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A study of HIV positive undocumented African migrants' access to health services in the UK

机译:一项关于艾滋病毒阳性无证非洲移民在英国获得医疗服务的研究

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Newly immigrated persons, whatever their origin, tend to fall in the lower socioeconomic levels. In fact, failure of an asylum application renders one destitute in a large proportion of cases, often resulting in a profound lack of access to basic necessities. With over a third of HIV positive failed asylum seekers reporting no income, and the remainder reporting highly limited resources, poverty is a reality for the vast majority. The purpose of the study was to determine the basic social processes that guide HIV positive undocumented migrant's efforts to gain health services in the UK. The study used the Grounded Theory Approach. Theoretical saturation occurred after 16 participants were included in the study. The data included reflections of the prominent factors related to the establishment of a safe and productive life and the ability of individuals to remain within the UK. The data reflected heavily upon the ability of migrants to enter the medical care system during their asylum period, and on an emerging pattern of service denial after loss on immigration appeal. The findings of this study are notable in that they have demonstrated sequence of events along a timeline related to the interaction between the asylum process and access to health-related services. The results reflect that African migrants maintain a degree of formal access to health services during the period that they possess legal access to services and informal access after the failure of their asylum claim. The purpose of this paper is to examine the basic social processes that characterize efforts to gain access to health services among HIV positive undocumented African migrants to the UK. The most recent estimates indicate that there are a total of 618,000 migrants who lack legal status within the UK. Other studies have placed the number of undocumented migrants within the UK in the range of 525,000-950,000. More than 442,000 are thought to dwell in the London metropolitan area. Even in cases where African migrants enter the UK legally, they often face considerable difficulty in their quest to gain legal employment due to barriers inherent to the system that grants work permits. With over a third of HIV positive failed asylum seekers reporting no income, and the remainder reporting highly limited resources, poverty is a reality for the vast majority.
机译:新移民,无论其出身如何,都倾向于处于较低的社会经济水平。实际上,庇护申请的失败在很大一部分案件中使人一贫如洗,常常导致严重缺乏基本必需品的获取。三分之一以上的艾滋病毒呈阳性的寻求庇护的失败者没有收入,而其余人则报告资源非常有限,因此贫困是绝大多数人的现实。该研究的目的是确定基本的社会过程,这些过程将指导无证据的HIV阳性移民在英国获得医疗服务的努力。该研究使用扎根理论方法。在将16名参与者纳入研究后,出现了理论上的饱和。数据包括与建立安全和生产性生活以及个人留在英国的能力有关的重要因素的反映。这些数据在很大程度上反映了移民在避难期间进入医疗系统的能力,以及在因移民上诉而遭受损失之后拒绝提供服务的一种新兴模式。这项研究的发现值得注意,因为它们已经证明了沿着庇护程序与获得健康相关服务之间相互作用的时间轴上的事件序列。结果表明,在庇护申请失败后,非洲移民在一定时期内可以合法获得医疗服务,并在一定程度上获得了非正式服务。本文的目的是研究基本的社会过程,这些过程表征了努力获得艾滋病毒阳性无证件非洲英国移民获得医疗服务的努力。最新估计表明,在英国共有618,000名缺乏合法身份的移民。其他研究将英国境内的无证移民人数定为525,000-950,000。人们认为有超过442,000人居住在伦敦都会区。即使在非洲移民合法进入英国的情况下,由于授予工作许可的制度固有的障碍,他们在寻求合法就业方面也经常面临相当大的困难。三分之一以上的艾滋病毒呈阳性的寻求庇护的失败者没有收入,而其余人则报告资源非常有限,因此贫困是绝大多数人的现实。

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