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II RCM Workshop on Temporary Foreign Worker Programmes (TFWP): An Intra-regional or “South-South” Approach Santo Domingo, Dominican Republic April 28-29, 2011. SECRETARIAT OF HEALTH GENERAL DIRECTORATE OF INTERNATIONAL RELATIONS. TEMPORARY AGRICULTURAL WORKER PROGRAMME (PTAT) - PowerPoint PPT Presentation
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II RCM Workshop on Temporary Foreign Worker Programmes (TFWP):
An Intra-regional or “South-South” Approach
Santo Domingo, Dominican RepublicApril 28-29, 2011
SECRETARIAT OF HEALTHGENERAL DIRECTORATE OF INTERNATIONAL RELATIONS
TEMPORARY AGRICULTURAL WORKER PROGRAMME
(PTAT) MEXICO – CANADA
Soila Meneses PadillaSub-Director for Management and Support of
the Health of Migrants
CONTENTS
1. PARTICIPATION OF THE HEALTH SECRETARIAT IN PTAT
2. MEDICAL EXAMINATION
3. REPATRIATION OF WORKERS DUE TO HEALTH ISSUES
4. NEW MEDICAL EXAMINATION FORMAT
5. NATIONAL HEALTH CARD
6. HEALTH INSURANCE FOR WORKERS AND THEIR FAMILIES
• In 1994 Citizenship and Immigration Canada (CIC) requested medical reports
• With the objective of assessing if the health of the worker is optimal for agricultural work
•The primary reason was that the incidence of tuberculosis is higher in Mexico than in Canada (14 out of every 100,000 persons in Mexico and 4 out of every 100,000 persons in Canada)
• In that same year, the Health Secretariat began preparing medical reports through the Health Services of the Federal District
1. THE HEALTH SECRETARIAT AND PTAT
2. MEDICAL EXAMINATIONDecentralization of Health FacilitiesState Name of Health Facility Began in
Federal District C. S. Domingo Orvañanos C. S. José María RodríguezC. S. Soledad Orozco de Ávila CamachoC. S. Atanasio Garza RíosC. S. Manuel Domínguez
1994
State of Mexico Hospital General Nicolás San JuanHospital General Fernando Quiroz de Xico
June 2003 March 2004
San Luis Potosí Centro de Salud Juan H. Sánchez June 2003Tlaxcala Centro de Salud Urbano de Tlaxcala
Hospital General de TlaxcalaJan. 2005 Jan. 2005
Jalisco Centro de Salud No. 4 Yugoslavia June 2005Oaxaca Hospital General Aurelio Valdivieso
Centro de Salud Urbano No. 1Oct. 2005 Oct. 2005
Puebla Centro de Salud No. 2 Oct. 2005
Yucatán Hospital General O’Horan Oct. 2005
Michoacán Hospital General Miguel Silva Sept. 2009Guanajuato Hospital Regional de Salvatierra
Hospital Regional de Pénjamo Sept. 2009 Sept. 2009
Hidalgo Centro de Salud Jesús del RosalHospital General de Pachuca
June 2010June 2010
Morelos Hospital de la Mujer en Yautepec, Morelos July 2010
Querétaro Centro de Salud Urbano August 2010 Veracruz Hospital de Poza Riza
Hospital Regional de CoatzacoalcosHospital Regional de Río BlancoHospital R. de Alta Especialidad en Ver.
