Genovese Eleonora, Page Kathleen R, Cailhol Johann, Jackson Yves
Laboratory of Healthcare Research and Pharmacoepidemiology, Department of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy.
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lancet Reg Health Eur. 2023 Apr;27:100601. doi: 10.1016/j.lanepe.2023.100601. Epub 2023 Feb 28.
Undocumented migrants are a vulnerable population group in the context of the COVID-19 pandemic due to increased risk of infection, severe morbidity, and mortality. In this Personal View, we analyze the COVID-19 pandemic responses, particularly vaccination campaigns, vis à vis undocumented migrants, and discuss lessons learned. Our empirical observations as clinicians and public health practitioners in Italy, Switzerland, France, and the United States are supplemented by a literature review, and presented through country case studies focusing on Governance, Service Delivery, and Information. We propose recommendations to capitalize on the COVID-19 pandemic response as an entry point to strengthen migrant-sensitive provisions into health system frameworks, by: providing specific guidance in health policies and plans; developing tailored implementation approaches with outreach and mobile services, with translated and socio-culturally adapted information, and engagement of migrant communities and third sector actors; and developing systematic monitoring & evaluation systems with disaggregated migrant data from National Health Service and third sector providers.
在新冠疫情背景下，无证移民是弱势群体，因为他们感染、出现严重病症和死亡的风险更高。在这篇个人观点文章中，我们分析了针对无证移民的新冠疫情应对措施，尤其是疫苗接种活动，并讨论了从中吸取的经验教训。我们作为意大利、瑞士、法国和美国的临床医生和公共卫生从业者的实证观察结果，通过文献综述得到补充，并通过聚焦治理、服务提供和信息的国别案例研究呈现出来。我们提出建议，以利用新冠疫情应对措施作为切入点，通过以下方式加强卫生系统框架中对移民敏感的条款：在卫生政策和计划中提供具体指导；制定量身定制的实施方法，包括外展服务和移动服务，提供翻译后的、适应社会文化的信息，并让移民社区和第三部门行为体参与进来；以及建立系统的监测和评估系统，使用来自国家卫生服务机构和第三部门提供者的分类移民数据。
