Participatory health research with migrants ; opportunities, challenges, and way forwards

Abstract

Funding Information: We acknowledge the contributions of members of the International Collaboration for Participatory Health Research (ICPHR) who provided comments on a draft version of this paper which was distributed at the ICPHR 10th Annual Working Meeting at Morgan State University in Baltimore, Maryland, USA (21st-22nd June, 2019). Publisher Copyright: © 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd. ; Context: Migration is one of the most politically pressing issues of the 21st century but migrant health remains an under-researched area. The International Collaboration for Participatory Health Research (ICPHR) working group on migration developed this position statement to address opportunities and challenges in relation to migrant health. It aims to contribute to a shift from a deficit model that sees migrants as passively affected by policies to their reconceptualization as citizens who are engaged in the co-creation of solutions. Methods: This paper examines the opportunities and challenges posed by the use of PHR with migrants. It draws on a broad literature to provide examples of successful PHR with migrants and highlights critical issues for consideration. Findings: Successful initiatives illustrate the value of engaging migrants in the definition of the research agenda, the design and implementation of health interventions, the identification of health-protective factors and the operationalization and validation of indicators to monitor progress. Within increasingly super diverse contexts, fragmented community landscapes that are not necessarily constructed along ethnicity traits, inadequate structures of representation, local tensions and operational barriers can hamper meaningful PHR with migrants. Conclusion: For each research context, it is essential to gauge the 'optimal' level and type of participation that is more likely to leverage migrants' empowerment. The development of Monitoring and Evaluation tools and methodological strategies to manage inter-stakeholder discrepancies and knowledge translation gaps are steps in this direction. Patient or public contribution: This paper draws from contributions of migrant populations and other stakeholders to policymaking. ; publishersversion ; published