Too precarious to walk: an integrated "three delays" framework for modeling barriers to maternal health care and birth registration among stateless persons and irregular migrants in Malaysia.
Birth registration
CRVS systems
Infant and maternal health
Irregular migration
Legal identity
Malaysia
Reproductive health
Sabah
Statelessness
Journal
Genus
ISSN: 0016-6987
Titre abrégé: Genus
Pays: Germany
ID NLM: 17120050R
Informations de publication
Date de publication:
2021
2021
Historique:
received:
02
01
2021
accepted:
09
08
2021
entrez:
8
9
2021
pubmed:
9
9
2021
medline:
9
9
2021
Statut:
ppublish
Résumé
This study extends Thaddeus and Maine's (1994) "three delays" framework to model the interrelated barriers to maternal health care and birth registration. We focus on stateless persons and irregular migrants, populations that are especially at risk of being "left behind" in United Nations member states' efforts to "provide legal identity to all" as part of the 2030 Sustainable Development Agenda. Drawing on qualitative fieldwork conducted in Sabah, Malaysia, we model delays in accessing maternal health care and birth registration as an integrated, cyclical process. We identify the political and legal barriers that stateless or migrant families confront while deciding to make institutional contact (Phase I), identifying and reaching health or registering institutions (Phase II), and receiving adequate and appropriate treatment (Phase III). We find that exclusion from one system raises the risk of exclusion from the other, resulting in a range of negative consequences, including increased health risks, governments' impaired ability to monitor population health, and the perpetuation of intergenerational cycles of legal exclusion.
Identifiants
pubmed: 34493875
doi: 10.1186/s41118-021-00129-3
pii: 129
pmc: PMC8414024
doi:
Types de publication
Journal Article
Langues
eng
Pagination
18Informations de copyright
© The Author(s) 2021.
Déclaration de conflit d'intérêts
Competing interestsThe authors declare that they have no competing interests.
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