Trivedi Poonam, Yasobant Sandul, Saxena Deepak, Atkins Salla
Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, Gujarat, India.
Centre for One Health Education, Research & Development (COHERD), Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, Gujarat, India.
Int J Gen Med. 2024 Apr 25;17:1591-1603. doi: 10.2147/IJGM.S456982. eCollection 2024.
The COVID-19 pandemic has hugely affected the world and human lives, the economy, and lifestyles. The pandemic control measures, such as lockdowns, forced many people to migrate from their destination to their source in various states, leading to increased vulnerability of migrants. The present review aimed to explore the different health, economic, and social impacts on internal migrants of India during the pandemic. The publications on internal migration and COVID-19 from India were retrieved from PubMed and Google Scholar using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 159 articles were extracted, of which 28 were reviewed. The articles published after March 1, 2020, were included in the review, irrespective of the design. Out of 28 articles, only half were original studies; the rest were either perspective, opinion, and review studies or editorial and commentary papers. Depression, anxiety, and stress due to job loss and lockdown were the major health issues documented. There was livelihood disturbance due to loss of income, such as inability to pay rent, loans, borrowing from relatives, and fear of its consequences. The migrants also faced stigma and discrimination from the villagers. The review also highlighted that although the government implemented various schemes to help the migrants, the majority were left out due to the non-availability of identity proof and ration cards. The safeguarding measures for these unregistered migrants must be facilitated to access health, economic, and social protection. Although various publications have focused on the mental health of the migrants, the socio-ecological aspects have been least explored, which calls for further studies. The literature on the impact of COVID-19 on other vulnerable populations like women and children and access to healthcare services is also scant, which needs to be explored further.
新冠疫情对世界、人类生活、经济和生活方式都产生了巨大影响。封锁等疫情防控措施迫使许多人在不同邦从目的地返回原籍地,导致移民的脆弱性增加。本综述旨在探讨疫情期间印度国内移民所面临的不同健康、经济和社会影响。按照系统评价和Meta分析的首选报告项目(PRISMA)指南,从PubMed和谷歌学术中检索了印度关于国内移民和新冠疫情的出版物。共提取了159篇文章,其中28篇进行了综述。纳入综述的文章为2020年3月1日之后发表的,不考虑其设计。在这28篇文章中,只有一半是原创研究;其余的要么是观点、评论和综述研究,要么是社论和评论文章。记录的主要健康问题包括因失业和封锁导致的抑郁、焦虑和压力。因收入损失出现了生计困扰,如无力支付房租、贷款、向亲戚借款以及对后果的担忧。移民还面临来自村民的污名化和歧视。综述还强调,尽管政府实施了各种计划来帮助移民,但由于无法提供身份证明和配给卡,大多数人被排除在外。必须为这些未登记的移民提供保障措施,以便他们获得健康、经济和社会保护。尽管各种出版物都关注移民的心理健康,但社会生态方面的探讨最少,这需要进一步研究。关于新冠疫情对妇女和儿童等其他弱势群体的影响以及获得医疗服务情况的文献也很少,需要进一步探讨。