Transcript FY 2012 COP Program Area Summary Based on Portfolio Review

FY 2012 COP
IOM Portfolio Review
23 August 2011
International Organization
for Migration
Portfolio Review
Overall aim of your work
To improve the physical, mental and social well being of migrants and affected communities
by responding to their health needs throughout all phases of the migration process, and
addressing the public health challenges of host/sending communities
Programmatic Areas (Refer to notes for key approaches and activities)
Service Delivery and Capacity Building
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To facilitate, provide and promote access to health services that are sensitive to
the needs of migrants and communities affected by migration
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To increase capacity to deliver health services that are sensitive to the needs of
migrants and communities affected by migration
Advocacy for Policy Development
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To advocate for national and sectoral policies/strategies that address migration
health concerns
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To facilitate and strengthen national coordination on migration health concerns
Research
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To increase understanding of migration health issues through research in South
Africa
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To promote migration health as a research Agenda (govt., academia, research
institutions)
* partners working in many areas
should provide us with a chart
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OUR APPROACH
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Include migration in
development instrumentsIDPs, PGDS
• Labour migration and
workplace responses- (TB in
mines, Sectoral Policy
guidelines
•Address gender dynamics
•Engage in Policy dialogue
addressing HIV and other
health issues- NSP process;
MHF, policy briefs (key
populations) to advocate for
migrant-sensitive policies
and services
•Building social cohesion and
social capital
Structural Factors
Environmental Factors
Individual Drivers
• Promote health seeking behaviour
(i.e. know your HIV status), health
not a priority
• Access to prevention tools
• Partner reduction strategies
• Peer-led education and
communication
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Facilitate access to services
• Address occupational health risks
•inclusive workplace wellness
policies/programmes for
seasonal/temp workers
• Contextual factors
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Boredom – lack of
recreation
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Low literacy / low skilled
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Other life skills
•Focused and appropriate health
promotion information- using SBCC
approaches (community dialogues)
•Addressing other social
determinants of health in a particular
spaces
Figure 4 The IOM Health Promotion And Service Delivery Framework
WHAT
HOW
STRUCTURAL
CAPACITY BUILDING
Addressing gender dynamics in the context of
health and migration
ENVIRONMENTAL
Strengthening of local implementing partner
EVIDENCE BASED
Facilitating access to health services,
programmes and products
Creating an enabling local environment
LOCAL ACTIVE
PARTICIPATION
Addressing gender dynamics in the context of
health and migration
Addressing contextual barriers to behaviour
and social change
COMMUNICATION
INDIVIDUAL
Peer-led communication, information and
education on health
MAINSTREAM
GENDER AND CULTURE
INVOLVEMENT OF KEY POPULATION
PARTNERSHIPS
Where do we work?
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Spaces of vulnerability
Targeting populations – sedentary and mobile –
affected by the migration process
Commercial farming communities – high levels of
seasonal and migrant labour
• But could include mining, border and other migration
affected communities
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Currently working (2011) in :
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Limpopo- Vhembe, Mopani and Waterberg
Mpumalanga- Enhlazeni district in Nkomazi
Gauteng- City of Johannesburg
KZN- eThekwini
WHO do you work with to achieve the
objectives
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Our target populations:
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Our SAG counterparts
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Policy makers
Implementers/ service providers
Migrants
Migration affected communities (border districts, farming communities,
mining,
National Department of Health
National Department of Social Development (Population Unit)
Other National Depts: DHA, DPSA, DAFF, DoT
Provincial and Local Government (Office of the Premier, DHSD, etc)
Other partners
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Other UN Agencies (WHO,UNAIDS, UNFPA, UNHCR, UNDP)
SABCOHA
Unions
INGO
Local organizations
Achievements so far
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Good practices on implementing effective interventions for
migration affected communities;
• Health Promotion and service delivery model implemented in the
comm. Agric (Ripfumelo) and associated tools;
• Bottom-up approaches
• Combination HIV prevention strategies
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Advocacy- migration on the agenda
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Involvement in the NSP process;
Ongoing dialogue through different fora (MHF);
Supported implementation of the WHA Resolution 61.17
National Farm worker Summit
Strategic alliances and Partnerships
Research
• IBBS – 39% HIV prevalence amongst farm workers (49% in Malelane,
Mpumalanga)
• Country assessment
How do we know we are achieving our
objectives
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Baseline (formative assessment)
Measurable indicators for processes, outputs and
outcomes
Regular monitoring (achievements against targets)
Include both quantitative and qualitative;
Mid-term reviews
Summative assessment- outcome evaluation
Documentation of lessons learnt and emerging field
practices
Challenges
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Sustainability (funding, government ownership,
Competing development challenges
Migration still perceived negatively, even by policy
makers and this prohibits effective responses
Few on the ground intervention to address the needs
of migrants;
Strategic information (limited data on migration
trends, migration dynamics in the context of HIV);
Programmatic Direction - two year
horizon
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Influences:
• NSDA- particularly looking at social determinants of health and how
migration needs to be broadly mainstreamed in policies; and
• NSP on HIV/AIDS/STI and TB
• UNDAF
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Priorities:
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Service delivery and capacity building
Advocacy for policy development
Research
Coordination
Alignment with the PF & PEPFAR 5-yr Strategy
• Efforts to increase efficiencies- diversification of funding; partnerships
with other UN agencies – WHO, UNAIDS, UNFPA etc.
• Strengthen health and social systems- working through the national,
provincial and district structures; capacity building on migration health
• Engagement with broader health and development programs (social
determinants of health, Spaces of Vulnerability)
• Expand coverage of combination prevention – multilevel approaches
drawing on biomedical, behavioral and social approaches
• Community strengthening- working in partnership with local partners;
involvement of key populations
• Strategic information- generate data on migration and HIV,
documenting what works (learning sites)
• HIV/TB integration (population mobility plays a critical role in the
spread and management of these conditions)
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Scale down:
• Ripfumelo project
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Funding
Need to integrate migration health within the District Health Plans,
national and provincial strategic plans
Sustainability
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Build local ownership (working through and with local organizations);
Strategic Partnerships;
Capacity building for civil society and government;
Mainstreaming migration into health policies and strategies (NSP,
NSDA);
• Documenting and sharing best practices (including lessons learnt);
• Mobilizing local and external resources (financial as well as material
and technical)
FY 2012 Recommended Programmatic Budget Shifts
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Increase support on the contextual/ structural
barriers to change (not just the biomedical);
Build evidence through actual implementation on
the ground (identify learning sites, and
documents emerging practices);
Systems strengthening- support and strengthen
coordination mechanisms such as the AIDS
Councils and other relevant structures (MHF);
(Targeted) Focus interventions, looking at key
populations