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The Roma and Health


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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 …

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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  • 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
  • 5. MHD, RO Brussels 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)
  • 6. MHD, RO Brussels 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
  • 9. MHD, RO Brussels 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: