Journals / The anatolian journal of family medicine (Online) / 2019 / Cilt: 2 - Sayı: 2

Migration, Public Health, and Low-Threshold Health Services in Italy: A Culturally-Oriented Approach for Roma Communities

Pages
45–52
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

To improve the Roma communities’ health in Italy, we have proposed a culturally-orientedmodel that offers a methodological approach beyond prejudice to improve access to healthcare.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Public health authorities and healthcare providers are often unable to overcome their rigid bureaucratic limitsand offer low-threshold health services to vulnerable ethnic minorities, such as the Roma communities.
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Key Findings & Data:Romapeople frequently face institutional, juridical, social, economic, and cultural obstacles in the course of their access to appropriate, effective, and high-quality healthcare.
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Conclusion & Impact:To improve the Roma communities’ health in Italy, we have proposed a culturally-orientedmodel that offers a methodological approach beyond prejudice to improve access to healthcare.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Public health authorities and healthcare providers are often unable to overcome their rigid bureaucratic limitsand offer low-threshold health services to vulnerable ethnic minorities, such as the Roma communities. Romapeople frequently face institutional, juridical, social, economic, and cultural obstacles in the course of their access to appropriate, effective, and high-quality healthcare. In Italy, Roma people experience difficulties such ascultural constraints and discrimination while accessing health services. For this reason, in recent years, publichealthcare institutions have been experimenting with innovative approaches aimed at overcoming inequalities and discriminations associated with the access to health care through cooperation between private andpublic health and the active involvement of the Roma communities. The implementation of low-threshold services have specific requirements such as; a strong commitment toward public health at the national, regional,and local levels; joint local networks of well-trained healthcare professionals, non-medical personnel, and civilsociety organizations; tailor-made projects addressing Roma with respect to the public health facilities; monitoring the access to the healthcare facilities of Roma; promoting direct interaction between healthcare providers and Roma; cultural mediation; actively involving Roma communities in overcoming the mistrust of andprejudice toward healthcare providers and medical facilities; promoting a healthy lifestyle in Roma householdsby fostering routine screenings, immunization, and medical appointments and respecting medical pharmacological therapies. To improve the Roma communities’ health in Italy, we have proposed a culturally-orientedmodel that offers a methodological approach beyond prejudice to improve access to healthcare.

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Cite This Article

VULPIANI, P. (2019). Migration, Public Health, and Low-Threshold Health Services in Italy: A Culturally-Oriented Approach for Roma Communities. The anatolian journal of family medicine (Online), Cilt: 2 - Sayı: 2, 45–52. https://ajindex.com/articles/365044

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References (15)

  1. Liégeois JP. The Council of Europe and Roma. 40 years of action, Council of Europe. Strasbourg Cedex. 2012
  2. Maestri G. Are they nomads, travellers or Roma? An analysis of the multiple effects of naming assemblages. Area 2017:49;18– 24
  3. Piasere, L. I rom d'Europa. Una storia moderna. Rome-Bari: Laterza. 2004
  4. Clough Marinaro I, Sigona N. Introduction Anti-Gypsyism and the politics of exclusion: Roma and Sinti in contemporary Italy. Journal of Modern Italian Studies 2011:16;583–9
  5. Strati F. Italy - Promoting Social Inclusion of Roma - A Study of National Policies, Social Research Study (SRS). 2011
  6. National Strategy for the Inclusion of Roma, Sinti and Travellers. First National Survey on the Settlements. Rome, Cittalia. 2015
  7. Loewenberg S. Plight of Roma worsens in Italy. Lancet 2010;375:17–8
  8. Monasta L. Breathing difficulties and asthma prevalence in children from zero to five years of age in five Rom settlements. [Article in Italian] Epidemiol Prev 2004;28:258–64
  9. Roma Health Report. Health status of the Roma population. Data collection in the Member States of the European Union. 2014. Available at: https://ec.europa.eu/health/sites/health/ files/social_determinants/docs/2014_roma_health_report_ en.pdf. Accessed June 27, 2019
  10. De Vito D, Gusmeroli A, Palvarini P, Pisano C. EU inclusive. Rapporto nazionale sull’inclusione lavorativa e sociale dei Rom in Italia. 2011. Available at: http://www.cestim.it/ argomenti/03rom-sinti/2012-Casa-Carita-Rapporto_nazionale_sull_inclusione_lavorativa_e_sociale_dei_Rom_in_Italia.pdf. Accessed June 27, 2019
  11. La Doppia Malattia. Indagine sulla (non) applicazione della normativa sanitaria per i cittadini stranieri irregolari a Milano. NAGA, Milano, 2011
  12. Colombo C, Galli A, Pero M, Giani R, Jucker S, Oreste P, et al.; Medicina di strada per il Naga. Sociodemographic and health conditions of the Romá population in Milan. [Article in Italian] Epidemiol Prev. 2011;35:282–91
  13. Motta F, Geraci S. L’accesso di Rom e Sinti al diritto e alla tutela della salute. In: Bonetti P, Simoni A, Vitale T, editors. La condizione giuridica di rom e sinti in Italia. Giuffrè, Milano; 2011. p. 1065–80
  14. Tosi Cambini S. Accesso all'abitazione e problemi di salute delle popolazioni rom e sinti. In: C. Saraceno, N Sartor, G Sciortino, editors. Stranieri e disuguali. le disuguaglianze nei diritti e nelle condizioni di vita degli immigrati. Il Mulino: Bologna; 2013. p. 225–50
  15. Monasta L, Andersson N, Le