Infante Cesar, Bojorquez Ietza, Vieitez-Martinez Isabel, Larrea-Schiavon Silvana, Nápoles-Méndez Gustavo, Rodriguez-Chavez Cesar
Center for Health Systems Research, National Institute of Public Health. Av. Universidad 655, Colonia Santa Maria Ahuacatitlan, Cuernavaca, Morelos CP 62100, Mexico.
El Colegio de la Frontera Norte, Km. 18.5 Carretera Escénica Tijuana-Ensenada, San Antonio del Mar, Tijuana, BC CP 22560, Mexico.
J Migr Health. 2022;6:100110. doi: 10.1016/j.jmh.2022.100110. Epub 2022 May 5.
In the context of a health contingency such as the current COVID-19 pandemic, some groups may remain invisible, so that their health needs go unnoticed. These groups include migrants, asylum seekers, and refugees (MAR). In Mexico there is a network of migrant shelters () that provide humanitarian assistance, including access to heath care. Given the major role of the CM in caring for migrants, it was important to identify the main elements of their internal capacities, and of the external resources in the cities in which they are located, that contributed to their role in protecting MRA`s health during the COVID-19 pandemic.
we use a comparative case study approach to understand, explain, and compare how internal capacities and external resources available to four CM in the north of Mexico, influenced the development and implementation of COVID-19 related strategies to protect MRA. The project took place during 2021 in Saltillo and Piedras Negras in Coahuila; Ciudad Juarez, Chihuahua, and in Monterrey, Nuevo Leon. A total of 18 in-depth interviews were performed with key actors from the CM, academia, health care services and international agencies.
We found a range from a total closure of one CM, to the continuation of operation of three of them, with differences in the strategies developed to provide services and avoid infections within the facilities. MARs' still face multiple barriers to exercise their right to health, and the response of local governments towards migration and health impacts the response that CM were able to implement.
There is a need to strengthening the preparedness and response capacities and coordination mechanisms of local, state and federal authorities to attain their responsibilities in the provision of services directed to MAR, including access to health care.
在当前新冠疫情这样的卫生突发事件背景下，一些群体可能仍未受到关注，以至于他们的健康需求被忽视。这些群体包括移民、寻求庇护者和难民（MAR）。在墨西哥，有一个移民收容所网络（）提供人道主义援助，包括获得医疗保健服务。鉴于收容所在照顾移民方面的主要作用，确定其内部能力以及所在城市的外部资源的主要要素非常重要，这些要素有助于它们在新冠疫情期间发挥保护移民、寻求庇护者和难民健康的作用。
我们采用比较案例研究方法，以了解、解释和比较墨西哥北部四个收容所的内部能力和可用外部资源如何影响与新冠疫情相关的保护移民、寻求庇护者和难民战略的制定和实施。该项目于2021年在科阿韦拉州的萨尔蒂约和彼德拉斯内格拉斯；奇瓦瓦州的华雷斯城以及新莱昂州的蒙特雷进行。我们对收容所、学术界、医疗服务机构和国际机构的关键行为者进行了总共18次深入访谈。
我们发现，一个收容所完全关闭，另外三个继续运营，在提供服务和避免设施内感染方面制定的战略存在差异。移民、寻求庇护者和难民在行使其健康权方面仍然面临多重障碍，地方政府对移民和健康问题的应对影响了收容所能实施的应对措施。
有必要加强地方、州和联邦当局的防范和应对能力以及协调机制，以履行其在提供针对移民、寻求庇护者和难民的服务（包括获得医疗保健服务）方面的责任。
