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This paper examines the effectiveness of media literacy interventions in countering misinformation among in-transit migrants in Mexico and Colombia. We conducted experiments to assess whether well-known strategies for fighting misinformation are effective for this understudied yet particularly vulnerable population. We evaluate the impact of digital media literacy tips on migrants’ ability to identify false information and their intentions to share migration-related content. We find that these interventions can effectively decrease migrants’ intentions to share misinformation. We also find suggestive evidence that asking participants to consider accuracy may inadvertently influence their sharing behavior by acting as a behavioral nudge, rather than simply eliciting their sharing intentions. Additionally, the interventions reduced trust in social media as an information source while maintaining trust in official channels. The findings suggest that incorporating digital literacy tips into official websites could be a cost-effective strategy to reduce misinformation circulation among migrant populations.
Edited by
Grażyna Baranowska, Friedrich-Alexander-Universität Erlangen-Nürnberg,Milica Kolaković-Bojović, Institute of Criminological and Sociological Research, Belgrade
In the last decade, the number of migrants within the African continent has increased significantly, which triggered many African states to adopt laws criminalizing illegal entry or working without a work permit. Further, the European Union has signed agreements with several African states to prevent migrants entering the EU, which resulted in many migrants are utilizing dangerous routes, being exposed to serious human rights violations, including enforced disappearances. The Convention for the Protection of All Persons from Enforced Disappearance prohibits expulsion of persons who can be in danger of being tortured or forcibly disappeared. However, many states lack these provisions within the domestic laws or do not implement them, leaving many migrants vulnerable to criminal gangs and state security abuses. However, the lack of political will, technical expertise, lack of legal structure and understanding of the crime of enforced disappearances all lead to the failure of the states to prevent enforced disappearances of the migrants on the continent.
This study addresses the mental health needs of refugees and migrants in the Netherlands, highlighting the urgent public health challenges they face. Unique psychosocial hurdles, exacerbated by cultural dislocation, language barriers and systemic inequalities, hinder their access to quality mental healthcare. This study explores how coloniality intersects with mental healthcare access, using a decolonial framework to challenge stereotypes and assumptions that marginalize migrant voices. Through semi-structured interviews with migrants and language service providers, this research reveals the complexities of navigating the mental healthcare system. Findings reveal that temporality, professionalism and language barriers are key issues in migrants’ mental healthcare journeys. We advocate for systemic changes that prioritize migrant perspectives. Ultimately, this study aims to inform policy and practice to enhance mental health services for migrant populations in the Netherlands and contribute to the broader dialogue on decolonization in mental health.
This paper draws upon the theoretical literature on migration policy and health, and empirical data on three European states with differing welfare models – Sweden (social democrat), France (conservative), and the United Kingdom (liberal) – during Covid-19, to highlight the often hidden and contradictory politics through which refugees, asylum seekers, and undocumented migrants were forced to navigate during the most uncertain period of the pandemic. Although migrants’ treatment during Covid-19 was generally better in Sweden with a social democrat welfare tradition, we see migration management priorities greatly undermining the extent to which welfare systems function overall for the benefit of population health. Furthermore, Sweden’s recent political shift to the right exacerbates those negative tendencies. As the paper shows, there was considerable effort by civil society and local government to fill the gap where national governments failed to protect this group, stepping in to provide health information, and support.
Organizations often face moral dilemmas. For example, in 2004 the UN Refugee Agency (UNHCR) needed to decide whether to help refugees in enclosed camps in Pakistan repatriate to Afghanistan. On the one hand, helping with repatriation might have made UNHCR complicit in forced returns, as refugees sought to repatriate just to avoid life without freedom in Pakistan. On the other hand, refusing to help with repatriation would leave refugees stranded in camps: perhaps repatriation was the best option if this was what refugees wanted. When organizations face this and other dilemmas, it is not clear how they should proceed. In other words, it is unclear which policy they should pursue when all feasible policies seem wrong. Some might think that, at least for hard dilemmas, every choice is just wrong, and so no choice is right. But that is not quite true. Even difficult dilemmas can be resolved using certain methods. One method is to ask those affected by potential policies what they think the most justifiable policy is. A second method is to choose what to do randomly. Randomly selecting a course of action can sometimes be the fairest way of determining what to do when every option seems wrong.
Like many well-known Irish writers, O’Casey chose to spend much of his life away from his homeland. However, this chapter examines how O’Casey rarely succumbed to sentiments of loss and exile that can be found in other similarly positioned writers. He was, in fact, far more likely to use the dual position of the migrant – simultaneously familiar with the home country and able to view it anew from a space of geographical and ideological distance – to query, critique, and satirise Ireland. The chapter spends time examining the way in the late plays Oak Leaves and Lavender, Cock-a-Doodle Dandy, The Drums of Father Ned, and Behind the Green Curtains deal centrally with Irish migrant characters.
Migrants often experience psychological distress due to pre-, peri- and post-migration stressors. Scalable interventions like Doing What Matters in Times of Stress (DWM) and Problem Management Plus (PM+) have been developed to address these challenges. This study evaluates a stepped-care program combining DWM and PM+ for migrants in Italy, examining its context, implementation, and mechanisms of impact. A mixed-methods process evaluation was conducted alongside a randomized controlled trial (RCT), following the Medical Research Council (MRC) framework. Post-trial qualitative data were collected through individual interviews with intervention participants (n = 10) and stakeholders (n = 10), as well as a focus group with intervention providers (n = 8). Thematic analysis was performed using NVivo. Cultural stigma and practical barriers influenced engagement, while community leaders fostered trust and participation. Interventions were feasible and acceptable. Digital delivery improved accessibility for some but posed challenges for those with low technological literacy or private spaces. The stepped-care approach supported gradual engagement with mental health strategies, enhancing self-care and emotional awareness, while provider relationships were key to sustaining motivation. The stepped-care model alleviated psychological distress and was well-received. Findings underscore the need for cultural sensitivity, digital accessibility and community engagement to optimize migrant mental health support.
Agricultural workers such as migrant and seasonal farmworkers are a population uniquely vulnerable to the negative effects of climate-related disasters. The primary aim of this study was to assess how counties in eastern North Carolina (NC) incorporated best practices related to agricultural workers in emergency preparedness planning.
Methods
The authors conducted a quantitative content analysis of 47 emergency preparedness plans from 41 eastern NC counties between November 2022 and March 2023. The research team developed a codebook based on recommended best practices from the Centers for Disease Control and Prevention, Farmworker Advocacy Network, Federal Emergency Management Agency, and National Center for Farmworker Health. Best practices included having materials in Spanish language, mapping vulnerable populations, and garnering input from agricultural workers.
Results
Of the 47 plans evaluated, most lacked inclusion of agricultural workers in emergency preparedness planning. Furthermore, plans demonstrated few relevant best practices that address agricultural workers’ specific challenges in preparation for and recovery from climate-related disasters.
Conclusions
Public emergency preparedness plans in eastern NC rarely include mention of recommended best practices related to agricultural workers. Local emergency preparedness officials should consider collaboration with advocacy groups, community health workers, and federal emergency management agencies to build disaster resilience.
Migrant protest activity has been often analyzed from the perspectives of the protest nature and issues it addressed. A comparison of protest behaviour before and after migration is largely missing. It remains unclear whether people who were actively protesting in their home country continue to be engaged in protests after migration and why. This article addresses this gap in the literature and aims to explain what made the Ukrainian migrants protest before leaving their home country and in Turkey as a host country. The analysis uses individual data from an original survey conducted in May 2023 among 935 Ukrainian migrants living in Turkey. The findings show that there are different migrants who participate in the protests organized in the two countries, and the strongest predictor for political protest is civic engagement. Protest in Ukraine is rooted in the orientation towards domestic politics, while protests abroad are driven by identitarian dimensions.
Modern slavery is an amalgam of legal concepts defined in international law united by a shared characteristic – they are all forms of unfree labour: one person deprives another person of their freedom for profit. The introduction explains how unfree labour involving migrant workers and supply chains is particularly troublesome for states to govern because these transnational vectors do not fit within the ‘default’ territorial format of legal jurisdiction and, thus, challenge traditional ideas of state sovereignty. It treats modern slavery laws, which combine international, national, and (sometimes) regional laws, as an example of transnational law and shows how, in this context, the nation state is but one among an assemblage of governance actors. It develops a multidimensional conception of jurisdiction to explore the transnational legal governance of unfree labour and to illustrate how modern slavery laws reconfigure traditional understandings of sovereignty.
Different agencies have emphasized the need to evaluate current serological methods for screening patients with suspected urogenital schistosomiasis. However, there is still a lack of evidence regarding the most appropriate methods for this purpose. Here we assessed the diagnostic efficacy of a newly developed serological technique that utilizes the recombinant protein Sh-TSP-2, applied to the urine and serum of migrants suspected of having urogenital schistosomiasis. The sensitivity, specificity, positive and negative predictive values of an in-house enzyme-linked immunosorbent assay (ELISA) using the recombinant protein Sh-TSP-2 were analysed and compared with other commercial serological methods. Due to the limitations of microscopy as a perfect reference method, a latent class analysis (LCA) and composite reference standard (CRS) approach was used to determine the sensitivity and specificity of each test. According to the LCA model, the commercial tests NovaLisa® and immunochromatography test (ICT) immunoglobulin G–immunoglobulin M (IgG–IgM) presented the highest sensitivity (100%), whereas the Sh-TSP-2 serum ELISA test had 79.2%. The Sh-TSP-2 urine and serum ELISA tests had the highest specificities among the serological methods (87.5 and 75%, respectively). CRS modelling showed that the ICT IgG–IgM, NovaLisa® and Sh-TSP-2 serum tests led in sensitivity at 97.1, 88.6 and 71.4%, respectively, with all tests except that the ICT IgG–IgM test having a specificity >90%. Sh-TSP-2 has been validated as a screening tool for patients suspected of having urogenital schistosomiasis. Although commercial serological tests have shown higher sensitivities, Sh-TSP-2 could be valuable for confirming results from tests with lower specificity. Nevertheless, further studies with larger patient cohorts are necessary to fully verify its potential.
Modern slavery laws are a response to global capitalism, which undermines the distinction between free and unfree labour and poses intense challenges to state sovereignty. Instead of being a solution, Constructing Modern Slavery argues that modern slavery laws divert attention from the underlying structures and processes that generate exploitation. Focusing on unfree labour associated with international immigration and global supply chains, it provides a novel socio-legal genealogy of the concept 'modern slavery' through a series of linked case studies of influential actors associated with key legal instruments: the United Nations, the United States, the International Labour Organization, the European Union, the United Kingdom, and Walk Free Foundation. Constructing Modern Slavery demonstrates that despite the best efforts of academics, advocates, and policymakers to develop a truly multifaceted approach to modern slavery, it is difficult to uncouple antislavery initiatives from the conservative moral and economic agendas with which they are aligned. This title is also available as Open Access on Cambridge Core.
The border exists not only as a function of its physicality, but also of the way its discipline is internalized by migrants and asylum seekers. At the intersection of both, this chapter focuses on how asylum seekers are led to minimize the element of migrancy in their trajectories, making the reasons why they aspire to seek asylum in some countries than others invisible to international law. Contra this invisibility, it makes the case that asylum seekers, even as they flee persecution, are migrants too, drawn by certain countries rather than others on the basis of varying life projects and ongoing connections. The impossibility to normatively articulate such an ambition within the categories of international law must count as one of the considerable costs imposed by the border’s disciplining effect.
The transnational movement of peoples across the globe is one of the most bitterly contested political issues of our times, eliciting populist anger against migrants and refugees. This public outcry has muffled, however, a more dramatic process: the contemporaneous reconfiguration of territory, rights, and jurisdiction. This chapter highlights the formation of “shifting borders” that enable states to create lawless zones as well as rightless subjects. It then explores a combination of juridical and democratic possibilities for resistance and claims-making in a world of shifting borders and cosmopolitanism without illusions.
This chapter investigates tax payments and self-making amongst Romanian migrants in London. Vicol demonstrates how taxation is a mode of anchoring oneself in a moral order premised on self-sufficiency. Although the UK’s mainstream media cast Romanian migrants through tropes of welfare dependency, Romanian self-narrations as hard working, taxpaying subjects enabled interlocutors to constitute themselves as good migrants. However, becoming a taxpayer in practice was also an exercise in a particular type of bureaucratic literacy. A host of digital barriers, language deficiencies, and unhelpful bureaucrats drove many to seek out private consultants who made a business of helping their co-nationals decode their obligations to HM Revenue and Customs. Thus, this chapter also explores taxpaying as a technical exercise of making oneself legible through the language of the fiscal authority. Taxation becomes part of the making of the migrant subject. It is about the paradoxical ways in which a digitising state premised on self-reliance prompts affirmations of independence at the level of discourse, while simultaneously generating new networks of dependency in practice.
While previous research has highlighted the significant role of language in conditioning migrants’ access to key institutions of the welfare state, the question of how individual migrants experience linguistic disadvantage has been less in focus. Drawing on a relational approach, the article moves beyond the idea of language barriers as a static structure of (in)equality or a matter of individual shortcomings. It demonstrates how language policies and language ideologies, and their entanglements with more general trends in welfare policies and ideologies, shape migrants’ relational experiences with the welfare states and their representatives, and what are the implications of such interactions – or the lack of interaction. Empirically, it builds on qualitative data collected in Belgium and Finland, showing how language barriers and discrimination can result in Kafkaesque administrative processes that produce both material and affective hardship for migrants in these national contexts.
