Global Consultation in Migrant Health National School of Public Health Madrid, Spain 3-4 March 2010
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1 Global Consultation in Migrant Health National School of Public Health Madrid, Spain 3-4 March 2010
2 Setting the scene Davide Mosca, Director Migration Health Department, International Organization for Migration Daniel Lopez Acuna, Director Strategy, Policy and Resource Management, Health Action in Crises, World Health Organization 2 Global Consultation in Migrant Health 25 February 2010
3 Migration dynamics Source: IOM 3 Global Consultation in Migrant Health 25 February 2010
4 Migration Dynamics Migrant stock as percentage of total population, 2010 UN: 4 Global Consultation in Migrant Health 25 February 2010
5 Estimates of migrant populations Internal migrants 740 Immigrants 214 Migrant workers 100 Internally displaced 51 Refugees 15 International students 2 Asylum seekers 1 Traffickked 1 source: UNDP;ILO;UNHCR;UNDESA;British council; US State Dep Millions 5 Global Consultation in Migrant Health 25 February 2010
6 Proportion of migrants Countries with the highest percentage of international migrants, 2010* Quatar United Arab Emirates Kuwait Jordan occupied Palestinian territory Singapore Israel China, Hong Kong SAR Oman Saudi Arabia 87% 70% 69% 46% 44% 41% 40% 39% 28% 28% * Among those with at least one million inhabitants (Source UN: 6 Global Consultation in Migrant Health 25 February 2010
7 Migration and Health Most migrants are healthy but conditions surrounding the migration process can pose health risks Inequalities in accessing health services Sub-standard quality of care Negative outcomes for migrants and communities 7 Global Consultation in Migrant Health 25 February 2010
8 Paradigm shift : from exclusion to inclusion Traditional approach: Exclusion Security Disease control National focus Modern multi-dimensional approach: Inclusion Reduction of inequities Social protection in health Multi country & inter-sectoral policy development 8 Global Consultation in Migrant Health 25 February 2010
9 Public health strategies Ensure migrants' health rights Reduce excess mortality & morbidity Public health strategies Avoid disparaties in health status & access Minimize negative impact of the migration process Source: IOM 9 Global Consultation in Migrant Health 25 February 2010
10 WHA Resolution on migrant health, action points Monitoring Migrant Health Develop health information systems, collect & disseminate data Assess, analyse migrants' health Disaggregate info by relevant categories Migrant sensitive health systems Strengthen health systems; fill gaps in health service delivery Train health workforce on migrant health issues; raise cultural & gender sensitivity Policy- legal frameworks Promote migrant sensitive health policies Include migrant health in regional/national strategies Consider impact of policies of other sectors Partnerships, networks & multi country frameworks Promote dialogue and cooperation among member states, agencies and regions Encourage a multi sectoral technical network 10 Global Consultation in Migrant Health 25 February 2010
11 Global Consultation, Objectives Take stock of actions by MS & Stakeholders according to the 4 themes: 1. Monitoring migrant health 2. Policy- and legal frameworks on or affecting migrant health 3. Migrant sensitive health systems 4. Partnerships, networks and multi country frameworks on migrant health Reach consensus on priority areas and strategies Initiate an operational framework to assist MS and stakeholders 11 Global Consultation in Migrant Health 25 February 2010
12 Global Consultation, Results Consultation report for the WHA Outline for an operational framework for Member States and stakeholders International network 12 Global Consultation in Migrant Health 25 February 2010
13 Way forward: Operational framework 4 themes Inputs Monitoring migrant health Policy/legal frameworks Migrant sensitive systems Partnerships, networks, multi cntry- Lessons learned Priorities to address Key actions Lead actors 13 Global Consultation in Migrant Health 25 February 2010
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