WHO-HPH TF MFCCH Task Force on Migrant-Friendly and Culturally Competent Health Care

1. WHO-HPH TF MFCCH Task Force on Migrant-Friendly andCulturally Competent Health Care Improving the accessibility and quality of care for migrants: the role of the TF MFCCH Dr Antonio Chiarenza Leader of the TF MFCCH Regional HPH Network of Emilia-Romagna, Italy Migrants and Healthcare: the Responses by European Regions: Regions for Health NetworkKick off meeting - 11.07.2008, Bologna WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

2. AT DE DK EL ES FI FR IR IT NL PT SV UK Migrant-Friendly Hospitals (2002-2005) A European Initiative to Promote Health and Health Literacy Migrants and Ethnic Minorities Kaiser-Franz-Josef-Spital, Vienna, Austria Immanuel-Krankenhaus GmbH, Rheumaklinik Berlin-Wannsee, Berlin, Germany Kolding Hospital, Velje-Kolding, Denmark Hospital ”Spiliopoulio Agia Eleni”, Athens, Greece Hospital Punta de Europa, Algeciras-Cádiz, Spain Turku University Hospital, Turku, Finland Hôptial Avicenne, Paris, France James Connolly Memorial Hospital, Dublin, Ireland Presidio Ospedaliero della Provincia di Reggio Emilia, Reggio Emilia, Italy Academic Medical Center, Amsterdam, The Netherlands Hospital Nossa Senhora do Rosário (HNSR) Barreiro/Lisbon,Portugal Uppsala University Hospital, Psychiatric Centre, Uppsala, Sweden Bradford Hospitals NHS Trust , Bradford, U.K. WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

3. AT DE DK EL ES FI FR IR IT NL PT SV UK Migrant-Friendly Hospitals (2002-2005) www.mfh-eu.netPROJECT OUTCOMES OUTCOMESFor hospitals OUTCOMESFor health policy OUTCOMESFor networking 12 national models for MFH:”how to do it” interventions • Orgranisationaldevelopment • Interpretingservices • Staff training on culturalcompetence • Patient information and education WHO-HPH TASK FORCEMIGRANT FRIENDLY ANDCULTURALLYCOMPETENTEHEALTH CARE WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

4. The mission of the Task Force on MFCCH The HPH Task Force is co-ordinated by HPH Regional Network Emilia Romagna, AUSL Reggio Emilia • To create a framework for continuity after the conclusion of the MFH project • To share and disseminate best policies and practice and initiate the development of quality tools • To foster co-operation and alliances between healthcare organisations and other networks • To support health care organisations in the HPH in becoming MF & CC organisations as indicated in the Amsterdam Declaration WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

5. AMSTERDAM DECLARATION • All European hospitals are invited to implement the Amsterdam Declaration, become migrant-friendly and culturally competent organisations and develop individualised, personal services from which all patients will benefit. • Like any other form of organisational development, the success of becoming a “migrant-friendly” hospital will depend on the complementary contributions of different stakeholders: • Hospital owners/ Management/ Quality Management • Staff/Health professions • Users (actual and potential patients, relatives)/Representatives of community groups • Health policy and administration • Health sciences WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

6. THE POLITICAL CONTEXT FOR THE TF MFCCH • Recent policy developments within the EU provide an important context for the work of the TF MFCCH. • Recommendation of the Committee of Ministers to member states on “Health care in a multicultural society”,Adopted by the Committee of Ministers on 8 November 2006. (http://www.coe.int) • Recommendations for improving accessibility and quality of care for migrants in the European Union, Lisbon, September 2007(http://www.eu2007.min-saude.pt) WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

7. HOW THE TASK FORCE SUPPORTS THE DEVELOPMENT OF MFCC HEALTH CARE? • To review and summarise the example of good policies and practices to date To develop ways of improving the delivery of high quality, linguistically appropriate, culturally sensitive, equitable and accessible heath care services To identify obstacles to progress and to propose the development of effective interventions and quality tools (guidelines, standards, indicators..) WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

8. MAIN THEMESTo achieve these objectives it was decided to organise activities around selected areas of concern: • SERVICE QUALITY AND POLICY DEVELOPMENT STAFF TRAINING AND DEVELOPMENT INTERCULTURAL COMMUNICATION PATIENT AND COMMUNITY EMPOWERMENT RESEARCH AND EVALUATION TRANS-CULTURAL PSYCHIATRY WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

