Desirable but not feasible: Measures and interventions to promote early childhood health and development in marginalized Roma communities in Slovakia

Roma are the largest and most disadvantaged ethnic minority in Europe often facing generational poverty, and limited access to education, employment, housing, and various types of services. Despite many international and national initiatives, children from marginalized Roma communities face multiple...

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Main Authors: Daniela Filakovska Bobakova, Shoshana Chovan, Lucia Bosakova, Richard Koky, Marlou L. A. de Kroon, Zuzana Dankulincova Veselska
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.942550/full
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author Daniela Filakovska Bobakova
Daniela Filakovska Bobakova
Shoshana Chovan
Lucia Bosakova
Lucia Bosakova
Richard Koky
Marlou L. A. de Kroon
Marlou L. A. de Kroon
Zuzana Dankulincova Veselska
author_facet Daniela Filakovska Bobakova
Daniela Filakovska Bobakova
Shoshana Chovan
Lucia Bosakova
Lucia Bosakova
Richard Koky
Marlou L. A. de Kroon
Marlou L. A. de Kroon
Zuzana Dankulincova Veselska
author_sort Daniela Filakovska Bobakova
collection DOAJ
description Roma are the largest and most disadvantaged ethnic minority in Europe often facing generational poverty, and limited access to education, employment, housing, and various types of services. Despite many international and national initiatives, children from marginalized Roma communities face multiple risks and are being disadvantaged as early as from conception onward. We, therefore, aimed to identify measures and/or interventions targeting equity in early childhood health and development in marginalized Roma communities which implementation is considered to be urgent but not feasible. We used a group concept mapping approach—a participatory mixed research method—and involved 40 experts and professionals from research, policy and practice. From 90 measures and interventions proposed to achieve early childhood equity for children from marginalized Roma communities, 23 measures were identified as urgent but not feasible. These concerned particularly measures and interventions targeting living conditions (including access to income, access to housing, and basic infrastructure for families) and public resources for instrumental support (covering mainly topics related to financial and institutional frameworks). Our results reflect the most pressing issues in the area of equality, inclusion and participation of Roma and expose barriers to implementation which are likely to arise from public and political discourses perpetrating a negative image of Roma, constructing them as less deserving. Measures to overcome persistent prejudices against Roma need to be implemented along with the measures targeting equity in early childhood health and development.
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spelling doaj.art-546bd4f8c1474312aec033a6708022302022-12-22T03:30:08ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.942550942550Desirable but not feasible: Measures and interventions to promote early childhood health and development in marginalized Roma communities in SlovakiaDaniela Filakovska Bobakova0Daniela Filakovska Bobakova1Shoshana Chovan2Lucia Bosakova3Lucia Bosakova4Richard Koky5Marlou L. A. de Kroon6Marlou L. A. de Kroon7Zuzana Dankulincova Veselska8Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, SlovakiaOlomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, CzechiaDepartment of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, SlovakiaDepartment of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, SlovakiaOlomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, CzechiaDepartment of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, SlovakiaDepartment of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsDepartment of Public Health and Primary Care, Centre for Environment and Health, Catholic University Leuven, Leuven, BelgiumDepartment of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, SlovakiaRoma are the largest and most disadvantaged ethnic minority in Europe often facing generational poverty, and limited access to education, employment, housing, and various types of services. Despite many international and national initiatives, children from marginalized Roma communities face multiple risks and are being disadvantaged as early as from conception onward. We, therefore, aimed to identify measures and/or interventions targeting equity in early childhood health and development in marginalized Roma communities which implementation is considered to be urgent but not feasible. We used a group concept mapping approach—a participatory mixed research method—and involved 40 experts and professionals from research, policy and practice. From 90 measures and interventions proposed to achieve early childhood equity for children from marginalized Roma communities, 23 measures were identified as urgent but not feasible. These concerned particularly measures and interventions targeting living conditions (including access to income, access to housing, and basic infrastructure for families) and public resources for instrumental support (covering mainly topics related to financial and institutional frameworks). Our results reflect the most pressing issues in the area of equality, inclusion and participation of Roma and expose barriers to implementation which are likely to arise from public and political discourses perpetrating a negative image of Roma, constructing them as less deserving. Measures to overcome persistent prejudices against Roma need to be implemented along with the measures targeting equity in early childhood health and development.https://www.frontiersin.org/articles/10.3389/fpubh.2022.942550/fullmarginalized Roma communitiesearly childhoodhealthdevelopmentequitymeasures
spellingShingle Daniela Filakovska Bobakova
Daniela Filakovska Bobakova
Shoshana Chovan
Lucia Bosakova
Lucia Bosakova
Richard Koky
Marlou L. A. de Kroon
Marlou L. A. de Kroon
Zuzana Dankulincova Veselska
Desirable but not feasible: Measures and interventions to promote early childhood health and development in marginalized Roma communities in Slovakia
Frontiers in Public Health
marginalized Roma communities
early childhood
health
development
equity
measures
title Desirable but not feasible: Measures and interventions to promote early childhood health and development in marginalized Roma communities in Slovakia
title_full Desirable but not feasible: Measures and interventions to promote early childhood health and development in marginalized Roma communities in Slovakia
title_fullStr Desirable but not feasible: Measures and interventions to promote early childhood health and development in marginalized Roma communities in Slovakia
title_full_unstemmed Desirable but not feasible: Measures and interventions to promote early childhood health and development in marginalized Roma communities in Slovakia
title_short Desirable but not feasible: Measures and interventions to promote early childhood health and development in marginalized Roma communities in Slovakia
title_sort desirable but not feasible measures and interventions to promote early childhood health and development in marginalized roma communities in slovakia
topic marginalized Roma communities
early childhood
health
development
equity
measures
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.942550/full
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