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Examinando por Autor "Sura Fonseca, Rebeca"

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    Ítem
    De derechos a hechos. El acceso diferenciado entre nacionales y migrantes nicaragüenses a los servicios de salud en Costa Rica
    (Instituto Universitario de Estudios sobre Migraciones, 2018) Voorend, Koen; Sura Fonseca, Rebeca
    En Costa Rica al igual que en otros países existen una tensión sobre la incorporación de migrantes en los servicios de salud públicos, que alimenta la sospecha que existe un acceso diferenciado a los servicios de salud entre nacionales y migrantes. Este trabajo con base en datos primarios de una encuesta representativa para la población migrante nicaraguense , se analiza el acceso real a los servicios de salud pública de los migrantes, y a importancia de la nacionalidad, el estado migratorio y el tener un seguro médico para dicho acceso. Los hallazgos sugieren que el acceso a los servicios de salud pública entre nacionales y migrantes es estratificada, lo cual subraya de manera más general la importancia de analizar la praxis, y no solo los derechos sociales formales.
  • Miniatura
    Ítem
    Migrants and access to health care in Costa Rica
    (Elsevier, 2021-03-22) Voorend, Koen; Bedi, Arjun S.; Sura Fonseca, Rebeca
    As in most immigrant-receiving countries in the global North, countries in the South face challenges regarding migrant access to social rights and the effect of migrants on the sustainability of the welfare state. In the Latin American context, this holds especially for countries such as Costa Rica, which has one of the strongest social policy regimes in the South and the highest (Nicaraguan) immigrant stock in Latin America. Set in the context of Costa Rica, this paper assesses two views which seem hard to reconcile, and, are common in the country. First, it is claimed that Nicaraguan migrants use public health services disproportionately, thereby threatening the country’s welfare system. Second, pro-migrant rights non-governmental organizations and academics are concerned, primarily based on qualitative studies, that access to health services for Nicaraguan immigrants is limited, and that they are discriminated based on nationality. This paper relies on administrative data and a unique data set representative of Nicaraguan born individuals residing in Costa Rica to examine the validity of both these claims. We do not find support for either. The incidence of migrant health care use is lower than their share in the population and at the same time there is no evidence of discrimination in health care access for migrants based on their nationality. The paper underlines the need for more informed migration debates. 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license