Migration Policy Research Articles

Health workers’ perceptions on refugees’ access to healthcare and right to health in Turkiye

Abstract In Turkey, over the past decade, the influx of refugees has significantly influenced migration policy and consequently, health policy for refugees, shaping the perspectives of healthcare workers towards refugees. To gauge healthcare workers’ perceptions regarding refugees’ access to healthcare and their right to health, a survey was conducted across three hospitals in two cities (n = 547). The drop-collect methodology was used, obtaining consent in advance. Healthcare workers (HCWs) were classified into four groups: doctors (n: 139), nurses and midwives (n: 201), other healthcare professionals (n: 58) and non-healthcare professional (n: 137). Additionally, twelve people who did not want to disclose their profession were excluded from the statistics when comparing responses by profession. According to HCWs’ experiences, the most common obstacles faced by refugees included language barriers due to not knowing Turkish, the absence of interpreters in hospitals, cultural disparities, and financial constraints. Among HCWs, 89.8% (n = 491) believe that health constitutes a fundamental human right, yet only 55.8% (n = 305) advocate for free emergency services for all. Furthermore, 43.1% express concerns that providing healthcare to refugees might attract more refugees, and 38% suggest that only individuals deemed healthy through health screening upon entry should be permitted into the country. Responses to inquiries about the prevalent issues varied across cities and occupational groups. Despite the majority of HCWs adopting a right-based approach to health, it is evident that some lean towards a deservingness perspective regarding refugees’ access to healthcare. Consequently, there is a pressing need for collaboration among various sectors to furnish adequate information and training for HCWs on migrants’ rights and prejudice. This should be a part of migration policy, leading to a more migrant-friendly health system. Key messages • Collaboration among diverse sectors is urgently needed to provide healthcare workers with thorough information and training on the rights of migrants and addressing prejudice. • Implementing training programs for healthcare workers as a component of migration policy is essential for building a migrant-friendly healthcare system.

Migrant housing struggle and racial discrimination: The case of postsocialist Leipzig and Riga

The civic mobilisation welcoming Ukrainian refugees after Russia’s invasion in February 2022 has shown how housing is a social infrastructure based on care and solidarity. But it has also shown its discriminatory face. By drawing on our recent collaborative research in Leipzig and Riga and conceptual reflections from previous research, this paper elaborates on how practices of welcoming and housing refugees intertwine with state racism and everyday discrimination. It is grounded in two intersecting lines of inquiry. The first one focuses on migrant housing struggles in the context of increased financialisation, privatisation and austerity urbanism. The second expands on the intersection of race and discrimination with housing, asking how race and racial discrimination intersect and affect migrants, refugees, and asylum seekers’ access to and experiences with housing. The underlying argument is that while housing is the site where this type of discrimination becomes spatialised and visible (and thus can be challenged), there is still a missing discourse around discrimination in migration and housing policy.

Are migrant workers at greater risk of workplace deaths? A systematic review and meta-analysis

Abstract Background Globally, 170 million individuals migrate for work. Yet, evidence on their mortality risk remains unclear. Our aim was to synthesize global evidence on migrant worker mortality risk compared to local workers and to identify the multiple intersecting social determinants of mortality. Methods We conducted a systematic review of peer-reviewed literature which reported on mortality outcome of migrant workers. Studies published between 1 Jan 2000 to 17 Jan 2023 in English were searched in MEDLINE, Embase, PsycINFO, and Ovid Global Health. Meta-analysis using random effects model was used to calculate pooled estimates and narrative synthesis was used to develop a data-driven framework on intersectional social determinants. Results Out of 11,495 identified records, 44 were included, of which 11 were pooled in meta-analyses. The combined migrant worker death count was 44,338, with data from 16 countries, including migrants from agriculture, construction, and service industries. Compared to local workers, migrant workers had a higher risk of fatal occupational injury (pooled RR = 1.71, 95%CI: 1.22-2.38, I² = 99.4%), and a lower risk of all-cause mortality (pooled RR = 0.94, 95%CI: 0.88-0.99, I² = 90.7%). Key social determinants associated with increased mortality risk were either migration-related (e.g. lower language proficiency, undocumented status) or labour-related (e.g. precarious employment, labour migration policies) interacting over migrant workers’ life course. Conclusions As the largest evidence synthesis to date, these findings indicate that migrant workers have higher fatal occupational injury rates than local workers, indicating the need for tailored protections for migrant workers. These data confirm that the all-cause mortality advantage observed in migrant populations applies to the working population. Future interventions should be designed to address both migration- and labour-related determinants of migrant worker health. Key messages • Migrant workers have a higher risk of workplace fatality despite being generally healthier than local workers, explained by structural determinants such as precarious employment. • Future interventions must address migration- and labour-related social determinants of health at structural levels, such as extending labour protection laws to migrant workers.

