Promoting the health of migrants in the Americas Marcelo Korc, PhD, MPH April, 2017

Migration is a social determinant of health Migrants may travel in precarious conditions, work in riskiest industries, live in unhealthy conditions, and be stigmatized. Inward remittance flow of $64 billion into LAC countries in 2014 (e.g., 23% GDP of Haiti, 17% GDP of Honduras, El Salvador, and Jamaica) Formal and informal barriers to access quality health services and other social protection services

Global agenda The 2030 Agenda for Sustainable Development Goal 10: Reduce inequality within and among countries 10.7 Facilitate orderly, safe, regular and responsible migration and mobility of people… 2016 New York Declaration Global Compacts for Refugees (2016) – UNHCR Global Compact for a Safe, Orderly and Regular Migration (2018) - IOM

140th WHO Executive Board Develop a framework of priorities and guiding principles to promote the health of refugees and migrants in collaboration with IOM and UNHCR and under consultation with Member States. Ensure that health is properly integrated in the Global Compacts for Refugees and for Safe, Orderly and Regular Migration. Analyze the health situation of refugees and migrants in each Region.

Draft Framework Strengthen global, regional and country commitments Promote/adopt refugee and migrant-sensitive health policies, legal and social protection and program interventions Accelerate towards UHC and the SDGs Support implementation of the WHO Global Code of Practice on the International Recruitment of Health Personnel Monitor the health of refugees and migrants Reduce morbidity and mortality Promote continuity and quality of care for refugees and migrants Enhance system-wide capacity to address social determinants of health Reinforce occupational heath and safety mechanisms Strengthen collaboration and coordination Enhance communication Counter xenophobia Enhance social inclusion and engagement Strengthen resource mobilization

Key regional guiding frameworks OAS program to promote and protect the human rights of all migrants (2001) PAHO Resolution CD50.R12 “Health and human rights” (2010) PAHO Resolution CD50.R17 “Health, human security, and well-being” (2010) PAHO Resolution CD53.R9 “Plan of action for the coordination of humanitarian assistance” (2014) PAHO Resolution CD53.R14 “Strategy for universal access to health and universal health coverage” (2014) PAHO Resolution CD55.R13 “Health of migrants” (2016)

PAHO Resolution Health of Migrants Address health inequities that affect migrants and to develop targeted interventions to reduce migrants’ health risks; Lead the effort to modify or improve regulatory and legal frameworks; Advance towards providing migrants with access to the same level and quality of services and financial protection that other people living in the same territory enjoy; Promote action at the bilateral, multilateral, national, and local levels.

An integrated response in health Universal Declaration of Human Rights WHO Constitution 2030 Agenda for Sustainable Development Universal Health Strategy Humanitarian assistance Sustainable development Mainstreaming human security in health La propuesta de la OPS para abordar las inequidades en salud de la población migrante: conectar la asistencia humanitaria de corto plazo con el acceso universal en salud y la cobertura universal de salud de largo plazo a través de la incorporación del enfoque de la seguridad humana en los planes de salud para fortalecer la resiliencia de los migrantes en situación de vulnerabilidad y de las comunidades de origen, tránsito, destino y retorno. Constitución de la OMS: …..” El goce del grado máximo de salud que se pueda lograr es uno de los derechos fundamentales de todo ser humano sin distinción de raza, religión, ideología política o condición económica o social. O T D R Asistencia humanitaria Título de la presentación

Thank you!