Table Of Content. Coordinator, Leader contact and partners Outputs... 22

Similar documents
SH-CAPAC Training Strategy (WP5)

MEM-TP October Rome-Italy. Funded by the European Union in the frame of the EU Health Program ( )

REPORT ON THE DESIGN, DEVELOPMENT AND EVALUATION OF THE ONLINE TRAINING COURSE

Meeting of the WHO European Healthy Cities Network and National Network Coordinators

Dissemination Workshop Final Report

Public Health Aspects of Migration in Europe

Table Of Content. 8 NGOs for migrants/refugees' health needs in 11 countries... 2 Summary... 3 Work Package... 12

Migration Health situation in the WHO European Region

Good Practices Research

2nd Ministerial Conference of the Prague Process Action Plan

NEWSLETTER SPRING 2018

European Union Passport

Resettlement and Humanitarian Admission Programmes in Europe what works?

REPORT FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE EUROPEAN COUNCIL AND THE COUNCIL. Thirteenth report on relocation and resettlement

Succinct Terms of Reference

Terms of Reference YOUTH SEMINAR: HUMANITARIAN CONSEQUENCES OF FORCED MIGRATIONS. Italy, 2nd -6th May 2012

Terms of Reference and accreditation requirements for membership in the Network of European National Healthy Cities Networks Phase VI ( )

SH-CAPAC Report combined WP2/WP3 WS - Needs Assessment Component (WP2) Deliverable 2.1

ANNEX III FINANCIAL and CONTRACTUAL RULES

4 March The EURINT Network. Bucharest 4 March 2014 PRAGUE PROCESS. Ruben Laurijssens. EURINT Network Project Leader

COUNCIL OF THE EUROPEAN UNION. Brussels, 21 September /09 ASIM 93 RELEX 808

Europe. Eastern Europe South-Eastern Europe Central Europe and the Baltic States Western Europe

Europe. Eastern Europe South-Eastern Europe Central Europe and the Baltic States Western Europe

INVESTING IN AN OPEN AND SECURE EUROPE Two Funds for the period

Prague Process CONCLUSIONS. Senior Officials Meeting

Table Of Content. Outputs... 10

Implementing the CEAS in full Translating legislation into action

Kryzysy migracyjny i uchodźczy w Europie 2014+:

With this, a comprehensive and holistic regional approach can be ensured in the Western Balkans and Turkey.

DG HEALTH AND FOOD SAFETY (DG SANTE)

The release of the full HIP amount is conditional on the payment of Member State contributions to the Facility for Refugees in Turkey in 2019.

Migration Network for Asylum seekers and Refugees in Europe and Turkey

Factual summary Online public consultation on "Modernising and Simplifying the Common Agricultural Policy (CAP)"

REPORT FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE EUROPEAN COUNCIL AND THE COUNCIL. Fifteenth report on relocation and resettlement

EN 1 EN ACTION FICHE. 1. IDENTIFICATION Title/Number. Support to the Libyan authorities to enhance the management of borders and migration flows

DECISION OF THE EUROPEAN PARLIAMENT AND OF THE

EUROPEAN FUND FOR THE INTEGRATION OF THIRD-COUNTRY NATIONALS

REAFFIRMING the fact that migration must be organised in compliance with respect for the basic rights and dignity of migrants,

Equality between women and men in the EU

Health 2020: Multisectoral action for the health of migrants

COUNTRY OPERATIONS PLAN OVERVIEW

Sixth EU Anti-Trafficking Day, 18 October 2012

GUIDELINE 8: Build capacity and learn lessons for emergency response and post-crisis action

Refugee and Migrant Children in Europe

EASO work programme 2016

The EU Adaptation Strategy: The role of EEA as knowledge provider

MOLDOVA: Raising Awareness through Strengthening and Broaden Capacity of the Moldova Red Cross on Combating Trafficking in Persons

COUNTRY OPERATIONS PLAN OVERVIEW

The European Resettlement Network. Complementary Pathways of Admission to Europe for Refugees

REPORT FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE COUNCIL, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE AND THE COMMITTEE OF THE REGIONS

ANALYSIS: FLOW MONITORING SURVEYS CHILD - SPECIFIC MODULE APRIL 2018

Table Of Content. Outputs... 7

Inform on migrants movements through the Mediterranean

Table Of Content. Outputs... 7

International Dialogue on Migration

From principles to action: UNHCR s Recommendations to Spain for its European Union Presidency January - June 2010

Rapporteur: Luis Miguel PARIZA CASTAÑOS

Marrakesh Political Declaration

Context: Position Title : Lead International Consultant

Europe. Eastern Europe South-Eastern Europe Central Europe and the Baltic States Western Europe. Restricted voluntary contributions (USD)

COMMISSION IMPLEMENTING DECISION. of

MIGRANT AND REFUGEE CRISIS IN EUROPE: CHALLENGES, EXPERIENCES AND LESSONS LEARNT IN THE BALKANS

Western Europe. Working environment

Ad-Hoc Query on expenditure of asylum system. Requested by NL EMN NCP on 26 September 2012 Compilation produced on 14 January 2013

List of acronyms CA: ANCI: CEAP: CEAS: DG JHA DG JAI: DG JFS: DG LSJ: DIHR: ECRE: ESF: EURODAC: IOM: NRA: NGO: MPI: ÖIF: TEC: TEU: TEU II UK: UNHCR:

Identification of the respondent: Fields marked with * are mandatory.

