Psycho-Socio-Economic Challenges of Internal Migrants of India: A Narrative Review and Recommendations for Integrative Model of Care
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https://doi.org/10.55229/ijbs2022.0308Keywords:
COVID-19, Economic Challenges, Mental Health, Migrants, Psychosocial ChallengesDimensions Badge
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Background: India is a diverse country with a substantial number of migrants. The COVID-19 outbreak and enforced protocols led to enormous stress in the migrants. The challenges of internal migrants during the COVID-19 pandemic in India have been unique because of the unique socio-politico-economic and cultural aspects. There are various levels of migrants’ pre-existing vulnerability factors ranging from socio-cultural impediments, economic barriers to lower social or legal support. This paper aims to narratively review articles related to the psychosocial and mental health challenges of India’s Internal Migrants amid the COVID-19 pandemic and subsequent nationwide lockdowns.Abstract
Methodology: A review was conducted by collecting articles related to challenges concerning the psychosocial and mental health of India’s Internal Migrants amid the COVID-19 pandemic. We selected pieces, thematically organized them, and listed their significant findings under the head introduction, pre-existing vulnerability factors, and challenges of India’s internal migrants amid the COVID-19 pandemic, responses, and recommendations.
Results and Conclusion: India needs to develop an integrated ‘rights-based approach’ for providing comprehensive care to migrants, including economic support, health care and active labour-market policy. The necessary support to migrants can be done by planning a top-bottom approach involving National Health and Family Welfare Department (NHFWD), State Health and Family Welfare Department (SHRWD), local municipal and corporation councils, mobile medical units, mental health care workers, and municipal bocks and NGOs.
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United Nations High Commission for Refugees. Emergency Handbook 4th edition [Internet]. United Nations; Division of Emergency: 2020 Jun [cited 2022 Mar 14]. Available from: https://emergency.unhcr.org World Bank Blogs. Covid-19 through a migration lens: Policy responses should be inclusive of migrants [Internet]. Washington, DC; The World Bank: 2020 [cited Mar 14]. Available from: https://blogs.worldbank. org/peoplemove/covid-19-through-migration-lenspolicy- responses-should-be-inclusive-migrants Ministry of Home Affairs. Data on Migration 2011 [Internet]. India: Office of the Registrar General & Census Commissioner; 2011 [cited 2022 Mar 14]. Available from: https://censusindia. gov.in/2011census/migration.html Ministry of Finance. Economic Survey [Internet]. India: National Informatics Centre; 2016 [cited 2022 Mar . Available from: https://Www.Indiabudget.Gov.in/ Budget2017-2018/ Survey.Asp. Hazarika, S. The echo of migrant footfalls and the silence on policy [Internet]. India: The Hindu; 2020 [cited 2022 Mar 14]. Available from https://www.thehindu.com/ opinion/lead/ the-echo-of-migrant-footfalls-and-thesilence- on-policy/article31689921.ece Ministry of Housing and Urban Poverty Alleviation. Report of the Working Group on Migration [Internet]. New Delhi: Government of India; 2017 [cited 2022 Mar 14]. Available from: https://mohua.gov.in/upload/ uploadfiles/ files/1566.pdf World Health Organization. Coronavirus disease (COVID-19) Situation Report– 111. Geneva: World Health Organization; 2020 [cited 2022 Mar 14]. Available from: https://www.who.int/docs/default-source/ coronaviruse/situation-reports/20200510covid-19- sitrep-111.pdf?sfvrsn=1896976f_2 International Labour Office. International labour migration-A rights-based approach. Geneva: International Labour Organization; 2010 [cited 2022 Mar . Available from: https://www.ilo.org/wcmsp5/groups/ public/---ed_protect/---protrav/---migrant/documents/ publication/wcms_208594.pdf Choudhari R. COVID 19 pandemic: Mental health challenges of internal migrant workers of India. Asian Journal of Psychiatry. 2020;54:102-254. Available from: https://doi.org/10.1016/j.ajp.2020.102254 Iravatham CC, Kumar VS, Valluri VL. Identifying and mapping TB hot spots in an urban slum by integrating Geographic positioning system and the local postman - A pilot study. Indian J. Tuberc. 2019;66(1):203–208. Deb C, Lee CM, Dubey VS, et al. A Novel In Vitro Multiple- Stress Dormancy Model for Mycobacterium tuberculosis Generates a Lipid-Loaded, Drug-Tolerant, Dormant Pathogen. PLoS ONE. 2009;4(6):e6077. Available from: https://doi. org/10.1371/journal.pone.0006077 Ministry of Health and Family Welfare. Psychosocial Issues Among Migrants During Covid-19 [Internet] New Delhi: Government of India; 2020 [cited on 2022 Mar 14]. Available from: https://www.mohfw.gov.in/pdf/ RevisedPsychosocialissuesofmigrantsCOVID19.pdf Jordan LP, Graham E. Resilience and wellbeing among children of migrant parents in South-East Asia. Child Development. 2012;83(5):1672–1688. Available from: https://doi. org/10.1111/j.1467-8624.2012.01810.x Firdaus G. Mental wellbeing of migrants in urban center of India: Analyzing the role of social environment. Indian J Psychiatry. 2017;59:164–169. Available from: 10.4103/ psychiatry.IndianJPsychiatry_272_15 Virupaksha HG, Kumar A, Nirmala BP. Migration and mental health: An interface. Journal of Natural Science, Biology and Medicine. 2014;5(2):233–239. Available from: https://doi.org/10.4103/0976-9668.136141 Raghavan R, Cooper J. Mental health of internal migrants in India: An examination of current strengths and gaps in current data. European Journal of Public Health. 2018;28. Available from: https://doi.org/10.1093/ eurpub/ cky048.214 Aravindraj E, Sekar K, Johnson J. Psychosocial Profile of Migratory Quarry Workers [Internet]. Tata Institute of Social Sciences: The Indian Journal of Social Work; [cited on 2022 Mar 14]. Available from: https:// ijsw.tiss.edu/greenstone/collect/ijsw/index/assoc/ HASH5ce0/8265361c.dir/doc.pdf Henssler J, Brandt L, Müller M et al. Migration and schizophrenia: meta-analysis and explanatory framework. European archives of psychiatry and clinical neuroscience, 2020;270(3):325–335. Available from: https://doi.org/10.1007/s00406-019-01028-7 Banal R, Thappa J, Shah HU et al. Psychiatric morbidity in adult Kashmiri migrants living in a migrant camp at Jammu. Indian J Psychiatry. 2010;52:154–8. Available from: 10.4103/0019-5545.64597 Morina N, Akhtar A, Barth J et al. Psychiatric Disorders in Refugees and Internally Displaced Persons After Forced Displacement: A Systematic Review. Frontiers in psychiatry. 2018;9:433. Available from: https://doi. org/10.3389/fpsyt.2018.00433 Mahapatra R. Every 4th suicide in 2019 by daily wage earners: NCRB [Internet]. [place unknown]: Down to Earth; 2018 [cited 2022 Mar 14]. Available from: https:// www.downtoearth.org.in/news/ health/every-4thsuicide- in-2019-by-daily-wageearners-ncrb-73176 Gawde NC, Sivakami M, Babu BV. Building Partnership to Improve Migrants’ Access to Healthcare in Mumbai. Front Public Health. 