Page 115 - GHES-3-1
P. 115

Global Health Economics and
            Sustainability
                                                                                Human trafficking victim service providers



            Table 1. Types of services provided by the institutions  frequently reported obstacle was a lack of economic
                                                               resources. As Participant 25 explained, “[The]  lack of
            Services provided                    Total (n=21)  economic resources” prevents institutions from offering
            Meals                                   18         necessary support because of insufficient resources. Some
            Legal support                           18         participants also highlighted that a key barrier is the absence
            Reintegration in the community          18         of coordination between service providers and other
            Professional reintegration              18         organizations essential for establishing the support victims
            Essentials                              17         require. In addition, there is a lack of cooperation from
            Physical health (nurse and doctor)      17         the victims, compounding these challenges. As Participant
            Mental health (psychologist/psychiatrist)  17      26 noted, there is a “lack of interinstitutional connections
                                                               to allow rapid process execution. Closer associations
            Educational support                     17         with training and employment entities that allow a quick
            Accommodation                           16         resolution of the life project,” while Participant 6 remarked
            Translator                              16         on the “lack of cooperation of the victim.”
            Assisted return                         15           Participants also pointed out the absence of,
            Nursery                                  8         or inadequate planning for, housing, shelter, and
                                                               accommodation for victims. There was a concern about
            in their assistance process, the clarity of the assistance   the safety of both the victims and service providers, as
            procedures, and the interdisciplinary collaboration with   well as the ability to provide adequate responses despite
            other organizations (e.g., courts and employment centers).  the existence of a nationwide network to assist male and
                                                               female victims of HT. As Participant 6 explained, “the
            3.4. Barriers to help-seeking                      difficulty of addressing basic  needs and providing safe
            Nineteen service providers stated that the primary reasons   accommodation” remains a significant challenge.
            victims are often unable to seek help are the fear of the   Cultural aspects were also identified as barriers to
            trafficker and reprisals against themselves or their families.   providing support to HT victims. These could manifest
            The lack of social support and confidence in the support   at both linguistic and deeper spiritual or social levels.
            system were identified as the least significant barriers by   Participant 9 highlighted “language and cultural barriers
            service providers. Figure 1 depicts the obstacles to victims   and the bureaucracy of certain processes that delay their
            seeking aid.                                       integration into society.” The participants identified several
            3.5. Victims’ needs                                challenges that substantially affect the delivery of support,
                                                               including language and cultural barriers, concerns about
            Service providers ranked the victims’ primary needs as   victims’ safety, a lack of confidence in the police, and
            follows: first, a sense of security (including economic   ignorance among the general public and service providers.
            independence and a place to stay); second, access to physical   As  previously  mentioned,  the  victim’s  lack  of  security
            health care; and third, knowing their rights as immigrants.   inhibits cooperation with organizations and institutions,
            The least recognized needs were access to information/  whether judicial or support-related. As Participant 12 noted,
            prevention campaigns, followed by educational support   there is a need “to transmit security and help overcome
            and access to education. Figure 2 graphically illustrates the   the fear that victims feel during the whole process,” while
            prioritization of these needs in a pyramid.        Participant 10 pointed to the “lack of information on the
              The frequently identified theme when analyzing   part of the population in general, and the service providers
            component (v) of the instrument was “barriers to providing   and criminal police bodies themselves.” Working with
            support,” followed by “similarities and differences in   victims of this crime is made more challenging by the
            providing support to HT victims versus victims of other   victims’ ignorance of their rights, the general public’s, and
            crimes.” The “condition of special vulnerability” theme,   even the police’s lack of information.
            which focuses primarily on the structural and individual
            vulnerabilities of the victims, appeared more tangential in   3.7. Similarities and differences between trafficking
            the discussions. These themes are presented in Table 3.  victims and victims of other crimes)
                                                               Participants noted some similarities between the issues
            3.6. Barriers to providing support                 faced by victims of domestic violence and those of HT.
            In analyzing the barriers to providing services, aside   However, they also identified several key distinctions.
            from those related to differences in treatment, the most   One major difference is that victims of trafficking may be


            Volume 3 Issue 1 (2025)                        107                       https://doi.org/10.36922/ghes.3215
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