Expert Panel Meeting November 2015 Warsaw, Poland. Summary report

WHO S RESPONSIBLE? A TOOL TO STRENGTHEN COOPERATION BETWEEN ACTORS INVOLVED IN THE PROTECTION SYSTEM FOR UNACCOMPANIED MIGRANT CHILDREN

SIRIUS European Policy Network on the Education of Children and Young People with a Migrant Background

DG MIGRATION AND HOME AFFAIRS (DG HOME)

Annual Report The Separated Children in Europe Programme

The Dublin system in the first half of 2018 Key figures from selected European countries

Alternatives to immigration detention in the EU Made Real Newsletter 2: November 2014

EU Funds in the area of migration

BALI PROCESS STEERING GROUP NOTE ON THE OPERATIONALISATION OF THE REGIONAL COOPERATION FRAMEWORK IN THE ASIA PACIFIC REGION

EU Regulatory Developments

Context: Position Title : Lead International Consultant

Capacity Building Support to Border Management and Migration Management

Strengthening of the coordination of emergency humanitarian assistance of the United Nations

ANNEX. to the. Commission Implementing Decision

LSI La Strada International

EMN Ad-Hoc Query on Maximum time limit for applications for family reunification of third-country nationals Family Reunification

UNHCR Europe NGO Consultation 2017 Regional Workshops Northern Europe. UNHCR Background Document

STANDARD TWINNING LIGHT PROJECT FICHE

The role of the European Asylum Support Office (EASO) in the implementation of the Common European Asylum System

European Asylum Support Office

Anna Ludwinek Eurofound (Dublin)

IMMIGRATION IN THE EU

Turkey. Main Objectives. Impact. rights of asylum-seekers and refugees and the mandate of UNHCR.

ESPON 2020 Cooperation. Statement. April Position of the MOT on the EU public consultation of stakeholders on the ESPON 2020 Cooperation

EU MIGRATION POLICY AND LABOUR FORCE SURVEY ACTIVITIES FOR POLICYMAKING. European Commission

Budapest Process 14 th Meeting of the Budapest Process Working Group on the South East European Region. Budapest, 3-4 June Summary/Conclusions

Peer Review: Filling the gap in long-term professional care through systematic migration policies

Table Of Content. Promote Vaccinations among Migrant Populations in Europe... 2 Summary... 3 Coordinator, Leader contact and partners...

COMMISSION STAFF WORKING DOCUMENT. Best practices on the implementation of the hotspot approach. Accompanying the document

Refugee and Migrant Health Workshop 14 th 16 th October 2017 Athens, Greece

Mapping of Law Enforcement Training in the European Union

The agenda was adopted as set out in document CM 4275/1/15 REV 1. Judgment of the General Court in case T-395/13 (Miettinen v Council)

ASYLUM IN THE EU Source: Eurostat 4/6/2013, unless otherwise indicated ASYLUM APPLICATIONS IN THE EU27

EUROPEAN REINTEGRATION NETWORK (ERIN) SPECIFIC ACTION PROGRAM. THE ISLAMIC REPUBLIC OF IRAN (also available in Persian)

Transcription:

Table Of Content Supporting health coordination, assessments, planning, access to health care and capacity building in Member States under particular migratory pressure (SH-CAPAC)... 3 Summary... 4 Work Package... 13 Health Sector Coherence and Coordination... 13 Health Situation and Health Care Assessments... 13 Planning the Implementation of a public health Response... 13 Improving Access to Health Care... 13 Training activities... 13 Coordination of the project... 13 Coordinator, Leader contact and partners... 18 AZIENDA UNITA SANITARIA LOCALE DI REGGIO EMILIA... 18 AZIENDA UNITA SANITARIA LOCALE DI REGGIO EMILIA... 18 TRNAVSKA UNIVERZITA V TRNAVE... 18 TRNAVSKA UNIVERZITA V TRNAVE... 18 TRNAVSKA UNIVERZITA V TRNAVE... 18 UNIVERSITEIT GENT... 18 UNIVERSITEIT GENT... 18 UNIVERSITEIT GENT... 18 UNIWERSYTET JAGIELLONSKI... 18 UNIWERSYTET JAGIELLONSKI... 18 UNIWERSYTET JAGIELLONSKI... 18 UNIWERSYTET JAGIELLONSKI... 18 KOBENHAVNS UNIVERSITET... 18 KOBENHAVNS UNIVERSITET... 18 KOBENHAVNS UNIVERSITET... 18 KOBENHAVNS UNIVERSITET... 18 KOBENHAVNS UNIVERSITET... 18 Academisch Medisch Centrum bij de Universiteit van Amsterdam... 18 Academisch Medisch Centrum bij de Universiteit van Amsterdam... 18 Outputs... 22 Reports on technical advice missions to seven countries to support coordination and coherence... 22 Report on technical advice missions to seven countries to support needs assessments at country level... 22 Reports on technical advice missions to seven countries to support action planning at country level... 22 Report on combined WP4 and WP5 workshop (improving access component)... 22 Design of a training programme on the health response to refugees, asylum seekers and other migrants for health managers, health professionals and administrative staff.. 22 Report on Training of Trainers workshop to discuss the adaptation of the training materials and strategy to national and subnational situations... 22 Report on design, development and evaluation of the online training course... 22 Final technical and financial report as well as a layperson version for dissemination of the project s products... 22 Page 1/26

