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 anti-discrimination (Brussels, 12 May 2014)

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The Roma and Health

  1. 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. 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. 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. 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. 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. 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. 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. 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. 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. 10. MHD, RO Brussels THANK YOU FOR YOUR ATTENTION More information: