The Dynamics of Migration, Health and

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16 Νοε 2013 (πριν από 4 χρόνια και 7 μήνες)

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The Dynamics of Migration, Health and

INDEPTH Network Perspectives

INDEPTH Migration and Urbanisation Working Group

Prepared for the 9


27 October 2009


Internal migration is a force transforming societies in
developing countries

Communities, networks, households, individuals change

Livelihoods and health impacts occur

evidence mixed

Data is minimal for examining more than snapshots of the

INDEPTH Network has done a multi
country study

Rural sub
districts and urban slums in low and middle
income countries

Longitudinal data, comparative analysis

"The publication, by the INDEPTH
Migration and Urbanization Working
Group, contains theoretical and
methodological migration research based
on a decade of demographic

What makes this volume
especially a must read is the application of
longitudinal methods at a variety of sites
among countries. “

Aphichat Charatithirong,

Mahidol University, Thailand

The multi
site network approach
adopted in the book does not only
provide a demographic understanding
of migration dynamics, but presents a
new perspective to comparative
analysis of the impact of migration on
human health and livelihood over time.
I believe this book is a must read, for all
scholars of population and migration

Dr Godwin Ode Ikwuyatum,

University of Ibadan, Nigeria

'Building on the richness of the
INDEPTH surveillance data network,
this volume takes a deep dive into the
causes and consequences of
geographic movement, identifying
systematic regularities, and important
differences, across the six research
sites. This unique compendium of
case studies offers valuable lessons
for scholars of migration, students of
program evaluation, and field

It is a tour de force in a
rapidly growing field.‘

Marta Tienda,

Princeton University, USA

INDEPTH Migration and
Urbanisation Working Group

Editors : Mark Collinson, Kubaje Adazu, Michael White, Sally Findley

Authors: Kubaje Adazu, Nurul Alam, Pedro Alonso, John Aponte, Donatien
Beguy, Philippe Bocquier, Nguyen T. K. Chuc, Samuel J. Clark, Mark A.
Collinson, Daniel Feiken, Sally E. Findley, Annette A.M. Gerritsen, Philip
Guest, Kathleen Kahn, Rose Kiriinya, Adama Konseiga, Kayla Laserson,
Leonildo Matsinhe, Cheikh Mbacké, Kanyiva Muindi, Ariel Nhacolo, Delino
Nhalungo, David Obor, Peter Ofware, Ben Onyango, Ho D. Phuc, Sureeporn
Punpuing, Charfudin Sacoor, Laurence Slutsker, Peter K. Streatfield, Nguyen
X. Thanh, Stephen M. Tollman, John Vulule, Michael J. White, Yazoumé Yé
and Eliya Zulu

Dr. Kubaje Adazu



He will be remembered and honoured for his
contribution to scientific knowledge and skills
development in social demography; and his
passion for migration studies.

Overview chapters:

1. Introduction

Opportunities and challenges

What we can hope to gain from the surveillance
approach to tracking migration

Introduces the themes and site contributions

2. Methodology

Methods used for migration surveillance in HDSS sites

Comparative table of migration definitions used in the
different sites

3. Community context

Comparison of contexts

The importance of place

Comparative age
sex profiles

We compare age
sex migration profiles from the seven
participating sites

Theme 1:

Migration and Livelihoods

(3 sites)


Kanchanaburi site

Households with out
migrants face
constraints in the agriculture activities
immediately after the out
migration of a
household member.

But, households soon adjust to these
constraints, drawing on existing household
resources to substitute for the labour lost
through out

South Africa


In rural South Africa short
term female
migrants provide vital support to their
families of origin

Female migrants are the most vital
contributors to the upkeep of the poorest




In Matlab households with international male
migrants have better educational outcomes
for their children remaining at home
compared to households without migrants.

Theme 2:

Migration and Health

(4 sites)


Nairobi Urban site

Children who are born in Nairobi’s urban
slums to non
migrant mothers have
significantly higher survival chances than
those born to in
migrant mothers, regardless
of their origin




Migrant children moving from Kenyan urban
areas to rural Nyanza enjoy a clear survival
advantage compared to both non
and migrant children from other rural areas



child survival

The fact that these findings come from an
urban and rural site in the same country
epitomizes the complexity of the relationship
between migration and child survival

This relationship depends on a host of factors
including exposure to new threats, migrant
selectivity and differential health
endowments between migrants and non




The data point to the importance of maternal
care for these children by revealing a higher
incidence of illness among left
children compared to children with non
migrant mothers

No such negative impact is seen by the out
migration of the children’s fathers,
underscoring the importance of the mother’s
role in providing health care to young




In the past, returning migrants were positively
selected for health and economic position

From 1999, there is a reversal of the survival
advantage of return migrants

Migrants returning home to die

Policy implications 1

Given the intensity of population movements
it is important that policy makers and
program implementers understand and take
into account migration in their efforts

Implementation of activities in both the
origin and destination communities

Policy implications 2

Better off households are more likely to reap
the benefits of migration and this can
contribute to increasing inequalities

This selectivity could be incorporated into
reduction programs by enhancing
outreach to those households with no or few

There might be access issues for in
particularly those who are not fully integrated in
local households


The findings contrast the beneficial impacts
of migration on household livelihoods with
potential health burdens

The impacts of migration can go either way,
they can be positive or negative for sending
and/or receiving communities depending on
the issues at hand and the type of migration
under consideration


New longitudinal studies using existing data

which can be themed and published together

A comparable multi
site study

a migration
module or survey in each participating HDSS

Supporting and marketing existing single
HDSS studies

Workshop: 17h00 today

Venue: FF2