Table Of Content. Coordinator, Leader contact and partners... 21

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1 Table Of Content Models to engage Vulnerable Migrants and Refugees in their health, through Community Empowerment and Learning Alliance... 3 Summary... 4 Work Package Coordination and Management Evaluation Communication and dissemination Mapping on Health and MREM Needs assessement Tools Development Pilots Community involvement Coordinator, Leader contact and partners INSTITUT CATALA DE LA SALUT INSTITUT CATALA DE LA SALUT INSTITUT CATALA DE LA SALUT INSTITUT CATALA DE LA SALUT INSTITUT CATALA DE LA SALUT SYN EIRMOS NGO OF SOCIAL SOLIDARITY ASTIKI ETAIRIA SYN EIRMOS NGO OF SOCIAL SOLIDARITY ASTIKI ETAIRIA FLORENCIA YOUNG UND MARIA LUISA DI COMO GBR FLORENCIA YOUNG UND MARIA LUISA DI COMO GBR MIGRANTAS EV THE MIGRANTS' RESOURCE CENTRE THE MIGRANTS' RESOURCE CENTRE THE MIGRANTS' RESOURCE CENTRE EUROPEAN INSTITUTE OF WOMEN'S HEALTH LIMITED UNIVERSITY OF GREENWICH UNIVERSITY OF GREENWICH UNIVERSITY OF GREENWICH UNIVERSITY OF GREENWICH ASSERTA GLOBAL HEALTHCARE SOLUTIONS ASSERTA GLOBAL HEALTHCARE SOLUTIONS ASSERTA GLOBAL HEALTHCARE SOLUTIONS FAKULTNI NEMOCNICE U SV. ANNY V BRNE FAKULTNI NEMOCNICE U SV. ANNY V BRNE FAKULTNI NEMOCNICE U SV. ANNY V BRNE FAKULTNI NEMOCNICE U SV. ANNY V BRNE FAKULTNI NEMOCNICE U SV. ANNY V BRNE FAKULTNI NEMOCNICE U SV. ANNY V BRNE REGIONE EMILIA ROMAGNA REGIONE EMILIA ROMAGNA REGIONE EMILIA ROMAGNA REGIONE EMILIA ROMAGNA REGIONE EMILIA ROMAGNA Page 1/31

2 REGIONE EMILIA ROMAGNA CHARITE - UNIVERSITAETSMEDIZIN BERLIN CHARITE - UNIVERSITAETSMEDIZIN BERLIN CHARITE - UNIVERSITAETSMEDIZIN BERLIN Outputs Interim(18) and final (36) reports Evaluation plan Interim (18) and Final (36) Evaluation reports Dissemination package Report about health status on vulnerable migrants Interactive map Report on survey s results Needs and capacity assessment report Report on defined models and consequent tools Web platform based tools Report on Economic analysis of comparative models Evaluation report of the models Material of the informative sessions Final health-educative suitcase for the informative sessions Guide for recommendation of ICT solutions for WUM-VRM, design and content of the tools Page 2/31

3 Models to engage Vulnerable Migrants and Refugees in their health, through Community Empowerment and Learning Alliance JA GPSD [705038] START DATE: 01/04/2017 END DATE: 31/03/2020 DURATION: 36 month(s) CURRENT STATUS: Ongoing PROGRAMME TITLE: 3rd Health Programme ( ) PROGRAMME PRIORITY: - CALL: Call for Proposals for Projects 2016 TOPIC: Migrants health: Best practices in care provision for vulnerable migrants and refugees EC CONTRIBUTION: EUR KEYWORDS: Community Health, Ethinic Minorities, Health, Learning Alliance, Migrants, Refugees, Transcultural Phyquiatry, Unaccompanied Minors., Vulnerable Migrants And Refugees (Vmr) Page 3/31

4 SUMMARY Project abstract MyHealth project comes to answer, by developing and implementing models based on the knowhow of a European multidisciplinary network, the need to reach out Vulnerable Migrants and Refugees (VMR) on their Health. In particular, women and Unaccompanied minors as one of the most vulnerable group. It has been reported that, as local population, this very heterogeneous group is facing challenges in health related issues. The main aim of MyHealth is to improve the healthcare access of vulnerable immigrants and refugees newly arrived to Europe, by developing and implementing models based on the knowhow of a European multidisciplinary network. Secondary objectives: 1. Develop a complete interactive map, with main health issues, main actors and stakeholders, reference sites dealing with MREM, legal and organisational aspects of Health systems in the involved countries, and the ICT tools available. 2. To define more clearly the current health problems of migrants treated in our health centres. 3. Define and develop health intervention strategies in Mental Health/Communicable and non communicable diseases, based on the community health approach. 4. Develop and ICT based platform to support new tools, enhance Health applications development and health information 5. To implement the defined strategies and models in pilot over the hospital participating in the consortium. 6. To ensure training and involvement of all the key actors in the Health system value chain. From users to management. 7. Ensure a sound management and communication strategy for MyHealth. Outcomes: Interactive map available online. Pilot survey on current health status and concerns conducted. Health promotion best strategies identified. Pilot Models successful evaluated. Existence of guide for integration of ICT Solutions for VMR. Summary of context, overal objectives,strategic, relevance and contribution of the action MyHealth project comes to answer, by developing and implementing models based on the knowhow of a European multidisciplinary network, the need to Page 4/31