Navigating the COVID-19 crisis: exploring care arrangements and gendered inequalities for migrant women in transnational families in Berlin

ABSTRACT The COVID-19 pandemic has precipitated a notable shift in care responsibilities, transferring them from institutions to families, with a pronounced impact on migrant women in transnational families who navigate both local and transnational care arrangements. This study explored how the pandemic affected women's care arrangements and exacerbated existing inequalities at the intersection of labour, migration, and welfare regimes. Following a qualitative methodology based on grounded theory and ethnography, this study analysed interviews with migrant women, their family members, and experts to understand their experiences with caregiving and transnational family dynamics during the pandemic, the costs and coping strategies related to gendered aspects of care, and the changing landscape of migration and care policies during the pandemic. This study scrutinised the intricate web of local and transnational caregiving structures, emphasising women's agency in negotiating care needs amid pandemic restrictions and constraints on access to formal social protection.

Migration and Economic Development: The Role of Migrant Flows in Shaping Turkey’s Emerging Economy and Uncovering Hidden Conflicts and Challenges

This research examines the economic impact of migration on Turkey's emerging economy, with a particular focus on the contributions of migrant remittances, labor market dynamics, and the socio-political challenges associated with large-scale migrant flows. By employing econometric models and field research, the study explores the relationship between remittance inflows and key economic indicators such as GDP growth, employment rates, and poverty reduction. Additionally, the research uncovers hidden conflicts and social tensions that arise from migration, including labor market inequalities and integration challenges faced by both migrants and Turkish workers. The project evaluates government policies, such as the EU-Turkey refugee agreement, and their effects on economic development and social stability. Field research in migrant-receiving communities reveals the complexities of labor competition and the social dynamics created by migrant dependency in sectors such as agriculture and construction. Findings highlight the need for inclusive migration policies that balance the economic benefits of remittances with the social integration challenges faced by migrant populations. This study also advocates for stronger labor protections and regulatory reforms to mitigate tensions and reduce exploitation in low-wage sectors. The research contributes to the broader understanding of migration’s role in shaping Turkey’s economy and provides insights for policymakers seeking to address both the economic and social dimensions of migration.

What is new about Japan’s new migration policy? From recruitment of “nonlabor” workers to selection by neoliberal meritocracy

Abstract Japan experienced major reforms in its migration policy in 2018. This study aims to examine the novelty of the new migration policy by tracing the shift in the legal status of two “nonlabor” migrant workers: fourth-generation Japanese descendants (Nikkeijin) and technical interns. While fourth-generation young adults have been allowed to work in Japan since 2018, their rights are more restricted than those of third-generation Nikkeijin. Simultaneously, the government prepared a path for technical interns to upgrade their visas to specified skilled workers. The new migration policy is characterized by the convergence of the status of the two groups. Superficially, the reformed immigration program appears to signify a shift toward a more liberal immigration policy that allows previously excluded groups to settle in the country. A more important feature is the rise of the neoliberal meritocracy as a new principle of admission. Both groups have the potential to improve their legal status; however, long-term settlement is unattainable until they undergo rigorous selection. They are expected to overcome hurdles independently because the government is reluctant to provide commensurate support with higher demands for changes in legal status.

Демографический спад и экономический рост: анализ причин и успешных решений в мировой практике

The article examines the impact of the demographic recession on economic growth, with an emphasis on the experience of foreign countries. In the face of an aging population and a shrinking workforce, many states are grappling with the challenges of sustaining stable economic development. The author analyzes examples from various global economies, exploring strategies employed to mitigate demographic changes, including stimulating innovation, increasing labor productivity, utilization of migration policy resources, and human capital development. Particular attention is paid to developed economies, where demographic issues most acutely affect long-term economic prospects. The author concludes that successful solutions to demographic challenges can be achieved through the implementation of a comprehensive approach and active collaboration among government entities, businesses, and society at large.

