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High Level Multi-Stakeholder Dialogue on Migrant Worker’s Health and Access to HIV services

High Level Multi-Stakeholder Dialogue on Migrant Worker’s Health and Access to HIV services Marta Vallejo Mestres 29 November 2011. Migration CHARACTERISTICS OF MIGRATION IN ASIA. Photo by Brahm Press . Main Countries of Origin. Estimated Numbers of Migrants (SEA)

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High Level Multi-Stakeholder Dialogue on Migrant Worker’s Health and Access to HIV services

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  1. High Level Multi-Stakeholder Dialogue on Migrant Worker’s Health and Access to HIV services Marta Vallejo Mestres 29 November 2011

  2. Migration CHARACTERISTICS OF MIGRATION IN ASIA Photo by Brahm Press 

  3. Main Countries of Origin Estimated Numbers of Migrants (SEA) From countries of origin: 12.6 million (3 million under documented) HONG KONG P ARAB STATES

  4. Main Host Countries Estimated Numbers of Migrants (SEA) In host countries: 7.6 million (3.8 under documented) HONG KONG P ARAB STATES

  5. Migration in Asia Estimated Numbers of Migrants in Asia 43.8 million (25 % World, 1.3% Population) HONG KONG Estimated Numbers of Migrants (SEA) From countries of origin: 12.6 million (3 million under documented) In host countries: 7.6 million (3.8 under documented) P ARAB STATES

  6. Large proportion of migrant workers in host countries Foreign Workers in Key Receiving Countries (% of LF)

  7. Large increase of remittances to Developing Asia (US$ Bn) More than tripled in 8 years Source: World Bank

  8. Summarizing - Migration in Asia Very large number of people are moving, and patterns of movement are very diverse Some important factors: Economic and development disparities and improved infrastructure, transportation and communications systems The economic gains generated by migrant workers to countries of origin through remittances are considerable Migrants in destination countries mainly engage in 3D jobs, which locals either don’t want to do or would charge much larger amounts to do them

  9. Migration, Health and HIVHealth risks and vulnerabilities of migrants

  10. Poor access to services by migrants (at home and abroad) Limited preparedness and poor access to information and services render migrants vulnerable Agents charge large sums of money which pushes migrant workers into further debt High cost of migration is not matched with sufficient wages Abusive and exploitative working conditions and lack of redress mechanisms trap migrants in a vicious cycle of poverty

  11. HIV and Migration Migration is not a risk factor for HIV But the conditions under which people migrate increases the vulnerability for HIV infection Migrants face discriminatory policies (especially on HIV) facing restrictions on entry, stay, and residence Most common reasons cited for these restrictions: • To protect public health • To avoid possible costs associated with care, support and treatment of PLHIV

  12. HIV specific conditions for migrants throughout the migration cycle HIV testing in both countries of origin and host countries is not migrant friendly (no counseling nor support), even though is an opportunity to inform migrants of HIV risks Policies and laws related to HIV specific restrictions on entry, stay and residence of migrant workers either ban PLHIV to enter or restrict their stay Globally, 49 countries, territories and areas (including 13 in Asia Pacific) impose some form of restriction on the entry, stay and residence of people living with HIV, based on their HIV status Deportation of HIV positive migrants by host countries and absence of reintegration programmes in countries of origin perpetuate distressful migration conditions

  13. From the High Level Multi-Stakeholder Dialogue in 2009 to today

  14. High Level Multi-Stakeholder Dialogue on HIV Prevention, Treatment Care and Support, February 2009 Jointly organized by former UNRTF / ASEAN Sec and CARAM Asia Produced a very progressive set of recommendations, used as advocacy tool in the region Ministers and Ministries of Health used it during the WHA of 2009 First submission to AICHR Development of an easy to use scorecard

  15. Summarizing Large number of people are moving Around 44 million are international migrants, and a large percentage are undocumented Unsafe migration puts migrants at risk Abusive and exploitative working conditions and lack of redress mechanisms trap migrants in a vicious cycle of poverty HIV restrictions on entry, stay and residence HIV testing, deportation of HIV positive migrants and lack of reintegration perpetuate distressful migration conditions

  16. Summarizing Migrants are beyond reach of programmes They are not reached by home programmes and usually not accounted for in the host country programmes Governments reject the responsibilty on each others When it comes to health and welfare services, governments give priority to their citizens. General lack of comprehensive policies for migrants Also supported by the lack of detailed data on migration and health Migrants fall between the cracks, lack of money to address their needs, and not clear who is in charge

  17. THANK YOU

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