Century challenge: inclusion of immigrants in the health system

refugees 2019

A young refugee from South Sudan at the Numanzi Transit Center where meals and temporary accommodation are provided by UNHCR in Adjumani, northern Uganda. © UNHCR /Will Swanson

This article was exclusively written for The European Sting by Ms. Amany Gonçalves Robaina, a 21 years old and medicine student at Universidade Regional de Blumenau (FURB), in Blumenau, Santa Catarina – Brazil. She is affiliated to the International Federation of Medical Students Associations (IFMSA), cordial partner of The Sting. The opinions expressed in this piece belong strictly to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.


Over the fifteenth and sixteenth centuries, it began in Europe in the period of the Great Navigations. It was during this period that the Portuguese arrived on the Brazilian coast and began their colonization. Soon, Brazil was born of immigrants and, over the years, gathered a number of initiatives in different periods of history. The current edition has not changed, due to the great flow of immigrants in the country. Thus, an inclusion of health experiences is one of the challenges of the Brazilian government.

According to article 196 of the 1988 Brazilian Constitution, health is everyone’s right and duty of the state, regardless of sex, age, religion, race, color, or national origin. Therefore, the Unified Health System (SUS) – Brazil’s public health system has as one of its principles of universality, related to the Universal Declaration of Human Rights.

In this scenario, not always the Basic Health Units meet immigrants, especially in cases of refugees, because they do not present a document of identification for registration or do not yet accept the provisional visa as an official document – regrattable act that hurts the Constitution. In addition, there is a contrast in the application of this law in the national territory. In Chapecó, Santa Catarina, in the south, there were prejudiced actions in health services, including racism and poor inclusion in the public health system. Already in states such as Roraima, in the north region, the Ministry of Health in conjunction with state and local governments, developed an integrated plan of action to meet the increased demand for health services due to the large Venezuelan migration and guiding, expand and qualify assistance in primary and hospital care.

Moreover, the process of integration into a new society, adapting to new customs and culture, often accompanied by marginalization and prejudice may reflect health problems. Considering the relationship between health and the socioeconomic and cultural conditions of the individual, understanding these factors are fundamental to improve the reception and care of these foreigners. Besides, the state government of Sao Paulo has hired community workers health nurse – members of SUS staff who make the exchange of information between medical staff and community – from countries of immigrant groups in order to facilitate the inclusion of such persons in system, allow greater knowledge of their culture and customs, and also improve communication between doctor and patient.

In addition to these measures, changes in the medical team approach, sponsoring a holistic medicine and create empowerment opportunities for the immigrant, as Portuguese classes, brochures in Portuguese and Spanish and allow access to information.

Therefore, the challenges faced by immigrants on a daily basis and their difficulties in accessing the basic health system of the nation are factors that directly influence their health and, therefore, should be taken into account in the anamnesis, as well as the measures taken by the Brazilian government in conjunction with the empathy and respect of the medical staff provide a greater inclusion of these people in the country’s public health.

References

Martin, Denise; Goldberg, Alejandro; Silveira, Cássio. Imigração, refúgio e saúde: perspectivas de análise sociocultural. Saúde e Sociedade, São Paulo, vol 27, n 1: 2018.

Link: http://www.scielo.br/pdf/sausoc/v27n1/1984-0470-sausoc-27-01-26.pdf

CREMESP. Atendimento a imigrantes sem cidadania é obrigatório por diretrizes legais e éticas. JORNAL DO CREMESP, São Paulo, ed 332, pg 15: 2015.

Link: https://www.cremesp.org.br/?siteAcao=Jornal&id=2127

Maciel, Victor; Valadares, Carolina. Roraima tem plano de ações para atendimento aos imigrantes. Ministério da Saúde, 2018.

Link: http://portalms.saude.gov.br/noticias/agencia-saude/42320-roraima-tem-plano-de-acoes-para-atendimento-aos-imigrantes

Mendes, Amanda; Maciel, Victor. Ministério da Saúde visita Roraima e acompanha assistência a venezuelanos. Ministério da Saúde, 2019.

Link: http://portalms.saude.gov.br/noticias/agencia-saude/45128-em-visita-a-roraima-ministro-acompanha-acolhida-a-venezuelanos

FASSI, D. O sentido da saúde: antropologia das políticas da vida. In: SAILANT. F; GENEST, S. Antropologia médica: ancoragens locais, desafios globais. Rio de janeiro: Fiocruz, 2012, p 375-390.