9. WORK PLAN ADVISORY BOARD WG1 WG2 WG3 WG4 WG5 WG6 Step 1 To collect and share models of good policy and practice OUTPUT 1 WEBSITE Step 2 To categorise material and argue for a rationale WORKING PAPERS OUTPUT 2 Step 3 To make proposal for quality tools development MFCC – STANDARDS INDICATORS GUIDELINES OUTPUT 3 WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

10. ORGANISATION OF THE TASK FORCE • Coordinating team (decision making level): to lead and coordinate actions; to decide and organise activities (projects, workshops, conferences). • Advisory group (scientific level): to discuss ideas and developmental activities to inform the coordinator decisions. • Working groups (operative level): to collect and develop knowledge and practice in the areas of concern. • Hub of networks (partnership level): to facilitate connections between other networks and projects • MFH web-site (communication level): to share ideas and knowledge, to promote and disseminate best practice. WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

11. HOME “ Health and Social Care for Migrants and Ethnic Minorities” a COST/Action project (2007-2010). www.costhome.eu/management NOWHERELAND: To improve equity of access to healthcare for UDM in Europe (DG SANCO)(2008-2011) Partnerships & Research projects WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

12. European Cooperation in the field of Scientific and Technical Research Project Objectives www.cost.esf.org HOMEHealth and Social Care for Migrants and Ethnic MinoritiesA project founded by COST/Action IS0603 • To further the development of research and good practice concerning migrant health. • To stimulate international and interdisciplinary collaboration. • To summarise and review the achievements in this field to date. • To identify obstacles to progress and propose ways around them, and to indicate ‘blind spots’ where research is urgently needed. WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

13. Scientific programmeThe field of migration health is structured by dividing it into three topic areas: • Topic Area 1: Social context and policies • Legislation and procedures governing the admission of migrants • Public attitudes, political climate and inter-ethnic relations. • Policies relating to migrants (in particular education, housing, health, labour market participation, anti-discrimination legislation). • Topic Area 2: Migrants’ state of health and its determinants • Occupational health • Mental health • Mather and child health • Topic Area 3: Health care for migrants and ways of improving it • Entitlement • Accessibility • Quality of care WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

14. NOWHERELAND Improving Services for Undocumented Migrants in the EUA project funded by DG Sanco Project Objectives Create a knowledge base for providing, exchanging and developing good practice of health care services for UDM • Drawing a EU landscape of the legal and financial frameworks under which health care services/providers act • Gaining an overview about problems, experiences and strategies of UDM in getting access to health care services • Collecting existing practice of health services in the EU and identifying transferable models of good practice WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

15. Pillars of the project WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

16. Project Consortium • Main Partner • Danube University Krems, Austria • Associate Partner • Austria: University of Vienna, • Belgium: PICUM International Platform for Undocumented Migrants • England: University of Brighton • Italy: AUSL di Reggio Emilia – WHO HPH-Task Force MFCCH • Portugal : CIES / INSA • Sweden: MIM, Universität Malmö • Main Collaborating Partner • HOPE European Hospital and Healthcare Federation • IOM International Organization for Migration • WHO European Office for Integrated Health Care Services • United for Intercultural Action • Networking with other EU-initiatives • COST Action IS0603, Migration and Health (HOME) • MIGHEALTHNET, DG Sanco • CLANDESTINO: Undocumented Migration: Counting the Uncountable. Data and Trends Across Europe, FP6 044130 WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

17. TF MFCCH ACTIVITIES • TF advisory board meetings (2 per year): • to monitor and assess the activities of the groups and to adjust the global work programme. • Thematic workshops (MOST RECENT ONES): • Policy and Service quality (Berlin, Germany - November 2006) • Patient and community empowerment (Brighton – Nov. 2007) • Intercultural communication (Reggio Emilia – March 2008) • Next Workshop and AB meeting • 6th-7th November 2008. Barcelona. Workshop on “Cultural competence and staff training” hosted by the Hospital del Mar and Asociacion Salud y Familia. • International HPH Conferences • To organise parallel and poster sessions and workshops in occasion of the international HPH conferences. • Next HPH conference • May 2009. Crete, Greece. WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

18. THANK YOU Antonio.chiarenza@ausl.re.it WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE