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Presented by Dr. Santino Severoni, Coordinator, Public Health and Migration, Division of Policy and Governance for Health and Well-being, WHO Regional Office for Europe, at the 64th session of the WHO Regional Committee for Europe, on 15 September 2014.
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Migration and health
Technical briefingDr. Santino Severoni MD. MHECoordinator Public Health and Migration
Division of Policy and Governance for Health and Well-being European Office for Investment for Health and Development
WHO Regional Office for EuropeVenice, Italy
[email protected] http;//www.euro.who.int
Data, perceptions and facts• European Region undergoing important demographic and
epidemiological changes
• 214 mil International migrants • (3% of global population UNPD data)
• 740 mil. Internal migrants (UNPD data)
• 8% of the WHO European Region’s total population are migrants
• Political and communication sensitivity
WHO European Region53 Member States, 886 million people
• Variation in GDP/person/year (2009):
- Tajikistan $ 1,900 [rank192]
- Luxembourg $ 104,000 [rank 3]
77 million migrants in WHO EURO Region, (36% of global migrants population)
Health and Migration, a multisectoral agenda
• Ministry of Interior • Ministry of Labour• Ministry of Social Affairs• Ministry of Foreign Affairs• Ministry of Health• Ministry of Education
Migration approach and complexity
There is an increasing attention on immigration issues but dominant emphasis is still on restriction, control and expulsion
Health is influenced by many factors and policies run by institutions out of the health sector that do not always take into account the health impact of their action
Health Access
Security measur
es
Human Rights
National Regulatio
n
Legal framework for health care access
• Key question is the legal provision of access to health care for undocumented migrants
• Documented migrants are entitled to access the health
care system, (with specific rules depending on their legal status as permanent settlers, temporary workers, refugees, asylum seekers, etc)
7
Resolution WHA 61.17
Calls for: Migrant-sensitive health policies Equitable access to services Information systems to assess migrant health Sharing information on best practices Raising cultural and gender sensitivity and specific training of health
service providers and professionals Bi/multilateral cooperation among countries Reducing the global deficit of health professionals
2009: 62nd WHA Resolution on “Reducing health inequities through action on the social determinants of health” Takes notes of the recommendations of the CSDH
2010: 63rd WHA resolution focus on the health of the most vulnerable through constant monitoring of the achievement of the health-related MDGs
PHAME Project
Public Health Aspects of Migration
in Europe
Public Health priorities
HEALTH ISSUES STEMMING FROM MIGRATION
• Migration policy and integration• Access to health services and overcoming health
system access barriers (cultural, social and linguistic)
• Health System capacity & Economic impact• State of health of migrants: changing health
profile, CD & NCD, re-emerging neglected diseases• Health risk assessment, expose to hazards and
public health implication for migrants and resident community
• Public health data collection/generation
The data problem• The lack of available data and variation from country to country in terms of data collection mean that there is no simple set of data. • Major differences in data availability across WHO EURO Region• incompatibility of sources, as well
as conceptual and definitional problems
What is next?Mainstreaming
Health & Migration work
TechnicalAssistance to
MS
Health Information
SystemBest practices
EU Presidency
UN CIS SEEHN
Common Strategy
Ministerial Meeting
RC
WHO EURO Regional
Action Plan
WORK
ON
WO R K
W I TH
OPPORTUNITIES