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The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks

Author

Listed:
  • Pramod R. Regmi

    (Faculty of Health and Social Sciences, Bournemouth University, Bournemouth BH1 3LH, UK)

  • Edwin van Teijlingen

    (Faculty of Health and Social Sciences, Bournemouth University, Bournemouth BH1 3LH, UK)

  • Preeti Mahato

    (Faculty of Health and Social Sciences, Bournemouth University, Bournemouth BH1 3LH, UK)

  • Nirmal Aryal

    (Faculty of Health and Social Sciences, Bournemouth University, Bournemouth BH1 3LH, UK)

  • Navnita Jadhav

    (Department of Community Medicine, Datta Meghe Institute of Medical Sciences, Wardha 442001, India)

  • Padam Simkhada

    (Public Health Institute, Liverpool John Moores University, Liverpool L2 2QP, UK)

  • Quazi Syed Zahiruddin

    (Department of Community Medicine, Datta Meghe Institute of Medical Sciences, Wardha 442001, India)

  • Abhay Gaidhane

    (Department of Community Medicine, Datta Meghe Institute of Medical Sciences, Wardha 442001, India)

Abstract

Background : Most health research on Nepali migrant workers in India is on sexual health, whilst work, lifestyle and health care access issues are under-researched. Methods : The qualitative study was carried out in two cities of Maharashtra State in 2017. Twelve focus group discussions (FGDs) and five in-depth interviews were conducted with Nepali male and female migrant workers. Similarly, eight interviews were conducted with stakeholders, mostly representatives of organisations working for Nepali migrants in India using social capital as a theoretical foundation. Results : Five main themes emerged from the analysis: (i) accommodation; (ii) lifestyle, networking and risk-taking behaviours; (iii) work environment; (iv) support from local organisations; and (v) health service utilisation. Lack of basic amenities in accommodation, work-related hazards such as lack of safety measures at work or safety training, reluctance of employers to organise treatment for work-related accidents, occupational health issues such as long working hours, high workload, no/limited free time, discrimination by co-workers were identified as key problems. Nepali migrants have limited access to health care facilities due to their inability to prove their identity. Health system of India also discriminates as some treatment is restricted to Indian nationals. The strength of this study is the depth it offers, its limitations includes a lack of generalizability, the latter is a generic issue in such qualitative research. Conclusion : This study suggests risks to Nepali migrant workers’ health in India range from accommodation to workplace and from their own precarious lifestyle habit to limited access to health care facilities. We must conduct a quantitative study on a larger population to establish the prevalence of the above mentioned issues and risks. Furthermore, the effectiveness of Nepali migrant support organisations in mitigating these risks needs to be researched.

Suggested Citation

  • Pramod R. Regmi & Edwin van Teijlingen & Preeti Mahato & Nirmal Aryal & Navnita Jadhav & Padam Simkhada & Quazi Syed Zahiruddin & Abhay Gaidhane, 2019. "The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks," IJERPH, MDPI, vol. 16(19), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3655-:d:271874
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    References listed on IDEAS

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    1. Filiz Garip, 2008. "Social capital and migration: How do similar resources lead to divergent outcomes?," Demography, Springer;Population Association of America (PAA), vol. 45(3), pages 591-617, August.
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    3. Avato, Johanna & Koettl, Johannes & Sabates-Wheeler, Rachel, 2010. "Social Security Regimes, Global Estimates, and Good Practices: The Status of Social Protection for International Migrants," World Development, Elsevier, vol. 38(4), pages 455-466, April.
    4. Kiran Bam & Rajshree Thapa & Marielle Sophia Newman & Lokesh Prasad Bhatt & Shree Krishna Bhatta, 2013. "Sexual Behavior and Condom Use among Seasonal Dalit Migrant Laborers to India from Far West, Nepal: A Qualitative Study," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
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