Universal health: three proposals for the inclusion of migrants

 

World Health Day forces us to reflect on the habits that could cause a negative effect on our health and on the measures, we must take to minimize the risks to a disease. It forces us to eat better, to perform more physical activity, to avoid stress and fundamentally to perform medical examinations that allow us to detect and treat all kinds of illness in time.

But what happens when people migrate? Many of those factors, habits and conditions that are already known and that determine your health are modified. You can now find multiple administrative barriers to access services, language limitations, stigma and discrimination and many other conditions that will limit access to basic services, thus affecting your health in an important way. There are still inequities very present in the region preventing the adequate access of large population groups to health services, with barriers based on their migratory status, nationality or other conditions.

Therefore, today we must also reflect on the close link between human mobility and health, and how we are responding as a society to everyone's needs. The campaign, promoted this year by the World Health Organization, "Universal Health Coverage: Everyone, Everywhere" means looking back at those populations that, because of their migratory status, are falling behind. Because of this, I consider it necessary to take action in the following aspects:

  1. Strengthen joint work in a multi-sectoral manner that guarantees access to quality health services, with cultural appropriation and sensibility to the migrant.
  2. Formulate policies that guarantee the inclusion of vulnerable populations and eliminate structural barriers that hinder access to universal health.
  3. Seeking partners, generate alliances, strengthen networks and promote joint and multi-sectoral work that allows us to address issues that merit a regional response, multinational and fundamentally multidimensional.

In Mesoamerica we have a regional and multi-sectoral coordination mechanism that aims to advance these proposals. It is the Joint Initiative of the Health of Migrants and their Families (INCOSAMI) that brings together governments, civil society organizations, regional associations, academia, United Nations agencies and development partners, in order to promote the health and migration agenda in the region.

“Without migrants, including internally displaced people, universal health coverage (UHC) would not be truly universal.”  -Jacqueline Weekers, IOM Director of the Migration Health Division.

On the other hand, it is important to emphasize that the access of migrant populations to universal health must also go beyond services. It is about carrying out actions in places where they are located, either in transit or destination communities. This leads us to the need to design prevention and health promotion campaigns with inclusive communication strategies. It invites us to sensitize and train all health personnel and migration authorities about the rights, contexts and conditions of the migration process.

 

 

   Sobre el autor:

Carlos Van der Laat is the IOM Regional Migration Health Officer for the Americas. Specialist in Family and Community Medicine, he has a Master's Degree in Human Rights and Education for Peace. He has worked for the Costa Rican Social Security Fund and the University of Costa Rica, as well as a consultant forespecia the Pan American Health Organization and UNICEF. He specializes in intercultural health, from where he has formulated and coordinated community projects.

 


Multilateral cooperation, a key for migration governance

Categoria: Migration Governance
Autor: Guest Contributor

Migratory movements in Central and North America have been determined by diverse political, economic, environmental, social and cultural factors. Due to their complexity, migration processes at national and regional levels reveal a great number of challenges, so cooperation and dialogue between countries and agencies is essential to address them properly.

Inter-state consultation mechanisms on migration (ISCM) are forums run by States in which information is exchanged and policy dialogues are held for States interested in promoting cooperation in the field of migration. These mechanisms can be regional (regional consultative processes on migration or RPCs), interregional (interregional forums on migration or IRFs) or global (global processes on migration).

There are 15 Regional Consultative Processes on migration active in the world, but few as consolidated and with as much experience as the Regional Conference on Migration (RCM), created in 1996.

The RCM is a regional consultative process on migration to exchange experiences and good practices in ​​migration at a technical-political level. The coordination of policies and actions is carried out by its eleven member states: Belize, Canada, Costa Rica, El Salvador, the United States, Guatemala, Honduras, Mexico, Nicaragua, Panama and the Dominican Republic.

Created at the first Tuxtla Summit, the RCM is governed by the following objectives:

• Promote the exchange of information, experiences and best practices.

• Encourage cooperation and regional efforts in migration matters.

• Strengthen the integrity of immigration laws, borders and security.

This poses a great challenge, since it involves the balance of security issues at each country’s level as well as at a regional level, the search for national prosperity and economic improvement, and the rights of migrants in accordance with international agreements and conventions.

 "The issue of migration has many challenges, and among them is public opinion. Sometimes the issue of immigration is not so popular, if it is not addressed in an appropriate manner. There is a lot of misinformation about migration issues, and countries’ efforts are not always recognized," said Luis Alonso Serrano, coordinator of RCM’s Technical Secretariat.

The RCM works with three different liaison networks: the fight against trafficking in persons and migrant smuggling, consular protection, and the protection of migrant children and adolescents. This year, the RCM is going through a re-launch process, led by Guatemala as Presidency Pro-Tempore, to innovate and be at the forefront in meeting regional objectives. The RCM is a dynamic process and evolution is one of its main characteristics.

Among its achievements is the establishment of different assistance projects for the return of vulnerable migrants, training workshops and seminars on migration issues, and technical and institutional assistance to the migration authorities of RCM’s member states.

The RCM has also published a comparative analysis of the legislation of Member States on trafficking in persons and migrant smuggling, which is periodically updated, as well as a series of guidelines and manuals for migration governance.

However, of all its achievements, the most important achievement of the RCM is teamwork: the commitment of continuous dialogue between countries characterized by different economic, socio-cultural and migratory realities. This regional consultation process provides a space for equal representation and participation to government delegates, facilitating the identification of matters of common interest, as well as needs, objectives and areas of action.

The efforts of the RCM are complemented by the work of other regional entities interested in migration governance, such as the Central American Integration System (SICA). Currently, SICA and IOM are developing a study on the causes and consequences of migration in the region, to develop a regional action plan to address the phenomenon.

As Serrano explains: "The immigration issue does not belong to a single country on its own. Through the exchange of experiences and good practices, a dialogue between peers is created to share challenges. You not only learn from the good, but also from the opportunities for improvement, in order to strengthen migration governance and ultimately reach the target population: the migrant population, whom we owe our work to. "

For more information about the RCM and access to documents and publications, visit: http://portal.crmsv.org/