2 research outputs found
¿Cómo acceden las mujeres inmigrantes a los servicios sanitarios en el País Vasco? Percepciones de profesionales sanitarias
Get PDFExplorar
la
percepción
de
las
profesionales
sanitarias
que
trabajan
en
centros
sani-
tarios
alternativos
sobre
las
barreras
y
los
facilitadores
en
el
acceso
de
las
mujeres
inmigrantes
a
los
servicios
sanitarios
públicos
generales
y
de
salud
sexual
y
reproductiva
en
el
País
Vasco.
Emplazamiento:
País
Vasco.
Dise
̃
no:
Análisis
de
contenido
cualitativo
basado
en
11
entrevistas
individuales.
Participantes:
Profesionales
sanitarias
que
trabajan
en
centros
sanitarios
alternativos
de
aten-
ción
primaria
y
salud
sexual
y
reproductiva.
Método:
La
recolección
de
datos
se
realizó
entre
septiembre
y
diciembre
de
2015
en
cuatro
centros
sanitarios
alternativos.
Tras
su
transcripción,
se
identificaron
unidades
de
significado,
códigos
y
categorías.
Resultados:
Del
análisis
emergieron
cuatro
categorías
que
representan
cómo
las
características
de
las
mujeres
inmigrantes
(Dime
cómo
eres
y
te
diré
cómo
accedes),
la
actitud
del
personal
administrativo
y
sanitario
(
«
Cuando
ya
les
atienden,
estupendamente.
El
problema
está
con
los
administrativos
»
),
el
funcionamiento
del
sistema
sanitario
(Sistema
de
salud
inflexible,
pasivo
y
receptor
de
necesidades)
y
las
políticas
sanitarias
(
«
Si
no
cumples
los
requisitos,
pues
no
entras.
La
ley
es
la
ley
»
)
influyen
en
el
acceso
a
los
servicios
sanitarios
públicos
de
las
mujeres
inmigrantes.
Conclusiones:
Este
estudio
indica
que
hay
un
considerable
número
de
barreras
y
pocos
facili-
tadores
en
el
acceso
de
las
mujeres
inmigrantes
a
los
servicios
sanitarios
públicos
y
de
salud
sexual
y
reproductiva
en
el
País
Vasco.
Los
centros
sanitarios
alternativos
se
presentaron
como
favorecedores
en
la
mejora
de
la
salud
de
la
población
inmigrante
y
en
su
acceso.To
determine
the
perception
of
health
professionals
working
in
alternative
health
centres
on
the
barriers
and
facilitators
in
the
access
by
immigrant
women
to
general
public
health
services
and
sexual
and
reproductive
health
in
the
Basque
Country.
Location:
Basque
Country.
Design:
Analysis
of
qualitative
content
based
on
11
individual
interviews.
Participants:
Health
professionals
working
in
alternative
health
centres
of
Primary
Care
and
sexual
and
reproductive
health.
Method:
Data
collection
was
performed
between
September
and
December
2015
in
four
alter-
native
health
centres.
After
transcription,
the
units
of
meaning,
codes
and
categories
were
identified.
Results:
Four
categories
emerged
from
the
analysis,
which
represented
how
the
characteristics
of
immigrant
women
(Tell
me
how
you
are
and
I
will
tell
you
how
to
access),
the
attitude
of
the
administrative
and
health
staff
(‘‘When
they
are
already
taken
care
of’’),
the
functioning
of
the
health
system
(Inflexible,
passive
and
needs-responsive
health
system),
and
health
policies
(‘‘If
you
do
not
meet
the
requirements,
you
do
not
go
in.
The
law
is
the
law’’)
influence
access
to
health
services
of
immigrant
women.
Conclusions:
This
study
shows
that
there
are
a
considerable
number
of
barriers
and
few
facili-
tators
to
the
access
by
immigrant
women
to
public
health
and
sexual
and
reproductive
health
services
in
the
Basque
Country.
The
alternative
health
centres
were
presented
as
favouring
the
improvement
of
the
health
of
the
immigrant
population
and
in
their
access
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain
Get PDFBackgroundImmigrant populations face diverse barriers to accessing appropriate healthcare services on several levels. In the Basque Country, Sub-Saharan African women were identified as facing the largest barriers to access them. The aim of the study is to analyse Sub-Saharan African immigrant women's perceptions and experiences of access to appropriate healthcare in the public health system in the Basque Country, Spain.MethodsFourteen women from eight Sub-Saharan African countries who have used the Basque public healthcare services were interviewed. A qualitative content analysis was applied: meaning that units were identified, coded and the resulting codes were then organized into three categories.ResultsThe first category, Fearing to enter a health system perceived as not friendly for immigrants, included factors, mainly those related to legal conditions for accessing healthcare services and lack of lawful documentation, that made women avoid or discontinue seeking out healthcare.The second category, Being attended on professionals' own communication terms, comprised how the lack of effective communication compromised not only the access of the immigrant women to healthcare services, but also their health.Lastly, the third category, Is mistreatment based on racism or merely on bad luck? described how being an immigrant and black influenced the way they were (mis)treated in the health system.ConclusionFor Sub-Saharan African immigrant women, accessing appropriate healthcare in the Basque Country was perceived to be subject to institutional barriers. At the legal level, barriers included lack of entitlement, difficulties in fulfilling legal access conditions and lack of documentation. The lack of communication with health centre staff and their attitudes, guided by a stereotyped social image of immigrants and black people, also hindered their possibilities of receiving appropriate healthcare. Facilitators for accessing healthcare included strategies from individual professionals, personal networks and social actors to help them to cope with the barriers. There is a need of reinforcing inclusion values and rights-based approach to attention among staff at the health centres to have more non-discriminatory and culturally appropriate health systems.We thank the participants in this study who willingly shared their experiences. We also thank the NGO and social associations for their support in the recruitment of this study