2015;3:255. Available from:10.3389/ fpubh.2015.00255 The Hindu Net Desk. Coronavirus India lockdown Day updates [Internet]. India: The Hindu; 2020. [cited Mar 14]. Available from: https:// www.thehindu. com/news/national/india-coronaviruslockdown-may- -2020-live-updates/article31708100. ece The Indian Council of Medical Research e-Samvad. A year-long stint of India with COVID-19: challenges and achievements [Internet]. New Delhi: The Indian Councilof Medical Research; 2021. [cited 2022 Mar 14]. Available from: https://www.icmr.gov.in/pdf/press_realease_files/ Newsletter_English_January_2021.pdf Knoll A, Bisong A. Migration, mobility and COVID-19 - A tale of many tales [Internet]. Maastricht: European Centre for Development Policy Management; 2020 [cited 2022 Mar 14]. Available from: https://ecdpm. org/ talking-points/migration-mobility-covid-19-taleofmany- tales/ Modak S. Not just hunger, psychological factors, job insecurity behind migrants’ exodus [Internet]. Mumbai: The Indian Express; 2020 [cited 2022 Mar 14]. Available from: https://indianexpress.com/article/cities/mumbai/ mumbai-not-just-hunger-psychological-factorsjobinsecurity- behind-migrants-exodus-6373260/ Singh S, Bhutani S, Fatima H. Surviving the stigma: lessons learnt for the prevention of COVID-19 stigma and its mental health impact. Mental Health and Social Inclusion. 2020;24:3:145-149. Available from: https://doi. org/10.1108/ MHSI-05-2020-0030 Barkur G, Vibha & Kamath GB. Sentiment analysis of nationwide lockdown due to COVID 19 outbreak: Evidence from India. Asian journal of psychiatry. ;51:102089. Available from: https://doi.org/10.1016/j. ajp.2020.102089 Tortajada A, Tortajada C. How Covid worsened hunger in India, the world’s largest food basket [Internet]. India: The Print; 2020 [cited 2022 Mar 14]. Available from: https:// theprint.in/india/how-covid-worsened-hungerin- indiathe-worlds-largest-food-basket/472124/ International labour Organization. Experiences of ASEAN Migrant Workers during COVID-19: Rights at Work, Migration and Quarantine during the Pandemic, and Re-Migration Plans [Internet]. Bangkok: International labour Organization; 2020 [cited 2022 Mar 14]. Available from: https://www.oecd.org/countries/nepal/adbi-booklabor- migration-asia-impacts-covid-19-crisis-postpandemic- future.pdf Chander R, Murugesan M, Ritish D et al. Addressing the mental health concerns of migrant workers during the COVID-19 pandemic: An experiential account. Int J Soc Psychiatry. 2021;67(7):826-829. Available from: 1177/00207640209377 Mahaprashasta A, Srivas A. Ground Report: Chaos at Anand Vihar as Buses Prepare to Take Migrant Workers Home [Internet] New Delhi: The Wire; 2020 [cited Mar 14]. Available from: https://thewire.in/rights/ covid-19-lockdown-migrant-workers-bus Hundreds of migrants throng railway station, demand to be sent home [Internet]. Mangaluru: The Federal; 2020 [cited 2022 Mar 14]. Available from: https://thefederal. com/states/ south/karnataka/hundreds-of-migrantsthrongrailway- station-demand-to-be-sent-home/ Mucci N, Traversini V, Giorgi G et al. Migrant Workers and Psychological Health: A Systematic Review. Sustainability. 2020;12(1):120. Available from: https://doi. org/10.3390/su12010120 Suryawanshi S. COVID-19: As India begins to ‘unlock’, Migrant workers flocking back to Mumbai for work [Internet]. Mumbai: The Indian Express; 2020 [cited 2022 Mar 14]. Available from: https://www.newindianexpress. com/ thesundaystandard/2020/jul/05/covid-19-asindiabegins- to-unlock-migrant-workers-flocking-backtomumbai- for-work-2165468.html Kumar K, Mehra A, Sahoo S et al. The psychological impact of COVID-19 pandemic and lockdown on the migrant workers: A cross-sectional survey. Asian J Psychiatry. 2020;53:102252. Available from: 10.1016/j. ajp.2020.102252 Hiremath P, Suhas Kowshik CS, Manjunath M et al. COVID 19: Impact of lock-down on mental health and tips to overcome. Asian J Psychiatry. 