5 reach out Vulnerable Migrants and Refugees (VMR) on their Health. In particular, women and unaccompanied minors as one of the most vulnerable group. It has been reported that, as local population, this very heterogeneous group is facing challenges in health related issues. The main aim of MyHealth is to improve the healthcare access of vulnerable immigrants and refugees newly arrived to Europe, by developing and implementing models based on the knowhow and shared learning of a European multidisciplinary network. Secondary objectives: 1. Develop a complete interactive map, with main health issues, main actors and stakeholders, reference sites dealing with VMR, legal and organizational aspects of health systems in the involved countries, and the ICT tools available. 2. To identify more clearly the current health problems of migrants treated and/or diagnosed and/or consulted in our health centers in Barcelona, Berlin and Brno. 3. Define and develop health intervention strategies in Mental Health/Communicable and non communicable diseases, based on a community health approach. 4. Develop and ICT based platform to support new tools, enhance Health applications development and health information 5. To implement the defined strategies and models in pilot over the hospital participating in the consortium. 6. To ensure training and involvement of all the key actors in the Health system value chain: from users to management. 7. Ensure a sound management and communication strategy for MyHealth. The European Commission emphasized its willingness to support effective responses to communicable diseases as well as cooperation in relation to health promotion, disease prevention and improving the response to chronic diseases and mental health issues in vulnerable migrants and refugees. This action aims to support activities in view of the development of models to improve health care access of vulnerable migrants and refugees. More particularly in the Migrant s health, two key aspects are: To identify innovative ways of reducing inequalities in access and provision of health services, and promote social inclusion through care models that support reorientation of specialists to general practitioners and strengthen culturally competent healthcare in primary care settings. To compile best practices in care provision for vulnerable migrants and refugees (including pregnant women, children and older persons), with a focus on psycho-social aspects, acute and chronic diseases, including communicable diseases. Myhealth project, through the development of models based on a community health approach and the different dissemination actions will fulfil two of the four main objectives of the Health Workplan: to identify and develop tools and mechanisms at the European Union level to address shortages of resources to facilitate the uptake of innovations in public Page 5/31

6 health interventions and prevention strategies. to increase access to medical expertise and information for specific conditions also beyond national borders, facilitating the application of the results of research and developing tools for the improvement of healthcare quality and patient safety. Vulnerable Migrants and refugees are often exposed to specific health risks, such as those resulting from precarious conditions during the migration path, exploitative working conditions or precarious housing. As EU Member States, faced with an ageing population and the repercussions of a global economic crisis, struggle to contain public health expenditure, the right to health for allregardless of legal status must remain a key concern. Vulnerable migrants and refugees face legal, economic and practical obstacles in accessing healthcare. This project adds high value at EU level in the field of public health since aims to devel Methods and means The project workload is distributed in 8 work packages (WPs). These have been defined by the consortium with the scope of gathering all envisaged activities by accounting for their logical and temporal interconnections. The first three WP are transversal: WP1 Coordination, WP2 Dissemination and WP3 Evaluation. Four technical WPs form the core of the project: WP Mapping, WP5 Needs Assessment, WP6 Tools development and WP7 Pilots. Finally, we will use a participatory and social innovative approach to work, ensuring vulnerable migrants and refugees are at the centre of the project, and all the relevant stakeholders are involved. The awareness and capacity building across partners and rest of stakeholders will allow the adaptation of the models to different scenarios. This creates a spillover effect in which change management and community participation take a central role (WP8 Community involvement). All these work packages and their related tasks are well detailed in the WorkPlan. The WP4 is devoted to Mapping the existing initiatives on Health for WUM- MREM, and the main actors involved in migrants and refugees health in order to come up with an interactive map (and database) with key referents sites (refugee camps, NGOs offices etc) to provide support to migrants and refugees limited to the network and opened for inputs from other countries. The maintenance for the interactive map will be ensured for at least 4 years after the project. Within this WP, we do not intend to duplicate existing initiatives, but make the information available on an interactive format. In WP5 a pilot survey to collect information on physical and mental health status will be carried out giving qualitative insight on the current health status of migrants and refugees, together with quantitative indications from literature. It aims to assess the needs and raise awareness of difficulties that migrants face in terms of access and utilization of healthcare services and Page 6/31

