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East mids stakeholder event 30 jun 2010

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Transcript

  • 1. Development of a
    migrant health toolkit
    for the East Midlands
    Stakeholder Workshop, Leicester
    30th June 2010
  • 2. Introduction
    Project Aim
    Bring together a comprehensive knowledge bank of the main issues around migrant health in the East Midlands, working with regional service providers to develop a toolkit to inform future service commissioning.
  • 3. Project Objectives
    • Improving understanding of the demography, health needs and impact of migrants across the East Midlands
    • 4. Informing commissioning and provision of health services
    • 5. Strengthening engagement and links between stakeholders
    • 6. Identifying gaps in information, service provision and resources
    • 7. Develop an agreed approach to future knowledge sharing that is sustainable and responsive to changing populations
  • Project Overview
    What the project consisted of
    Who we spoke to
    What we learned
    Conclusions
    Recommendations
  • 8. What the Project Consisted of
    Review of academic research
    Stakeholder engagement
    - Workshops
    - In-depth interviews x20
    Final report
  • 9. Who we spoke to
    Professionals across the East Midlands
    Representatives from:
    - Nottingham City Council - Nottingham Fire & Rescue
    - Leicester City Council - Health Protection Agency
    - Northamptonshire County Council - One East Midlands
    - Boston Borough Council - Refugee Action
    - NHS Nottingham City - EMAC Derby
    - NHS Leicester City - BEGIN
    - NHS Derby City
  • 10. What we learned
    Asylum Seekers
    Prevalent Countries of Origin
    - Middle East: Iraq, Iran, Afghanistan
    - Africa: Zimbabwe, Eritrea, Somalia, Sudan, DR Congo
    - South Asia: Sri Lanka
    - East Asia: China
  • 11. What we learned
    Asylum Seekers
    Influences on health
    - Individual characteristics
    - age, gender, ethnicity
    - Pre-migratory factors
    - circumstances of migration
    - cultural practices
    - prevalence of infectious diseases
  • 12. What we learned
    Asylum Seekers
    Influences on health
    - Post-migratory factors
    - destitution
    - housing conditions
    - language
    - entitlement
    - stage of legal process
  • 13. What we learned
    Asylum Seekers
    Prevalent health issues
    - Mental Health
    - post-trauma stress
    - stage in legal process
    - destitution & housing conditions
  • 14. What we learned
    Asylum Seekers
    Prevalent health issues
    - Maternal health
    - rape & sexual violence
    - FGM
    - low uptake of breast and cervical screening
  • 15. What we learned
    Asylum Seekers
    Prevalent health issues
    - Communicable diseases
    - Tuberculosis
    - HIV
    - Malaria
  • 16. What we learned
    Asylum Seekers
    Prevalent health issues
    - Sexual Health
    • Rape & sexual violence
    - FGM
    - undiagnosed STIs
    - reluctance to use contraceptives
  • 17. What we learned
    Asylum Seekers
    Other significant issues
    - High Mobility
    - Health registration
    - Cultural expectations of services
    - Language
    - Nutrition
  • 18. What we learned
    Economic Migrants
    Countries of origin
    - EU - Eastern Europe A10 (c. 75% Poland)
    - Non EU - India & Pakistan the most prevalent
    - also significant African and East Asian populations
  • 19. What we learned
    Economic Migrants (EU)
    Prevalent health issues
    - Vaccine preventable diseases
    - TB
    - MMR
    - Sexual health
    - Variable STI rates
  • 20. What we learned
    Economic Migrants (EU)
    Prevalent health issues
    - Work-related injury
    - high employment in “3D” jobs
    - sensory / musculoskeletal injuries
    - different perceptions of “risk”
    - confusion over responsibility
  • 21. What we learned
    Economic Migrants (EU)
    Prevalent health issues
    - Mental Health
    - discrimination
    - work-related stress
    - social isolation
  • 22. What we learned
    Economic Migrants (EU)
    Prevalent health issues
    - Lifestyle factors
    - many young male
    - high rates of smoking
    - heavy drinking
    - high fat diet
  • 23. What we learned
    Economic Migrants (EU)
    Prevalent health issues
    - Lifestyle factors
    - many young male
    - high rates of smoking
    - heavy drinking
    - high fat diet
  • 24. What we learned
    Economic Migrants (Non-EU)
    Prevalent health issues – South Asian
    - Diabetes
    - genetic predisposition
    - deprived living conditions
  • 25. What we learned
    Economic Migrants (Non-EU)
    Prevalent health issues – South Asian
    - Cardio-vascular disease (CVD)
    - high rates of smoking
    - low physical activity rates
    - Blood diseases
    - sickle cell anaemia
    - Thalassaemia
  • 26. What we learned
    Economic Migrants (Non-EU)
    Prevalent health issues – South Asian
    - Mental health
    - discrimination
    - deprived living conditions
    - family / cultural pressures
  • 27. What we learned
    Economic Migrants (Non-EU)
    Prevalent health issues – African & East Asian
    - Mental Health
    - Communicable diseases
    - Blood diseases
  • 28. What we learned
    Accessing health services
    - language
    - expectations of service
    - NRPF
    - entitlement
    - third sector
    - Key role of Refugee Action and Refugee forum
    - tailored & mainstream services
  • 29. What we learned
    Toolkit development
    - Drawing together existing and new research
    - Continually updated
    - Centrally held and moderated
    - Best practice sharing
    - Online
  • 30. Conclusions
    • Holistic Working Practices
    • 31. Language Barriers
    • 32. Cultural expectations
    • 33. Mental Health
    • 34. Coordinated Information Resource
    • 35. Monitoring and research
    • 36. GP Education
  • Recommendations
    • Target Audience: Professionals (i.e. YOU!)
    • 37. Access to toolkit: pre-approval by moderator / System Manager
    • 38. Toolkit structure: Resources
    • 39. Academic research
    • 40. Best practice case studies
    • 41. Statistical information
    • 42. Health needs assessments
    Service Directory
    • Mapped services
    Professional forums
    - Informal knowledge sharing
  • 43. Break-out
    30 minutes
    What do you think?
    Stakeholder Workshop, Leicester
    30th June 2010
  • 44. Introduction
    In groups, consider:
    Do our findings reflect your experience?
    Do you agree with our recommendations for the toolkit?
    How might the toolkit work for you?
    Recommendations for further research
  • 45. Next steps
  • Next steps
    • Any comments, feed back to:
    Kirsty Lowe
    East Midlands Councils
    kirsty.lowe@emcouncils.gov.uk
    Sarah Short
    East Midlands Councils
    sarah.short@emcouncils.gov.uk
  • 52. Thank You!
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