The health impacts of climate-related migration

Background: Changes in climate, in conjunction with other drivers of mobility, shape human migration. While there is an increasing focus on the adaptive potential of migration, the health impacts of climate-related migration, including planned relocation and forced displacement, have not been thoroughly examined. The Intergovernmental Panel on Climate Change stated that migration is currently, and will increasingly be, influenced by environmental degradation and climate change, and that it needs to be addressed in a focused and coordinated manner. Discussion: This paper examines the links between climate change, migration, and health, considering diverse migration responses, including immobility, forced displacement and planned migration, as well as the associated health risks and opportunities in different contexts. Using case studies, the paper illustrates strategies to reduce the health risks associated with climate change-related migration. Conclusion: While there is an increasing body of research examining the climate change–migration nexus, a dual approach is now required. This approach must include debate and further research regarding the health consequences and responses associated with climate migration as well as immediate strengthening of health systems to make them both climate resilient and migrant inclusive

El reasentamiento de jóvenes refugiados en Australia: experiencias y resultados en el tiempo

Los resultados de un estudio longitudinal de experiencias de reasentamiento a largo plazo de jóvenes refugiados que viven en Melbourne muestran que las experiencias de los refugiados —tanto antes como después del reasentamiento— continúan influyendo en las oportunidades y los resultados muchos años después de la llegada

Navigating precarious terrains: Reconceptualising refugee youth settlement

Settlement is widely understood as the final stage of the refugee journey: a durable solution to forced displacement and a stable environment in which former refugees can rebuild their lives. However, settlement is shaped by rapidly changing socio-political forces producing contingent, unpredictable, and even hostile environments. This article draws upon Vigh’s concept of social navigation to reconceptualize settlement as a continuation of a fraught journey in which refugee settlers must continually seek new strategies to pursue viable futures. We illustrate with an in-depth case study of the settlement journey of one refugee-background young man over his first eight years in Melbourne, Australia

Health equity and migrants in the Greater Mekong Subregion

Background: Migrant health is receiving increasing international attention, reflecting recognition of the health inequities experienced among many migrant populations and the need for health systems to adapt to diverse migrant populations. In the Greater Mekong Subregion (GMS) there is increasing migration associated with uneven economic integration and growth, socio-economic vulnerabilities, and disparities between countries. There has been limited progress, however, in improving migrant access to health services in the Subregion. This paper examines the health needs, access barriers, and policy responses to cross-border migrants in five GMS countries. Methods: A review of published literature and research was conducted on migrant health and health service access in Cambodia, Lao People’s Democratic Republic, Myanmar, Thailand, and Viet Nam, as well as analysis of current migration trends and universal health coverage (UHC) indicators in the Subregion. The review included different migrant types: i.e. migrant workers, irregular migrants, victims of trafficking, refugees and asylum seekers, and casual cross-border migrants. Results: There is substantial diversity in the capacity of GMS health systems to address migrant populations. Thailand has sought to enhance migrant health coverage, including development of migrant health policies/programs, bilateral migrant worker agreements, and migrant health insurance schemes; Viet Nam provides health protection for emigrant workers. Overall, however, access to good quality health care remains weak for many citizens in GMS countries let alone migrants. Migrant workers – and irregular migrants in particular – face elevated health risks yet are not adequately covered and incur high out-of-pocket (OOP) payments for health services. Conclusions: UHC implies equity: UHC is only achieved when everyone has the opportunity to access and use good-quality health care. Efforts to achieve UHC in the GMS require deliberate policy decisions to include migrants. The emergence of the UHC agenda, and the focus on migrant health among policy makers and partners, present an opportunity to tackle barriers to health service access, extend coverage, and strengthen partnerships in order to improve migrant health. This is an opportune time for GMS countries to develop migrant-inclusive health systems

Transformative mobilities in the Pacific: Promoting adaptation and development in a changing climate

Climate change is affecting Pacific life in significant and complex ways. Human mobility is shaped by climate change and is increasingly positioned by international agencies, policymakers, and governments as having an important role in both climate change adaptation and human development. We consider the potential for human mobility to promote adaptation and development among Pacific people in a changing climate. We argue that where Pacific people choose mobility, this should be supported and create opportunities that are responsive to the histories and existing patterns of mobility and place attachment among Pacific Islanders; commence from a position of climate and development justice; and advance human rights and socio-political equity. Transformative mobilities are where mobility, adaptation, and development intersect to achieve the best possible outcomes for cultural identity, human rights, adaptation, and human development goals across scales and in origin and destination sites

Predictors of secondary school completion among refugee youth 8 to 9 years after resettlement in Melbourne, Australia

Being able to attend school and achieve an education is one of the most desired opportunities among resettled refugee young people. However, turning educational aspirations into reality is not straightforward. There is a large body of research documenting the barriers associated with educational achievement among refugees who resettle as teenagers, both in Australia and internationally. No studies, however, have identified the factors that predict completion of secondary school among resettled refugee youth over time. This paper reports the predictors of completion of secondary school among a cohort of 47 refugee youth resettled in Melbourne, Australia. Eight to nine years after resettlement, 29 (62%) had completed secondary school and 18 (38%) had left school prior to completing Year 12. Age on arrival and experiences of discrimination in Australia were significant predictors of secondary school completion. Older refugee youth (on arrival) and those who reported experiences of discrimination over the first eight to nine years in Australia were significantly less likely to complete secondary school. This longitudinal study confirms that, as a group, refugee youth are particularly at risk of not completing secondary school education, which can have an impact on their wellbeing and long-term socio-economic standing in their settlement country. Our study provides further evidence of the negative impact of discrimination on the educational outcomes of disadvantaged young people

Corrigendum: The role of Vanua in climate-related voluntary immobility in Fiji

In the published article, there was an error where the Ethics clearance information was withheld for review. A correction has been made to Section 3. Method and study sites, “3.1 Method”, paragraph 7. This sentence previously stated: “The project received Human Research Ethics clearance through the [withheld for review] (number [withheld for review]).” The corrected sentence appears below: “The project received Human Research Ethics clearance through The University of Melbourne Faculty of Science Human Ethics Advisory Group (Ethics ID 1851729.1).” The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.</p

An Ill Wind? Climate Change, Migration, and Health

Background: Climate change is projected to cause substantial increases in population movement in coming decades. Previous research has considered the likely causal influences and magnitude of such movements and the risks to national and international security. There has been little research on the consequences of climate-related migration and the health of people who move

Transformative mobilities in the Pacific: Promoting adaptation and development in a changing climate

Climate change is affecting Pacific life in significant and complex ways. Human mobility is shaped by climate change and is increasingly positioned by international agencies, policymakers, and governments as having an important role in both climate change adaptation and human development. We consider the potential for human mobility to promote adaptation and development among Pacific people in a changing climate. We argue that where Pacific people choose mobility, this should be supported and create opportunities that are responsive to the histories and existing patterns of mobility and place attachment among Pacific Islanders; commence from a position of climate and development justice; and advance human rights and socio-political equity. Transformative mobilities are where mobility, adaptation, and development intersect to achieve the best possible outcomes for cultural identity, human rights, adaptation, and human development goals across scales and in origin and destination sites