Assessment of voluntary HIV screening for asylum seekers in two Swiss cantons

Author(s) : Laure Cochand, Eric Masserey, Patrick Bodenmann, Nicolas Troillet

Source : https://doi.org/10.4414/smw.2019.20020

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Refugees and Health in Switzerland

Author(s) : Thomas Geisen, Lea Widmer

Source : https://doi.org/10.1007/978-3-030-03155-8_14

Abstract:

« Refugees and people with refugee backgrounds are a significant and socially distinct group in Switzerland. They are burdened by their past, e.g. they may be suffering ongoing trauma due to personal experiences of violence and torture, or having continuing social and psychological problems. Little research has been done into the psycho-social situations of refugees in Switzerland in recent decades, even if health is considered an important resource for refugees, e.g. for language learning and labour market participation. Currently available data and literature on the health of refugees in Switzerland indicate that refugees are an at-risk group, regardless of their country of origin. At the same time, individual health and wellbeing are considered important resources for newly-arriving refugees. While current public and political debates focus mainly on the challenges of labour market participation, they leave out discussion of the health of refugees and what measures should be introduced to improve it. Therefore, the health situation of refugees in Switzerland is somewhat ambiguous: On the one hand, general health treatment is covered by the obligatory health insurance scheme, but on the other hand, access to special treatment is limited because of a lack of treatment capacities, e.g. for trauma. Because health is so important, there is an urgent need to ensure that refugees have access to sufficient medical and psychological treatment, close to their arrival in Switzerland. »

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Femmes subsahariennes séropositives en Suisse : le VIH à l’épreuve de l’intersectionnalité

Author(s) : Michela Villani, Laura Mellini, Francesca Poglia Mileti

Source : https://doi.org/10.3917/cdge.065.0215

Abstract:

« La condition de migrante et les incidences des politiques migratoires dans l’attribution d’un statut légal déterminent les conditions économiques, sociales, relationnelles et parfois sanitaires des femmes concernées par le VIH. Les difficultés d’acquérir un permis de séjour stable, les obstacles à l’exercice d’une activité professionnelle et les formes de discrimination liées à la séropositivité actualisent les risques de précarisation, d’exclusion et d’exploitation en lien avec le genre et l’origine. À partir d’une enquête qualitative menée en Suisse, cet article décrit la trajectoire-type d’une femme subsaharienne et séropositive prise dans l’enchaînement des formes de domination dues à la migration. L’analyse intersectionnelle de ce parcours met en lumière l’interdépendance des formes d’inégalités et l’effet de ces inégalités dans les trajectoires de femmes séropositives en contexte migratoire. »

Mots-clés : femmes subsahariennes, intersectionnalité, migration, sexualité, santé, VIH, inégalités

« The status of migrant women and the impact of immigration policies in terms of granting legal status determine the economic, social, and sometimes health conditions of women affected by HIV as well as their social relations. The difficulties of acquiring a residence permit, obstacles to professional activity, and forms of discrimination linked to being HIV-positive make the risks of precariousness, exclusion, and exploitation related to gender and origin more acute. Based on a qualitative fieldwork conducted in Switzerland, this article describes the typical trajectory of an HIV-positive sub-Saharan woman caught in the chain of forms of migration-related domination. The intersectional analysis of this journey highlights the interdependence of forms of inequality and the effect of these inequalities on the trajectories of migrant HIV-positive women. »

Keywords : Sub-Saharan women, intersectionality, migration, sexuality, health, HIV, inequality

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Sexual and reproductive healthcare for women asylum seekers in Switzerland: a multi-method evaluation

Author(s) : Eva Cignacco, Friederike zu Sayn-Wittgenstein, Coline Sénac, Anja Hurni, Doris Wyssmüller, Jean Anthony Grand-Guillaume-Perrenoud, Anke Berger

Source : https://doi.org/10.1186/s12913-018-3502-2

Abstract:

«Forced migration significantly endangers health. Women face numerous health risks, including sexual violence, lack of contraception, sexually transmitted disease, and adverse perinatal outcomes. Therefore, sexual and reproductive healthcare is a significant aspect of women asylum seekers’ health. Even when healthcare costs of asylum seekers are covered by the government, there may be strong barriers to healthcare access and specific needs may be addressed inadequately. The study’s objectives were a) to assess the accommodation and healthcare services provided to women asylum seekers in standard and specialised health care, b) to assess the organisation of healthcare provision and how it addresses the sexual and reproductive healthcare needs of women asylum seekers.»

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