Presentation by Isabelle Beauclercq, International Organization for Migration (IOM), on the occasion of the EESC hearing on Better Roma inclusion through civil society initiatives: focus on health and anti-discrimination (Brussels, 12 May 2014)
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The Roma and Health
1. MHD, RO Brussels
Better Roma inclusion through
civil society initiatives: focus on
health and anti-discrimination
European Economic and Social Committee
Brussels, 12 May 2014
2. MHD, RO Brussels
International Organisation for Migration
Intergovernmental body with 155 Member States at 450 field locations
7800 employees working on > 2300 projects
Committed to the principle that humane and orderly migration benefits
migrants and society
The following relevant to minorities and migrants areas have been
identified by the Organization as crucial :
• Protection and advocacy of human rights;
• De-stigmatization and inclusion;
• Migrant and ethnic minorities assistance and protection.
Health is a Human right, health contributes towards the social and
economic development of home communities and host societies
Migration Health… ? recognition that migrant and minority status are
additional social determinants of health
3. MHD, RO Brussels
IOM Roma Health Activities
WHO / IOM Sustainable Waste Management Initiative for a
Healthier Tomorrow (SWIFT) project (2009-2012) – Serbia:
• Social mobilization to generate income, promote inclusion, and
improve health access
Building Healthy Roma Communities Pilot Project (2006-
2009) - Hungary, Poland, Slovakia and Romania:
• Build human capacity to deal effectively with minority group
needs, reduce discrimination and support Roma access to heath
social service
• Provide opportunities for exchange and learning
• Pilot a community assistance model with community mediators
(Equality Support Unit)
4. MHD, RO Brussels
Equi-Health
Direct Grant Agreement awarded to IOM by the EC/DG Health and
Consumers within the Public Health Program 2012
Objective: To improve the access and appropriateness of health care
services, health promotion and prevention to meet the needs of
Migrants, the Roma and other vulnerable ethnic minority groups,
including irregular migrants
Coverage: EU/EEA Member States
Started February 1st 2013, duration 3 years
• Sub-project I: Promoting appropriate health care provision to
migrants at the southern EU Border
• Sub-project II: Roma Health (nationals’ and migrants’)
• Sub Project III: Migrant Health
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Sub-project II: Roma Health
Specific objective: To support national
authorities in monitoring, sharing and
strengthening national approaches to
Roma health
Monitoring Progress and Strengthening
Roma Health Strategies in the EU.
Focus:
• Roma Nationals
• Roma migrants EU citizens
• Roma migrants Third Country Nationals
Target countries: EU MS with high % of
Roma nationals & EU MS with high % of
Roma migrants (Bulgaria, Belgium,
Croatia, Czech Republic, France, Italy,
Romania, Slovakia, Spain)
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Consultative Process
1. Regional Consultative Committee (RCC) and EWG
meeting on Roma health, May 2013, Sofia
Bg, Be, Fr, Hu, It, Sk, Ro, Sp
Status of NRIS in participation EU MS
Methodology/template for two-steps progress reports
(2014 and 2016)
Identification of priority areas for further collaboration
between MS
2. EWG “Health mediation and the Roma”, September
2013, Huelva
Bg, Cr, Ro, Be, Fr, It, Sp
Development of (Roma) health mediators’ programmes
in different EU MS
Exchange of experiences on the implementation of
health mediators programs in EU MS
7. MHD, RO Brussels
Regional Pilot Intervention on “Health
Mediation and the Roma”
Rationale/objectives:
• Outcome of RCC and WGs
• Key planned action in most NRIS
• Mediation practice is often poorly recognized and not clearly
defined in national programs and curricula
• Build a common reference framework for better recognition
• Establishment of continuous network of Roma health mediators in
EU
Coverage: Be, Bu, Fr, It, Sp, Ro (tbc), Sk (tbc)
1st workshop: 9-10 June 2014, Sofia:
• Discussions on health mediation models
• Study visit to 2 Roma settlements
• Participants: program coordinator and health mediators
2nd workshop: in November 2014 in Belgium (or France)
8. MHD, RO Brussels
Progress reports on implementation of national
commitments to Roma Health from multi-stakeholder
perspective
Baseline report to cover national developments since 2005 to
2013 in the field of Roma health policy interventions:
• Desk research:
Legal and policy developments (NRIS), health strategies, etc.
Mapping of promising practices as well as lessons learnt from
unsuccessful/poor practices
• Field work:
Interviews with stakeholders
Identification of case studies with objective to support
prioritizing next step intervention/support
Second report to assess the progress made in comparison to
the baseline situation in 2015
Coverage: Bg, Be, Cr, Cz, It, Ro, Sk, Sp
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Roma Health Integration Policy Index
(RHIPEX)
Piloting
Inspired by the current work undertaken with the
development of the health strand within the MIPEX
Example for Czech Republic:
Nr Questions Answers
Section B: POLICIES TO FACILITATE ACCESS
7a Targeted information for Roma concerning
entitlements and use of health services
Targeted information for Roma on health system and use
of services are not systematically provided
Targeted health promotion/education is not provided;
measures to reduce practical obstacles to access do not
exist
7b Groups covered by the above targeted information
8 Information for service providers about
entitlements
Section C: RESPONSIVE HEALTH SERVICES
13a Requirement to provide qualified interpreters for
patients
Multicultural training is including in nursing graduate
education
Policy supporting training of staff in provision responsive
health services to patients with specific needs is defined -
but Roma are not targeted explicitly
14 Requirement for 'culturally competent' or
'diversity-sensitive' services
15 Training and education of health service staff
10. MHD, RO Brussels
THANK YOU FOR YOUR ATTENTION
More information:
http://equi-health.eea.iom.int/
ROBrusselsMHUnit@iom.int