Indirect Cost Burden as an Emerging Issue of Foreign Employment in Developing Nations

Background: The current migration patterns and shifts present significant challenges, including widespread human rights abuses, exploitation of migrant laborers, high indirect costs due to expensive travel, limited affordable credit options, scarce job opportunities for low-skilled workers, and inadequate domestic migration policies. This study aims to identify the additional financial burdens faced by Nepalese migrant workers in Gulf countries. Methodology: A qualitative research design was used, with purposive sampling to select participants who had migrated to Gulf countries. In-depth interviews with 55 migrant laborers were conducted to gather data on cost burdens and employment conditions. Findings: Results showed that the indirect cost burden increased significantly after 2015 due to extended processing periods and technical procedures. Respondents generally preferred regulations before 2015. Despite legal changes like the "Free Visa: Free Ticket" policy reducing direct expenses, intermediaries and other indirect costs have offset this reduction, increasing the financial burden on migrant workers. Conclusion: The study provides valuable insights into Nepal's foreign employment complexities, urging more research and measures for migrant worker well-being. Findings reveal intermediaries exploiting workers by altering passport photos or obtaining counterfeit birth certificates. Additionally, 2% of surveyed workers migrated as young returnees before age 18. These insights are essential to empower recruitment agencies and improve their practices, ensuring safer, prompt, and more productive labor migration. Novelty: This study uncovers the hidden financial burdens Nepalese migrant workers face in Gulf countries. It highlights the offsetting effect of intermediaries on legal reforms like the "Free Visa: Free Ticket" policy. It offers new insights into labor exploitation and emphasizes better regulation and worker protection.

Governing poverty and migration in European nation-states – keywords revisited

This article introduces a collaborative publication exploring the intricate interplay between poverty governance, migration control, and welfare provision. Adopting a ‘keywords’ approach, we investigate the terminology and concepts around which academic discussions revolve when addressing poverty and migration. Central to this examination is the figure of the ‘poor migrant’, whose experiences of inclusion and exclusion intersect along lines of race, gender, and legal status. Using an intersectional lens, the publication dissects key terms and concepts : Welfare State, Welfare Governance, Citizenship, Solidarity and Deservingness, Suspicion and Surveillance, Discipline, and Banishment. We thus aim to conceptualise and critically discuss the constant renegotiation of state power and the nation-state induced in ex/inclusionary aspects of welfare and migration policies and law. The contribution reveals how notions of belonging shape access to rights and services, particularly along racialized and classist lines. Moreover, it explores how migration policies exacerbate scrutiny and exclusion faced by non-citizen populations within contemporary welfare systems.

Strengthening the Human Rights Guarantee System in the Management of Migrant Policies in Brazil

Objective: This study aimed to conduct a bibliographic survey of scientific productions that deal with migration governance throughout the national territory. Theoretical Framework: Supported by the theoretical and methodological assumptions of dialectical historical materialism, this article is part of the results of a post-doctoral internship that discusses the strengthening and defense of the rights of migrants in Brazil. Method: As a procedure for collecting this data, a time frame of research from the last ten years (2014-2024) was used. For this purpose, a survey of scientific production in Brazilian postgraduate programs indexed in the BDTD (Brazilian Digital Library of Theses and Dissertations) was carried out. The analysis, in turn, was based on the ten dimensions of migration governance, developed by the International Organization for Migration (IOM) adapted to the Brazilian context. Results and Discussion: The results revealed that although there is an effort by municipalities and states to try to strengthen the guarantee of rights to migrants, there are still gaps and difficulties in ensuring them. There is fragmentation in the provision of services to migrants and difficulties for sectoral policies to carry out integrated and cross-cutting actions. Few studies discuss the institutional structure of migration governance, that is, the strategic organization of public policies in order to strengthen the guarantee of the rights of migrants. Research Implications: The importance of this study lies in organizing and producing materials to support professionals who work to promote the human rights of migrants in the country. Originality/Value: Considering that the management of migration and migrant policies is still under construction, this research contributes to thinking about ways to ensure the rights of migrants through effective migration governance.

Discipline

With Discipline, we focus on techniques and mechanisms that advance corporeal, attitudinal, and behavioural docility and thereby contribute to contemporary processes of social differentiation and exclusion. Exploring the intersection of migration policy and welfare governance, we discuss disciplinary measures deployed at the intersection of welfare and migration regimes with the aim of understanding how internal border and welfare controls discipline poor non-citizens by criminalising certain kinds of behaviour. Drawing on concepts including micro-violence and micro-aggression, this keyword looks at bureaucratic practices, their justifications and their consequences for non-citizens, before moving on to theorise how such practices have come to permeate the wider society. Disciplinary systems of welfare governance depend on the threat of punishment: individuals are prompted to discipline themselves because they could become the object of disciplinary power at any moment. Such disciplinary techniques are efficient, productive, and subtle, and can result in the increasingly ‘automatic’ internalisation by non-citizens of certain kinds of behaviour.

Suspicion and surveillance

In this article we focus on contemporary processes of social differentiation and exclusion at the intersection of migration policy and welfare governance. The keyword pair looks at bureaucratic practices, their justifications, and their consequences for non-citizen subjects’ paths and moves on to theorise about the permeation of these practices into society. We discuss the effects of the suspicion-surveillance nexus on the observed body and mind and how they operate in support of increasingly intrusive practices. Rather than debating the legality of such practices and the inequalities and power relations they imply, we focus on the possibilities of control as discourses become technologised.

The impact of social determinants of health on international migrants’ health outcomes: a bibliometric analysis

Purpose The aim of this study is to conduct an in-depth exploration of the research landscape concerning the impact of social determinants of health (SDH) on the health outcomes of international migrants. Design/methodology/approach Leveraging the extensive Scopus database, this study retrieved a total of 2,255 articles spanning the years 1993–2023. The framework for analysis used the SDH categories outlined by the World Health Organization. Findings The research landscape exhibited an apparent increase in the number of publications, but not a net increase in the research productivity. The USA emerged as the leading contributor to research output, with the Journal of Immigrant and Minority Health emerging as the most prolific publication venue, and the University of Toronto ranking as the most prolific institution. The SDH category that received the highest number of publications was the “community and social context”. Migrants from different regions in Asia (East, Central and South Asia) and those from Latin America and the Caribbean region appeared to be the most commonly researched. Highly cited articles predominantly delved into mental health outcomes arising from discrimination and migration policies. Research limitations/implications The findings proffer valuable insights for shaping future research endeavors, accentuating the imperative for diversified studies encompassing underrepresented domains, broader health outcomes and the inclusion of migrant populations from different world regions in investigative pursuits. Originality/value This study delivers a comprehensive analysis of the research landscape, unveiling critical trends in the realm of SDH and migrant health outcomes.

Migrants serving migrants? Representative bureaucracy at the front lines of migration management

Abstract 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.

The Struggle Over Mobility Narratives: How Senegalese Activists use Alternative Information Campaigns to Contest EU Externalization

For nearly two decades the European Union and its member states have invested in migration awareness and information campaigns (MICs) in West Africa to prevent unwanted migration. While a growing body of migration scholarship has critically engaged with the larger-scale, European-funded MICs in Africa, local activist-led campaigns have received less attention. The article addresses this gap by focusing on campaigns organized by a local, activist-led organization in Dakar, Senegal. Building on ethnographic fieldwork, the article shows how activist-led MICs use counternarratives and action repertories entangled in and motivated by recent externalization interventions in Senegal and the EU–Africa borderlands. By situating these “ripple effects” of externalization locally and exploring their repercussions, the article illustrates how migrant experiences, border control, and violence become catalysts for collective action. The activist-led MICs in Senegal can be understood as activities that fundamentally challenge the political premises and outcomes of EU–Africa migration governance, including European-driven MICs. This perspective enriches our understanding of MICs in West Africa and the local ripple effects of externalization, underscoring local actors’ proactive role in trying to contest and reshape Eurocentric migration narratives and policies.

The Healthcare Workforce Shortage of Nurses and Physicians: Practice, Theory, Evidence, and Ways Forward.

The healthcare sector is ubiquitously plagued by workforce shortages in economies around the globe. The fragility of this structural shortage becomes apparent when external shocks, such as the COVID-19 pandemic, exacerbate the lack of workers in clinical practice. In this article, we summarize current trends in healthcare workforce development across the globe, review theoretical concepts of workforce shortages, and discuss policies to address them. In practice, developed countries often address workforce shortages with targeted migration policies. However, targeted workforce migration policies only intensify workforce shortages in low-and middle-income countries. Theoretical macroeconomic models suggest that supply shortages may result from too low wages, supply lagging behind demand, and social perception. Changes in the wage rate cannot sufficiently increase the supply of health professionals as scholars find inelastic wages for physicians and nurses. Nonpecuniary factors such as working conditions, job satisfaction, and intrinsic motivation are at least equally important as financial incentives. In conclusion, increased wages can only be part of a heterogeneous policy plan to address shortages. Migration and retirement levels of health professionals can temporarily mitigate workforce shortages but rarely change the underlying systemic issues. Increasing the number of places available in medical and nursing schools while also improving, both, financial and nonfinancial incentives for employees are long-term structural policy options.

