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Forced Migration, Urbanization and Health: Exploring Social Determinants of Health Among Refugee Women in Malaysia

The susceptibility of individuals to illness and disease is greatly influenced by context specific social determinants of health (SDH), yet there is a dearth of literature pertaining to SDH among refugees, particularly those residing in urban areas. The purpose of this study was to identify and generate empirical evidence on SDH among female refugees in Malaysia. It focused specifically on Rohingya refugees, a stateless and persecuted Muslim minority from Myanmar. Intersectionality formed the theoretical foundation of the study, which utilized a qualitative research design and employed an exploratory, applied research approach. Document review provided background and contextual information for primary data, which were collected using semi-structured interviews and analysed using thematic analysis. The study was undertaken in affiliation with the United Nations High Commission for Refugees (UNHCR) and had two primary outputs: it provided UNHCR with information and recommendations to inform context-specific program and policy development, and it generated rich empirical findings that contribute to the nascent evidence base on SDH in the context of forced migration. Results indicate that key factors affecting the health and wellbeing of Rohingya women include: their journey from Myanmar to Malaysia, income, employment, food security, transportation, the physical environment, UNHCR, security issues, education, religion, healthcare, and social capital/the social safety net. These interacted, overlapped and compounded each other, forming a ‘web of interrelated factors’ that affected participants’ health. Findings provide insight into the instrumental role of the sociopolitical context in structuring the lives of urban refugee women, and emphasize the importance of extending current discourse beyond refugee women’s needs and vulnerabilities to consider their resilience and agency in situations of significant hardship. / Graduate / 0573

Identiferoai:union.ndltd.org:uvic.ca/oai:dspace.library.uvic.ca:1828/5293
Date28 April 2014
CreatorsWake, Caitlin
ContributorsWilson-Moore, Margot Edith, Hancock, Trevor
Source SetsUniversity of Victoria
LanguageEnglish, English
Detected LanguageEnglish
TypeThesis
RightsAvailable to the World Wide Web, http://creativecommons.org/licenses/by-nc-nd/2.5/ca/

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