Your browser doesn't support javascript.
loading
Barriers and facilitators to access sexual and reproductive health services among young migrants in Tarapacá, Chile: a qualitative study.
Obach, Alexandra; Blukacz, Alice; Sadler, Michelle; Carreño Calderón, Alejandra; Cabieses, Báltica; Díaz, Carolina.
Afiliação
  • Obach A; Centro de Salud Global Intercultural, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, y Facultad de Psicología, Universidad del Desarrollo, Santiago, Chile.
  • Blukacz A; Centro de Salud Global Intercultural, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, y Facultad de Psicología, Universidad del Desarrollo, Santiago, Chile. a.blukacz@udd.cl.
  • Sadler M; Departamento de Historia y Ciencias Sociales, Facultad de Artes Liberales, Universidad Adolfo Ibáñez, Santiago, Chile.
  • Carreño Calderón A; Centro de Salud Global Intercultural, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, y Facultad de Psicología, Universidad del Desarrollo, Santiago, Chile.
  • Cabieses B; Centro de Salud Global Intercultural, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, y Facultad de Psicología, Universidad del Desarrollo, Santiago, Chile.
  • Díaz C; Centro de Salud Global Intercultural, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, y Facultad de Psicología, Universidad del Desarrollo, Santiago, Chile.
BMC Public Health ; 24(1): 386, 2024 02 05.
Article em En | MEDLINE | ID: mdl-38317103
ABSTRACT

BACKGROUND:

Chile has become a destination country for immigrants from Latin America, including youth. Guaranteeing access and use of sexual and reproductive health services for young migrants is crucial because of their overlapping experiences of transitioning to a new country and to adulthood. However, the existing evidence shows barriers to accessing sexual and reproductive healthcare among young migrant populations. In this context, the main objective of this article is to identify the barriers and facilitators that young migrants experience to access sexual and reproductive healthcare in the Tarapacá region of Chile.

METHODS:

A qualitative study was conducted in the Tarapacá region of Chile. Semi-structured interviews with 25 young migrants from Venezuela, Colombia, and Ecuador, as well as 10 health workers, were carried out. The interviews were transcribed and thematically analysed. The study was approved by the Ethics Committee of the Universidad del Desarrollo (#2019-22).

RESULTS:

Young migrants face barriers linked to structural shortcomings within the healthcare system, which may be similar to those faced by the local population. Barriers are also derived from reductionist sexual and reproductive health approaches, which prioritise the prevention of pregnancy, sexually transmitted infections, and HIV, with a predominantly heteronormative focus. The prevailing narratives from the health system are those of risk and lack of control and self-care among young people, and they are exacerbated in the case of migrants. Young migrants, especially from the Caribbean, are stereotyped as over-sexualised and liberal in comparison to the local population and believed to be engaging in riskier sexual behaviours that should be kept under check. This may translate into experiences of discrimination and mistreatment when receiving care. Facilitators include good-quality information and community-level interventions.

CONCLUSIONS:

This study shows a limited approach to the sexual and reproductive health of young migrants in Chile, severely hampering their reproductive and sexual rights. Policies and initiatives must work towards removing structural barriers, changing narratives, and empowering young migrants regarding their sexual and reproductive health.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Migrantes / Serviços de Saúde Reprodutiva Tipo de estudo: Qualitative_research Aspecto: Ethics / Implementation_research Limite: Adolescent / Female / Humans / Pregnancy País/Região como assunto: America do sul / Chile Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Migrantes / Serviços de Saúde Reprodutiva Tipo de estudo: Qualitative_research Aspecto: Ethics / Implementation_research Limite: Adolescent / Female / Humans / Pregnancy País/Região como assunto: America do sul / Chile Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido