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health professionals to the needs of trafficked women, and culturally appropriate awareness raising campaigns. Health Problems in the Context of Trafficking Mental trauma Physical trauma Communicable disease Violence, including sexual abuse Discussion from Session II-B: Managing Global Public Health; Partnerships and Developing Bridging Public Health Programmes Participants praised the initiatives undertaken by various government representatives, but emphasized the need for much more work to be done. Many specified continued collaboration between governments, and between organizations and governments, as the most effective means for meeting the health needs of migrants. Discussion centred on the dilemmas posed by providing for the medical needs of irregular migrants, long a sticking point for many governments. Most governments acknowledge that in providing medical care to illegal migrants, they are also protecting their own citizens. However, some nations view supplying health services to irregular migrants as implicitly recognizing and condoning their presence. They often find it difficult to divorce their policing and regulatory functions from the humanitarian aspects of healthcare delivery. Governments tend to be most reluctant to provide routine or non-emergency medical care; 13 they are seldom in the position to grant amnesty to irregular migrants simply because migrants’ are in a medical care context. To do so would be to create a haven from immigration enforcement that some feared could be quickly abused. Providing 61
full health coverage to irregular or illegal migrants would also offer a blanket-service that could be easily exploited; nonresidents might travel to the area solely for the purpose of seeking free health treatment. Countries that in fact granted health services to irregular migrants while maintaining their illegal status, have often found it difficult to convince migrants that it was safe for them to seek care, without fear of deportation, arrest, etc. 14 One participant felt that there was a unique role for non-governmental organizations to provide the necessary services because, in these instances, they are the only party migrants feel they can trust, especially regarding internal migrants who were displaced by conflict. Others viewed the sensitivity of healthcare providers to the cultural and religious backgrounds of migrants as vital to increasing their receptiveness to treatment. One participant labelled cultural sensitivity as a necessary new component of any health system. Others were deeply impressed by the Cambodian success of de-stigmatizing and integrating mental healthcare. 62
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THE INTERNATIONAL ORGANIZATION FOR
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This book is published by the Migra
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International Organization for Migr
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Recognizing that political borders
Page 11 and 12: address the mental health of migran
Page 13 and 14: care, and their needs merit attenti
Page 15 and 16: populations, to initiate the integr
Page 17 and 18: SESSION II: PUBLIC HEALTH AND MIGRA
Page 19 and 20: Using Bilateral Arrangements to Man
Page 22: Acronyms and Abbreviations AIDS Acq
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Page 27 and 28: environments reflect the socio-econ
Page 29 and 30: proposed framework will not only pr
Page 31 and 32: and regions. The comprehensive inte
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Page 36 and 37: REPORT OF THE MEETING 6 This report
Page 38: • Investing in Migration Health:
Page 41 and 42: However, both the nature of migrati
Page 43 and 44: Cataloguing infectious diseases int
Page 45 and 46: Infectious diseases result in 14 mi
Page 47 and 48: Why is it important to consider hea
Page 49 and 50: 48 How Can We Effectively Bridge He
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Page 54 and 55: An individual’s migration history
Page 56 and 57: etween the migrant and the host cou
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Page 66 and 67: with a minimum interference with wo
Page 68 and 69: Extending health services in the co
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Page 90 and 91: Other areas of discussion depicted
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Page 99 and 100: 98 Useful Definitions (cont.) Traff
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Page 105 and 106: ALBANIA Ministry of Health Buchares
Page 107 and 108: CONGO Permanent Mission of Congo to
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MEXICO Permanent Mission of Mexico
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SOUTH AFRICA Permanent Mission of S
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USA Centers for Disease Control and
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118 Mr. Boris WIJKSTRÖM Research O
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IOM Nairobi P.O. Box 55040, 00200 N
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122 Mr. William COCKSEDGE * Senior
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124 NON-GOVERNMENTAL ORGANIZATIONS
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Indonesian Migrant Workers Union/Co
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World Council of Churches 150, Rout
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8. World Migration 2003, IOM, Genev
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