European Journal of Development Research
Volume 31, Issue 3, 2019, Pages 620-642

The Contribution of Vulnerability of Labour Migrants to Drug Resistance in the Region: Overview and Suggestions (Article)

Isabekova G.*
  • a University of Bremen, Collaborative Research Centre 1342 “Global Dynamics of Social Policy” and Research Centre for East European Studies, Klagenfurter Straße 8, Bremen, 28359, Germany

Abstract

Despite the increased funding to combat tuberculosis, the disease remains a global concern. One of the reasons is the development of drug-resistant forms of the disease. Post-Soviet states are on the list of the World Health Organization’s high-burden countries, and all have a higher percentage of drug resistance among previously treated patients than among new cases. This article suggests that treatment interruptions among labour migrants is one of the major factors contributing to the persistence of drug resistance in the region. Analysing tuberculosis control programmes implemented by national governments and the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) in Armenia and Kyrgyzstan the study emphasizes the limited consideration of the impact of patient mobility in these programmes. The findings stress the necessity to embrace the social and economic factors that increase the vulnerability of labour migrants to tuberculosis and treatment interruptions. Reviewing the strategies of other countries, this study discusses three possible solutions: pre-entry screening, access to healthcare in the country receiving migrants and cross-country collaboration. © 2018, European Association of Development Research and Training Institutes (EADI).

Author Keywords

The Global Fund Tuberculosis control programmes Post-Soviet Multidrug-resistant tuberculosis labour migrants

Index Keywords

labor migration social impact Malaria tuberculosis Kyrgyzstan vulnerability economic impact acquired immune deficiency syndrome disease control Armenia [West Asia] drug

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055486493&doi=10.1057%2fs41287-018-0172-1&partnerID=40&md5=46d82e93bb0c2abd825d19592683e25b

DOI: 10.1057/s41287-018-0172-1
ISSN: 09578811
Original Language: English