Report on the combined regional WP2 and WP3 workshop (needs assessment component ), including the final version of the Guide for Assessing Health Needs and Health Protection Resources... 22 Report on the combined regional WP2 and WP3 workshop (action planning component), including the final version of the Guide for Formulating Action Plans... 22 Resource package on ensuring access to health care... 22 Work plan of the project (including design of a web site and communication platform).. 22 Interim technical report... 22 Report on the workshop for the framework for national and regional coordination and coherence (including the final version of the framework)... 22 Page 2/26

Supporting health coordination, assessments, planning, access to health care and capacity building in Member States under particular migratory pressure (SH-CAPAC) JA2015 - GPSD [705038] START DATE: 01/01/2016 END DATE: 31/12/2016 DURATION: 12 month(s) CURRENT STATUS: Finalised PROGRAMME TITLE: 3rd Health Programme (2014-2020) PROGRAMME PRIORITY: - CALL: Support Member States under particular migratory pressure in their response to health related challenges TOPIC: Support Member States under particular migratory pressure in their response to health related challenges EC CONTRIBUTION: 537044.34 EUR KEYWORDS: Capacity Building, Cross Border Health, Health Assessment, Health Care, Health Inequities, Institutional, Interinstit. And Intl Coordination, Refugees And Other Migrants, Strengthening Health Systems Page 3/26

SUMMARY Project abstract The general objective of the project is to support EU Member States (MS) under particular migratory pressure in their response to health related challenges. Specific objectives of the project are to support MS s coordination, assessments, planning of a public health response, fostering access to health care and capacity building efforts through training of health workers. Target countries are Bulgaria, Croatia, Greece, Hungary, Italy, Romania, Slovakia, Slovenia (first arrival and transit countries); Austria, Belgium, Denmark, France, Germany, Malta, Sweden, The Netherlands (traditional destination countries); and Portugal, Poland, Spain (new destination countries). The ultimate beneficiaries are registered and unregistered refugees asylum seekers and other migrants, while direct beneficiaries are the health systems of each EU MS and their health workers. The project will contribute to meeting the objectives and priorities of the Annual Work Programme 2015. SH-CAPAC is being submitted by 7 European health institutions, 6 of them have developed the EU-funded MEM-TP project under the same lead institution (EASP, Spain). The partners will function as a collective entity for developing the necessary instruments and tools through a division of labour; carrying out regional advocacy and capacity building activities; conducting site visits to target countries for specific technical assistance; coordination activities with national health authorities and other relevant national stakeholders as well as with relevant international organisations and the EU. The project comprises 6 WP -including different tools and instruments to be developed- which are organized as a set of processes that will be structured as complementary, intertwined and synergistic streams of work, mutually reinforcing each other. They are intended primarily to support MS to strengthen their health systems for addressing the health needs of the refugee, asylum seekers and other migrant populations. Summary of context, overal objectives,strategic, relevance and contribution of the action In light of the increased migratory influx into the European Union, the European Commission decided to provide support from the Health programme to organisations able to quickly support Member States under particular migratory pressure to rapidly respond to possible health threats. It was also deemed as necessary to support public health capacity-building and develop appropriate tools, as well as increase access to medical expertise and information to support Member States to deliver the necessary health care. CHAFEA and a consortium of seven European institutions, coordinated by the Escuela Andaluza de Salud Pública (EASP), signed a grant agreement for a oneyear action on December 2015. The action was called Supporting heath coordination, assessments, planning, access to health care and capacity building in Member States under particular migratory pressure (SH-CAPAC). Page 4/26

The grant was awarded under an EC emergency call for proposals in response to the refugee situation in Europe. The initiative began on 1 January 2016 and was scheduled to last 12 months. It was completed on 31 December 2016. The other consortium members have been Azienda Unita Sanitaria Locale di Reggio Emilia in Italy, Trnava University in Slovakia, University of Ghent in Belgium, Jagiellonian University in Poland, Copenhagen University in Denmark and Academic Medical Centre of the University of Amsterdam. The general objective of the project was to support Member States under particular migratory pressure in their response to health related challenges. This support was particularly geared to build and strengthen capacities among relevant stakeholders in the 19 target Member States covered by the project so they can attain an effective coordination of the health response, undertake population based needs assessments, develop action plans and contingency plans for improving the health response, identify and reduce access barriers for the vulnerable populations and train health workers, health managers and other professionals on the necessary skills and competences for improving the health response to refugees, asylum seekers and other migrants as well as for providing migrants and refugee s sensitive health care. Methods and means The EASP has been responsible for planning, monitoring and evaluation of the project activities in close consultation with each partner, as well as for reporting to the European Commission on progress attained and the final results obtained. The partners that constitute the consortium for the implementation of the project SH-CAPAC have functioned as a collective entity for: a. Developing the necessary instruments and tools through a division of labour among the members of the consortium. b. Carrying out regional advocacy and capacity building activities (seminars and workshops), organized by the members of the consortium with the participation of relevant stakeholders in each of the target countries. c. Conducting site visits to those target countries, which are interested in receiving technical assistance from the consortium to develop country specific activities within the scope of the project. d. Coordinate with the national health authorities in the target countries, as well as with other relevant national stakeholders (i.e. Red Cross and NGOs) involved in responding to the health needs of the refugee population. e. Coordinate with the international organizations working to respond to health needs of refugees, asylum seekers and other migrants in the target countries, especially WHO, IOM, UNHCR, OCHA and the different relevant actors of the European Commission. f. Coordinate with other grantees under this call for optimisation and Page 5/26

