As witnessed through the firsthand experiences of a frontline
activist and international medical aid practitioner, this biosocial
political study gives voice to the inequities in undocumented
Mexican and Zimbabwean women's emergency healthcare access and
treatment in Houston, United States of America, and Johannesburg,
South Africa. As a construct of feminist transdisciplinary
fieldwork, this research utilizes methodological pluralism and
biosocial disparities to examine constructs of "social
determinants" or "social origins" of women's suffering, disease,
and healthcare access. These variables include gender inequity,
xenophobia, structural violence, political economy subjugation,
healthcare access and delivery disparities, and human rights
violations. Illustrated through 24 purposive interviews, this
seven-year study shows Zimbabwean women sought out emergency care
at a rate 16 times higher than their Mexican counterparts-but
reported lower instances of domestic violence and depression. Most
notably, the Zimbabwean women reported communicable diseases at
double the rate of the interviewed Latinas. However, the most
surprising finding of the study was the high number of Mexican
women, some 60%, who cited depression as one of their indications
for seeking emergency healthcare. The study indicated that the
reality of many forced migrants' experiences in claiming their
accorded healthcare rights was more theoretical than practical in
its distribution and disposition. Particularly, sovereign freedom
and civil justice were not being conferred to these women according
to the two host country's mandated Constitutional precepts, and/or
emergency medical aid mandates, and social, gender, aid, and human
rights justice directives. Thus the role of government in shaping
these systemic and institutionalized ideologies will be examined,
as well as paradigms that effect national healthcare expenditures,
subsidies, and public health risks. The intention of this study is
not to provide definitive recommendations of specific forced
migration policies that have a civic and/or partisan duty to be
executed, but rather to serve as an illustration of how these
social tenets, inequitable power relations, and political economy
subjugation directly impact socioeconomically disadvantaged women's
health, livelihood, and human rights.
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