2020;51:102088. Available from: 10.1016/j.ajp.2020.102088. Krishnan M. Mental illness, suicides rise in India during Covid-19 crisis [Internet]. New Delhi: Suicide Prevention India Foundation; 2020 [cited 2022 Mar 14]. Available from: https://www.rfi.fr/en/international/20200514-mentalillness- suicides-on-the-rise-in-india-during-covid-19- lockdown United Nations. 40 crore Indians may sink into poverty: ILO [Internet]. [place unknown]: The Tribune; 2020 [cited Mar 14]. Available from: https:// www.tribuneindia. com/news/nation/40-crore-indiansmay-sink-intopoverty- ilo-68574 Disaster Management Division- Ministry of Home Affairs. SDRF/NDRF [Internet]. India: Disaster Management Division; 2020 [cited 2022 Mar 14]. Available from: https:// ndmindia.mha.gov.in/response-fund What is Ayushman Bharat health insurance? All you need to know about what is covered, eligibility & more [Internet]. [place unknown]: The Economic Times; 2021 [cited 2022 Mar 14]. Available from: https://economictimes. indiatimes.com/wealth/insure/health-insurance/ what-is-ayushman-bharat-health-insurance-all-youneed- to-know-about-what-is-covered-eligibility-more/ articleshow/86449512.cms Legislative Department, Ministry of Law and Justice. The National Rural Employment Guarantee Act [Internet]. [place unknown]: Legislative Department; [publish date unknown] [cited 2022 Mar 14]. Available from: https:// legislative.gov.in/sites/default/files/A2005-42.pdf Ministry of Home Affairs. National Migrant Information System (NMIS) - a central online repository on Migrant Workers-developed by NDMA to facilitate their seamless movement across States [Internet]. New Delhi: PIB Delhi; 2020 [cited 2022 Mar 14]. Available from: https:// pib.gov. in/PressReleasePage.aspx?PRID=1624540 International Organization for Migration. World Migration Report 2020 [Internet]. Geneva: International Organization for Migration; [publish date unknown] [cited 2022 Mar 14]. Available from: https://publications. iom.int/system/files/pdf/ wmr_2020.pdf Roy D. Supreme Court asks Centre to look into movement of Migrant Workers between states,disposes of plea seeking relief [Internet]. [place unknown]: Bar and Bench; 2020 [cited 2022 Mar 14]. Available from: https://www.barandbench.com/news/ supreme-court-asks-centre-to-look-into-movementof- migrant-workers-between-states-disposes-of-pleaseeking- relief Saini P. The war against COVID-19 is a psychological one and our nation is winning it right! [Internet]. [place unknown]: The Times of India; 2020 [cited 2022 Mar 14]. Available from: https:// timesofindia.indiatimes.com/ readersblog/prepsablogs/the-war-against-covid-19- is-a-psychological-oneand- our-nation-is-winning-itright- / Top Indian apps to fight COVID 19 [Internet]. [place unknown]: Geospatial World; 2020 [cited 2022 Mar 14]. Available from: https://www.geospatialworld.net/blogs/ top-indian-apps-to-fight-covid-19/ Ho CS, Chee CY, Ho RC. Mental Health Strategies to Combat the Psychological Impact of Coronavirus Disease 2019 (COVID-19) Beyond Paranoia and Panic. Annals of the Academy of Medicine, Sinagpore. ;49(3):155-160. Ravi S, Pandey A. Internal and international migration in South Asia: drivers, interlinkage and policy issues - Discussion paper [Internet]. New Delhi: United Nations Educational, Scientific and Cultural Organization; 2017 [cited 2022 Mar 14]. Available from: https://unesdoc. unesco.org/ark:/48223/pf0000249459/ PDF/249459eng. pdf.multi. Mishra A & Sayeed N. (2020). Covid-19 And Migrant Workers: Clinical Psychologists’ Viewpoints. In Manickam LSS, editor. COVID-19 pandemic: Challenges and responses of psychologists from India. Thiruvananthapuram: Manickam LSS; 2020. p. 43-55
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