coordination of resources and impact. Work performed during the reportingperiod The activities, distributed into six Work Packages, have been to develop framework and tools, carry out regional training and dissemination of workshops, offer technical assistance through country missions, carry out regional advocacy and capacity building activities, conducting visits to target countries and coordinate with national health authorities and international organizations. An organisational framework was established to carry out the project, which included mainly a Steering Committee, a Project Director and a Technical Secretariat. The first task was to draw up the Manual of Rules and Procedures (including the Communication Plan), which, within the framework of the general rules applicable to the action, clarified and established the processes and procedures to follow to carry out the range of activities envisaged in the proposal. In the framework of WP 6, an inception and coordination meeting of the SH- CAPAC project was held on January 14, 2016 in Granada, Spain. A meeting with international stakeholders, who are part of the health response to refugees, asylum seekers and other migrants, was held back to back with the inception and coordination meeting on January 15, 2016. It included representation from CHAFEA, IOM, WHO and ECHO. Furthermore, an internal consortium meeting of all Consortium members was held in Trnava, Slovakia, on April 8, 2016. This internal workshop permitted cross-fertilisation between the different work packages. It also facilitated the review of the different deliverables to ensure a cohesive approach to the SH_CAPAC activities and products. The action, divided into 6 work packages, comprised 14 deliverables as well as 25 milestones. During the execution of the project and following recommendations from CHAFEA, the language of the original deliverables and milestones were slightly adjusted to better reflect the exact nature of the work that was being conducted. Some adjustments in the due dates of the deliverables and milestones, resulting from the need for incorporating the rich feed-back received from target Member States in the multiple consultations, were introduced as well. No new deliverables nor milestones were added and the scope and nature of the deliverables and the milestones remained unchanged. These modifications were incorporated in the amendment (AMD-717275-1) to the Grant Agreement. Page 6/26

In addition to the above-mentioned meetings, three specific workshops have been held in Ghent, Copenhagen and Bologna in the framework of the activities and products foreseen in WP 1 to 5. These workshops have been further useful to disseminate the SH-CAPAC project, highlight the need to intensify coordination of all health actors as well as to discuss and gather feedback and inputs related to the different Guides, Frameworks and other relevant documents. In relation to the training activities, a regional workshop on implementing a training strategy for the development and strengthening of refugee/migrant sensitive health services and adapting training materials to national, regional and local contexts was held in Granada, Spain, on 15-16 September 2016. The online training course took place from 20th October 30th November. Initially, seven country support missions were foreseen. Unfortunately time restrictions as well as last minute cancellation of the mission in December to Portugal only permitted the completion, of a total of six missions to Bulgaria; the South-Aegean region, Greece; the Catalonian Region, Spain; Slovakia; the Andalusian Region, Spain and Greece. The six missions to Member States were carried out for introducing, disseminating and discussing the frameworks, methodologies and tools developed. They allowed for discussions with multiple national and local stakeholders involved in the health response to refugees, and an exploration of possibilities for improving coordination and coherence in the response. The main output achieved so far and their potential impact and use by target group (including benefits) The following paragraphs offer a summary by Work Package of the salient aspects of each stream of work, of the planned meetings organised and of the deliverables produced between January and December 2016 Work package 1: Health sector coherence and coordination 1. Report on the workshop for the framework for national and regional coordination and coherence. 2. Coordination Framework for addressing the health needs of the recent influx of refugees, asylum seekers and other migrants into the European Union countries. It was used in the country support missions and has been disseminated in all the SH-CAPAC workshops as well as in the on-line training course. 3. Mapping of the response to the health needs of refugees, asylum seekers Page 7/26

and other migrants: 19 Country Profiles were completed (Belgium, Bulgaria, Croatia, Denmark, Greece, Malta, Netherlands, Poland, Portugal, Romania, Slovakia and Sweden as well as draft versions for Austria, France, Germany, Hungary, Italy and Slovenia). 4. Umbrella document that provides background information on the health response to the recent migratory influx into the EU. It draws preliminary conclusions from the mapping has been produced. 5. Reports on 6 country support missions. Work package 2: Health situation and health care assessments 1. Report on the combined regional WP2 and WP3 workshop (needs assessment component). 2. Guide for Assessing Health Needs and Health Protection Resources. 3. Reports on 6 country support missions. Work package 3: Planning the implementation of a public health response 1. Report on the combined regional WP2 and WP3 workshop (action planning component). 2. Guidelines for the development of Action Plans for implementing a public health response and strengthening health systems in order to address the needs posed by the influx of refugees, asylum seekers and other migrants. 3. Report on 6 country support missions. Work package 4: Improving access to health care 1. Resource package for ensuring access to health care of refugees, asylum seekers and other migrants in the European Union countries. It identifies a series of barriers for accessing health care, and formulates recommendations to overcome those barriers. The Resource Package is based on a large number of interviews and focus groups, conducted in several project target countries. 2. Report on combined WP4 and WP5 workshop (improving access component). Work package 5: Training activities 1. Design of a training strategy and a on the health response to refugees, asylum seekers and other migrants. 2. Report on Training of Trainers workshop for discussing the adaptation of the training materials and strategy to national and subnational situations. 3. Report on design, development and evaluation of the online training course. Work package 6: Coordination of SH-CAPAC 1. Work plan of the project (including design of a web site and communication platform). 2. Report of the inception and coordination meeting (Granada, 14th January 2016). Page 8/26

