The social and health protection of migrants in Chile: qualitative analysis of civil society proposals for constitutional change

Abstract Background A sustained period of social, economic, and political unrest took place during October of 2019 in Chile. As an institutional solution, the “Agreement for Social Peace and the New Constitution” was signed. In this document, most political parties committed to reestablishing peace...

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Main Authors: Sophie Esnouf, Alice Blukacz, Alexandra Obach, Edward Mezones-Holguin, Manuel Espinoza, Jocelyn DeJong, Baltica Cabieses
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16093-w
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author Sophie Esnouf
Alice Blukacz
Alexandra Obach
Edward Mezones-Holguin
Manuel Espinoza
Jocelyn DeJong
Baltica Cabieses
author_facet Sophie Esnouf
Alice Blukacz
Alexandra Obach
Edward Mezones-Holguin
Manuel Espinoza
Jocelyn DeJong
Baltica Cabieses
author_sort Sophie Esnouf
collection DOAJ
description Abstract Background A sustained period of social, economic, and political unrest took place during October of 2019 in Chile. As an institutional solution, the “Agreement for Social Peace and the New Constitution” was signed. In this document, most political parties committed to reestablishing peace and public order in Chile, agreeing on the initiation of a constitutional process. To promote participation of civil society actors, the “Popular Initiative for Norms” was enabled. This was a platform where civilians could submit proposals for constitutional norms to be discussed by the Constitutional Convention. We aimed to analyze proposals related to migrants and migrant health. Methods We conducted a qualitative thematic analysis of the proposals. Sixteen of them were related to migrants, and we analyzed their association to health. We also evaluated their link to the Health Goals 2030 set out by the Chilean Ministry of Health and the Global Action Plan 2019–2023 for Promoting the Health of Refugees and Migrants by the World Health Organization. Results Four main thematic categories were identified: 1) Humans rights of migrants, refugees, and asylum seekers; 2) Nationality and regularization of migrants and refugees; 3) Political participation and cultural integration of migrants and refugees; and 4) Specific regulations on slavery and human trafficking. These resonated with broader frameworks established in the Health Goals 2030 (Chile) and the Global Action Plan 2019–2023 for Promoting the Health of Refugees and Migrants by the World Health Organization. Conclusions The ‘Popular Initiative for Norms’ was a non-binding participatory mechanism. Although the proposals sent through were not guaranteed to be included in the constitutional draft—and despite the final draft being rejected last September 2022—the platform allowed to gain insights into civilian opinions. Our findings showed that there is an incipient yet weak recognition of the rights and situation of migrants in Chile. There was no direct mention of health nor an explicit contemplation of social determinants of health. Despite there being an urgent need to define strategies for migrants’ health in Chile, this study demonstrated that civil awareness and interest are still insufficient.
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spelling doaj.art-7e781fdae06b4116ab614800ea862b0d2023-06-25T11:31:04ZengBMCBMC Public Health1471-24582023-06-0123111310.1186/s12889-023-16093-wThe social and health protection of migrants in Chile: qualitative analysis of civil society proposals for constitutional changeSophie Esnouf0Alice Blukacz1Alexandra Obach2Edward Mezones-Holguin3Manuel Espinoza4Jocelyn DeJong5Baltica Cabieses6Centre of Global Intercultural Health (CeSGI), Universidad del DesarrolloCentre of Global Intercultural Health (CeSGI), Universidad del DesarrolloCentre of Global Intercultural Health (CeSGI), Universidad del DesarrolloCentro de Excelencia en Investigaciones Económicas Y Sociales en Salud, Universidad San Ignacio de LoyolaETESA UC, Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de ChileDepartment of Epidemiology and Population Health at the Faculty of Health Sciences, American University of BeirutCentre of Global Intercultural Health (CeSGI), Universidad del DesarrolloAbstract Background A sustained period of social, economic, and political unrest took place during October of 2019 in Chile. As an institutional solution, the “Agreement for Social Peace and the New Constitution” was signed. In this document, most political parties committed to reestablishing peace and public order in Chile, agreeing on the initiation of a constitutional process. To promote participation of civil society actors, the “Popular Initiative for Norms” was enabled. This was a platform where civilians could submit proposals for constitutional norms to be discussed by the Constitutional Convention. We aimed to analyze proposals related to migrants and migrant health. Methods We conducted a qualitative thematic analysis of the proposals. Sixteen of them were related to migrants, and we analyzed their association to health. We also evaluated their link to the Health Goals 2030 set out by the Chilean Ministry of Health and the Global Action Plan 2019–2023 for Promoting the Health of Refugees and Migrants by the World Health Organization. Results Four main thematic categories were identified: 1) Humans rights of migrants, refugees, and asylum seekers; 2) Nationality and regularization of migrants and refugees; 3) Political participation and cultural integration of migrants and refugees; and 4) Specific regulations on slavery and human trafficking. These resonated with broader frameworks established in the Health Goals 2030 (Chile) and the Global Action Plan 2019–2023 for Promoting the Health of Refugees and Migrants by the World Health Organization. Conclusions The ‘Popular Initiative for Norms’ was a non-binding participatory mechanism. Although the proposals sent through were not guaranteed to be included in the constitutional draft—and despite the final draft being rejected last September 2022—the platform allowed to gain insights into civilian opinions. Our findings showed that there is an incipient yet weak recognition of the rights and situation of migrants in Chile. There was no direct mention of health nor an explicit contemplation of social determinants of health. Despite there being an urgent need to define strategies for migrants’ health in Chile, this study demonstrated that civil awareness and interest are still insufficient.https://doi.org/10.1186/s12889-023-16093-wMigrantsMigrationPublic healthCivil participationDemocracyLatin America
spellingShingle Sophie Esnouf
Alice Blukacz
Alexandra Obach
Edward Mezones-Holguin
Manuel Espinoza
Jocelyn DeJong
Baltica Cabieses
The social and health protection of migrants in Chile: qualitative analysis of civil society proposals for constitutional change
BMC Public Health
Migrants
Migration
Public health
Civil participation
Democracy
Latin America
title The social and health protection of migrants in Chile: qualitative analysis of civil society proposals for constitutional change
title_full The social and health protection of migrants in Chile: qualitative analysis of civil society proposals for constitutional change
title_fullStr The social and health protection of migrants in Chile: qualitative analysis of civil society proposals for constitutional change
title_full_unstemmed The social and health protection of migrants in Chile: qualitative analysis of civil society proposals for constitutional change
title_short The social and health protection of migrants in Chile: qualitative analysis of civil society proposals for constitutional change
title_sort social and health protection of migrants in chile qualitative analysis of civil society proposals for constitutional change
topic Migrants
Migration
Public health
Civil participation
Democracy
Latin America
url https://doi.org/10.1186/s12889-023-16093-w
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