Fernandez Bina
Senior Lecturer in Development Studies, School of Social and Political Sciences The University of Melbourne, Victoria 3010 Australia.
Health Place. 2018 Mar;50:154-161. doi: 10.1016/j.healthplace.2018.01.008. Epub 2018 Feb 22.
This paper investigates the healthcare needs, access to healthcare, and healthcare strategies of Ethiopian migrant domestic workers (MDWs) in Lebanon, drawing on qualitative empirical research. The analysis focusses on four types of health care needs: minor illnesses, pregnancies, serious illnesses (such as cancer, tuberculosis or heart problems), and emergencies (due to accidents, suicide attempts or assaults). Predictably, access to healthcare is distinctly differentiated according to an MDW's status as a documented, freelancer, or undocumented worker. Drawing on the concepts of systemic health inequities and inter-personal racial discrimination, the paper provides evidence for inequitable access to healthcare experienced by Ethiopian women in Lebanon. I identify the specific forms of exclusion they experience and develop a matrix for analysis of systemic inequities in access to healthcare differentiated by migrant status.
本文基于定性实证研究，调查了黎巴嫩境内埃塞俄比亚移徙家庭佣工的医疗保健需求、医疗保健服务获取情况及医疗保健策略。分析聚焦于四类医疗保健需求：小病、怀孕、重病（如癌症、结核病或心脏问题）以及紧急情况（因事故、自杀未遂或袭击所致）。不出所料，移徙家庭佣工作为有证件者、自由职业者或无证件者的身份，使其在医疗保健服务获取方面存在明显差异。借助系统性健康不平等和人际种族歧视的概念，本文提供了证据，证明黎巴嫩的埃塞俄比亚女性在获取医疗保健服务方面存在不公平现象。我确定了她们所经历的具体排斥形式，并构建了一个矩阵，用于分析因移民身份不同而在获取医疗保健服务方面存在的系统性不平等。
