Immigrants and Refugees

Philadelphia Health Partnership strives to eliminate disparities in access based on national origin. In doing so, we support strategies that connect immigrants and refugees with quality care and services and increase their utilization.

Context

Foreign-born residents in Philadelphia are diverse in their life experiences and circumstances: from refugees who left their home countries seeking freedom from persecution to immigrants who came to the United States pursuing educational and employment opportunities.

According to the 2016 American Community Survey (ACS):

  • 232,031 foreign-born residents live in Philadelphia County: 14.8% of the population.
  • 61.1% of foreign-born residents have entered the United States since 2000 or later.
  • 50.1% of foreign-born residents in Philadelphia County are below 200% of the federal poverty line.
  • 51.6% of foreign-born residents are not citizens.
  • 75,808 children in Philadelphia County have 1 or more foreign-born parent.

Many foreign-born residents thrive in Philadelphia County. Yet, low-income immigrants and refugees face unique barriers to accessing and utilizing quality care and services, particularly those who are not citizens.

  • The 2016 ACS found that only 65.9% of non-citizens in Philadelphia County have health insurance compared to 90.1% of naturalized citizens and 93.6% of US-born citizens.
  • Nationally, the 2016 National Health Interview Survey (NHIS) found that 63% of non-citizen, low-income adults (below 200% of the federal poverty level) saw a medical professional in the past year versus 81% of U.S.-born, low-income adults.
  • According to the NHIS, only 56% of non-citizen, low-income children had a well-child check-up in the last year versus 84% of US-born, low-income children in citizen families (to read more NHIS analysis by Dr. Leighton Ku, click here).

In addition to facing challenges accessing health care coverage, foreign-born residents often struggle to navigate the health care system when they do seek care. Many providers do not have the capacity to bridge linguistic and cultural differences, limiting immigrants’ and refugees’ access to the information and resources needed to make appropriate health decisions. Fragmented systems also make it difficult for immigrants and refugees to connect with varied supports that promote well-being – from legal assistance and housing counseling to educational and employment programs. To address these barriers, the foundation supports immigrant- and refugee- serving organizations working to improve access to and utilization of quality care and services.

Foundation Efforts

Highlights of Current Strategies

1. Medical-legal partnerships that embed attorneys in medical settings that serve large numbers of immigrant and refugee patients in order to address health-harming legal needs. Current grantees:

  • Community Legal Services – Medical-Legal Partnership at Rising Sun Health Center
  • Justice at Work – Medical-Legal Partnership at Puentes de Salud
  • Philadelphia Legal Assistance – Medical-Legal-Community Partnership at Philadelphia Health Centers #3 and #4

2. Health literacy, navigation, and case management support to immigrants and refugees in tandem with programming that addresses social determinants. Current grantees:

  • Nationalities Service Center
  • Cambodian Association of Greater Philadelphia – Community Health Initiative
  • African Cultural Association of Northern America – Healthy African Women Program

3. Coalition-building, public education, and outreach to expand coverage for undocumented and uninsured children who do not currently qualify for the Children’s Health Insurance Program (CHIP), Medicaid, or the Affordable Care Act (ACA) Marketplace Coverage in Pennsylvania. Current grantee:

  • Public Citizens for Children and Youth – Dream Care Campaign