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Public health aspects of migration: ensuring people-centred health systems

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Presentation delivered by Dr Hans Kluge (Director, Division of Health Systems and Public Health at WHO Regional Office for Europe) - High-level meeting on refugee and migrant health (23-24 November 2015, Rome, Italy)

Veröffentlicht in: Gesundheit & Medizin
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Public health aspects of migration: ensuring people-centred health systems

  1. 1. Public health aspects of migration: ensuring people-centred health systems Dr Hans Kluge Director, Division of Health Systems and Public Health WHO Regional Office for Europe
  2. 2. Presentation Outline  Phases in migrant health needs and health system responses  Health systems strengthening to ensure a people- centred approach  Priority action areas for health systems
  3. 3. Phases of Migrant Health Needs and Health Systems’ Response Migration trajectory (3 phases) • Arrival in transition or destination countries in Europe • Primary housing / processing during asylum applications/ reception phase in destination countries • Integration into the host society
  4. 4. People-centered health systems strengthening: equitable framework Governance Resourcing Financing Services delivery CHALLENGES Epidemiological burden Population ageing Financial constraints Cultural paradigms INNOVATIONS Innovative health technologies Redesigned models of care Repurposed workforce competences Revised accountability arrangements Realigned incentives mechanisms
  5. 5. Action areas for health systems (1) • Ensure entitlements and access to services for all migrants throughout the migration trajectory • Implement structural changes as needed, and develop a multi- stakeholder approach • Ensure provisions for migrants are incorporated into general health system planning and future strategy documents • Act intersectorally and foster exchanges of information and good practice among all services working with migrants • Strengthen health information systems
  6. 6. Action areas for health systems (2) • Tackle informal barriers by:  Ensuring interpretation and translation  Providing staff training and ensuring adequate psychosocial and work environment support  Providing information and educating migrants on health system navigation, as well as promoting health literacy  Providing targeted health promotion based on existing evidence of good practice  Adopting a system-wide approach where cultural sensitivity is incorporated throughout.
  7. 7. WHO Regional Office for Europe Division of Health Systems and Public Health WHO Regional Office for Europe Division of Health Systems and Public Health WHO Regional Office for Europe Division of Health Systems and Public Health CONTACT INFORMATION Division of Health Systems and Public Health WHO Regional Office for Europe For more information on health systems in European Region visit http://www.euro.who.int/

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