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Taking stock of Roma health policies in Spain: Lessons for health governance

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  • Escobar-Ballesta, M.
  • García-Ramírez, M.
  • De Freitas, C.

Abstract

Roma health inequities are a wicked problem. Despite concerted efforts to reduce them under the Decade of Roma Inclusion initiative, the health gap between Roma and non-Roma populations in Europe persists. To address this problem, the European Commission devised the National Roma Integration Strategies (NRIS). This paper provides a critical assessment of the implementation of the NRIS’ health strand (NRIS-H) in Spain and proposes an evaluation tool to monitor Roma health policies – the Roma Health Integration Policy Index (RHIPEX). It also makes recommendations to promote Roma health governance. To achieve these goals, four community forums, 33 stakeholder interviews and a scoping review were conducted.

Suggested Citation

  • Escobar-Ballesta, M. & García-Ramírez, M. & De Freitas, C., 2018. "Taking stock of Roma health policies in Spain: Lessons for health governance," Health Policy, Elsevier, vol. 122(4), pages 444-451.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:4:p:444-451
    DOI: 10.1016/j.healthpol.2018.02.009
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    1. de Freitas, Cláudia & Martin, Graham, 2015. "Inclusive public participation in health: Policy, practice and theoretical contributions to promote the involvement of marginalised groups in healthcare," Social Science & Medicine, Elsevier, vol. 135(C), pages 31-39.
    2. Laetitia Duval & François-Charles Wolff, 2016. "Emigration intentions of Roma: evidence from Central and South-East Europe," Post-Communist Economies, Taylor & Francis Journals, vol. 28(1), pages 87-107, January.
    3. Hannigan, Ben & Coffey, Michael, 2011. "Where the wicked problems are: The case of mental health," Health Policy, Elsevier, vol. 101(3), pages 220-227, August.
    4. Benjamin Cook & Geoffrey Wayne & Anne Valentine & Anna Lessios & Ethan Yeh, 2013. "Revisiting the evidence on health and health care disparities among the Roma: a systematic review 2003–2012," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 885-911, December.
    5. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "Erratum to: The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 817-817, September.
    6. Laetitia Duval & François-Charles Wolff & Martin Mckee & Bayard Roberts, 2016. "The Roma vaccination gap: Evidence from twelve countries in Central and South-East Europe," Post-Print hal-01385007, HAL.
    7. Laetitia Duval & François-Charles Wolff & Martin Mckee & Bayard Roberts, 2016. "The Roma vaccination gap: Evidence from twelve countries in Central and South-East Europe," Working Papers hal-01378176, HAL.
    8. Vanessa Heaslip & Sarah Hean & Jonathan Parker, 2016. "Lived experience of vulnerability from a Gypsy Roma Traveller perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1987-1998, July.
    9. Dimova, Antoniya & Rohova, Maria & Hasardzhiev, Stanimir & Spranger, Anne, 2018. "An innovative approach to participatory health policy development in Bulgaria: The conception and first achievements of the Partnership for Health," Health Policy, Elsevier, vol. 122(2), pages 81-86.
    10. Maria Földes & Alina Covaci, 2012. "Research on Roma health and access to healthcare: state of the art and future challenges," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 37-39, February.
    11. Fésüs, Gabriella & Östlin, Piroska & McKee, Martin & Ádány, Róza, 2012. "Policies to improve the health and well-being of Roma people: The European experience," Health Policy, Elsevier, vol. 105(1), pages 25-32.
    12. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 803-815, September.
    13. Mladovsky, Philipa, 2009. "A framework for analysing migrant health policies in Europe," Health Policy, Elsevier, vol. 93(1), pages 55-63, November.
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    2. Manuel Garcia-Ramirez & Belen Soto-Ponce & María J. Albar-Marín & Daniel La Parra-Casado & Dena Popova & Raluca Tomsa, 2020. "RoMoMatteR: Empowering Roma Girls’ Mattering through Reproductive Justice," IJERPH, MDPI, vol. 17(22), pages 1-16, November.

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