The disappearance of migrants, which has reached preoccupying high numbers in recent decades, is related both to the particular vulnerability of migrants traversing dangerous migratory routes and to the high degree of impunity that characterizes investigation and search efforts required. This article argues that the disappearance of migrants at the hands of non-state actors in contexts of systematic impunity and in situations where the state had knowledge or should have had knowledge of a serious risk of such disappearance, but failed to act to prevent it, can be considered to have occurred with the acquiescence of the state. Thus, given that all further elements of the definition of enforced disappearance have been satisfied, this factual situation qualifies as an “enforced disappearance” for the purposes of international human rights law. Key to this demonstration is the concept of knowledge, which is an essential component of acquiescence. This article not only addresses the normative framework of acquiescence and its interpretation by international and regional human rights bodies, including how it relies on the element of state knowledge, but it also examines the extent to which this factor is critical to understanding states’ due diligence obligations to prevent, investigate, and sanction human rights obligations, including disappearances. In order to better understand the factors that should be taken into consideration while assessing a state‘s knowledge of migrant disappearances, including in the context of systematic impunity, it is then suggested to borrow from the international criminal law test related to the concept of “constructive knowledge” and to the doctrine of command responsibility. These considerations should inform a test for assessing whether disappearances of migrants occurring in contexts of systematic impunity can be considered as having been known by the state and as having occurred with its acquiescence and, thus, as constituting “enforced disappearances” under international human rights law.
Training can improve healthcare providers’ cultural competence and increase their awareness of bias and discrimination in medical decision-making. Cultural competences training is lacking in the education of dieticians in the Netherlands. The aim of this study was to describe the pilot-implementation of a cultural competence training for dieticians and preliminary evaluation of the training.
Methods:
A training was developed based on Seeleman’s cultural competence framework and previously held interviews with migrants, dieticians, and experts. The training consisted of a mixture of didactic and experiential methods, alternating knowledge transfer with exercises to increase awareness, reflection, and feed-back on recorded consultations, and communication training with migrant training actors. The training was piloted in 8 participating dieticians and preliminary mixed-method evaluation was done using a Cultural Competence Questionnaire, Experience Evaluation Questionnaire, and consultation observations.
Results:
The questionnaires showed that dieticians were positive about the training. They found it valuable and educational. Participants reported an increase in self-perceived cultural competence and attitudes. Knowledge and skills remained approximately the same. The observations showed that dieticians applied the teach-back method and discussed treatment options more often after training. There was no increase in the use of visual materials.
Conclusion:
The training was well appreciated and, although a small-scale pilot, this mixed-method study suggests an ability to change cultural competence. The combination of a self-assessment instrument and consultation observations to evaluate cultural competence was highly valuable and feasible. These encouraging results justify a broader implementation of the training.
Migrants and refugees face elevated risks for mental health problems but have limited access to services. This study compared two strategies for training and supervising nonspecialists to deliver a scalable psychological intervention, Group Problem Management Plus (gPM+), in northern Colombia. Adult women who reported elevated psychological distress and functional impairment were randomized to receive gPM+ delivered by nonspecialists who received training and supervision by: 1) a psychologist (specialized technical support); or 2) a nonspecialist who had been trained as a trainer/supervisor (nonspecialized technical support). We examined effectiveness and implementation outcomes using a mixed-methods approach. Thirteen nonspecialists were trained as gPM+ facilitators and three were trained-as-trainers. We enrolled 128 women to participate in gPM+ across the two conditions. Intervention attendance was higher in the specialized technical support condition. The nonspecialized technical support condition demonstrated higher fidelity to gPM+ and lower cost of implementation. Other indicators of effectiveness, adoption and implementation were comparable between the two implementation strategies. These results suggest it is feasible to implement mental health interventions, like gPM+, using lower-resource, community-embedded task sharing models, while maintaining safety and fidelity. Further evidence from fully powered trials is needed to make definitive conclusions about the relative cost of these implementation strategies.
The ways in which minority street-level bureaucrats construe their identities as state representatives and as representatives of minority clients are known to inform their discretionary behavior toward clients, thereby shaping policy outcomes. While existing studies have examined race and ethnicity as shared identities between minority bureaucrats and clients, the role of “migrant” identity has been overlooked. Focusing on the so-called European migration crisis of 2015–2017, this study addresses this gap. Drawing on qualitative interviews with migrant bureaucrats, it examines how being simultaneously a migrant and a migration policy implementer shapes bureaucratic discretion. This article introduces the notion of “migrant representative” and identifies four profiles of migrant bureaucrats, each corresponding to different degrees of identification with the local migration management system and the migrant clients. In doing so, it contributes to the literature on representative bureaucracy and the debate on the linkage between passive and active representation.