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Workshop on Migration Health San Jose Costa Rica 28-29 September, 2016

Workshop on Migration Health San Jose Costa Rica 28-29 September, 2016 Advancing the Migration Health Agenda Jacqueline Weekers Senior Migration Health Policy Advisor , International Organization for Migration (IOM), Geneva. Content. IOM and Migrant Health

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Workshop on Migration Health San Jose Costa Rica 28-29 September, 2016

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  1. Workshop on Migration Health San Jose Costa Rica 28-29 September, 2016 Advancing the Migration Health Agenda Jacqueline Weekers Senior Migration Health Policy Advisor, International Organization for Migration (IOM), Geneva

  2. Content • IOM and Migrant Health • What has happenedsince the milestone WHA Resolution • Challenges and opportunities • Advancing the agenda post UNGA 2016

  3. Where do they go and where do they come from?

  4. IOM MHD global presence

  5. Why we focus on migrant health? • Migrants are human beings, and have a right to health • Including migrants in health systems improves public health outcomes • Healthy migrants contribute to positive development outcomes • Migrants and mobile populations connect communities and their epidemiological profiles

  6. IOM s Evolution of Migrant Health 2010 15 years migrant healthexpenditures HIV- TB Psychosocial Healthassessments Disasters/crises Ebola - HBMM HSS 2010 2008 1999

  7. 2008 WHA Resolution2010 Global Consultation, Spain Operational Framework on Migrants’ Health: Monitoring Migrant Health Policy and Legal Frameworks Migrant-Sensitive Health Systems Partnerships, Networks and Multi country Frameworks

  8. 2010 Operational Framework: what has happened since?

  9. Monitoring: health services for migrants Map showing total scores on the MIPEX health strand, 2016 http://members.costadapt.eu/images/7/73/MIPEX_July.pdf www.mipex.eu

  10. What has happenedsince? • Systematic discrimination: millions of migrants have restrictedaccess to health services • Lack of emphasis on migration health in global health initiatives and global policies, • Lack of policy coordination and leadership ‘to do the right thing’ • Lack of consideration of research data for policy and planning • Only 1 country reported back to the WHA on itsprogresstowards the WHA 61.17 implementation 2016 2015

  11. Dangerous migration routes 2016

  12. Dangerous migration trends • Forceddisplacement and irregular migration • Omni present exploitation, abuse, discrimination –slavery • Widelyuseddetention practices • Deportation on health grounds

  13. Changing the toxic migration narrative

  14. Changing perceptions

  15. Migrants and the economy

  16. Migrants and the economy • Migrants contribute to economies and development • Migrants contribute more in taxes and social contributions than they receive in benefits Image: ILO/OHCHR, 2013.

  17. Migrants and the economy Source: World Bank Development Prospects Group, “Migration and Development Brief 24,” April 13, 2015.

  18. Where are weheading ?

  19. Agenda 2030 3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all LEAVE NO ONE BEHIND !

  20. Tracing Migrant Health in the SDGs Migration Health in Goals and Targets Migration Health in the Goals and Targets 6.1: UNIVERSAL ACCESS TO DRINKING WATER 6.2: UNIVERSAL ACCESS TO SANITATION AND HYGIENE 1.1: ERADICATE EXTREME POVERTY 1.15: RESILIENCE TO CLIMATE EVENTS & ECONOMIC, SOCIAL, & ENVIRONMENTAL SHOCKS 3.8: UNIVERSAL HEALTH COVERAGE 3.d: STENGTHEN CAPACITIES FOR EARLY WARNING IN GLOBAL HEALTH RISKS 5.2: TRAFFICKING (WOMEN AND GIRLS) 5.6: UNIVERSAL ACCESS TO SEXUAL AND REPRODUCTIVE RIGHTS 2.1-2: END HUNGER, MALNUTRITION 8.7: TRAFFICKING 8.8: PROJECT LABOUR RIGHTS OF MIGRANT WORKERS (MIGRANT WOMEN) 11.1 ACCESS TO SAFE HOUSING 11.5: REDUCE DEATHS & NUMBER OF PEOPLE AFFECTED BY DIASTERS 17.16: ENHANCE GLOBAL PARTNERSHIPS 17.18: DATA DISAGGREGATED BY MIGRATORY STATUS 10.7: PLANNED AND WELL-MANAGED MIGRATION POLICY 16.1: REDUCE ALL FORMS OF VIOLENCE 16.2: TRAFFICKING (CHILDREN)

  21. Migration is an enabler for development, if: • evidence building and knowledge-based policy-making is enhanced • Migration is factored into development planning Enhance access to health • policy coherence and institutional development is promoted • human rights of all migrants are protected • Public pereceptions of migrants are improved • migration in crisis situations is managed Address the SDH IOM, UNGA HLD, 2013

  22. Migration: A Crucial Force for Developmentand Global Integration “The evolution of humanity has been shaped around the migration of people between regions and continents”, writes Mexican President Enrique Pena Nieto in a blog for the Huffington Post, Sept 2016.

  23. Opportunities: Regionaldialogues Regional Conference on Migration Migration Health Workshop September 28 - 29, 2016 Crowne Plaza Hotel San Jose, Costa Rica

  24. Opportunities: Regional dialogues Fifth Ministerial Consultation on Overseas Employment and Contractual Labour for Countries of Origin in Asia (Colombo Process) 25th August 2016, Colombo, Sri Lanka Colombo Process Ministerial Declaration: “…To consider the inclusion of Migrant Health as a new thematic priority for the CP…”

  25. Opportunities: Global Dialogues 2nd Global Consultation on Migrant Health: Resetting the AgendaJointly Organized by IOM, WHO and the Government of the Democratic Socialist Republic of Sri LankaColombo, Sri Lanka | February 2017

  26. September 2016: UNGA High Level meeting to Address Large Movements of Refugees and Migrants • Build a greater consensus on managing the world’s movements of migrants and refugees • New York Declaration for Refugees and Migrants was adopted • Global Compact on safe, regular and orderly migration (2018) • IOM became a UN relatedOrganization Obama: 50 Countries to Take in 360,000 Refugees this Year , 20 September 2016 "We cannot avert our eyes or turn our backs. To slam the door in the face of these families would betray our deepest values,"

  27. UNGA Side event on ‘health and migration and forced displacement’

  28. The wayforward 2030 More consistent and targetted engagement Coordinated and comprehensive multi-sectoralresponseacrossregions Reference platform and mechanism for consultation and partnership To provide leadership, technical guidance, mobilize expertise, resources and share information and best practices Common Roadmap and Unifiedagenda Reconcilinglarge scaledisplacement-structural disparity-driven migration migration 2017 2016

  29. Future considerations and next steps : lessons learned and priorities Monitoring Migrant Health Policy and Legal Frameworks Migrant-Sensitive Health Systems Partnerships, Networks and Multi country Frameworks

  30. Migration is…. • Inevitable – demographics & disasters • Necessary– development • Desirable – if well-governed • “Migration is not a problem to be solved, but a reality to be managed” • W.L. Swing

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