Migrant health: call for inclusion « Healthy migrants, healthy Thailand: Improving health condition...
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Transcript of Migrant health: call for inclusion « Healthy migrants, healthy Thailand: Improving health condition...
![Page 1: Migrant health: call for inclusion « Healthy migrants, healthy Thailand: Improving health condition of migrants in priority provinces of Thailand » ECOSOC.](https://reader035.fdocuments.in/reader035/viewer/2022062618/5514b401550346d36e8b6302/html5/thumbnails/1.jpg)
Migrant health: call for inclusion
« Healthy migrants, healthy Thailand:
Improving health condition of migrants in priority provinces of Thailand »
ECOSOC Innovation Fair 2009
Jacqueline Weekers
Snr Migration Health Policy Advisor, Migration Health Department, IOM
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IOM is…….
• Intergovernmental body• 125 Member States • >400 offices globally• Committed to the principle
that humane and orderly migration benefits migrants and societies
• MHD: promote migrants’ health & advise States and partners
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Objectives
• Health as a component to a positive migration outcome
• Key determinants to migrant health
• Effective practices towards inclusiveness: Thailand Migrant Health Pogramme
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Migration today
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Reality of inequalities begs for inclusive approach
Well-managed migrant health benefits all
Facilitates integration: healthymigrants are productive
members of society
Stabilizes societies
Inclusion
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Does migration affect health?
• Migration is in and of itself is not a risk-factor to health
• The circumstances surrounding the migration process can pose risks to health
![Page 7: Migrant health: call for inclusion « Healthy migrants, healthy Thailand: Improving health condition of migrants in priority provinces of Thailand » ECOSOC.](https://reader035.fdocuments.in/reader035/viewer/2022062618/5514b401550346d36e8b6302/html5/thumbnails/7.jpg)
• Diversity in types of migrating persons: labour migrants, IDPs, irregular migrants, returnees, refugees, immigrants,…
• The most vulnerable: those with irregular status those forced to move, those who suffer discrimination and exploitation
Identify the vulnerable
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Health determinants
transit
origin
return
destination
No access to
health but many risk
factors
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Migrant Health Programme, Thailand 2003- ongoingAssists the government to improve health and well-being of migrants & host communities in Thailand through the provision of comprehensive, participatory, sustainable and cost-effective health services.
Partners: health authorities at national, provincial and community level; immigration bureau, detention centres, NGOs, UN, international donors and private sector.
“Healthy Migrants, Healthy Thailand”
Chiang Rai
Tak
Samutsakorn
Bangkok
Ranong
Pang Nga
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Barriers to health services
• Financial burden (e.g. out of pocket; costs of migrant health insurance)
• Fear of deportation
• Language and cultural
• Lack info about services
• Hard to reach, no transport
• Negative attitudes
• Mobility
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Inferior health status
• Only 50% seek care compared to 78% among Thai• 77% incomplete immunization;• 50% measles coverage• 12% malaria compared to 1.5% among Thai• Migrant sex workers HIV rate 21.3%• Abortion rate is 2.4 times higher than among Thai• 16% access to clean water; <50% sanitation, waste
disposal• MDR TB linked to mobility• Leading cases reported: Malaria, diarrhea, fever,
Pneumonia. (sources: Provincial health offices; WHO; MoPH; IOM; UNDP)
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Strategies: capacity building
Capacity building of all counterparts:
health care providersauthoritiesmigrants
84 MCHW; >1000 MCHV; MOPH officers
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Strategies: Migrant friendly services
Migrant friendly services:
Community Health Workers& Voluteers;Accessible: mobile/outreachLinguist. & cult. Appropriate
10 community health posts, 56 health corners; (e.g. >55.000reached for health education;>16.000 Rx; > contraceptive use; >antenatal cases threefold; > immunization coverage)
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Strategies: multi sectoral network
Coordination amongsectors and partners
Provincial Migrant HealthCommitteeCoordination Centre forMigrant HealthMigrant Working GroupBi annual migrant healthconference
Health sector
Employers
Academia
UN partners, IOs
Migrants
Government
MHP
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Strategies: positive policies
Advocate for positive migrant health policies and support their implementation
Border health strategyMigrant health strateyMigrant health financing
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What worked?
Country ownership
PHC pillars& HSS
Connect countries
Rightsbased
Involve community
Inclusive: access to
all
Across sectors
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Some challenges
• Crisis leading to tougher rules for registration and increased threat for deportation of the undocumented
• Health insurance not available to all• Need for mix of external and
government financial support• Hard to research migrant health• Hard to provide cross border services
due to political situation
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Publications
• 2007: Assessment of Mobility and HIV Vulnerability among Myanmar Migrant Sex Workers and Factory Workers in Mae Sot District, Tak Province, Thailand
• 2008: Migration and HIV/AIDS in Thailand: A desk review of migrant labour sectors
• 2009: Avian and Human Influenza Pandemic Preparedness Plan in 4 Piloted Districts of Chaing Rai Province, ThailandSoon coming out:
• 2009: Financing health care for Migrants: A case study from Thailand
• 2009: Migration and HIV/AIDS in Thailand: Comprehensive data analysis in 10 provinces of Thailand
• 2009: Environmental Health Assessment in Selected Migrant Communities in Thailand
• 2009: IOM-MOPH Migrant Health Program Model: A summary of good practices, achievements and lessons learned
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Please come and visit us
Integrated migrant health services