HEALTHOFMIGRANTS −THEWAYFORWARD - World Health …

1 HEALTHOFMIGRANTS THE WAY FORWARDR eport of a global consultationMadrid, Spain, 3 5 March 2010 IOM International Organization for MigrationOIM Organisation internationale pour les migrationsOIM Organizaci n Internacional para las MigracionesFor more information please see: 92 4 159950 4ihealth of Migrants the way forwardreport of a global consultationMadrid, spain, 3 5 March 2010iiHealth of migrants the way forward. Report of a global consultationHealth of migrants the way forward. Report of a global consultationwho library Cataloguing-in-Publication data: Health of migrants: the way forward - report of a global consultation, Madrid, spain, 3-5 March and migrants. 2. Health services needs and demand. groups. and immigration. promotion. Health organization.

2 ISBN 978 92 4 159950 4 (NLM classification: WA 300) World Health organization 2010all rights reserved. Publications of the World Health organization can be obtained from who Press, World Health organization, 20 avenue appia, 1211 geneva 27, switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: Requests for permission to reproduce or translate WHO publica-tions whether for sale or for noncommercial distribution should be addressed to who Press, at the above address (fax: +41 22 791 4806; e-mail: the designations employed and the presentation of the material in this publication do not imply the expres-sion of any opinion whatsoever on the part of the World Health organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.))

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4 This publication contains the report of the global Consultation on the Health of Migrants and does not necessarily represent the decisions or policies of the World Health in franceHealth of migrants the way forward. Report of a global consultationiiiHealth of migrants the way forward. Report of a global consultationacknowledgements ivacronyms and abbreviations 1foreword 3executive summary 4 Introduction 5 Part 1 Proceedings of the Consultation 7 opening the consultation 7setting the scene 8 Monitoring migrant Health 10 Policy and legal frameworks affecting migrants Health 12 Migrant sensitive Health systems 14networks, partnerships, and multi country frameworks 16 Closing the consultation 16 Part 2 Outline for an operational framework 19 Part 3 The way forward 23 Part 4 Thematic papers 27 Monitoring migrants Health 28 Policy and legal frameworks affecting migrants Health 43 Migrant sensitive Health systems 61networks.

5 Partnerships and multi country frameworks on migrant Health 71 Part 5 Background materials 85glossary on selected migration terms 86 Usage of migration related terminology 88 Keynote addresses 89 Annexes 97 Consultation agenda 98 Participants 102resolution wha on the Health of Migrants 107 Health of Migrants Report by the Secretariat. Sixty-first WorldHealth Assembly (WHA 61/12) 109 List of figuresfigure 1. wha resolution on migrant Health , selected actions points 6figure 2. Public Health approach to migrant Health 10figure 3. top ten countries with the highest share of migrants in the total population (countries with 1 million or more residents) 29figure 4. tuberculosis in the United Kingdom 2008 33 Figure 5. Influence of migration on cancer rates in the United States 1973-1986 35 Table of contentivHealth of migrants the way forward.

6 Report of a global consultationHealth of migrants the way forward. Report of a global consultationAcknowledgementsCoordination and editing team Daniel L pez-Acu a, Director Strategy, Policy and Resource Management, Health , action in Crises, World Health Organization (WHO) Davide Mosca, Director Migration Health Department, International Organization for Migration (IOM) Paola Pace, Research Officer, Migration Law and Legal Affairs Department, International Organization for Migration (IOM) Julia Puebla Fortier, DiversityRx-Resources for Cross Cultural Health Care Barbara Rijks, Migration Health Programme Coordinator, International Organization for Migration (IOM) Jacqueline Weekers, Senior Migrant Health Officer, Health action in Crises, World Health Organization (WHO)

