Exploring perceptions of HIV risk and health service access among Zimbabwean migrant women in Johannesburg: A gap in health policy in South Africa?

被引:22
|
作者
Munyewende, Pascalia [1 ,2 ]
Rispel, Laetitia C. [1 ,2 ]
Harris, Bronwyn [1 ,2 ]
Chersich, Matthew [1 ,2 ,3 ]
机构
[1] Univ Witwatersrand, Ctr Hlth Policy, ZA-2050 Johannesburg, South Africa
[2] Univ Witwatersrand, Fac Hlth Sci, Sch Publ Hlth, Med Res Council,Hlth Policy Res Grp, ZA-2050 Johannesburg, South Africa
[3] Univ Ghent, Dept Obstet & Gynecol, Int Ctr Reprod Hlth, B-9000 Ghent, Belgium
关键词
HIV knowledge; migrants; health-seeking; health service access; South Africa; Zimbabwe; MIGRATION;
D O I
10.1057/jphp.2011.36
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We present qualitative data from a 2005 exploratory study, recently published studies, and an analysis of the Department of Health's strategic plan to highlight the need for a broader policy debate on health-care access for migrants in South Africa. We conducted in-depth interviews with 15 Zimbabwean women living in inner-city Johannesburg to document the special characteristics of this group of migrants, enquiring about their perceptions of HIV risk, and experiences of health services in South Africa. We identified access barriers, namely perceptions of relatively low HIV risk, severely constrained financial circumstances, uncertain legal status, and experiences of unresponsive health workers. We recommend that migrant-health rights be placed on South Africa's policy agenda, migrants be included in HIV prevention programs and that health workers be sensitized to the needs of migrants. Journal of Public Health Policy (2011) 32, S152-S161. doi:10.1057/jphp.2011.36
引用
收藏
页码:S152 / S161
页数:10
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