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Labour Exploitation Trafficking and Migrant Health

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• Anonymity <strong>and</strong> confidentiality through coding <strong>and</strong> secure data storage <strong>and</strong> publication; 29<br />

• Referral options to problems reported by interviewees; 30<br />

• Emergency security responses for interviewees <strong>and</strong> researchers. 31<br />

Ethical approval for the study was granted by the London School of Hygiene & Tropical Medicine <strong>and</strong><br />

by local ethics boards. In Argentina, approval was granted by the Hospital de Clínicas “José de San<br />

Martín”, a teaching hospital that is part of the University of Buenos Aires. In Peru, ethical approval<br />

was granted by the ethics committee of the Cayetano Heredia University. In Kazakhstan, the School<br />

of Public <strong>Health</strong>’s Ethics Committee approved the EXTRMHE study.<br />

29<br />

The information provided by participants was confidential. In some situations, however, it could have been necessary to disclose<br />

personal information without a participant’s consent (where a failure to do so may expose the participant or others, for example,<br />

their children, to risk of death or serious harm). This was explained on the participant information sheet <strong>and</strong> was discussed with all<br />

participants as part of the informed consent process. All participants were made aware of these limits to confidentiality as part of<br />

the informed consent process. The researchers were to contact their line manager (local study lead) to discuss all situations where<br />

confidentiality might have had to be breached. However, we did not need to do this in any of the cases. All participants were assigned<br />

a unique ID number <strong>and</strong> referred to only by this number during management of the research data. Electronic data that identified<br />

individuals was stored separately from the research data.<br />

30<br />

Participants were closely monitored during interviews for signs of distress <strong>and</strong>, if signs of distress were observed, appropriate action<br />

was taken, including asking the participant if he or she would like to take a short break, offering to complete the interview at another<br />

time, skipping questions that caused particular distress or terminating the interview. All participants were offered information about<br />

the services that IOM could provide or received referrals for various additional forms of assistance through non-IOM service providers.<br />

31<br />

Fieldwork staff followed strict procedures for checking in <strong>and</strong> checking out before <strong>and</strong> after interviews to ensure their safety in the<br />

field. If possible, interviews were conducted at IOM offices, at local support organizations (such as shelters in Kazakhstan) or health<br />

services (for example, La Caravana de la Vida in Madre de Dios, or a local hospital in Buenos Aires).<br />

<strong>Labour</strong> <strong>Exploitation</strong>, <strong>Trafficking</strong> <strong>and</strong> <strong>Migrant</strong> <strong>Health</strong><br />

23

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