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Mexico´s strategy to Health Services for Migrant Populations

Mexico´s strategy to Health Services for Migrant Populations 7th Summer Institute on Migration and Global Health Los Angeles, California June 26, 2012. Health care and Hispanic population. + ¼ of Hispanic adults lack a usual health care provider (69% are male ) (41% 18-29 years )

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Mexico´s strategy to Health Services for Migrant Populations

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  1. Mexico´sstrategytoHealth Services forMigrantPopulations 7th SummerInstituteonMigration and Global Health Los Angeles, California June 26, 2012

  2. Health care and Hispanic population • + ¼ of Hispanicadultslack a usual healthcareprovider (69% are male) (41% 18-29 years) • 69% of thosewith no usual place forhealthcare are of Mexicanorigin • More than 8 in 10 receivehealthinfofrom radio or TV • Hispanic women are more likely to get health info from doctors and medical community (77%) • Source: PHC: Hispanics and health care in the US

  3. Health Information of Hispanic population • 45% of Hispanicswith no usual place forhealthcarehavehealthinsurance. • 23% whoreceivedpoortreatmentcited 4 reasons: inabilitytopay, raceorethnicity; lack of Englishproficiency and medicalhistory • 1 in 4 Hispanicswhoget no healthinformation score lowon diabetes knowledge, comparedto 1 in 11 whogetsomeinformation.

  4. Risks for migrant health HealthDeterminants • Changes in lifestyles • Sedentarylifestyle • Lack of properhousing (overcrowding) • Highconsumption of saturatedfats (fastfood) • Increasecomsumption of alcohol and drugs • Vulnerabilitydueto: • Lack of education • Social isolation • Occupationalhazards • Language and cultural barriers • Healthconditions • Obesity • Diabetes • Depresion and addictions • Workplaceaccidents • HIV/AIDS • Othersexuallytransmittedinfections

  5. Objectives • Toprotectitsnationalsabroad • Buildinghealth bridges: • Informationexchange • Training and education • Health prevention and promotion • Binational health research projects

  6. Components • VENTANILLAS DE SALUD (Healthwindows) • BINATIONAL HEALTH WEEKS • REPATRIATION OF SERIOUSLY ILL MIGRANTS

  7. Health Windows Program Ventanillasde Salud Information centers toincreaseawareness and accesstohealth centers amongtheMexicanpopulation living in the US and todisseminateprograms of healthprevention and promotion.

  8. Health Window Program Ventanillas de Salud (VDS)

  9. Health Window programVentanillas de Salud Source: Ventanillas de Salud: Reporte de indicadores/Health Windows Indicator Report *The population attended and the number of services given do not coincide with the total of the population attended (1,548,000), on occasions more than one service is given to each person.

  10. Health Windows Program Ventanillas de Salud

  11. Health Windows Program Ventanillas de Salud New Projects Project “SecondGeneration VDS” Washington, D.C., New York; Kansas, City; Portland, Oregon; Fresno, California; and strengtheningthe VDS in theBorder. • Plan for continuous training, through distance and face to face workshops on: • Priority topics (HIV/AIDS, Obesity, Addictions, Mental Health, Reproductive Health, Occupational Health, Child Health, Cancer, Tuberculosis)  • Access to Health Services • Technical Assistance to Manage Resources. • Advisory Board for the VDS integrated by the different partnerships that support the VDS and the Federal Government. • For the VDS at the border an additional component to increase the population attended.

  12. •NEXT STEPS • Logic Modeldeveloped to reflect the Second Generation Programming. • Top three health concerns identified by all 5 VDS are: • Diabetes (includes obesity, nutrition,.) • Cancer (includes breast, cervical.) • Sexual Health (includes HIV, STDs, Woman’s reproductive health) • Based on the success and effectiveness of the influenza vaccination campaign, through the VDS in collaboration with the National Vaccine Program Office and the Office of Minority Health, identify new immunization campaigns' Identify available tools that assist in tracking immunizations for immigrants in the U.S. and Mexico. • Template report for funding purposes VDS TRAINING IN Washington D.C.

  13. Binational Health Week

  14. Binational Health Week Results 6,000 activities on prevention and health promotion Chronic degenerative diseasesCommunicable DiseasesMental HealthWomen's Health Health Services in the US Oral Health Approximately 500,000 people received health information

  15. Binational Health Week (2012) • Topics: • Access to Health Services • Women’s Health • Obesity and Diabetes • HIV/AIDS • Adolescent Health • Addictions • Occupational Health XII Edition of the Binational Health Week Inaugural Ceremony: Oaxaca, México Closing Ceremony: United States

  16. Repatriation of Seriously Ill Mexicans Ensure the medical treatment of ill repatriated nationals to the country

  17. ARTICULATION OF ACTIVITIES AND INFORMATION NETWORKS • SYNCHRONIZATION FOR MULTIPLYING EFFECTS • SUSTAINABILITY OF INSTITUTIONAL EFFORTS • SIMULTANEOUS PUBLIC HEALTH INTERVENTIONS

  18. BUILDING BINATIONAL PARTNERSHIP: • SHARING PERSPECTIVES AND RESOURCES • DECISION MAKING CAPABILITIES • EVIDENCE: SOLID BASIS FOR ACTION

  19. hilda.davila@salud.gob.mx

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