Maggie Davis, Executive Director, Health Action Partnership International, United Kingdom
Maggie DaviesExecutive Director
• Working with WHO to develop a benchmark tool to bringequity focus to policy across government departmentsand sectors.• Working with health and criminal justice professionals in5 countries on services for women who have experiencedsexual violence.• Working with partners in Latin American Countries, theEU and Africa on linking research to policy and serviceprovision to address mother and child health.• Working with health service providers, policy makers andprison service staff to develop training and guidelines formental health in prisons in Anguilla and Montserrat.• Working with local policymakers, employer/employeeorganizations and community representatives on theissue of work, worklessness and social protection.
HAPI worked with employers, health providers, unions and NGOs in 6countries to:• Review literature of best practice in promoting health throughemployment.• Develop a bench mark tool for work across governmentdepartments to explore how their internal practice and externalpolicy impacted on access to employment.• Develop a brief raising awareness of the issues for policy makers.• Provide real time support from an expert group ofacademics, business and health NGOs and policy makers to partnersin Poland and Hungary who were involved in the implementation ofrelevant projects.
Levelling UpMunicipality who worked with communitygroups, employers and academics to:• Provide employment opportunities in institutions of themunicipality• Facilitate employment opportunities in other sectors• Provide income support and financial incentives• Support education and vocational training• Provide peer mentoring, support and advice
As part of the project, The ‘Roma Employment andTraining Public Association’ was created; its tasks wereto:•Organize their education and training•Provide peer mentoring•Coordinate and make contact with employers andemployees of the Programme, and with the participantsof the scholarship programme.•Facilitate the cooperation between stakeholders and theRoma community.•Develop a network of Roma helpers.
Since it started in 2009, theprogramme has added newelements:• ECDL Start computer operatortraining: Nursing vocationaltraining• Psychological counseling• Manpower mediation• Organizing for the Municipalityemployment of public interest(communal work) permanentlyfor 45-50 persons.• Roma Labor Market ServiceOffice opened supported by agrant of the NationalEmployment Foundation
Do you think that the Roma inEsztergom are discriminated …yes, andhad ownbadexperienceyes, but hadno own badexperiencenoin finding a job? 37% 51% 12%in workplaces? 30% 46% 24%in official places? 34% 43% 23%
SF 36 scores summary tableSF 36 summary scores (%) MH RE RP SF BP GH VI PFCurrent participant Mean score 62 67 80 71 76 61 57 75Drop out Mean score 52 49 66 65 65 63 49 70Non-participant Mean score 59 67 66 72 63 55 56 74Total Mean score 57 61 68 70 65 58 54 73The 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)
• Issue of major public importance• Evidence supports that it is amenable tochange• Solutions are politically and culturallyacceptable
The intersectoral aspect of the work has ensuredthat it has a legacy that will outlive the initialfunding:• Increase Roma presence in the Municipalityplanning processes and in the provision ofservices.• Skilled mentors.• Increase in skills and education more compatiblein the open job market• Role models
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 ensurethat the programme was appropriate and met felt as well asnormative need.• The community worked with employers and the education sector todevelop and deliver specific aspects of the vocational training.• The municipality worked with employers to provide incentives andidentify jobs.• Important links between education and employmentwere articulated• The municipality, employers and education sector worked togetherwith the community.
The free market is not the vehicle to address inequalities inaccess to employmentEveryone profits if:• Education takes account of employability sociallyexcluded get good quality jobs and business gets theproducts and services that it can sell.• Government funding is needed to sustain this type of activelabour programme, but it will get an increase in tax revenue• Transferability and scale up are possible, but thecommunity always needs to be involved in earlyin the process.
Thank youMaggie.firstname.lastname@example.orgCo-author of Intersectoral governance for health in allpolicies. Structures, actions and experiences, 2012