Language and education in migration policy: the inter-state model

Regarding the various indications such as social, cultural, political, educational, and labor policies of the host country for family migration, the present study discussed the index of inclusivity in psychosocial and educational immigration policies. The study aimed to propose how social and educational vulnerabilities of migrants should be addressed. To achieve this, the study examined the current status (state) and potential improvements in psychosocial and educational migration policies in terms of inclusivity. A wide range of materials including articles, news reports, journal pieces, legal documents from Europe and North America, specifically the EU, were analyzed to provide a comprehensive view of the subject. The study also utilized Selinker's Interlanguage theory from Second Language Acquisition to compare with migration policy in answering research questions. Through dynamic review, thematic analysis, and qualitative research design, the study concluded that the index of inclusivity is evolving and should be implemented in various aspects of migration policy. As a result, a model for education in migration policy, named "The Inter-state Model," was proposed. This model aims to provide clarity on the role and support of migration policies for migrants, particularly vulnerable populations. / Keywords: moderate inclusive education, transmigration, assimilation, diversity, migration policy, inter- state migration model

Translating restrictive law into practice: An ethnographic exploration of the systemic processing of legally restricted health care access for asylum seekers in Germany

BackgroundAccess to health services for asylum seekers is legally restricted in Germany. The law is subject to interpretation, therefore the chance of receiving care is not equally distributed among asylum seekers. What services are provided to whom is ultimately decided by health professionals and government employees. The respective prioritization processes and criteria are not transparent. We sought to understand how legal restrictions are translated into daily practices and how this affects the health system. We aimed to outline the complex process of cost coverage for health services for asylum seekers and provide insights into common decision-making criteria.MethodsWe conducted an ethnographic exploration of routines in two outpatient clinics in two federal states over the course of three months, doing participant and non-participant observation. Additionally, we interviewed 21 professionals of health care and government organizations, and documented 110 applications for cost coverage of medical services and their outcome. In addition to qualitative data analysis and documentation, we apply a system-theoretical perspective to our findings.ResultsTo perform legal restrictions a cross-sectoral prioritization process of medical services has been implemented, involving health care and government institutions. This changes professional practices, responsibilities and (power) relations. Involved actors find themselves at the intersection of several, oftentimes conflicting priorities, since “doing it right” might be seen differently from a legal, medical, economic, or political perspective. The system-theoretical analysis reveals that while actors have to bring different rationales into workable arrangements this part of the medical system transforms, giving rise to a sub-system that incorporates migration political rationales.ConclusionsHealth care restrictions for asylum seekers are implemented through an organizational linking of care provision and government administration, resulting in a bureaucratization of practice. Power structures at this intersection of health and migration policy, that are uncommon in other parts of the health system are thereby normalized. Outpatient clinics provide low-threshold access to health services, but paradoxically they may unintentionally stabilize health inequities, if prioritization criteria and power dynamics are not made transparent. Health professionals should openly reflect on conflicting rationales. Training, research and professional associations need to empower them to stay true to professional ethical principles and international conventions.

The EU New Pact on Migration and Asylum: policies and discourses for a ‘fresh start’

ABSTRACT This provocation paper critically examines the discrepancy between policy rhetoric and implementation in the New Pact on Migration and Asylum, which was approved by the European Commission in April 2024. Despite its portrayal as a ‘fresh start’, the pact displays continuity with past security-focused measures. On the humanitarian side, the New Pact appears to be less effective: while it includes provisions for legal pathways and solidarity mechanisms, it inadequately addresses the rights of migrants awaiting asylum decisions. These shortcomings serve to illustrate the persisting internal conflicts within the EU regarding migration policies and values.

Temporary Labor Migration from Sri Lanka to Gulf Cooperation Countries: Analyzing Labor Trafficking Amidst the Financial Crisis

Background and Aims: The financial crisis in Sri Lanka (SL) has marked a significant growth in temporary labor migration to Gulf Cooperation Countries (GCC). Temporary labor migration refers to migration from one state to another in pursuit of employment opportunities for a temporary period. The National Policy on Migration for Employment (NPME) and the National Action Plan of SL asserted the importance of developing labor migration policies in response to the country’s severe need for remittances during the financial crisis. A financial crisis occurs when a country's expenditure exceeds its national income, resulting in a shortage of goods and services for its citizens. Along with this understanding, this paper examines how the temporary labor migration from SL to GCC has developed in response to the financial crisis in the country. It argues that reforming labor migration policies solely based on remittance does not appear to be adequate to protect migrants from trafficking. In this setting, the key research question is how labor trafficking has risen amidst the financial crisis in SL. Methodology: In this study, Delphi indicators have been utilized to identify the demarcations of labor trafficking. The data was collected from thirty interviews conducted with family members of labor migrants who migrated to GCC in 2022. Results: The results indicate that shortcomings in the governance of labor migration during the financial crisis in SL have led to an increase in labor trafficking. Conclusion: The paper concludes with the discursive, implementation, and efficacy gaps in the governance of labor migration and suggests a right-based framework to guarantee equitable recruitment procedures.