7 which are directly linked between the social determinants of health and the barriers to the traditional health system. Tool development will be the central part of WP6. The aim of this WP is to develop or identify existing tools to improve the health care access of vulnerable immigrants and newly arrived refugees. This WP will allow identifying concerns and needs, regarding health, as perceived by the target groups, and the best screening and community health strategy for mental health disorders and infectious diseases in primary health care. We will introduce the referent figures in Health and migration at community levels, linked to primary care and hospital, so to work in networks. Finally, Pilots will be carried out in WP7. Once the best community health models are identified, these will be put in place and monitored throughout the project. Three pilots, one each in Spain, Germany and Czech Republic will be carried out in order to test its adaptability in terms of people s needs, expectations, economic and social sustainability and in terms of replicability in other domains and countries. Besides the current monitoring and evaluation of the project MyHealth will use a learning alliance (LA) as an innovative methodology that will contribute to articulate the work of the different work packages by (1) promoting the involvement of collaborating stakeholders (including policy makers) in the field of VRM health and the institutionalization of learning alliance outcomes, (2) ensuring capacity building strategies for the models to be adapted, (3) emphasizing documentation and dissemination as innovative practices among stakeholders, including academics, civil society organizations, planners, and health practitioners, and (4) strengthening the network capacity of the community in VRM health s to guarantee the sustainability of the project. The use of this innovative methodology will ensure that vulnerable migrants and refugees are being included within the models to be adapted a Work performed during the reportingperiod In accordance with the contractual requirements written in the Grant Agreement between MyHealth consortium and European Commission, the following deliverables and milestones were provided during the reporting period: -MS1, MS4 Committees formed, Consortium agreement: Three committees were formed for acting as reference points for all stakeholders involved in MyHealth: Scientific Steering Committee (SC), Ethics Committee (EthC) and Advisory Board (AB). WPs leaders formed the SC which is the major management authority of MyHealth. The kick-off meeting took place in May Page 7/31

8 2017 in Luxembourg and the 1st SC already took place in Barcelona ( ). The Consortium Agreement was signed by all the partners. The EthC was formed by 4 representatives of the different participating partners and supervised by an external expert, member of the collaborating partners to ensure the independence for all ethical-related decisions. EthC is responsible for the implementation of all consent procedures, personal information related instructions and ethical guidelines. The AB is in charge to set up strategies to extend MyHealth far beyond the current involved countries, its members are part of the collaborating stakeholders. Furthermore, virtual MyHealth coordination team conferences had took place 7 times during the reporting period. -D2.1, MS5 Evaluation plan: The roadmap identified objectives and goals to setting up a timeline for evaluation activities. The evaluation plan presented the aim, evaluation questions, targets, methods and results (outputs and outcomes) and timing of the evaluation of the EC funded project, MyHealth. It is the general objective of MyHealth to improve the healthcare access of vulnerable Migrants and Refugees (VMR) newly arrived to Europe by developing and implanting models based on the knowhow of a European multidisciplinary network. MyHealth is being funded by the EU Consumers, Health, Agriculture and Food Executive Agency (CHAFEA) under the framework, Migrant s Health: Best Practices in Care Provision for Vulnerable Migrants and Refugees (PJ ). The evaluation plan delineates the steps to be followed to assess the process and results (outputs and outcomes) of MyHealth. It is a flexible tool compiled with inputs from all WP leaders; and it is updated on an ongoing basis as needed to reflect project priorities and changes over the three years ( ) of implementation. - MS7 Dissemination plan: guidance and tools were provided to the Project partners on how to inform and stimulate broader debate with and amongst specific target groups; disseminate and promote the progress of the project, events, results, and findings; Strengthen the cooperation and collaboration dialogue between research/healthcare professionals and policymakers; disseminate and promote project deliverables; utilize project findings to develop communications messages that are relevant, easy to understand and drive behavior change; utilize consistent messaging, branding, imagery and language (Plain English standard) so that project recommendations/findings are understood and can be acted upon by the key stakeholders. Furthermore leaflet, public website was provided. -D4.1 Report about health status on vulnerable migrants: The objective of this report is to present the activity about developing a complete interactive map, with main health issues, main actors and stakeholders, reference sites dealing with vulnerable migrants and refugees, legal and organizational aspects of Health systems in the involved countries, and the Information and Communications Technology (ICT) tools available. The starting point was the definition of the target (focus on vulnerable migrants), the processes and boundaries of the mapping (health, social and support services in the city or region). Variables of interest have been discussed and defined, an online Page 8/31

9 questionnaire has been created to collect data about public and private organizations that The main output achieved so far and their potential impact and use by target group (including benefits) VMR are MyHealth service users target group, but it is a very heterogeneous group. For this reason, and because some VMR are particularly vulnerable, we are focusing on women and unaccompanied minors (from now on in the text UM) newly arrived in Europe (less than 5 years). The approach used by Myhealth partners to reach the target group is made by building networking with social private entites (NGO or Fundations) and social public entities (settle centers for unaccompanied minors) that focus their activities on VRE, always supported by the health community workers. To reach out, we used the sound expertise of member of the consortium, and a targeted dissemination strategy. For UM: extended network of social centres hosting UM, new technology appeal, we are already working with these groups (ICS, CHARITE, FNUSA, SYN- EIRMO) For Women: extended network of hospitals and obstetrics departments, family health appeals, we are already working with these groups (ICS, CHARITE, FNUSA) in the different pilot sites. A specific WP on Community involvement is also included. In the project description, we will use the term VRM, for the whole group, and WUM-VRM for our concrete target group. Within the different phases of the project, we will have the following groups involved, in order to ensure we can clearly optimize the response: i) VRM, all acting as participants; motivated by the anticipated increase in the knowledge and management of their health. ii) Patients and advocacy groups (e.g. patients associations; immigrant associations) to promote dissemination of the project in lay terms. Advocacy groups will provide essential feedback for service provision, links to policy makers, and involvement of our service users. iii) Health professionals, participating as data contributors given that they will work on improving the understanding of the main VRM health concerns, learn from the VRM concerns themselves, participate in pilots wherever possible, follow and participate in trainings related to the developed models and strategies iv) Governments and international health agencies, being involved as sponsors and recipients of information, contributing to the understanding of the VRM Health situation and concerns, monitoring safety of pilots, evaluating costeffectiveness and political importance of Health for VRM. v) Social researchers: by using the learning alliance methodology, as well as getting in the field of social innovation, we want to make sure that social sciences researchers are involved and aware of the project. Page 9/31

