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II RCM Workshop on Temporary Foreign Worker Programmes (TFWP): An Intra-regional or “South-South” Approach Santo Domingo, Dominican Republic April 28-29, 2011. SECRETARIAT OF HEALTH GENERAL DIRECTORATE OF INTERNATIONAL RELATIONS. TEMPORARY AGRICULTURAL WORKER PROGRAMME (PTAT)

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II RCM Workshop on Temporary Foreign Worker Programmes (TFWP):

An Intra-regional or “South-South” Approach

Santo Domingo, Dominican Republic

April 28-29, 2011

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SECRETARIAT OF HEALTH

GENERAL DIRECTORATE OF INTERNATIONAL RELATIONS

TEMPORARY AGRICULTURAL WORKER PROGRAMME

(PTAT)

MEXICO – CANADA

Soila Meneses Padilla

Sub-Director for Management and Support of

the Health of Migrants

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CONTENTS

1. PARTICIPATION OF THE HEALTH SECRETARIAT IN PTAT

2. MEDICAL EXAMINATION

3. REPATRIATION OF WORKERS DUE TO HEALTH ISSUES

4. NEW MEDICAL EXAMINATION FORMAT

5. NATIONAL HEALTH CARD

6. HEALTH INSURANCE FOR WORKERS AND THEIR FAMILIES

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1. THE HEALTH SECRETARIAT AND PTAT

  • In 1994 Citizenship and Immigration Canada (CIC) requested medical reports
  • With the objective of assessing if the health of the worker is optimal for agricultural work
  • The primary reason was that the incidence of tuberculosis is higher in Mexico than in Canada (14 out of every 100,000 persons in Mexico and 4 out of every 100,000 persons in Canada)
  • In that same year, the Health Secretariat began preparing medical reports through the Health Services of the Federal District
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MEDICAL EXAMINATION

  • Decentralization of Health Facilities
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Workers at the Toronto Airport, returning to Mexico

A “farm” and crops covered with plastic in Saskatoon

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4. New Medical Examination Format

Department of Citizenship and

Immigration

of Canada

September 1, 2010

No medical examination is required for temporary residents (Mexican visitors, students, and temporary workers)

New health form and National Health Card for Women and Men

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Primary Causes of General Mortality in Mexico

Source: Secretariat of Health/General Directorate of Health Information

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Legal Framework

Objectives

  • General Health Legislation (Mexico)
  • International Health Regulations, World Health Organization, 2005

To contribute to health aspects of private health insurance

Timely prevention and treatment

To expand affiliation to the Popular Insurance

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New Medical Examination Format

  • A new medical examination format has been developed. The format will be applied in the same hospitals that have previously performed examinations and includes the following information:
  • General information
  • Somatometry
  • Hereditary and family background
  • Personal non-pathological background
  • Reproductive health
  • Oral health
  • Personal pathological background
  • Physical examination: eye health
  • General physical examination
  • Muscle and bone health
  • Laboratory and office (basic)
  • Diagnostic and current therapeutics
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5. National Health Card

Characteristics

  • A tool to record actions of the Basic Package of Integrated Promotion and Prevention Services for Better Health
  • Free of charge
  • One card for each person, by age and gender
  • Includes a section on “Medical Care”
  • Contents are updated in accordance with national and international health regulations
  • Available at all the institutions of the National Health System
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National Health Card for Women aged 20-59 Years

General Information

  • Promoting Health: Guidance-Counselling
  • Nutrition: Assessment and surveillance of nutritional status, body mass index, nutrition, nutritional supplements
  • Vaccination Scheme: SR, Td and other vaccines
  • Disease Prevention and Control: HIV/AIDS and STIs, addictions, pulmonar tuberculosis, oral health
  • Disease Detection: Breast and cervical cancer, Diabetes mellitus, hypertension, hypercholesterolemia, pulmonar tuberculosis, dyslipidemia, and lipid profile
  • Sexual and Reproductive Health: Promoting and supplying contraceptive methods, antenatal care and birth assistance, post-partum care, climacterium and menopause surveillance
  • Accident and Injury Prevention: Information and guidance
  • Addiction Prevention: Guidance-Counselling and other actions
  • Medical Care
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National Health Card for Men aged 20-59 Years

General Information

  • Promoting Health: Guidance-Counselling
  • Nutrition: Assessment and surveillance of nutritional status and body mass index
  • Vaccination Scheme: SR, Td and other vaccines
  • Disease Prevention and Control: HIV/AIDS and STIs, addictions, pulmonar tuberculosis, oral health
  • Disease Detection: Diabetes mellitus, hypertension, hypercholesterolemia, pulmonar tuberculosis, dyslipidemia, and lipid profile
  • Sexual and Reproductive Health: Sexual and reproductive rights, promoting and supplying contraceptive methods
  • Accident and Injury Prevention: Information and guidance
  • Addiction Prevention: Guidance-Counselling and other actions
  • Medical Care
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6. HEALTH INSURANCE FOR WORKERS AND THEIR FAMILIES

To enable persons who are not entitled to any social security system (IMSS, ISSSTE, PEMEX, etc.) to have access to medical care, surgery, pharmacies, and hospital services.

The Popular Insurance is a part of the social health protection system

The Federal Government and federative institutions seek to achieve universality of services, with a coverage of 100% of the population that does not have access to medical care

Changes to family quota have recently been made:

Families or Individuals

Deciles I - V

DO NOT PAY

99.43%

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THANK YOU

Email: soila.meneses@salud.gob.mx

soilam@yahoo.com