aspects of this issue in the migration process of Latin American youth. We conducted a qualitative study in the region of Tarapacá, Chile, carrying out in-depth interviews with key informants, health staff and young migrants between 18 and 25 years old. The results show some motivations to migrate related to sexual and reproductive health: young pregnant women, LGBTQI+ and HIV-positive people seeking access to health care and social contexts of reduced gender discrimination. During the migration process, young people are exposed to various kinds of sexual violence, and in their settlement in Chile, to situations of racism, stigma and discrimination in society as a whole and in access to and during sexual and reproductive health care. Health care for young migrants is mainly focused on maternal care and reproductive issues, while sexual health as a whole is disregarded. We argue that sexual health must be addressed as a central dimension of the lived experiences of young migrants, and that the social, cultural and structural factors that undermine their sexual and reproductive health must be addressed in order to provide culturally competent health services.

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