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马来西亚难民和寻求庇护妇女的医疗保健和社会环境体验。

Refugee and Asylum Seeker Women's Experiences with Healthcare and Social Environment in Malaysia.

机构信息

Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Bangi 43600, Malaysia.

School of Social Sciences, Universiti Sains Malaysia, Gelugor 11800, Malaysia.

出版信息

Int J Environ Res Public Health. 2022 May 27;19(11):6542. doi: 10.3390/ijerph19116542.

Abstract

The internal conflict in Rakhine State, Myanmar over the last few decades has forced Rohingyas to flee to other countries, including Malaysia. However, the non-recognition of the status of refugees in Malaysia keeps Rohingyas as "people without documents" and without adequate protection, access to healthcare services, education, and employment. Women among these groups face different challenges and are at risk of numerous physical and mental health issues. Thus, this research attempted to understand the experiences of Rohingya women in Malaysia, particularly in accessing public hospitals. Focus group discussions and key-informant interview techniques were used to collect data. The transcripts were then analysed using the thematic analysis method. The research found that Rohingya women experience numerous challenges despite being on safer ground in Malaysia. Their experiences of marriage and domestic violence, access to public hospitals, financial barriers to healthcare services, and the services provided by medical social workers in the country to refugees and asylum seekers are presented. Non-recognition of the status of refugees in the country is one of the primary barriers to the allocation and provision of resources for refugees and asylum seekers. Due to structural barriers, medical social workers are unable to provide their services to this population. This article provides recommendations for social workers in Malaysia on how to overcome these challenges and work more effectively with refugees and asylum seekers.

摘要

缅甸若开邦几十年来的内部冲突迫使罗兴亚人逃往其他国家,包括马来西亚。然而,马来西亚不承认难民身份,这使得罗兴亚人成为“无证件人士”,无法获得充分保护,无法获得医疗保健服务、教育和就业机会。这些群体中的妇女面临着不同的挑战,她们面临着许多身心健康问题的风险。因此,本研究试图了解马来西亚罗兴亚妇女的经历,特别是在获得公立医院服务方面的经历。研究采用焦点小组讨论和关键知情人访谈技术收集数据。然后使用主题分析方法对转录本进行分析。研究发现,尽管罗兴亚妇女在马来西亚处于更安全的境地,但她们仍面临着许多挑战。本研究介绍了罗兴亚妇女在婚姻和家庭暴力、获得公立医院服务、医疗保健服务的经济障碍以及该国向难民和寻求庇护者提供的医疗社会工作者服务方面的经历。该国不承认难民身份是阻碍为难民和寻求庇护者分配和提供资源的主要障碍之一。由于结构性障碍,社会工作者无法向这部分人群提供服务。本文就马来西亚社会工作者如何克服这些挑战以及如何更有效地与难民和寻求庇护者合作提出了建议。

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