Project Title
Living and health trajectories of international migrants to Chile: how do they compare to the locals and what are their related costs to the healthcare system?
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Internal ID
1201461
Principal Investigator
Start Date
2020
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Item type:Publication, Emergency preparedness and response sensitive of migrant populations in Chile: post-pandemic perspectives(2024); ; ; Edward Mezones-HolguĂn<jats:p>On 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.</jats:p>1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, DesafĂos para el abordaje de la salud de los migrantes en Chile durante la pandemia por Covid-19: una revisiĂłn de alcance(2024); ; <jats:p>Objetivo. Indagar sobre los principales desafĂos reportados en el marco de la emergencia sanitaria de SARS-CoV-2 segĂşn la evidencia cientĂfica disponible a la fecha en esta materia en Chile. Material y mĂ©todos. RevisiĂłn de alcance con base en tres bĂşsquedas en Web of Science, PubMed y Google Scholar de publicaciones en inglĂ©s y español publicadas entre 2020 y 2023. Resultados. Se identificaron tres áreas clave: desafĂos de acceso y uso efectivo del sistema de salud, desafĂos más allá del sistema de salud, incluyendo aquellas relaciones con determinantes sociales de la salud, autocuidado e informaciĂłn y, finalmente, desafĂos de integraciĂłn de los enfoques de interculturalidad, gĂ©nero y cooperaciĂłn internacional. Conclusiones. Se evidencian oportunidades de mejorar el abordaje de la salud de personas migrantes internacionales en Chile a raĂz de la pandemia por Covid-19, de cara a futuras crisis sanitarias y para reducir brechas e inequidades que impactan la salud poblacional.</jats:p>Scopus© Citations 1 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Borders and liminality in the right to health of migrants in transit: The case of Colchane in Chile and Necoclà in Colombia(2024); 17Scopus© Citations 3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Intersectionality, racism, and mental health of migrants arriving at borders in Latin America: a qualitative study based on in-depth interviews with key informants of the cases of Ecuador and Chile(Elsevier BV, 2025-04); Scopus© Citations 1 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Inequities in mental health and mental healthcare between international immigrants and locals in Chile: a narrative review(2020); <jats:title>Abstract</jats:title> <jats:p>Mental health in a context of international migration is a particularly pressing issue, as migration is recognised as a social determinant of physical and mental health. As Chile is increasingly becoming a receiving country of South-South migration, immigrants face mental health inequities, with regards to outcomes and access to care.</jats:p> <jats:p>In order to identify and synthetize mental healthcare inequities faced by international migrants with regards to locals in Chile, a narrative review of the literature on national mental healthcare policies in Chile and a narrative review of the literature on migrants’ mental healthcare in Chile were conducted, with a focus on describing mental health outcomes, policy environment and persisting gaps and barriers for both topics. The existing literature on mental healthcare in Chile, both for the general population and for international migrants, following the social determinant of health framework and categorised in terms of i) Inequities in mental health outcomes; ii) Description of the mental health policy environment and iii) Identification of the main barriers to access mental healthcare.</jats:p> <jats:p>Despite incremental policy efforts to improve the reach of mental healthcare in Chile, persisting inequities are identified for both locals and international migrants: lack of funding and low prioritisation, exacerbation of social vulnerability in the context of a mixed health insurance system, and inadequacy of mental healthcare services. International migrants may experience specific layers of vulnerability linked to migration as a social determinant of health, nested in a system that exacerbates social vulnerability.</jats:p> <jats:p>Based on the findings, the article discusses how mental health is a privilege for migrant populations as well as locals experiencing layers of social vulnerability in the Chilean context. International migrants’ access to comprehensive and culturally relevant mental healthcare in Chile and other countries is an urgent need in order to contribute to reducing social vulnerability and fostering mechanisms of social inclusion.</jats:p> <jats:p>International migration, social determinants of mental health, mental health inequities, social vulnerability, review.</jats:p>Scopus© Citations 21 9 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The legal path for priority setting in Chile: a critical analysis to improve health planning and stewardship(Frontiers Media SA, 2024-01-08); Scopus© Citations 4 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Effects of climate change on migration in Latin America and Caribbean: a scoping review(2024); Catalina Huerta<jats:p>Climate change-induced natural disasters such as hurricanes, landslides, forest fires, and changes in precipitation directly affect rural sectors that depend on field production and other dimensions of everyday life. This generates the mobilization of people from their homes to safer places within the same country or across borders. There is a lack of information on the impacts of climate change on environmental migrants in Latin America and the Caribbean (LAC). This scoping review aims to describe the scientific evidence of the health effects of climate change on migrant in LAC. The review was conducted using databases from PubMed, Web of Science (WoS), and Google Scholar in English, Spanish and Portuguese. After screening the title, abstract, and full text of identified hits (<jats:italic>n</jats:italic> = 726), 31 records were finally included. Evidence indicates that climate change relates to health and healthcare, psychosocial and infrastructure dimensions among migrants in LAC. Health effects refer to limited access to healthcare, underdiagnosis, increased susceptibility to diseases and mental health conditions like stress and anxiety. Psychosocial dimensions refer to a heightened risk of sexual and gender-based violence, social marginalization, family separation, and loss of identity and culture. Infrastructure refers to environmental degradation and agricultural and urban infrastructure destruction. Multiple adaptations to these conditions are described among migrant populations in the region. Recommendations for improvements are presented. This scoping review suggests climate change’s significant health, psychosocial, and infrastructural associations with migrants in Latin America.</jats:p>Scopus© Citations 2 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Perceptions of Health Needs among Venezuelan Women Crossing the Border in Northern Chile during the COVID-19 Pandemic(2022); ; ; Jeniffer Peroncini<jats:p>In parallel to the COVID-19 pandemic, Chile has experienced a significant influx of international migrants, many of whom are Venezuelan women who have entered the country through unauthorized crossing points. In this context, gender and migration intersect as the social determinants of health, leading to their experiencing a range of adverse events. This poses important challenges in terms of short- and long-term health outcomes, the social determinants of health, and access to healthcare. This study aims at describing Venezuelan women’s perceptions of their health needs as they migrate to Chile via an unauthorized crossing point, with a focus on adverse events throughout the migration cycle, self-reported health needs, and responses. A qualitative case study was carried out with 22 participants in the Antofagasta region of Chile, including Venezuelan migrant women, healthcare professionals, and social workers from the public healthcare system, stakeholders from non-governmental and international organizations, and local government officials. The semi-structured, individual interviews were analyzed thematically. The results show that Venezuelan women face a range of adverse events throughout the migration cycle. The perceived health needs that are reported are sometimes linked to these adverse events or existed prior to migration and were exacerbated throughout the migratory cycle. Addressing these physical and mental health needs is essential for short- and long-term individual and public health; however, despite substantial efforts to ameliorate the situation, persisting gaps in access to care are reported.</jats:p>16Scopus© Citations 11 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Individual and structural barriers to Latin American refugees and asylum seekers' access to primary and mental healthcare in Chile: A qualitative study(2020); Scopus© Citations 7 1 - Some of the metrics are blocked by yourconsent settings
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