3. Report of the meeting with international stakeholders (Granada, 15th January 2016). 4. Manual on Rules and Procedures, including a Communication Plan. 5. SH-CAPAC brochure. 6. Interim Technical Report. 7. Final Technical and Financial Report. 8. Laymen Report. The above mentioned products are available on the SH-CAPAC webpage (www.easp.es/sh-capac). In terms of the potential impact and use by the target group it is important to highlight the following aspects. All the activities of the project were directed to support Member States, in close collaboration with WHO, IOM, UNHCR, and the Commission in the establishment of national and international health sector coordination mechanisms for implementing a coherent and consolidated national and international response to the health needs of the refugee asylum seekers and other migrants population especially in Member States of the Western Balkans route and of the Mediterranean coast subject to an inc Achieved outcomes compared to the expected outcomes 1.- Coordination platforms for implementing a coherent national and international response to meet the health needs of the refugees, asylum seekers and other migrant s population established. The 6 missions conducted in Bulgaria, Greece (2), Spain (2) and Slovakia to introduce, disseminate and discuss the elaborated Coordination Framework allowed for discussions with multiple national and local stakeholders involved in the health response to refugees, and an exploration of possibilities for improving coordination and coherence in the response. In addition to the Coordination Framework, the following supporting documents have been elaborated: 19 Country Profiles and an Umbrella Document, which provides background information. Time restrictions as well as last minute cancellation of the mission in December to Portugal only permitted the completion of a total of six missions, instead of the 7 foreseen. 2.- Assessments of health challenges posed by the massive refugee flow and of the health care response and public health interventions needed for the refugee refugees, asylum seekers and other migrants population Page 9/26

conducted in at least 8 affected countries The 6 missions conducted in Bulgaria, Greece (2), Spain (2) and Slovakia to introduce, disseminate and discuss the elaborated Guide for Assessment of Health Needs and Health Protection Resources allowed for discussions with multiple national and local stakeholders involved in the health response to refugees, and discussed the possibilities for applying the Guidelines for conducting population based assessments on the health situation of and health response to refugees, asylum seekers and other migrants. Time restrictions as well as last minute cancellation of the mission in December to Portugal only permitted the completion of a total of six missions, instead of the 7 foreseen. 3.- Action plans to implement a public health response and strengthen a country s health system in order to address the needs posed by the refugees, asylum seekers and other migrants influx formulated in at least 8 affected countries The 6 missions conducted in Bulgaria, Greece (2), Spain (2) and Slovakia to introduce, disseminate and discuss the elaborated Guidelines for the Development of Action Plans for Implementing a Public Health Response and to strengthen Country s Health Systems to address the needs posed by the influx of refugees, asylum seekers and other migrants allowed for discussions with multiple national and local stakeholders involved in the health response to refugees, and discussed the possibilities for applying the Guidelines for developing contingency plans to respond to the health needs of refugees, asylum seekers and other migrants. Time restrictions as well as last minute cancellation of the mission in December to Portugal only permitted the completion of a total of six missions, instead of the 7 foreseen. 4.- Resource package containing tools and measures The Resource Package for ensuring access to health care of refugees, asylum seekers and other migrants in the European Union countries has been developed. Even though this was not a deliverable as such, the six missions conducted to Countries and Regions were used to introduce, disseminate and discuss this Resource package. 5.- Framework developed by the consortium for a migrant-sensitive health care delivery model to be implemented in entry, transit and destination countries and 240 health workers of health districts with a high case load of refugees in at least 8 target countries trained. Page 10/26

A training strategy was developed, circulated and discussed in several workshops. A Training of Trainers workshop was conducted in Granada, Spain, from September 15 to 16, 2016 to discuss the adaptation of the training materials and the training strategy to the national and regional situations in targeted Member States, as well as the proposed outline and contents of the online training course. The online training co Dissemination and evaluation activitiescarried out so far and their major results 1. Health coordination mechanism Health coordination mechanism should bring together all stakeholders involved in the health response to the recent influx of refugees, asylum seekers and other migrants in order to coordinate their actions in a more efficient way. This involves national partners (public services and non-public sector, including NGO s and civil society) as well as international partners. It is highly recommended to encourage a participatory approach and to include representatives of migrant groups in the health coordination mechanism. Due to variations in the context, scale and complexity of the problem across the European countries, flexibility in the application of the health coordination framework is highly recommended (adaptation to country-specific context/sitituation). There is a need for ensuring that the national and local efforts directed at responding to the health needs of migrant populations fit well into the national health system. Also, for other forms of (sub) national coordination. Adequate communication to internal and external stakeholders is of paramount importance. Communication should be aimed at a wider audience, internally (such as line ministries) but also externally at the media and the public. It should be reported in an appropriate language and highlight positive aspects of the interventions that may benefit the general population. The information should also be aimed at the political level advocating for an integrated health response. This is particularly important in destination countries, as strong evidence needs to be presented to decision makers. 2. Assessing health needs and health protection resources Need for strong partnership among different actors in order to better develop health needs assessments and implement an adequate response. Furthermore, it is necessary to reflect the multiplicity of the challenges across Europe and to account for the different scenarios of migration: 1) first arrival to Europe/ transit and 2) settlement. Special attention has to be given to vulnerable groups such as unaccompanied Page 11/26

