IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0218669.html
   My bibliography  Save this article

Breaking down the barriers: Understanding migrant workers’ access to healthcare in Malaysia

Author

Listed:
  • Tharani Loganathan
  • Deng Rui
  • Chiu-Wan Ng
  • Nicola Suyin Pocock

Abstract

Background: Malaysia is widely credited to have achieved universal health coverage for citizens. However, the accessibility of healthcare services to migrant workers is questionable. Recently, medical fees for foreigners at public facilities were substantially increased. Mandatory health insurance only covers public hospital admissions and excludes undocumented migrants. This study explores barriers to healthcare access faced by documented and undocumented migrant workers in Malaysia. Methods: We use qualitative data from 17 in-depth interviews conducted with key informants from civil society organisations, trade unions, academia, medical professionals, as well as migrant workers and their representatives. We interviewed doctors working in public hospitals and private clinics frequented by migrants. Data were analysed using thematic analysis. Results: We found that healthcare services in Malaysia are often inaccessible to migrant workers. Complex access barriers were identified, many beyond the control of the health sector. Major themes include affordability and financial constraints, the need for legal documents like valid passports and work permits, language barriers, discrimination and xenophobia, physical inaccessibility and employer-related barriers. Our study suggests that government mandated insurance for migrant workers is insufficient in view of the recent increase in medical fees. The perceived close working relationship between the ministries of health and immigration effectively excludes undocumented migrants from access to public healthcare facilities. Language barriers may affect the quality of care received by migrant workers, by inadvertently resulting in medical errors, while preventing them from giving truly informed consent. Conclusions: We propose instituting migrant-friendly health services at public facilities. We also suggest implementing a comprehensive health insurance to enable healthcare access and financial risk protection for all migrant workers. Non-health sector solutions include the formation of a multi-stakeholder migration management body towards a comprehensive national policy on labour migration which includes health.