7 The Consultation organizers would like to thank the planning committee members who assisted in the preparations for the Global Consultation on Migrant Health : Charles Agyemang, Danielle Grondin, Brian Gushulak, Zaida Herrador Ort z, Alberto Infante Campos, Karima Jambulatova, Eduardo Jaramillo, Sonia LeBris, Innocent Modisaotsile, Nenette Motus, Houssam Mu allem, Seon Hee Park, Jose Pereira Miguel, Bounpheng Philavong, Juana Sotomayor Davila, Donald Tambunan, Patrick Taran and Steffi would also like to thank everyone who has kindly provided comments during the review of the thematic papers. Health of migrants the way forward. Report of a global consultation1 Health of migrants the way forward. Report of a global consultationAPECAsia-Pacific Economic ForumASEMAsia-Europe MeetingCALDC ulturally and linguistically diverseCANC ommunity of Andean NationsCARAM AsiaCoordination of action Research on AIDS and Mobility in AsiaCARICOMC aribbean CommunityCIDAC anadian International Development AgencyCLASC ulturally and linguistically appropriate Health servicesCOEC ouncil of EuropeCONHUHip lito Unanue ConventionCPLPC ommunity of Portuguese Language CountriesCSMEC aricom Single Market and EconomyEACEast African CommunityECOWASE conomic Community of West African StatesEPSCOE mployment.

8 Social Policy and Health and Consumer Affairs CouncilEUEuropean UnionGCIMG lobal Commission on International MigrationGFMDG lobal Forum on Migration and DevelopmentGMGG lobal Migration GroupHWGH ealth Working GroupICRMWI nternational Steering Committee for the Campaign for Ratification of the Migrants Rights Convention ICSWI nternational Committee on Seafarers WelfareIDPI nternally displaced personIFRCI nternational Federation of the Red Cross and Red Crescent SocietiesIGADI ntergovernmental Authority on DevelopmentIHRI nternational Health RegulationsILO International Labour OrganizationIMHAI nternational Maritime Health AssociationIOMI nternational Organization for MigrationIRAPPIGAD Regional HIV/AIDS Partnership ProgramISFI nternational Shipping FederationITFI nternational Transport Workers FederationJUNIMAJ oint United Nations Initiative on Mobility and HIV/AIDS in South East Asia and Southern ChinaMBDSM ekong Basin Disease SurveillanceMIDSAM igration Dialogue for Southern AfricaMiMiWith Migrants, For MigrantsMTMM editerranean Transit Migration DialogueNGONon governmental organizationPANCAPPan Caribbean Partnership Against HIV/AIDSRCPR egional Consultative ProcessAcronyms and abbreviations2 Health of migrants the way forward.

9 Report of a global consultationHealth of migrants the way forward. Report of a global consultationRECsRegional Economic CommunitiesSAARCS outh Asian Association for Regional CooperationSADCS outhern African Development CommunitySEEHNS outh-Eastern Europe Health NetworkSEGIBI bero-American General SecretariatUNAIDSThe United Nations Joint Programme on HIV/AIDSUNDPU nited Nations Development ProgrammeUNFPAU nited Nations Population FundUNHCRU nited Nations High Commissioner for RefugeesUNITARU nited Nations Institute for Training and ResearchWAHOWest African Health OrganizationWHAW orld Health AssemblyWHOW orld Health Organization Health of migrants the way forward. Report of a global consultation3 Health of migrants the way forward. Report of a global consultationForewordIn a globalized World defined by profound disparities, skill shortages, demographic imbalances, cli-mate change as well as economic and political crises, natural as well as man-made disasters, migra-tion is omnipresent.

10 There are an estimated 214 million international migrants, 740 million internal migrants and an unknown number of migrants in an irregular situation all over the World . While these figures comprise a wide range of different migrating populations, such as workers, refugees, students, undocumented migrants and others, and their vulnerability levels vary greatly, the collec-tive Health needs and implications of a population cohort of this size are considerable. The Health of migrants and Health matters associated with migration are crucial public Health challenges faced by governments and societies. This notion formed the basis for the Resolution on the Health of migrants which was endorsed by the Sixty-first World Health Assembly in May 2008.