背景:难民,寻求庇护者,没有身份的移民经历不稳定的生活和工作条件,使他们不成比例地暴露于2019年冠状病毒病(COVID-19)。在加拿大人口最多的两个省(魁北克和安大略省),减少最边缘化移民所经历的脆弱因素,公共和社区部门参与称为部门间合作的联合协调工作。这种协作确保了全面的护理供应,包括社会心理支持,协助解决粮食安全问题,教育和就业援助。该研究项目探讨了在COVID-19大流行期间,社区和公共部门如何在部门间倡议上进行合作,以支持难民,寻求庇护者,和在蒙特利尔市没有身份的移民,Sherbrooke,多伦多,并为可持续应对这些移民的多样化需求提供经验教训。
方法:这种以理论为基础的参与式研究是与社会上不同的研究伙伴共同创建的(难民,寻求庇护者和没有身份的移民,社区组织的雇员,和公共组织的员工)。我们将利用Mirzoev和Kane的卫生系统响应框架来指导定性多案例研究的四个阶段(案例是部门间倡议)。这些阶段将包括(1)建立大流行期间制定的部门间举措清单,(2)组织与研究人群代表的审议研讨会,社区,和公共部门受访者选择和验证部门间举措,(3)与社区和公共部门一线工人和管理人员的访谈(n=80),市/地区/省决策者,和慈善基金会的员工,和(4)难民焦点小组(n=80),寻求庇护者,没有身份的移民。定性数据将使用主题分析进行分析。研究结果将用于开发论坛,以促进服务提供商之间的交叉学习。
结论:这项研究将强调社区和公共组织在为难民提供响应服务的能力方面的经验,寻求庇护者,以及在大流行背景下没有身份的移民。我们将从COVID-19背景下发展的有希望的做法中吸取教训,以改善危机时期后的服务。最后,我们将反思我们的参与性方法,特别是在难民和寻求庇护者参与我们研究的治理方面。
BACKGROUND: Refugees, asylum seekers, and migrants without status experience precarious living and working conditions that disproportionately expose them to coronavirus disease 2019 (COVID-19). In the two most populous Canadian provinces (Quebec and Ontario), to reduce the vulnerability factors experienced by the most marginalized migrants, the public and community sectors engage in joint coordination efforts called intersectoral collaboration. This collaboration ensures holistic care provisioning, inclusive of psychosocial support, assistance to address food security, and educational and employment assistance. This research project explores how community and public sectors collaborated on intersectoral initiatives during the COVID-19 pandemic to support refugees, asylum seekers, and migrants without status in the cities of Montreal, Sherbrooke, and Toronto, and generates lessons for a sustainable response to the heterogeneous needs of these migrants.
METHODS: This theory-informed participatory research is co-created with socioculturally diverse research partners (refugees, asylum seekers and migrants without status, employees of community organizations, and employees of public organizations). We will utilize Mirzoev and Kane\'s framework on health systems\' responsiveness to guide the four phases of a qualitative multiple
case study (a
case being an intersectoral initiative). These phases will include (1) building an inventory of intersectoral initiatives developed during the pandemic, (2) organizing a deliberative workshop with representatives of the study population, community, and public sector respondents to select and validate the intersectoral initiatives, (3) interviews (n = 80) with community and public sector frontline workers and managers, municipal/regional/provincial policymakers, and employees of philanthropic foundations, and (4) focus groups (n = 80) with refugees, asylum seekers, and migrants without status. Qualitative data will be analyzed using thematic analysis. The findings will be used to develop discussion forums to spur cross-learning among service providers.
CONCLUSIONS: This research will highlight the experiences of community and public organizations in their ability to offer responsive services for refugees, asylum seekers, and migrants without status in the context of a pandemic. We will draw lessons learnt from the promising practices developed in the context of COVID-19, to improve services beyond times of crisis. Lastly, we will reflect upon our participatory approach-particularly in relation to the engagement of refugees and asylum seekers in the governance of our research.