Public health aspects of migration: ensuring people-centred health systems

Dr Hans KlugeDirector, Division of Health Systems and Public Health

WHO Regional Office for Europe

Presentation Outline

Phases in migrant health needs and health system responses

Health systems strengthening to ensure a people-centred approach

Priority action areas for health systems

Phases of Migrant Health Needs and Health Systems’ Response

Migration trajectory (3 phases)• Arrival in transition or destination

countries in Europe• Primary housing / processing during

asylum applications/ reception phase in destination countries

• Integration into the host society

People-centered health systems strengthening: equitable framework

Governance

Resourcing

Financing

Services delivery

CHALLENGES

Epidemiological burden

Populationageing

Financial constraints

Cultural paradigms

INNOVATIONS

Innovative health technologies

Redesignedmodels of care

Repurposed workforce competences

Revised accountability arrangements

Realigned incentives mechanisms

Action areas for health systems (1)• Ensure entitlements and access to services for all migrants

throughout the migration trajectory• Implement structural changes as needed, and develop a multi-

stakeholder approach • Ensure provisions for migrants are incorporated into general

health system planning and future strategy documents• Act intersectorally and foster exchanges of information and good

practice among all services working with migrants• Strengthen health information systems

Action areas for health systems (2)

• Tackle informal barriers by: Ensuring interpretation and translation Providing staff training and ensuring adequate psychosocial

and work environment support Providing information and educating migrants on health

system navigation, as well as promoting health literacy Providing targeted health promotion based on existing

evidence of good practice Adopting a system-wide approach where cultural sensitivity is

incorporated throughout.

WHO Regional Office for Europe Division of Health Systems and Public Health

CONTACT INFORMATION Division of Health Systems and Public Health WHO Regional Office for Europe For more information on health systems in European Region visit http://www.euro.who.int/