10 The preliminary report of the needs analysis provided a background from which to develop a survey that can be disseminated electronically to stakeholders to gain quantitative data concerning the extent to which the needs identified in the analysis are. Mapping Online interactive map will be online by the end of March In order to guarantee its use, it will be necessary to plan an information campaign that advertises the site and the smartphone app. In the meantime, the mailing list of stakeholders that represent the network of services for vulnerable migrants is in continuous expansion. For reaching the targeted population, we have outlined the following plans for community involvement across the work packages: Advisory board: One leader from the immigrant community will be members of the Advisory Board. (WP1) Coordination Team meetings, a community health agent and 1-2 member of the immigrant community (both genders if possible) will join monthly this meetings. (WP1) A Community Steering Group will be set up with members of diverse communities and professionals working with vulnerable immigrants. (WP1) The Learning Alliance methodology will consult and gather the views of all the stakeholders involved in MyHealth Project as well as women and children (unaccompanied). (WP2) Dissemination materials will be distributed and made available to the communities and target groups serviced by the project. (W Achieved outcomes compared to the expected outcomes We are in the process of establishing a European networking including all actors involved in improving general health situation of vulnerable migrants. At the end of project, we will have: i) a representative report on immigrants and refugees' perceptions of their health priorities and needs ii) Digital and interactive map of Health and VRM in Europe, including reference sites, health legal and organizational details iii) main issues for WUM-VRM in Mental Health, infectious diseases and noncommunicable diseases iv) appropriate screening and treatment strategies for our three key areas in primary health are based on community health strategies vi) versatile ICT (Information and Communication Technology) based platform on WUM-VRM health, including the interactive map, general information, contact, and health apps vii) Recommendations and innovative tools. The mapping activity highlighted some difficulties in involving nongovernmental organizations. Also, with regard to public services, the online search response rate is still quite low. Dissemination activities within the networks and an automatic recall pan are being planned in order to increase response rates and Page 10/31

11 ensure greater and ever wider coverage. All partners have helped collate information for the mapping process by inviting partners, organizations and individuals know to us to participate in the mapping process. All of this information is feeding into the pan-european mapping exercise. We have successfully completed the process of documenting the community participation strategy to be used in this project. All partners were able to successfully contribute to the development of this strategy. We will be delivering training on it to all partners involved at our next partnership meeting and looking in more detail at how we can implement it more widely over the next two years. In Berlin, we have planned psycho educational groups for female refugees which will start in April Topics will be health literacy, mental health care system, school system, employment system as well as housing problems. Dissemination and evaluation activitiescarried out so far and their major results The communication and dissemination activities began at the start of the project to ensure these efforts were systematically integrated into project activities. The central aim of WP3, communication and dissemination, is to effectively communicate and disseminate of project findings to a broad audience of relevant European stakeholders at local, national and European levels, a key project objective to promote the translation of project findings into practice. The communication and dissemination plan were developed in the first months of the project. All partners inputted into the document, which was finalized for the end of M3. The strategy outlines how results will be disseminated and stakeholders engaged and will be used as the basis for communication and dissemination activities throughout the project. The plan outlines objectives, project image and diction as well as requirements, such as EU funding and content statements. In addition, various other project materials were developed in the first three months for communication and dissemination. A project leaflet (two versions long and abbreviated) were developed. Also, a project power point was created. A press release was written and disseminated for the project kick off. All materials are written in basic and accessible English. Partners have the option to translate into their native language as they see fit and needed. Administratively for the work package, a photo and video release form was generated. A six month tracker for communication and dissemination activities was created for partner institution completion every six months. Also, a Page 11/31

12 communication request form was created so partners can put in requests to post content on the project website and social media accounts. The website and social media accounts were set up including the website, Twitter and Facebook accounts. The website content was first written in basic and accessible English. A TC was held for the WP during the first three months. The WP activities are discussed in monthly meeting to integrate with and to support other WP activities. A social media strategy has also been written for the project. Partners have been asked to complete a social media survey for their institutions in order to integrate partner social media and online efforts with those of the project. Partners have been asked to complete request forms for social media and other communication and dissemination activities. Partners have also begun to communicate project objectives and activities at meetings and conferences, such as DG Sante s communication event and European conferences. All partners will complete an activity tracker every six months from M6 of the project to track all of their organization s communication and dissemination activities for the project to track all relevant activities. Activities to communicate in year 2 are beginning to be planned. For M12, a newsletter is being generated to propagate project results, which will include profiling the online tool set to go live. The external stakeholder list will also be created for M12 for distribution and dissemination purposes. Page 12/31

