International Journal of Migration, Health and Social Care
Volume 13, Issue 4, 2017, Pages 391-402
Challenged assumptions and invisible effects: An explorative case study of a health education intervention addressing immigrants (Article)
Wimmelmann C.L.* ,
Vitus K. ,
Jervelund S.S.
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a
Section for Health Services Research, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
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b
Section for Health Services Research, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
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c
Section for Health Services Research, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
Abstract
Purpose - The purpose of this paper is to examine any unanticipated effects of an educational intervention among newly arrived adult immigrants attending a language school in Denmark. Design/methodology/approach - A qualitative case study was conducted including interviews with nine informants, observations of two complete intervention courses and an analysis of the official intervention documents. Findings - This case study exemplifies how the basic normative assumptions behind an immigrant-oriented intervention and the intrinsic power relations therein may be challenged and negotiated by the participants. In particular, the assumed (power) relations inherent in immigrant-oriented educational health interventions, in which immigrants are in a novice position, are challenged, as the immigrants are experienced adults (and parents) in regard to healthcare. The paper proposes that such unexpected conditions for the implementation - different from the assumed conditions - not only challenge the implementation of the intervention but also potentially produce unanticipated yet valuable effects. Research limitations/implications - Newly arrived immigrants represent a hugely diverse and heterogeneous group of people with differing values and belief systems regarding health and healthcare. A more detailed study is necessary to fully understand their health seeking behaviours in the Danish context. Originality/value - Offering newly arrived immigrants a course on health and the healthcare system as part of the mandatory language courses is a new and underexplored means of providing and improving newly arrived immigrants knowledge and use of the Danish healthcare system. © Emerald Publishing Limited.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85033609894&doi=10.1108%2fIJMHSC-03-2016-0014&partnerID=40&md5=1f43c1179105befb3cdc248a61e641c0
DOI: 10.1108/IJMHSC-03-2016-0014
ISSN: 17479894
Cited by: 1
Original Language: English