1. Maggie Davies
Executive Director

2. • Working with WHO to develop a benchmark tool to bring
equity focus to policy across government departments
and sectors.
• Working with health and criminal justice professionals in
5 countries on services for women who have experienced
sexual violence.
• Working with partners in Latin American Countries, the
EU and Africa on linking research to policy and service
provision to address mother and child health.
• Working with health service providers, policy makers and
prison service staff to develop training and guidelines for
mental health in prisons in Anguilla and Montserrat.
• Working with local policymakers, employer/employee
organizations and community representatives on the
issue of work, worklessness and social protection.

3. HAPI worked with employers, health providers, unions and NGOs in 6
countries to:
• Review literature of best practice in promoting health through
employment.
• Develop a bench mark tool for work across government
departments to explore how their internal practice and external
policy impacted on access to employment.
• Develop a brief raising awareness of the issues for policy makers.
• Provide real time support from an expert group of
academics, business and health NGOs and policy makers to partners
in Poland and Hungary who were involved in the implementation of
relevant projects.

4. Levelling Up
Municipality who worked with community
groups, employers and academics to:
• Provide employment opportunities in institutions of the
municipality
• Facilitate employment opportunities in other sectors
• Provide income support and financial incentives
• Support education and vocational training
• Provide peer mentoring, support and advice

5. As part of the project, The ‘Roma Employment and
Training Public Association’ was created; its tasks were
to:
•Organize their education and training
•Provide peer mentoring
•Coordinate and make contact with employers and
employees of the Programme, and with the participants
of the scholarship programme.
•Facilitate the cooperation between stakeholders and the
Roma community.
•Develop a network of Roma helpers.

6. Since it started in 2009, the
programme has added new
elements:
• ECDL Start computer operator
training: Nursing vocational
training
• Psychological counseling
• Manpower mediation
• Organizing for the Municipality
employment of public interest
(communal work) permanently
for 45-50 persons.
• Roma Labor Market Service
Office opened supported by a
grant of the National
Employment Foundation

7. Do you think that the Roma in
Esztergom are discriminated …
yes, and
had own
bad
experience
yes, but had
no own bad
experience
no
in finding a job? 37% 51% 12%
in workplaces? 30% 46% 24%
in official places? 34% 43% 23%

8. SF 36 scores summary table
SF 36 summary scores (%) MH RE RP SF BP GH VI PF
Current participant Mean score 62 67 80 71 76 61 57 75
Drop out Mean score 52 49 66 65 65 63 49 70
Non-participant Mean score 59 67 66 72 63 55 56 74
Total Mean score 57 61 68 70 65 58 54 73
The generic health status questionnaire, namely the SF-36 measures eight concepts with 36 questions:
1. Mental health/emotional well-being (MH;).
2. Role limitations due to emotional problems (RE;),
3. role limitations due to physical health (RP),
4. Social functioning (SF;),
5. bodily pain (BP),
6. General health perceptions (GH;),
7. vitality (VI,),
8. physical functioning (PF)

9. • Issue of major public importance
• Evidence supports that it is amenable to
change
• Solutions are politically and culturally
acceptable

10. The intersectoral aspect of the work has ensured
that it has a legacy that will outlive the initial
funding:
• Increase Roma presence in the Municipality
planning processes and in the provision of
services.
• Skilled mentors.
• Increase in skills and education more compatible
in the open job market
• Role models

11. A patchwork of relationships made the whole quilt
• This programme could not be developed by one sector alone.
• The community needed to be involved from the outset to ensure
that the programme was appropriate and met felt as well as
normative need.
• The community worked with employers and the education sector to
develop and deliver specific aspects of the vocational training.
• The municipality worked with employers to provide incentives and
identify jobs.
• Important links between education and employment
were articulated
• The municipality, employers and education sector worked together
with the community.

12. The free market is not the vehicle to address inequalities in
access to employment
Everyone profits if:
• Education takes account of employability socially
excluded get good quality jobs and business gets the
products and services that it can sell.
• Government funding is needed to sustain this type of active
labour programme, but it will get an increase in tax revenue
• Transferability and scale up are possible, but the
community always needs to be involved in early
in the process.

13. Thank you
Maggie.davies@hapi.org.uk
Co-author of Intersectoral governance for health in all
policies. Structures, actions and experiences, 2012