13 Work package Work Package 1: Coordination and Management Start month: 1 End month: 36 Work Package Leader: VHIR VHIR will monitor all coordination actions to ensure good functioning of the project, and introduce proper corrections if necessary, make decisions related to financial issues, and guarantee the sustainability of MyHealth beyond the expected three years of the project. These actions will be launched by three committees acting as reference points for all stakeholders involved in MyHealth: (i) Scientific Steering Committee (SC), (ii) Ethics Committee (EthC), and (iii) Advisory Board (AdvB). WPs leaders will form the SC that will be the major management authority of MyHealth. After a kick-off meeting it will meet every 6 months. The EthC will be formed by four representatives of the different participating partners, and supervised by an external expert, member of the collaborating partners, will ensure independence for all ethical-related decisions. EthC will be responsible for the implementation of all consent procedures, personal information related instructions and ethical guidelines, and it will meet every six months. The AdvB will be the major advisory body and it will also set up strategies to extend MyHealth far beyond the current involved countries. Its member are the collaborating stakeholers. The MyHealth coordination team formed by the coordinator plus two representatives of the different WPs will meet twice a year, one face to face and the other one virtually and every month by teleconference to closely monitor the tasks. These governing bodies with the collaboration of all partners involved will develop the following tasks: T1.1 Project Coordination and management (all, VHIR) T1.2 Advisory Board, Ethic committee and Steering committee organization and follow up (all, VHIR) T1.3 Midterm and final reports (all, VHIR) Work Package 2: Evaluation Start month: 1 End month: 36 Work Package Leader: UoG T2.1 Defintion of the core membres of the Advisory Board (all, UoG) The initial activity for the project will be to define who are the core members of the international evaluation committee who will monitor the progresses of the project throughout its duration. This core evaluation team will comprise representative stakeholders: vulnerable immigrants who are users of health services, researchers, policy makers, funders (national or international research funding agencies or private foundations that fund specific migrants projects: ex: Obra Social La Caixa), Page 13/31

14 local authorities working with immigrants, and both mental and physical health service providers. T2.2 Training in the LA methodology (all, UoG). To ensure good implementation of the LA, all partners of the consortium will be trained in LA methodology. There will be a local contact point for each local LA who will be trained in how to familiarise themselves with the methodology. The local LA contact points will define their own agenda of local meetings according to needs. T2.3 Assessment tools (UoG) Since this is the first time that a LA methodology will be use in a project related to issues of health among recent immigrants, a set of assessment tools will be developed to tailor to the meetings of the evaluation committee and local LAs. A template with specific objectives of the project listed in section 2.1 will be used. In this template it will be listed the defined process indicators and target to be achieved. Task 2.4 Documental Audit on progress reports (UoG) One annual check, coincidating with milestones on the progress of each WP will be carried out in strict adherence with the declared milestones. Documental progress reports will focus on potentially critical points. The reports will be forwarded to the SC and specifically to the WP1 and WP3 leaders. Task 2.5: Progress report and conformity of quality control system (UoG): Two fieldchecks will be foreseen, one at the end of the first and the other at the end of the second year, the checks will be programmed and performed by the responsible of the evaluation committee. The visits will focus first on the WP leaders units, and then on the associated partners units. UoG will be responsible for writing the progress reports with the inputs of the Advisory Board. Work Package 3: Communication and dissemination Start month: 1 End month: 36 Work Package Leader: EIWH Task 3.1 Content production for the public side of the project website (all, EIWH) At the beginning of the project (M3), a website will be created to act as dissemination tool. The project website will have also a restricted area accessible only to project Consortium, the EC and selected stakeholders. MRC will lead this task with inputs from all the partners for the web content. The website will provide an online hub for information on the project. Project dissemination materials, events and news will be posted on the website. Project partners will also promote the project and its website through their respective websites, social media and other communication channels. The project website will include: 1. The description of the project; 2. The description of the consortium, including links to partner websites; Page 14/31

15 3. Information about project activities, such as meetings, workshops, conferences and presentations 4. Project brochure, factsheets and other dissemination materials. The website will provide a clear navigation and content discovery route. The following factors are pivotal to designing the website: accessibility, quality, ease of use, and inoffensive images, content, etc. for all EU citizens. Steps will also be taken to protect the website. There will be a news service on the website supported by the partners updates on the project and project materials. Impact of the website will be assessed by tracking statistics such as web pages hits and user s online feedback. Task 3.2 Identification and engagement of stakeholders (all, RER ) To ensure a proper dissemination and future exploitation of project results a database of relevant policy makers, health authorities and stakeholders in the partner countries will be developed, to form the basis of a platform which will be informed and updated on the results of the MyHealth project. This task will be lead by RER in close collaboration with the rest of the partners. We will work to identify the list of centres working with health and migrants, and that have specific Health innovative approach with a particular focus on women and unaccompanied minors. The following include the target groups who will be approached: Umbrella organizations in Brussels who represent physicians and health professionals such as Sanding Committee of European Doctors (CPME), European Federation of Nurses (EFN), Organisations representing Migrants themselves, European Centre for Disease Control and prevention (ECDC), Female Genital Ablation Repair Program in Europe, European College and Board of Obstetricians and Gynecologists (EBCOG), Members of the European Parliament (MEPs), National Cancer Screening Programmes in partner countries. The above organizations and other stakeholders will be included in the data base of stakeholders who will be approached to join a Project Network to support and advise the project in the different activities. It would be hoped that this Network would exist beyond the project. All stakeholders in the database will receive regular information and updates by . Task 3.3 Elaboration of dissemination materials (all, Migrantas) A MyHealth Communication and Dissemination Plan will be developed at an early stage of the project life with contribution from all the partners. The aim of the communication and dissemination plan is to encourage interested stakeholders to act on and apply Project outcomes, to change policy, programming and practice. It is, therefore, important to justify why and determine how to engage targeted stakeholders. The MyHealth Communication and Dissemination Plan ensures that the project outcomes are widely disseminated in a targeted fashion to relevant audiences of doctors, nurses, researchers, industry, policymakers, regulators, funding agencies and politicians, patients and health non-governmental organisations (NGOs) and civil society to promote the progress of the Project, events and recommendations. Dissemination items will be prepared Page 15/31

