COVID-19 and Immigrant Status: A Qualitative Study of Malawian Immigrants Living in South Africa

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health & Social Care in the Community Pub Date : 2024-04-01 DOI:10.1155/2024/3417537
Ifeolu David, Martina Lembani, Gashaye M. Tefera, Wilson Majee
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Abstract

Migration to South Africa is motivated by the pursuit of employment, safety, and improved living conditions. However, immigrants encounter significant challenges, such as restricted access to essential services, which were exacerbated by the COVID-19 pandemic. This paper investigates the impact of the COVID-19 pandemic on Malawian immigrants in South Africa, addressing the lack of attention given to this immigrant population by highlighting their vulnerabilities. Using a qualitative exploratory and descriptive approach, in-depth interviews were conducted with 24 Malawi immigrants who were over 18 years old and had established residency in South Africa before the onset of the COVID-19 pandemic. Five key stakeholders were also interviewed for additional perspectives and to ensure triangulation and improve data reliability. The interviews were transcribed verbatim and analyzed using thematic analysis strategies and coding with Nvivo12 software. The study highlighted the exacerbated struggles of Malawian immigrants in South Africa amid the COVID-19 pandemic, uncovering systemic discrimination in healthcare, marked by longer wait times and reluctance from health workers to treat undocumented immigrants. The study also revealed a dire security situation, with immigrants living in high-crime areas and feeling particularly targeted due to their foreign status, a situation worsened by the pandemic’s economic effects. Additionally, the economic downturn induced by COVID-19 significantly impacted employment opportunities, with many immigrants facing prolonged unemployment and job losses, especially in sectors where they traditionally found work. The detailed accounts of participants highlight not only the multifaceted challenges imposed by the pandemic but also the critical need for inclusive policies and support systems that ensure healthcare access, safety, and economic resilience for immigrants, particularly during global health emergencies. Future research should focus on effective interventions for socioeconomic integration and well-being, particularly for immigrants from other African countries.

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COVID-19 与移民身份:对生活在南非的马拉维移民的定性研究
移民到南非的动机是寻求就业、安全和改善生活条件。然而,移民们也遇到了巨大的挑战,例如获得基本服务的途径受到限制,而 COVID-19 大流行则加剧了这些挑战。本文调查了 COVID-19 大流行病对南非马拉维移民的影响,通过强调他们的脆弱性来解决对这一移民群体缺乏关注的问题。我们采用定性探索和描述的方法,对 24 名马拉维移民进行了深入访谈,这些移民在 COVID-19 大流行爆发前已在南非定居,年龄超过 18 岁。此外,还采访了五位主要利益相关者,以了解更多的观点,确保三角测量,提高数据的可靠性。对访谈内容进行了逐字记录,并使用主题分析策略和 Nvivo12 软件进行了编码分析。该研究强调了马拉维移民在 COVID-19 大流行期间在南非的艰难处境,揭露了医疗保健方面的系统性歧视,其特点是等待时间更长,医疗工作者不愿治疗无证移民。研究还揭示了严峻的安全形势,移民生活在犯罪高发区,因其外国身份而成为特别攻击目标,这种情况因大流行病的经济影响而更加恶化。此外,COVID-19 引发的经济衰退严重影响了就业机会,许多移民面临长期失业和工作流失,尤其是在他们传统上能找到工作的行业。参与者的详细叙述不仅凸显了大流行病所带来的多方面挑战,还说明了制定包容性政策和支持系统的迫切需要,以确保移民获得医疗保健、安全和经济适应能力,尤其是在全球卫生紧急情况下。未来的研究应重点关注促进社会经济融合和福祉的有效干预措施,特别是针对来自其他非洲国家的移民。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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