Sept. 2010Sept. 2010Sept. 2010Sept. 2010
Medical Reports Prepared in 2010
State Name of Health Facility No. of Medical Reports
Federal District
C. S. Domingo Orvañanos C. S. José María RodríguezC. S. Soledad Orozco de Ávila CamachoC. S. Atanasio Garza RíosC. S. Manuel Domínguez
7172,1798229031,268
State of MexicoHospital General Nicolás San JuanHospital General Fernando Quiroz de Xico
869567
San Luis Potosí Centro de Salud Juan H. Sánchez 519
TlaxcalaCentro de Salud Urbano de TlaxcalaHospital General de Tlaxcala
668859
Jalisco Centro de Salud No. 4 Yugoslavia 612
OaxacaHospital General Aurelio ValdiviesoCentro de Salud Urbano No. 1
929803
Puebla Centro de Salud No. 2 740
Yucatán Hospital General O’Horan 765
Michoacán Hospital General Miguel Silva 619
GuanajuatoHospital Regional de SalvatierraHospital Regional de Pénjamo
335812
Morelos Hospital de la Mujer en Yautepec, Morelos 40
Total number of medical reports 9,137
3. REPATRIATION OF WORKERS DUE TO HEALTH ISSUES
ConsulatesNo. of
Repatriated Workers
Cases served by SSA
Alberta 2
Leamington, ON 5
Quebec 13
Ontario 1 1 28/Aug/2010
British Columbia 12 1 29/Sept/2010
TOTAL 33 2
Workers at the Toronto Airport, returning to Mexico
A “farm” and crops covered with plastic in Saskatoon
September 1, 2010
New health form and National Health Card for Women and
Men
Department of Citizenship and Immigration of Canada
No medical examination is required for temporary
residents (Mexican visitors, students, and temporary
workers)
4. New Medical Examination Format
Cause Rate1 Heart disease 86.92 Diabetes mellitus 70.93 Malignant tumours 62.94 Accidents 36.45 Liver disease 29.66 Cardiovascular diseases 28.4
7 Chronic obstructive lung diseases, except for bronchitis, bronchiectasis, emphysema, and asthma
15.5
8 Certain diseases originating in the perinatal period
13.8
9 Aggression (homicide) 13.110 Pneumonia and influenza 12.6
Primary Causes of General Mortality in Mexico
Source: Secretariat of Health/General Directorate of Health Information
Legal Framework
General Health Legislation (Mexico)
International Health Regulations, World Health Organization, 2005
Objectives
To contribute To contribute to health to health
aspects of aspects of private health private health
insuranceinsurance
Timely Timely prevention prevention
and and treatmenttreatment
To expand To expand affiliation to the affiliation to the
Popular Popular InsuranceInsurance
A new medical examination format has been developed. The format will be applied in the same hospitals that have previously performed
examinations and includes the following information:
I. General informationII. SomatometryIII. Hereditary and family backgroundIV. Personal non-pathological backgroundV. Reproductive healthVI. Oral healthVII. Personal pathological backgroundVIII. Physical examination: eye health IX. General physical examination X. Muscle and bone healthXI. Laboratory and office (basic)XII. Diagnostic and current therapeutics
New Medical Examination Format
5. National Health Card
Characteristics
A tool to record actions of the Basic Package of Integrated Promotion and Prevention Services for Better Health
Free of charge
One card for each person, by age and gender
Includes a section on “Medical Care”
Contents are updated in accordance with national and international health regulations
Available at all the institutions of the National Health System
National Health Card for Women aged 20-59 Years
General Information
Promoting Health: Guidance-Counselling
Nutrition: Assessment and surveillance of nutritional status, body mass index, nutrition, nutritional supplements
Vaccination Scheme: SR, Td and other vaccines
Disease Prevention and Control: HIV/AIDS and STIs, addictions, pulmonar tuberculosis, oral health
Disease Detection: Breast and cervical cancer, Diabetes mellitus, hypertension, hypercholesterolemia, pulmonar tuberculosis, dyslipidemia, and lipid profile
Sexual and Reproductive Health: Promoting and supplying contraceptive methods, antenatal care and birth assistance, post-partum care, climacterium and menopause surveillance
Accident and Injury Prevention: Information and guidance
Addiction Prevention: Guidance-Counselling and other actions
Medical Care
National Health Card for Men aged 20-59 Years
General Information
Promoting Health: Guidance-Counselling
Nutrition: Assessment and surveillance of nutritional status and body mass index
Vaccination Scheme: SR, Td and other vaccines
Disease Prevention and Control: HIV/AIDS and STIs, addictions, pulmonar tuberculosis, oral health
Disease Detection: Diabetes mellitus, hypertension, hypercholesterolemia, pulmonar tuberculosis, dyslipidemia, and lipid profile
Sexual and Reproductive Health: Sexual and reproductive rights, promoting and supplying contraceptive methods
Accident and Injury Prevention: Information and guidance
Addiction Prevention: Guidance-Counselling and other actions
Medical Care
6. HEALTH INSURANCE FOR WORKERS AND THEIR FAMILIES
Changes to family quota have recently been made:
Families or Individuals
Deciles I - V DO NOT PAY
99.43%
The Popular Insurance is a part of the social health protection system
To enable persons who are not entitled to any social security system (IMSS, ISSSTE, PEMEX, etc.) to have access to medical care, surgery, pharmacies, and hospital services.
The Federal Government and federative institutions seek to achieve universality of services, with a coverage of 100% of the population that does not have access to medical care