16 Work Package 4: Mapping on Health and MREM Start month: 1 End month: 12 Work Package Leader: RER T4.1 Review of evidence about health status on vulnerable immigrants and refugees in Europe. (all, RER) In this task, we want to do gather the current studies and projects on migrants and refugees health over Europe, especially those acting locally and involving communities. We do not pretend to map the already well known initiatives, but will intend to discover small scale, locally implemented projects that can be scaled up. Focus will be on primary health care services dedicated to most vulnerable migrants (women and unaccompanied minors). The results of this review should be a database available on the website. T4.2 Map the main actors involved in migrants and refugees health (all, VHIR) The main purpose of this task is to come up with an interactive map (and database) available on the website with key referent sites (refugee camps, NGOs offices, community healthcare departments, etc) that provide support to migrants and refugees. Several categories will be defined (i.e: mental health, chronic diseases, practical info; i.e free or not, health community workers available, cultural mediators, translation, etc; target groups: migrants, refugees, health specialists, researchers, etc) T4.3 Map the legal, organizational and institutional environment across the EU (all, EIWH) The right to health of migrant populations, whether they are foreign nationals, asylum seekers or refugees, is imbedded in international human rights treaties. The effectiveness of the implementation of this right to health ies in national legal frameworks. Based on studies from the past 5 years and research projects, a short summary of the current legal and health system organisation aspects of each of the involved countries should be made available. T4.4 Mapping on ICT tools for Migrants health literacy (all, Asserta) Mapping and review of the current available projects, and etools linked to migrants and health in Europe and rest of the world. Work Package 5: Needs assessement Start month: 1 End month: 18 Work Package Leader: Asserta T5.1. Design and conducting of Pilot Survey to collect information on the physical and mental health status (ICS, FNUSA, CHARITE, Asserta) In each of the health centre involved, preparatory activities and a pilot survey shall Page 16/31

17 be conducted. Each of the site should provide with at least 15 migrants/refugees and 5 medical doctors and other health professionals. The survey will also be available online, so volunteer from centres not involved in the consortium will be able to participate. The survey is to give a qualitative insight on the current health status of migrants and refugees. T5.2 Identify the main infectious diseases and chronic diseases among vulnerable immigrants and refugees. (ICS, FNUSA, CHARITE, Asserta) The idea of this task is to define more clearly the current health problems of migrants treated in our health centres. This will be done based on the results of the survey conducted in T5.1. T5.3 Mental health/psychosocial needs evaluation (ICS, FNUSA, CHARITE, Asserta)The idea of this task is to define more clearly the current health problems of migrants treated in our health centres. This will be done based on the results of the survey conducted in T5.1. T5.4 Needs and capacity assessment on ICT tools (informational value, identitysecurity, integration-mediator capacity). (ICS, FNUSA, CHARITE, Asserta) In this task, we will translate the identified needs, but also the potential ICT tools to address them, ensuring security, encryption, privacy, etc. We need to define the potential of ICT to support, promote and accompany migrants in their health. This will be done in relation to the mapping of initiatives in WP4, together with insights from the survey conducted in T5.1 Work Package 6: Tools Development Start month: 18 End month: 30 Work Package Leader: ICS-HUVH T6.1 Development of screening strategies for infectious diseases in the primary health system We will create a European network to bring into contact organizations that work for social inclusion and other organizations that make preventive health activities or medical interventions in vulnerable immigrants or refugees, in order to share information about the different strategies used to facilitate the access to primary health system, to finalize all medical appointments and to complete medical treatments. We will define expert s consultants among the primary care physicians in every area for the primary health and we will look for a good communication tool between them and the specialized care. T6.2 Mental health/psychosocial interventions / Design a Mental Health strategy in a specific context. (all, ICS) Through different interviews to vulnerable immigrants or refugees we will identify which are the risk factors for mental health problems in this group. We will define Page 17/31

