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.

 

 

the sting Milestones

Featured Stings

Can we feed everyone without unleashing disaster? Read on

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

Governments should renew efforts to reform support to agriculture

UN gender agency hails record-breaking number of women in new US Congress as ‘historic victory’

UN chief welcomes Taliban’s temporary truce announcement, encourages all parties to embrace ‘Afghan-owned peace’

World Summit Awards 2016: Sustainable impact through digital innovation

GSMA Mobile 360 – Latin America at Mexico City: Intelligently Connecting to a Better Future, in association with The European Sting

A European young student shares his thoughts on Quality Education

Algorithms are being used to convict criminals and decide jail time. We need to make sure they are fair

How regenerative agroforestry could solve the climate crisis

UN chief laments ending of Cold War-era disarmament treaty

Russia and the West use the same tactics to dismember Ukraine

Brexit: MEPs concerned about citizens’ rights

EU-Japan relations: Foreign Affairs MEPs back Strategic Partnership Agreement

How can you or your organization support the Hour of Pride initiative?

From Russia with love: Brussels and Moscow close to an agreement on Ukraine’s gas supplies

It’s time to build a responsible media supply chain

Amazon on fire: the interference in global health

Statement by OECD Secretary-General Angel Gurría on the outcome of COP 25

COVID-19 lockdown hits working mothers harder than fathers

Can privatisation be the panacea for the lack of growth in Europe?

Beyond 2020: How the world might recover and rebuild, according to experts

“The Arctic climate matters: to what degree?”, a Sting Exclusive co-authored by UN Environment’s Jan Dusik and Slava Fetisov

5G security: Member States report on progress on implementing the EU toolbox and strengthening safety measures

IMF: The global economy keeps growing except Eurozone

‘No steps taken’ so far to end Israel’s illegal settlement activity on Palestinian land – UN envoy

These are the countries best prepared for the fight against cancer

Guinea-Bissau needs ‘genuinely free and fair elections’ to break cycle of instability

A Sting Exclusive: “Delivering on the Environmental Dimension of the new Sustainable Development Agenda”, Ulf Björnholm underscores from UNEP Brussels

COVID-19: A new drug is tested, and other top science stories of the week

OECD tells Eurozone to prepare its banks for a tsunami coming from developing countries

Tax evasion and fraud threaten the European project

To all far-right partisans who exploit Charlie Hebdo atrocity: a peaceful reply given by a peaceful student

UN General Assembly President upholds value of multilateralism in speech closing annual debate

Australia wildfires: communities must stay vigilant, urges UN weather agency

The power of partnership: joining forces to fight financial crime

Climate change and health: an everyday solution

Russia: MEPs deplore military build-up, attack in Czechia and jailing of Navalny

The financial sector cripples Eurozone growth prospects

Trump’s trade wars: Aiming at long term gains for America

As children freeze to death in Syria, aid officials call for major cross-border delivery boost

3 steps to making multistakeholder partnerships a powerful force

Returning to free movement across borders is of utmost importance

Commission launches debate on responding to the impact of an ageing population

China joins list of nations banning the sale of old-style fossil-fuelled vehicles

“As German Chancellor I want to be able to cope with the merger of the real and digital economy”, Angela Merkel from Switzerland; the Sting reports live from World Economic Forum 2015 in Davos

Telecommunications and Internet: A Jungle with no principles?

Are we at risk of a financial crisis? Our new report takes a look

UN political chief calls for dialogue to ease tensions in Venezuela; Security Council divided over path to end crisis

COP21 Breaking News_09 December: The Draft Agreement Updated

An expert explains: How to turn industrial carbon emissions into building materials

Q&A on extraordinary remote participation procedure

COP22 addresses a strong global pledge to effectively implement the Paris Agreement

The ECB will do whatever it takes to set the Eurozone economy again in motion

ECB embarks on the risky trip to Eurozone banking universe

The US may be “open” to reviving TTIP, while the EU designs the future of trade with China

Businesses succeed internationally

Commission celebrates the 30th anniversary of the Jean Monnet Activities promoting European studies worldwide

Women vital for ‘new paradigm’ in Africa’s Sahel region, Security Council hears

Amazon fires: Health Effects, Near and Far

Journey of my life

Eurozone: Economic sentiment-business climate to collapse without support from exports

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