minors, pregnant women, elderly and undocumented migrants. It has been regarded as essential to incorporate 3 tools: 1) Socio-demographic overview 2) Contextual needs and resource identification 3) Resource mapping and monitoring 3. Guide for development of action plans It is very difficult to predict all possible scenarios in all countries. For that reason, there is a need for a very flexible and simple tool/guide for rapid action taking into account time, type of country and characteristics of the migrants. Contingency planning is essential in order to be prepared for a possible increased influx. It is important to have in mind the different types of migrants (economic migrants, documented/undocumented, refugees) as well as of the resources available. Inter-sectoral approach and international coordination is crucial. There is also a need to cover different levels (local and national levels). There is a need to place greater attention to the living conditions in camps as important determinants of health. 4. Resource Package Health needs experienced by people during the migratory trajectory call for an intersectional approach in each phase. Each phase of the migratory route (arrival, transit, and destination) has its peculiar challenges. There is a need to carry out changes in the administrative procedures, the information for migrants and staff on the rights to health care, and the advocacy actions to drive national governments. Interpretation of legislation in situations of big influx of migrants should be relaxed. It is necessary to consider the impact of policies of relocation, in particular, it is important to provide support to healthcare providers for asylum seekers who are in transit; this might require, for instance, that patient information is appropriately recorded and made available to the new provider. It is essential to undertake large num Page 12/26

Work package Work Package 1: Health Sector Coherence and Coordination Start month: 1 End month: 12 Work Package Leader: EASP 1. Organise one regional workshop in Ghent (Belgium) with representatives from the National Governments of target countries, IOM, OCHA. UNHCR, WHO and EU to define a framework for effective health sector coordination for addressing the needs of the refugee asylum seeker and other migrant s population in target countries. 2. Carry out policy advice missions by members of the Consortium to target countries for establishing health sector coordination mechanisms. 3. Set in motion coordination platforms in target countries for implementing a coherent national and international response to meet the health needs of the refugee asylum seeker and other migrant s population. 4. Provide technical advice to Member States coordination platforms throughout the year to help them improve their operations. Work Package 2: Health Situation and Health Care Assessments Start month: 1 End month: 12 Work Package Leader: UCPH Support Member States in the analysis of health challenges and unmet health needs, posed by the massive refugees, asylum seekers and other migrants flow, as well as in conducting periodic assessments of the health care response and public health interventions needed by the refugees, asylum seekers and other migrants population transiting or staying in the affected territories. The activities of this work package will take stock of other efforts from WHO,IOM,ECDC and other EC sponsored initiatives to ensure that there is no duplication of efforts. 1.- Develop and pilot test a rapid assessment framework for diagnosing unmet health needs and gaps in access to health services. 2.- Convene a regional training workshop in Copenhagen on the rapid assessment framework, with the presence of approximately 30 relevant stakeholders operational in all target countries (Governments, Red Cross and NGOS). Provide technical advice to the conduct of assessments of health challenges posed by the massive refugees, asylum seekers and other migrants flow, and of the health care response and public health interventions needed by the refugees, asylum seekers and other migrants population. Page 13/26

Work Package 3: Planning the Implementation of a public health Response Start month: 1 End month: 12 Work Package Leader: TU Activities in support of Member States in the the development of action plans for the implementation of a public health response and the reinforcement and strengthening of their health systems to the challenges posed by the massive refugees, asylum seekers and other migrants influx. The specific activities encompass: 1. Develop and pilot test a framework for the development of action plans to implement a public health response and to strengthen a country s health system in order to address the needs posed by the refugees, asylum seekers and other migrants influx. 2. Convene a combined WP2 and WP* regional training workshop in Copenhagen including contents on the rapid assessment framework for development of action plans, with the presence of approximately 30 relevant stakeholders operational in all affected countries (governments, Red Cross and NGOs). 3. Formulate action plans for strengthening a country s health system in order to address the needs posed by the refugees, asylum seekers and other migrants influx in target countries. Work Package 4: Improving Access to Health Care Start month: 1 End month: 12 Work Package Leader: AUSL RE Support MS to improve access to health care and continuity of care of refugees, asylum seekers and other migrants along the whole migration journey, from landing and border countries to intermediate areas of reception (hubs /hotspots), to regions/countries of destinations. This action aims to ensure emergency as well as routine treatment by facilitating access to mainstream services, to primary care services and ancillary services addressing specific refugees, asylum seekers and other migrants needs. It also aims to ensure the entitlement to health care for failed asylum seekers. These aims will be achieved through the development of a resource package based on available evidence and expertise (e.g. Mipex; Equity standards, Health Information Assessment Tool for Asylum Seekers,) involving networks, IOs and NGOs active in the field, such as, TF MFH, ADAPT, IOM, MdM, etc. The objectives of the resource package are to: 1. Provide a framework and outline steps for improving access to health care for refugees, asylum seekers and other migrants. Page 14/26