18 experts consultants among the primary care physicians in every area for the primary health and we will look for a good communication tool between them and the specialized care. T6.3 Identify the best community health strategies for each different cultural and social reality. (all, ICS) First of all, through different encounters with vulnerable immigrants and professionals working in resettled centers or health professionals (following metaplan technique) we will identify the concerns and needs, regarding health, perceived by the vulnerable immigrants themselves and by the professionals working with them. We will compare different strategies about health promotion in order to identify which one reaches more immigrants. For instance, on the one hand we will organize different sessions in different areas about health promotions to all immigrants and in the other hand we will look for some leaders among the vulnerable immigrants, and we will train them in health promotion in order to replicate this process to other immigrants. We will use different preexisting tools for health promotions (board games, computer games, songs, theater play, and film sessions) to see which one is more easily able to convey messages in each cultural community. T6.4 Development of the web platform based tools (all, Asserta) We will develop a web platform where other professionals can access each of the ideal tools identified for health promotion and screening in every cultural community. The Web platform will be maintained during 4 years, and updated biannually. This task is done in collaboration and constant feedback with WP3, T3.1. Work Package 7: Pilots Start month: 24 End month: 32 Work Package Leader: CHARITE T7.1. Recruitment of Medical professionals, patients and sites (all, CHARITE) In order to implement the models, all the hospitals (ICS, FNUSA, CHARITE), will inform the relevant department so they take part in the pilot. We expect to involve the previously interviewed core medical professionals, together with at least 200 WUM-VRM in all the involved centres. T7.2.Implementation of the pilots Models for the provision of health care (CHARITE, FNUSA, lead ICS) In each of the sites (ICS, FNUSA, CHARITE), the models will be implemented and tested. We expect a high interaction between hospitals and primary care centre in the establishment of the community health agent adapted model, as defined inwp6. A patient informed consent will be designed and given to all participants and in the case of UM to their legal tutors and themselves so they are well informed and accept to be part of the study. We will ensure all ethical rules are followed, and Page 18/31

19 ethic committes of all centres are informed and give their approval for the conduction of the study. T 7.3 Economic analysis of comparative models (all, Asserta) A sound economic and effective analyss will be done in order to compare the current settings with the implementation of the model. A predefined economic study will be done in the three involved hospitals, in order to compare it with the new models, and so to show and define the real impact of the new measures. This will be done by Asserta, as leading company in data analysis, and healthcare effectiveness research. T7.4 Evaluation of the model (all, VHIR) Apart from the economical evaluation, a complete evaluation of the pilots and their results will be done in order to give a complete review of the implementation. Social acceptance, work processes and flows will be reviewed. This will allow us to show evidence on the model, and define if it is really more convenient than the actual settings. Work Package 8: Community involvement Start month: 1 End month: 36 Work Package Leader: MRC T8.0 Involvement (MRC) Definition of a systematic approach to reach our target groups. For both Unaccompanied minors and women, a specific targeted approach will be agreed amongst partners to ensure their involvement throughout the project. The approach will identify the key gates to reach out (places to find them, involvement of the tutors in the case of the UM, access through social centres and obstetrics to reach out to women, etc.) T8.1 Information sessions and workshops conducted through community health agents and multipliers agents as key factors (all, VHIR) Within this task, specific informative sessions will be developed. They will be based on current informative programmes, and adapted to each site. T8.2 Training sessions guided by health professionals, incorporating community health agents, in order to discuss various topics through the proper tools and equipment to train multipliers messages. (all, VHIR) Within this task, specific training sessions will be developed. They will be based on current training programmes, and adapted to each site. The feedback of these sessions will be incorporated into the tools. T8.3 Integration of ICT Solutions for Migrants (informational value, identitysecurity, integration-mediator capacity) for health literacy (Support ICT tools to enhance health literacy) (all, Asserta Migrantas) In order to develop the ict platform for health literacy, we will involve migrants and Page 19/31

20 refugees in the design and content orientation of the tools. T8.4 Learning alliance, and community involvement ( UoG) Besides sharing best practices and disseminating early research findings, the aim for the local LAs will be to create and strengthen national networks of health service providers, policy-makers, health professionals and vulnerable immigrant service users working on improving access to services. The local LA representatives will be trained, according to the tasks set in WP2. Page 20/31

21 COORDINATOR, LEADER CONTACT AND PARTNERS COORDINATOR FUNDACIO HOSPITAL UNIVERSITARI VALL D'HEBRON - INSTITUT DE RECERCA (VHIR) Passeig Vall d'hebron BARCELONA Spain WEBSITE: Project leader contact Name: SERRE Nuria nserre.bcn.ics@gencat.cat Phone: PARTNERS INSTITUT CATALA DE LA SALUT Street: GRAN VIA DE LES CORTS CATALANES 587 City: BARCELONA Country: Spain INSTITUT CATALA DE LA SALUT Street: GRAN VIA DE LES CORTS CATALANES 587 City: BARCELONA Country: Spain INSTITUT CATALA DE LA SALUT Street: GRAN VIA DE LES CORTS CATALANES 587 City: BARCELONA Country: Spain Page 21/31

22 INSTITUT CATALA DE LA SALUT Street: GRAN VIA DE LES CORTS CATALANES 587 City: BARCELONA Country: Spain INSTITUT CATALA DE LA SALUT Street: GRAN VIA DE LES CORTS CATALANES 587 City: BARCELONA Country: Spain SYN EIRMOS NGO OF SOCIAL SOLIDARITY ASTIKI ETAIRIA Street: I.DROSOPOULOU 72 City: ATHENS 000 Country: Greece SYN EIRMOS NGO OF SOCIAL SOLIDARITY ASTIKI ETAIRIA Street: I.DROSOPOULOU 72 City: ATHENS 000 Country: Greece FLORENCIA YOUNG UND MARIA LUISA DI COMO GBR Street: Mecklenburgische Str. 12 City: Berlin Country: Germany FLORENCIA YOUNG UND MARIA LUISA DI COMO GBR Street: Mecklenburgische Str. 12 City: Berlin Country: Germany Page 22/31