Suggested Citation

  • Tharani Loganathan & Deng Rui & Chiu-Wan Ng & Nicola Suyin Pocock, 2019. "Breaking down the barriers: Understanding migrant workers’ access to healthcare in Malaysia," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-24, July.
  • Handle: RePEc:plo:pone00:0218669
    DOI: 10.1371/journal.pone.0218669
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0218669
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0218669&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0218669?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Anonymous, 1948. "World Health Organization," International Organization, Cambridge University Press, vol. 2(2), pages 374-377, June.
    2. Anonymous, 1948. "World Health Organization," International Organization, Cambridge University Press, vol. 2(1), pages 138-140, February.
    3. Cathy Zimmerman & Ligia Kiss & Mazeda Hossain, 2011. "Migration and Health: A Framework for 21st Century Policy-Making," PLOS Medicine, Public Library of Science, vol. 8(5), pages 1-7, May.
    4. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    5. Kassim, Azizah & Zin, Ragayah Haji Mat, 2011. "Policy on Irregular Migrants in Malaysia: An Analysis of its Implementation and Effectiveness," Discussion Papers DP 2011-34, Philippine Institute for Development Studies.
    6. Cathy Zimmerman & Ligia Kiss & Mazeda Hossain, 2011. "Migration and Health: A Framework for 21st Century Policy-Making," Working Papers id:4174, eSocialSciences.
    7. Anonymous, 1948. "World Health Organization," International Organization, Cambridge University Press, vol. 2(3), pages 540-542, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Md.Sayed Uddin & Adam Andani Mohammed, 2021. "Adjustment Factors on the Work Performance of Bangladeshi Temporary Contract Workers in Malaysia," The Indian Journal of Labour Economics, Springer;The Indian Society of Labour Economics (ISLE), vol. 64(2), pages 333-349, June.
    2. Sunghye Cho & Hyeonkyeong Lee & Eui Geum Oh & Gwang Suk Kim & Yong‐Chan Kim & Chang‐gi Park, 2020. "Health‐related quality of life among migrant workers: The impact of health‐promoting behaviors," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 318-327, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ricardo Roseira Cayolla & Teresa Santos & Joana A. Quintela, 2021. "Sustainable Initiatives in Sports Organizations—Analysis of a Group of Stakeholders in Pandemic Times," Sustainability, MDPI, vol. 13(16), pages 1-16, August.
    2. Odelia Koh & Jeannette Lee & Maudrene L S Tan & E-Shyong Tai & Ce Jin Foo & Kok Joon Chong & Su-Yen Goh & Yong Mong Bee & Julian Thumboo & Yin-Bun Cheung & Avjeet Singh & Hwee-Lin Wee, 2014. "Establishing the Thematic Framework for a Diabetes-Specific Health-Related Quality of Life Item Bank for Use in an English-Speaking Asian Population," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-12, December.
    3. Fielden, Sarah J. & Rusch, Melanie L. & Masinda, Mambo Tabu & Sands, Jim & Frankish, Jim & Evoy, Brian, 2007. "Key considerations for logic model development in research partnerships: A Canadian case study," Evaluation and Program Planning, Elsevier, vol. 30(2), pages 115-124, May.
    4. Olga Pakholok, 2013. "The Idea of Healthy Lifestyle and Its Transformation Into Health-Oriented Lifestyle in Contemporary Society," SAGE Open, , vol. 3(3), pages 21582440135, August.
    5. Viola, Lora Anne, 2008. "WHO says competition is healthy: How civil society can change IGOs [Die WHO sagt: Wettbewerb ist gesund. Wie Zivilgesellschaft IGOs verändern kann]," Discussion Papers, Research Unit: Global Governance SP IV 2008-307, WZB Berlin Social Science Center.
    6. Barrington, D.J. & Sridharan, S. & Shields, K.F. & Saunders, S.G. & Souter, R.T. & Bartram, J., 2017. "Sanitation marketing: A systematic review and theoretical critique using the capability approach," Social Science & Medicine, Elsevier, vol. 194(C), pages 128-134.
    7. Letizia Appolloni & Alberto Giretti & Maria Vittoria Corazza & Daniela D’Alessandro, 2020. "Walkable Urban Environments: An Ergonomic Approach of Evaluation," Sustainability, MDPI, vol. 12(20), pages 1-31, October.
    8. João M. S. Carvalho & Célio A. A. Sousa, 2018. "Is Psychological Value a Missing Building Block in Societal Sustainability?," Sustainability, MDPI, vol. 10(12), pages 1-14, December.
    9. Modranka Emilia & Suchecka Jadwiga, 2014. "The Determinants Of Population Health Spatial Disparities," Comparative Economic Research, Sciendo, vol. 17(4), pages 173-185, December.
    10. Völker, Sebastian & Kistemann, Thomas, 2013. "Reprint of: “I'm always entirely happy when I'm here!” Urban blue enhancing human health and well-being in Cologne and Düsseldorf, Germany," Social Science & Medicine, Elsevier, vol. 91(C), pages 141-152.
    11. Heather J. Sutherland & Hilary Llewellyn-Thomas & Norman F. Boyd & James E. Till, 1982. "Attitudes Toward Quality of Survival," Medical Decision Making, , vol. 2(3), pages 299-309, August.
    12. Pilar Sanjuán & María Ávila, 2019. "The Mediating Role of Coping Strategies on the Relationships Between Goal Motives and Affective and Cognitive Components of Subjective Well-Being," Journal of Happiness Studies, Springer, vol. 20(4), pages 1057-1070, April.
    13. Jozef Bavoľár & Oľga Orosová, 2015. "Decision-making styles and their associations with decision-making competencies and mental health," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 10(1), pages 115-122, January.
    14. Roberto Adriani, 2019. "The Evolution of Fake News and the Abuse of Emerging Technologies," European Journal of Social Sciences Articles, Revistia Research and Publishing, vol. 2, ejss_v2_i.
    15. Amaresh Panda & Sanjay Mohapatra, 2021. "Online Healthcare Practices and Associated Stakeholders: Review of Literature for Future Research Agenda," Vikalpa: The Journal for Decision Makers, , vol. 46(2), pages 71-85, June.
    16. Marco Fuscaldo, 2012. "Physical limitations, depressive symptoms and cognitive problems: exploring the complex structure of un-health among older people in Italy," Center for the Analysis of Public Policies (CAPP) 0098, Universita di Modena e Reggio Emilia, Dipartimento di Economia "Marco Biagi".
    17. Tim Lomas & Kate Hefferon & Itai Ivtzan, 2015. "The LIFE Model: A Meta-Theoretical Conceptual Map for Applied Positive Psychology," Journal of Happiness Studies, Springer, vol. 16(5), pages 1347-1364, October.
    18. Jeanne Landgraf, 2001. "Measuring and monitoring quality of life in children and youth: A brief commentary," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 46(5), pages 281-282, September.
    19. Immergut, Ellen M. & Schneider, Simone M., 2020. "Is it unfair for the affluent to be able to purchase “better” healthcare? Existential standards and institutional norms in healthcare attitudes across 28 countries," Social Science & Medicine, Elsevier, vol. 267(C).
    20. Rock, Melanie J. & Degeling, Chris, 2015. "Public health ethics and more-than-human solidarity," Social Science & Medicine, Elsevier, vol. 129(C), pages 61-67.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0218669. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.