Social innovation in access to healthcare: community-based health insurance among Senegalese migrants in Spain
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Summary
This summary is machine-generated.Community-based Health Insurance (CBHI) developed by migrant organizations improves healthcare access for Senegalese migrants in Spain. These solidarity-based microfinance initiatives bridge gaps left by restrictive policies, offering a vital solution for undocumented individuals.
Area Of Science
- Public Health
- Sociology
- Health Policy
Background
- Undocumented migrants in the EU face significant healthcare access barriers.
- Spain's Royal Decree-Law 16/2012 restricted healthcare access for undocumented migrants, creating regional disparities.
- Despite policy amendments, healthcare access disparities persist for this population.
Purpose Of The Study
- To analyze the role of Community-based Health Insurance (CBHI) in improving healthcare access for Senegalese migrants in Spain.
- To examine how migrant-led CBHI initiatives address unmet medical needs.
- To understand the organizational dynamics and social innovation within these healthcare financing mechanisms.
Main Methods
- Conducted 28 in-depth interviews and one discussion group (2019-2022) in Spain.
- Employed purposive sampling to ensure participant diversity (administrative status, sociodemographics, employment).
- Utilized grounded theory to analyze data on social innovation, organizational dynamics, and healthcare access facilitation.
Main Results
- CBHI emerged as a socially innovative, collective response to unmet medical needs for excluded migrants.
- Senegalese migrant organizations mobilized community funds to fill gaps in public and private healthcare systems.
- Transnational healthcare trends observed, with funds used for care in Spain and Senegal, highlighting grassroots microfinance impact.
Conclusions
- CBHI via tontines offers a community-led solution enhancing healthcare access for undocumented Senegalese migrants in Spain.
- Migrant organizations act as crucial intermediaries, using microfinance to bridge healthcare policy gaps.
- These initiatives demonstrate grassroots innovation's capacity to overcome structural barriers in both destination and origin countries.
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