Evidence map›Paper›PMID 37162281›Full record

ArticleHealth policy and planning2023

Protecting and promoting the rights of the 'reserve army of labour': a policy analysis of structural determinants of migrant worker health in Pakistan and Qatar.

Sarah Hawkes, Mireille Evagora-Campbell, Aysha Zahidie, Fauziah Rabbani, Kent Buse

Abstract read
In one paragraph

Article in Health policy and planning, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sarah HawkesInstitute for Global Health, University College London, 30 Guilford Street, London WC1N 7HT, United Kingdom.ORCID 0000-0003-1062-3538
Mireille Evagora-CampbellInstitute for Global Health, University College London, 30 Guilford Street, London WC1N 7HT, United Kingdom.
Aysha ZahidieDepartment of Community Health Sciences, Aga Khan University, PO Box 3500, Stadium Road, Karachi 74800, Pakistan.
Fauziah RabbaniDepartment of Community Health Sciences & Associate Vice Provost Research & Graduate Studies, Aga Khan University, PO Box 3500, Stadium Road, Karachi 74800, Pakistan.
Kent BuseHealthier Societies Program, The George Institute for Global Health, Imperial College London, 84 Wood Lane, London W12 0BZ, United Kingdom.

Funding

Wellcome TrustWellcome Trust 208712/Z/17/Z
6 · The paper itself

Abstract

Labour migrants who travel overseas for employment can face deep health inequities driven in large part by upstream social and structural determinants of health. We sought to study the 'labour migrant health ecosystem' between one sending country (Pakistan) and one host country (Qatar), with a focus on how the ecosystem realizes the rights of labour migrants when addressing the social and structural determinants (e.g. housing, employment law, etc.) of health. Study objectives were to (1) undertake an in-depth review of policies addressing the structural and social determinants of the health of labour migrants in both Pakistan and Qatar, analysing the extent to which these policies align with global guidance, are equity-focused and have clear accountability mechanisms in place, and (2) explore national stakeholder perspectives on priority setting for labour migrant health. We used a mixed methods approach, combining policy content analysis and interviews with stakeholders in both countries. We found a wide range of guidance from the multilateral system on addressing structural determinants of the health of labour migrants. However, policy responses in Pakistan and Qatar contained a limited number of these recommended interventions and had low implementation potential and minimal reference to gender, equity and rights. Key national stakeholders had few political incentives to act and lacked inter-country coordination mechanisms required for an effective and cohesive response to labour migrant health issues. Effectively addressing such determinants to achieve health equity for labour migrants will depend on a shift in governments' attitudes towards migrants-from a reserve army of transient, replaceable economic resources to rights-holding members of society deserving of equality, dignity and respect.

Indexed as

Transients and MigrantsEcosystemHumansPakistanPolicy MakingQatarCOVID-19global guidanceHIVLabour migrant healthpolicy content cubessocial determinantsstructural determinants

Identifiers

PMID37162281
PMCPMC10274567

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.