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

Gulnaz Isabekova ()
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Gulnaz Isabekova: University of Bremen, Collaborative Research Centre 1342 “Global Dynamics of Social Policy” and Research Centre for East European Studies

The European Journal of Development Research, 2019, vol. 31, issue 3, No 13, 620-642

Abstract: 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.

Keywords: Labour migrants; Tuberculosis control programmes; Multidrug-resistant tuberculosis; The Global Fund; Post-Soviet (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1057/s41287-018-0172-1

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