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Cholera control and anti-Haitian stigma in the Dominican Republic: from migration policy to lived experience.

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Title: Cholera control and anti-Haitian stigma in the Dominican Republic: from migration policy to lived experience.
Authors: Keys, Hunter M., Kaiser, Bonnie N., Foster, Jenny W., Freeman, Matthew C., Stephenson, Rob, Lund, Andrea J., Kohrt, Brandon A.
Source: Anthropology & Medicine. Aug2019, Vol. 26 Issue 2, p123-141. 19p. 1 Color Photograph, 2 Black and White Photographs, 3 Charts.
Subjects: Prevention of cholera, Conceptual structures, Discussion, Documentation, Ethics, Focus groups, Health promotion, Health services accessibility, Undocumented immigrants, International relations, Interviewing, Public health, Public opinion, Sanitation, Social stigma, Water supply, Ethnology research, Government policy, Psychosocial factors, Community-based social services
Geographic Terms: Haiti, Dominican Republic
Abstract: As cholera spread from Haiti to the Dominican Republic, Haitian migrants, a largely undocumented and stigmatized population in Dominican society, became a focus of public health concern. Concurrent to the epidemic, the Dominican legislature enacted new documentation requirements. This paper presents findings from an ethnographic study of anti-Haitian stigma in the Dominican Republic from June to August 2012. Eight focus group discussions (FGDs) were held with Haitian and Dominican community members. Five in-depth interviews were held with key informants in the migration policy sector. Theoretical frameworks of stigma's moral experience guided the analysis of how cholera was perceived, ways in which blame was assigned and felt and the relationship between documentation and healthcare access. In FGDs, both Haitians and Dominicans expressed fear of cholera and underscored the importance of public health messages to prevent the epidemic's spread. However, health messages also figured into experiences of stigma and rationales for blame. For Dominicans, failure to follow public health advice justified the blame of Haitians and seemed to confirm anti-Haitian sentiments. Haitians communicated a sense of powerlessness to follow public health messages given structural constraints like lack of safe water and sanitation, difficulty accessing healthcare and lack of documentation. In effect, by making documentation more difficult to obtain, the migration policy undermined cholera programs and contributed to ongoing processes of moral disqualification. Efforts to eliminate cholera from the island should consider how policy and stigma can undermine public health campaigns and further jeopardize the everyday 'being-in-the-world' of vulnerable groups. [ABSTRACT FROM AUTHOR]
Copyright of Anthropology & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Cholera control and anti-Haitian stigma in the Dominican Republic: from migration policy to lived experience.
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  Data: <searchLink fieldCode="AR" term="%22Keys%2C+Hunter+M%2E%22">Keys, Hunter M.</searchLink><br /><searchLink fieldCode="AR" term="%22Kaiser%2C+Bonnie+N%2E%22">Kaiser, Bonnie N.</searchLink><br /><searchLink fieldCode="AR" term="%22Foster%2C+Jenny+W%2E%22">Foster, Jenny W.</searchLink><br /><searchLink fieldCode="AR" term="%22Freeman%2C+Matthew+C%2E%22">Freeman, Matthew C.</searchLink><br /><searchLink fieldCode="AR" term="%22Stephenson%2C+Rob%22">Stephenson, Rob</searchLink><br /><searchLink fieldCode="AR" term="%22Lund%2C+Andrea+J%2E%22">Lund, Andrea J.</searchLink><br /><searchLink fieldCode="AR" term="%22Kohrt%2C+Brandon+A%2E%22">Kohrt, Brandon A.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Anthropology+%26+Medicine%22">Anthropology & Medicine</searchLink>. Aug2019, Vol. 26 Issue 2, p123-141. 19p. 1 Color Photograph, 2 Black and White Photographs, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+cholera%22">Prevention of cholera</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Discussion%22">Discussion</searchLink><br /><searchLink fieldCode="DE" term="%22Documentation%22">Documentation</searchLink><br /><searchLink fieldCode="DE" term="%22Ethics%22">Ethics</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Undocumented+immigrants%22">Undocumented immigrants</searchLink><br /><searchLink fieldCode="DE" term="%22International+relations%22">International relations</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Public+opinion%22">Public opinion</searchLink><br /><searchLink fieldCode="DE" term="%22Sanitation%22">Sanitation</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Water+supply%22">Water supply</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnology+research%22">Ethnology research</searchLink><br /><searchLink fieldCode="DE" term="%22Government+policy%22">Government policy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Community-based+social+services%22">Community-based social services</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Haiti%22">Haiti</searchLink><br /><searchLink fieldCode="DE" term="%22Dominican+Republic%22">Dominican Republic</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: As cholera spread from Haiti to the Dominican Republic, Haitian migrants, a largely undocumented and stigmatized population in Dominican society, became a focus of public health concern. Concurrent to the epidemic, the Dominican legislature enacted new documentation requirements. This paper presents findings from an ethnographic study of anti-Haitian stigma in the Dominican Republic from June to August 2012. Eight focus group discussions (FGDs) were held with Haitian and Dominican community members. Five in-depth interviews were held with key informants in the migration policy sector. Theoretical frameworks of stigma's moral experience guided the analysis of how cholera was perceived, ways in which blame was assigned and felt and the relationship between documentation and healthcare access. In FGDs, both Haitians and Dominicans expressed fear of cholera and underscored the importance of public health messages to prevent the epidemic's spread. However, health messages also figured into experiences of stigma and rationales for blame. For Dominicans, failure to follow public health advice justified the blame of Haitians and seemed to confirm anti-Haitian sentiments. Haitians communicated a sense of powerlessness to follow public health messages given structural constraints like lack of safe water and sanitation, difficulty accessing healthcare and lack of documentation. In effect, by making documentation more difficult to obtain, the migration policy undermined cholera programs and contributed to ongoing processes of moral disqualification. Efforts to eliminate cholera from the island should consider how policy and stigma can undermine public health campaigns and further jeopardize the everyday 'being-in-the-world' of vulnerable groups. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Anthropology & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=138370987
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13648470.2017.1368829
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 19
        StartPage: 123
    Subjects:
      – SubjectFull: Prevention of cholera
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Discussion
        Type: general
      – SubjectFull: Documentation
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      – SubjectFull: Ethics
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Undocumented immigrants
        Type: general
      – SubjectFull: International relations
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Public opinion
        Type: general
      – SubjectFull: Sanitation
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Water supply
        Type: general
      – SubjectFull: Ethnology research
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      – SubjectFull: Government policy
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      – SubjectFull: Community-based social services
        Type: general
      – SubjectFull: Haiti
        Type: general
      – SubjectFull: Dominican Republic
        Type: general
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      – TitleFull: Cholera control and anti-Haitian stigma in the Dominican Republic: from migration policy to lived experience.
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              Text: Aug2019
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