2. Provide evidenced tools and measures and other resources that can support MS in the implementation of organisation, information and communication interventions. Two areas of interventions are particularly relevant: - Improving information and communication in critical settings of reception, by strengthening information methods and tools addressed at refugees and using interpreters and other mediation professionals, such as community health educators, link workers, and intercultural mediators. Furthermore, it is also important to improve the flow of information between different levels of reception centres, as well as between transition countries/regions and countries /regions of destination. - Improving the knowledge and skills of interdisciplinary teams and sectors at various level (national/regional/local) in developing integrated strategies and interventions to ensure access to health care for refugees, asylum seekers and other migrants. This goal will be achieved by implementing training workshops addressed to national/regional experts and experts of NGOs and IOs based on the MEM-TP experience so they can make use of the resource package. Particularly important will be the module on knowledge application in order to promote coordination and the development of integrated strategies to respond to refugees' needs. Work Package 5: Training activities Start month: 2 End month: 12 Work Package Leader: EASP Target groups: Health managers including hospital with a high case-load of refugees; Health professionals within the regular health services National and regional health authorities Activities: 1. One combined WP5 and WP6 workshop to be held in Bolonia ) for health managers with a high caseload of refugee population on the refugee/migrant sensitive health care delivery model convened with the presence of relevant stakeholders in all affected countries. 2. Adapt available, relevant training materials from the MEM-TP, MigHealthnet and Semperforte projects, focusing on health care for refugees and Specific Health Concerns, such as sexual and reproductive health (SRH) and sexual violence (SV). 3. Reinforcing contents on SRH and SV as vital elements in the health status reports. SV is a specific reason for claiming asylum and as in international humanitarian crisis settings; they are considered priority health concerns which requires specific screenings and interventions. 4. Design a 30 hours virtually conducted training course for health managers and health professionals as well as national and regional health authorities in the target countries. Making use of virtual platforms as Moodle enables networking, share in forums and create websites containing educational resources and resources for the professionals own work. It will include a "resource bank" of references and links (in Page 15/26

different countries and languages) to support the training content. Contents must be adaptable to the national / local reality and specific needs. The learning activities will be: Theoretical presentations and discussions in forum; Analysis of practical cases and role playing (exposed in video); Individual exercises and exercises in small groups; Sharing experiences, analysis of barriers and opportunities by means of forums. 5. Develop a training strategy consistent with national training plans. It will include both an Evaluation plan and a Dissemination plan. 6. A training of trainers (ToT) workshop will be organised in English, in Granada (Spain) by June 2016, to train national trainers who will support the piloting at a national level. The course will have a blended learning format. It will consist of 10 hours of face-to-face training and 20 hours of virtual training. Selection of the participants will be done in collaboration with the Health authorities from the participating Member States. The main learning objectives of the ToT strategy are to provide knowledge regarding specific issues on refugees and other migrants; and to develop training skills and techniques on a virtual course format. This training will be supported by the virtual platform on Moodle with all the necessary tools to provide effective training (complementary lectures, monitoring exercises, knowhow exchange forums) along with teaching tools which are most used in the best evaluated teaching programs in the European context, to deliver a training session on virtual format (teaching guides, audio-visual materials, power point presentations). 7. Implement the online training course for health managers and health professionals as well as national and regional health authorities in the target countries (July to September 2016). It will include the evaluation of the training needs and the training outcomes adapting the MEM-TP assessment tools. 8. Evaluate the training development and outcomes. Work Package 6: Coordination of the project Start month: 1 End month: 12 Work Package Leader: EASP Activities to manage the project, make sure that it is implemented as planned, report on progress attained and assess the attainment of the final results. The EASP will be responsible for planning, monitoring and evaluation of the project activities in close consultation with each partner, as well as for reporting to the European Commission on progress attained and the final results obtained. Once the project is approved, a one-day coordination meeting with all the partners will be convened in Granada, Spain. In this meeting, tentatively planned for early January 2016, the detailed planning will be completed, and the detailed timelines of Page 16/26

each WP prepared and coordinated. Another one-day coordination meeting, back to back with the previous one, will be held with IOM, WHO, UNHCR, OCHA and EU to identify possible synergies with their activities and other projects approved under this call. A communication plan, both including internal and external aspects, will be elaborated within 30 days after signature of the grant agreement. This plan will include short key elements of the project (goals, strategy, expected results, etc.) as well as information regarding the actions, instruments and tools to be developed in order to meet the projects objectives and results (including visibility aspects). A short meeting with the participation of all the partners will be convened in Slovakia in April. 2016 for sharing among the members of the Consortium all instruments developed and for ensuring, coherence and coordination A permanent coordination platform will be put in place through periodic teleconferences, a common repository of information a project webpage. And quarterly monitoring progress and reporting. The initial kick-off and detailed planning meeting will contribute to this purpose. EASP as coordinator of the project will implement these activities and will ensure that the coordination platform is in place. Page 17/26

COORDINATOR, LEADER CONTACT AND PARTNERS COORDINATOR ESCUELA ANDALUZA DE SALUD PUBLICA SA (EASP) CUESTA DEL OBSERVATORIO 4 18011 GRANADA Spain WEBSITE: http://www.easp.es Project leader contact Name: MARCH CERD JOAN CARLES Email: joancarles.march.easp@juntadeandalucia.es Phone: PARTNERS AZIENDA UNITA SANITARIA LOCALE DI REGGIO EMILIA Street: Via Amendola 2 City: 42122 Reggio Emilia Country: Italy AZIENDA UNITA SANITARIA LOCALE DI REGGIO EMILIA Street: Via Amendola 2 City: 42122 Reggio Emilia Country: Italy TRNAVSKA UNIVERZITA V TRNAVE Street: Priemyselna 4 City: 91843 TRNAVA Country: Slovakia Page 18/26

