Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
Sex Reprod Healthc. 2022 Dec;34:100785. doi: 10.1016/j.srhc.2022.100785. Epub 2022 Sep 28.
To explore the tactics adopted by healthcare providers in the humanitarian aid sector to meet the sexual and reproductive healthcare needs of undocumented immigrant women whose entitlements in the Danish national health services are restricted to emergency care only.
We conducted six semi-structured interviews between January 2020 and April 2020 with healthcare providers working across four health centers providing sexual and reproductive healthcare to undocumented migrants in Copenhagen. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis.
Healthcare providers adopted a number of tactics tomeet the SRH needs of undocumented women. They used their position as volunteers to gain women's trust, drew on personal networks in the public healthcare sector, accompanied women to public hospitals, worked with professionals from the migrant communities, and promoted secondary prevention using their cultural knowledge to respond to the SRH needs of undocumented women. Results highlight that while "informal" settings enable these flexible tactics, fully meeting the SRH needs of undocumented migrants is negatively affected by their limited entitlements to public healthcare.
These tactics demonstrated the efforts of healthcare providers to use the NGO space to try to achieve SRH of undocumented women in a restrictive public healthcare sector. Nonetheless, these tactics, particularly the use of personal networks, did not always result in undocumented migrants having their SRH needs met, particularly in cases of serious illness, demonstrating a concerning gap in care.
探讨人道主义援助领域的医疗服务提供者为满足无证件移民妇女的性健康和生殖健康需求而采用的策略，这些妇女在丹麦国家卫生服务中的权益仅限于紧急护理。
我们于 2020 年 1 月至 4 月期间，与哥本哈根四家为无证件移民提供性健康和生殖健康服务的健康中心的医疗服务提供者进行了六次半结构化访谈。访谈进行了数字录音、转录，并进行了主题网络分析。
医疗服务提供者采取了一系列策略来满足无证件妇女的性健康和生殖健康需求。他们利用自己作为志愿者的身份赢得妇女的信任，利用公共医疗保健部门的个人网络，陪同妇女前往公立医院，与移民社区的专业人员合作，并利用他们的文化知识促进二级预防，以满足无证件妇女的性健康和生殖健康需求。结果表明，虽然“非正式”环境使这些灵活的策略成为可能，但由于无证件移民享有公共医疗保健的权利有限，他们的性健康和生殖健康需求仍无法得到充分满足。
这些策略表明，医疗服务提供者努力利用非政府组织空间，试图在限制严格的公共医疗保健部门实现无证件妇女的性健康和生殖健康。然而，这些策略，特别是个人网络的使用，并不总是导致无证件移民的性健康和生殖健康需求得到满足，特别是在重病情况下，这表明护理方面存在令人担忧的差距。