About the author 

Amany Gonçalves Robaina is 21 years old and a medicine student at Universidade Regional de Blumenau (FURB), in Blumenau, Santa Catarina – Brazil. She is in the second period of college and became a member of IFMSA during her first week there. She has a lot of interest in health and how it is affected. Besides, she really likes politics and social actions. So as a member of the IFMSA she took action in the university and in the community with the goal of improving my skills and learning as much as possible.

 

 

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

the European Sting Milestones

Featured Stings

These campaigners want to give a quarter of the UK back to nature

How to build a more resilient and inclusive global system

Stopping antimicrobial resistance would cost just USD 2 per person a year

Syria: Urgent, concrete actions needed, to protect children too young to ‘make sense of this senseless war’

Europe eyes to replace US as China’s prime foreign partner

Young people all over the world come together to demand paid good quality internships

IMF asks Europe to decide on bank resolutions and the Greek Gordian knot

Armenia should take vigorous measures against entrenched corruption

State aid: Commission invites comments on simplified rules for State aid combined with EU support

De Gucht: More gaffes with the talks on the EU-US free trade agreement

These countries are the most peaceful – in 3 charts

A neo-liberal toll free Paradise for the super rich and tax hell for wage earners

Air quality: Commission takes action to protect citizens from air pollution

New book honours UN women who made HERstory

Half of Eurozone in deflation expecting salvation from monetary measures

Venezuela: UN human rights office calls for ‘maximum restraint’ by authorities in face of new demonstrations

Is “Sustainable Development” a concept that integrates Health Literacy and Health Policy as a global health action?

Parliament criticises Council’s rejection of money laundering blacklist

Draghi left alone with no hope of boosting EU growth as Merkel just focuses on next elections

China, forever new adventures

Russia can no longer be considered a ‘strategic partner’, say MEPs

From diamonds to recycling: how blockchain can drive responsible and ethical businesses

G20 LIVE: The European Sting covers online world news and the latest developments at G20 from Antalya Turkey

Good grub: why we might be eating insects soon

EU-US to miss 2015 deadline and even lose Germany’s support in TTIP’s darkest week yet

These rules could save humanity from the threat of rogue AI

A Europe that Protects: Commission calls for more efforts to ensure adoption of security proposals

Mosul’s ‘3D contamination’ adds to challenges of deadly mine clearance work

Health Committee MEPs back plans to boost joint assessment of medicines

COP21 Breaking News_10 December: UN Climate Chief Calls for Final Push to Meet Adaptation Fund Goal Very Close to Target

UN condemns attack that leaves one ‘blue helmet’ dead in Central African Republic

Young people are not a nameless, faceless mass. So why do we treat them as such?

UN chief welcomes DR Congo President’s promise to stand down

UN rights chief ‘alarmed’ by upsurge in attacks against civilians in Syria’s Idlib

UN chief lauds Fijians as ‘natural global leaders’ on climate, environment, hails ‘symbiotic relationship’ with land and sea

Assassinations in Ethiopia amidst regional ‘coup’ attempt, condemned by UN chief

UN sounds alarm as Venezuelan refugees and migrants passes three million mark

Europe split in confronting the US sanctions on Iran, Washington isolated

What the global Internet’s stakeholders can learn from Europe’s new data law

Civil society organisations disenchanted with “Youth Guarantee”

Pedro Sánchez: We must protect Europe, so Europe can protect its citizens

Fashion has a huge waste problem. Here’s how it can change

Where America’s refugees came from in 2018

Sochi not far away from Ukraine

Is it too soon to hope for a tobacco free Romania?

How Eurozone consumers spend their income when they have one…

Uncovered liabilities of €5 billion may render EU insolvent

Why climate change matters for future health professionals

The AI doctor won’t see you now

Seize the opportunities of digital technology to improve well-being but also address the risks

“C’est la vie”? French recession and unemployment to linger in Eurozone

INTERVIEW: Poverty, education and inclusion top new General Assembly President’s priority list

Rare Disease Day: a new EU platform to support better diagnosis and treatment

6 things to know about the General Assembly as UN heads into high level week

COP21 Business update: Companies urge now for carbon pricing as coal is still a big issue

Facebook has built an AI-based tool that fixes the social network when it crashes

OECD Donor countries need to reform development finance to meet 2030 pledge

Member states jeopardising the rule of law will risk losing EU funds

UN committed ‘to support the Libyan people’ as Guterres departs ‘with deep concern and a heavy heart’

It’s not your imagination, summers are getting hotter

The Amazon is reaching a dangerous tipping-point. We need to scale solutions now if we have any chance of saving it

A 550 km-long mass of rotting seaweed is heading for Mexico’s pristine beaches

French full-body veil ban, violated women’s freedom of religion: UN Human Rights Committee

More Stings?

Speak your Mind Here

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s