TRNAVSKA UNIVERZITA V TRNAVE Street: Priemyselna 4 City: 91843 TRNAVA Country: Slovakia TRNAVSKA UNIVERZITA V TRNAVE Street: Priemyselna 4 City: 91843 TRNAVA Country: Slovakia UNIVERSITEIT GENT Street: SINT PIETERSNIEUWSTRAAT 25 City: 9000 GENT Country: Belgium UNIVERSITEIT GENT Street: SINT PIETERSNIEUWSTRAAT 25 City: 9000 GENT Country: Belgium UNIVERSITEIT GENT Street: SINT PIETERSNIEUWSTRAAT 25 City: 9000 GENT Country: Belgium UNIWERSYTET JAGIELLONSKI Street: Ul. Golebia 24 City: 31007 KRAKOW Country: Poland Page 19/26

UNIWERSYTET JAGIELLONSKI Street: Ul. Golebia 24 City: 31007 KRAKOW Country: Poland UNIWERSYTET JAGIELLONSKI Street: Ul. Golebia 24 City: 31007 KRAKOW Country: Poland UNIWERSYTET JAGIELLONSKI Street: Ul. Golebia 24 City: 31007 KRAKOW Country: Poland KOBENHAVNS UNIVERSITET Street: Universitetsparken 1 City: 2100 KØBENHAVN Country: Denmark KOBENHAVNS UNIVERSITET Street: Universitetsparken 1 City: 2100 KØBENHAVN Country: Denmark KOBENHAVNS UNIVERSITET Street: Universitetsparken 1 City: 2100 KØBENHAVN Country: Denmark Page 20/26

KOBENHAVNS UNIVERSITET Street: Universitetsparken 1 City: 2100 KØBENHAVN Country: Denmark KOBENHAVNS UNIVERSITET Street: Universitetsparken 1 City: 2100 KØBENHAVN Country: Denmark Academisch Medisch Centrum bij de Universiteit van Amsterdam Street: MEIBERGDREEF 9 City: 1100DD AMSTERDAM Country: Netherlands Academisch Medisch Centrum bij de Universiteit van Amsterdam Street: MEIBERGDREEF 9 City: 1100DD AMSTERDAM Country: Netherlands Page 21/26

OUTPUTS Reports on technical advice missions to seven countries to support coordination and coherence EASP Published on: 02/07/2018 Report about missions for policy advice Report on technical advice missions to seven countries to support needs assessments at country level UCPH Published on: 02/07/2018 Reports about seven country missions for advice on assessments of health challenges posed by the massive refugee flow, and of the health care response and public health interventions needed for the refugee population. Reports on technical advice missions to seven countries to support action planning at country level TU Published on: 02/07/2018 Reports on seven country missions to advice on action plans for strengthening country s health systems to address the needs posed by the refugees, asylum seekers and other migrants influx formulated. Page 22/26

Report on combined WP4 and WP5 workshop (improving access component) AUSL RE Published on: 04/05/2018 Combined WP4 and WP5 Workshop programme to disseminate the resource package and addressing the type of targeted countries, involving relevant actors at national/regional/local level and including adoption of measures and tools in each country. Design of a training programme on the health response to refugees, asylum seekers and other migrants for health managers, health professionals and administrative staff EASP Published on: 04/05/2018 Training programme, content and planning for Health managers, health care providers and other professionals to improve access and quality of health services for migrants with special focus on refugees, asylum seekers and other migrants, available on the project website. Report on Training of Trainers workshop to discuss the adaptation of the training materials and strategy to national and subnational situations EASP Published on: 04/05/2018 Report on a regional workshop for finalizing the design of the SH-CAPAC online training course and for adapting to national and subnational realities the proposed training strategy and course contents. Page 23/26

Report on design, development and evaluation of the online training course EASP Published on: 04/05/2018 Report on the design, development and evaluation of the training course. Final technical and financial report as well as a layperson version for dissemination of the project s products EASP Published on: 04/05/2018 This report describes the project implementation and the results achieved. The deliverables will be attached. Report on the combined regional WP2 and WP3 workshop (needs assessment component ), including the final version of the Guide for Assessing Health Needs and Health Protection Resources UCPH Published on: 08/02/2018 Rapid assessment framework for diagnosing unmet health needs and gaps in access to health services and on regional training workshop (WP2 and WP3 workshop). Report on the combined regional WP2 and WP3 Page 24/26

workshop (action planning component), including the final version of the Guide for Formulating Action Plans TU Published on: 08/02/2018 Framework for the development of action plans to strengthen a country s health system in order to address the needs posed by the refugees, asylum seekers and other migrants influx developed and pilot tested and on regional training workshop (WP2 and WP3 workshop). Resource package on ensuring access to health care AUSL RE Published on: 08/02/2018 Resource package to improve access to health care for refugees, asylum seekers and other migrants containing recommendations and action guides. Work plan of the project (including design of a web site and communication platform) EASP Published on: 08/02/2018 Detailed work plan of the project. Interim technical report EASP Published on: 08/02/2018 This report describes the mid-term project implementation and the results Page 25/26

Powered by TCPDF (www.tcpdf.org) achieved. Report on the workshop for the framework for national and regional coordination and coherence (including the final version of the framework) EASP Published on: 02/02/2018 Framework for national and regional coordination and coherence of health sector activities addressing the needs of the refugee asylum seeker and other migrant s population. Page 26/26