Policies and initiatives/programs that promote health and self-care in asylum seekers living in high income countries : a narrative review
- Authors: Nkhoma, Gloria , Lim, Chiao , Kennedy, Gerard , Stupans, Ieva
- Date: 2023
- Type: Text , Journal article , Review
- Relation: International Journal of Human Rights in Healthcare Vol. 16, no. 4 (2023), p. 327-340
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- Description: Purpose: This paper aims to identify health-care entitlements that exist for asylum seekers with chronic non-communicable disease (CNCD) that promote their health and self-care, and to explore health policies, initiatives and programmes with the potential to foster self-care in this populace. Design/methodology/approach: Narrative review of literature conducted by searching EMBASE, CINAHL, WEB OF SCIENCE and PSYCINFO databases for articles published from 2010 to 2021. Included articles focussed on policies, programmes or initiatives with the potential to promote health in adult asylum seekers residing in high-income countries. Studies inclusive of other migrant groups such as undocumented migrants and those with mental health conditions were excluded. Eleven studies fitting the inclusion criteria were assessed against the study objectives. Findings: Free access to health-care services and pharmaceutical products, free access to food banks and supermarket model food banks, English and cooking lessons, community integration training sessions and culturally competent health-care workers were found to promote health and self-care. There is little research on self-care and health promotion in adult asylum seekers with CNCD. CNCDs represent high burden of disease in asylum seekers but have a low priority in reported research. Originality/value: This narrative review is the first to explicitly focus on asylum seekers in high-income countries with CNCD, excluding mental health conditions, and to explore initiatives, programmes and policies that enhance health promotion to facilitate self-care in this populace. © 2021, Emerald Publishing Limited.
Reducing health inequities for asylum seekers with chronic non-communicable diseases : Australian context
- Authors: Nkhoma, Gloria , Lim, Chiao , Kennedy, Gerard , Stupans, Leva
- Date: 2021
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 27, no. 2 (2021), p. 130-135
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- Description: Asylum seekers are susceptible to chronic non-communicable diseases pre- and post-arrival due to poor living conditions, unhealthy lifestyles and restrictive and poor access to health services. Despite their need for constant and continuous health care access due to poor health, they face healthcare services access restrictions dependent on their visa conditions in Australia. Some visas only allow access to hospital services with restrictions on primary health services access such as GPs and free or discounted pharmaceutical products. In comparison, disadvantaged host populations have access to free/discounted pharmaceutical products and unrestricted access to primary and secondary health care. Ten professionals who constantly engage with asylum seekers in three large asylum seeker centres in Melbourne were interviewed either face-to-face or over the phone. The interviews were essential to understand how health inequities may be addressed for asylum seekers. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic analysis framework. Their recommendations, based mainly on their experience and evaluation of programs, were: (1) cultural competence training (2) use of interpreters (3) free access to health services and medications (4) use of English learning to promote health literacy and community integration (5) robust chronic non-communicable diseases screening and (6) health promotion and accessible food programs. © 2021 La Trobe University.
Critical discourse analysis as a research paradigm in language studies : the 2001 Howard campaign speech
- Authors: Terry, Daniel
- Date: 2015
- Type: Text , Book chapter
- Relation: Linguistics and Language Education in New Horizons: The Link between Theory, Research and Pedagogy p. 87-99
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- Description: Critical Discourse Analysis (CDA) as a research paradigm in language studies is a complex framework which is informed by a large number of approaches to critically analyse discourse; to understand the relationship between discourse and power within text and speech; and advocate correction and empower change. It demonstrates how discourse is developed and fashioned by its relationship with power, ideology and used to shape or sustain the social status quo and unequal power relations. Despite an overabundance of political speeches, discussions and media reports concerning asylum seekers and refugees, sections of John Howard's 2001 election campaign launch speech is used to illustrate how CDA can critically analyse discourse. A succinct analysis of the speech demonstrates how CDA exposes hidden meanings within text and to ascertain the relationship between power, position, and language. It outlines the subtleties of and the type of language used to assert authority, power, dominance and exploitation. The analysis demonstrates that unfounded connections were made between terrorism and asylum seekers-that asylum seekers were potential perpetrators of terrorism. He asserted that increased powers of central government are in the best interest of national security. © 2015 by Nova Science Publishers, Inc. All rights reserved.
Whose security? How white possession is reinforced in everday speech about asylum seekers
- Authors: Koerner, Catherine
- Date: 2010
- Type: Text , Journal article
- Relation: Critical Race and Whiteness Studies Vol. 6, no. 1 (2010), p. 1-14
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- Description: The national narratives that construct asylum seekers as illegal immigrants in Australia were protected and contested during the term of the former Howard Liberal government. This paper explores how white possession is reinforced in everyday speech about asylum seekers. To do this, it draws upon an empirical study conducted in rural South Australia with people who identified as “white Australian”. The study consists of 28 in depth semi-structured interviews conducted in 2003. The paper will firstly locate the interviews in the sociopolitical context of the former Howard Liberal government’s policies and key events such as the Tampa incident. In doing so, the paper adds to the small body of Australian sociological empirical research that investigates everyday practices of whiteness. The paper identifies discourses about refugees, border security and the “war on terror” that reinforce Australian discourses of white possession. The paper critiques the racialised privilege in discourses used by the interviewees about asylum seekers and argues this privilege is gained through the assertion of “white patriarchal sovereignty” (Moreton- Robinson 2004a) in everyday speech. This privilege simultaneously disavows Indigenous sovereignty and reasserts white national sovereignty through the raced exclusion of Middle Eastern and/or Muslim peoples who are located as illegal immigrants in everyday white discourses about asylum seekers.