23 MIGRANTAS EV Street: Sigmaringerstr. 12 City: Berlin Country: Germany THE MIGRANTS' RESOURCE CENTRE Street: CHURTON STREET 24 City: SW1V 2LP London Country: United Kingdom THE MIGRANTS' RESOURCE CENTRE Street: CHURTON STREET 24 City: SW1V 2LP London Country: United Kingdom THE MIGRANTS' RESOURCE CENTRE Street: CHURTON STREET 24 City: SW1V 2LP London Country: United Kingdom EUROPEAN INSTITUTE OF WOMEN'S HEALTH LIMITED Street: PEARSE STREET 33 City: Dublin 2 DUBLIN Country: Ireland UNIVERSITY OF GREENWICH Street: Old Royal Naval College, Park Row, Greenwich City: SE10 9LS LONDON Country: United Kingdom Page 23/31

24 UNIVERSITY OF GREENWICH Street: Old Royal Naval College, Park Row, Greenwich City: SE10 9LS LONDON Country: United Kingdom UNIVERSITY OF GREENWICH Street: Old Royal Naval College, Park Row, Greenwich City: SE10 9LS LONDON Country: United Kingdom UNIVERSITY OF GREENWICH Street: Old Royal Naval College, Park Row, Greenwich City: SE10 9LS LONDON Country: United Kingdom ASSERTA GLOBAL HEALTHCARE SOLUTIONS Street: Ronda Maiols1, Office 303 BMC Building City: Sant Quirze del Valles Country: Spain ASSERTA GLOBAL HEALTHCARE SOLUTIONS Street: Ronda Maiols1, Office 303 BMC Building City: Sant Quirze del Valles Country: Spain ASSERTA GLOBAL HEALTHCARE SOLUTIONS Street: Ronda Maiols1, Office 303 BMC Building City: Sant Quirze del Valles Country: Spain Page 24/31

25 FAKULTNI NEMOCNICE U SV. ANNY V BRNE Street: Pekarska 53 City: Brno Country: Czech Republic FAKULTNI NEMOCNICE U SV. ANNY V BRNE Street: Pekarska 53 City: Brno Country: Czech Republic FAKULTNI NEMOCNICE U SV. ANNY V BRNE Street: Pekarska 53 City: Brno Country: Czech Republic FAKULTNI NEMOCNICE U SV. ANNY V BRNE Street: Pekarska 53 City: Brno Country: Czech Republic FAKULTNI NEMOCNICE U SV. ANNY V BRNE Street: Pekarska 53 City: Brno Country: Czech Republic FAKULTNI NEMOCNICE U SV. ANNY V BRNE Street: Pekarska 53 City: Brno Country: Czech Republic Page 25/31

26 REGIONE EMILIA ROMAGNA Street: viale Aldo Moro 44 City: BOLOGNA Country: Italy REGIONE EMILIA ROMAGNA Street: viale Aldo Moro 44 City: BOLOGNA Country: Italy REGIONE EMILIA ROMAGNA Street: viale Aldo Moro 44 City: BOLOGNA Country: Italy REGIONE EMILIA ROMAGNA Street: viale Aldo Moro 44 City: BOLOGNA Country: Italy REGIONE EMILIA ROMAGNA Street: viale Aldo Moro 44 City: BOLOGNA Country: Italy REGIONE EMILIA ROMAGNA Street: viale Aldo Moro 44 City: BOLOGNA Country: Italy Page 26/31

27 CHARITE - UNIVERSITAETSMEDIZIN BERLIN Street: Chariteplatz 1 City: BERLIN Country: Germany CHARITE - UNIVERSITAETSMEDIZIN BERLIN Street: Chariteplatz 1 City: BERLIN Country: Germany CHARITE - UNIVERSITAETSMEDIZIN BERLIN Street: Chariteplatz 1 City: BERLIN Country: Germany Page 27/31

28 OUTPUTS Interim(18) and final (36) reports VHIR Models to engage Vulnerable Migrants and Refugees in their health, through Community Empowerment and Learning Alliance (MyHealth) Expected on: 01/04/2020 Reports describing activities carried out, milestones and results achieved in the project. Evaluation plan UoG Models to engage Vulnerable Migrants and Refugees in their health, through Community Empowerment and Learning Alliance (MyHealth) Expected on: 01/08/2017 Plan with the definition of the Evaluation Methodology, schedule and responsables. Interim (18) and Final (36) Evaluation reports UoG Models to engage Vulnerable Migrants and Refugees in their health, through Community Empowerment and Learning Alliance (MyHealth) Expected on: 01/04/2020 Interim (M18) and Final (M36) Internal assessment of each WP. Dissemination package EIWH Models to engage Vulnerable Migrants and Refugees in their health, through Community Empowerment and Learning Alliance (MyHealth) Expected on: 01/04/2020 Communication and Dissemination Plan (3), Leaflet (3), Web-site (3), Newsletter (12, 24), Layman version of the final report (36) Report about health status on vulnerable migrants VHIR Page 28/31