Transcript Slide 1

“A first step to understanding local need must be
a basic understanding of the demography of
the local population. As such, some
understanding of migration and how it might
be changing the local population is essential.
“[It] … is also important is assessing equity of
provision as migrants are in all areas, even
when not visible or seldom heard.”
Including migrants in JSNA
• Commissioned by the Health Inequalities and
Local Improvement Team, Department of
Health.
• Produced by the Migrant Health Leads of
Yorkshire and the Humber, the North West
and North East.
• Authors: Nigel Rose, Susy Stirling, Alison
Ricketts, David Chappel.
Including migrants in JSNA: Contents
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Who are migrants
Why include migrants
How to include migrants
Notable examples
Appendices
Who are migrants?
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2009: approx 567,000 to UK for 1 year +
17% British nationals
34% for work related reasons
13 % accompanying or joining others
38% for formal study
5% seeking asylum
Dynamism and diversity: of migrant groups and UK
areas
Why include migrants?
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Social justice – addressing health inequalities
Key to generating community cohesion
Integral to economic wellbeing of society
Addressing the most vulnerable and enabling
their participation
Benefits: early diagnosis, screening (physical and
mental health)
How to include migrants: co-production
Key principles:
• All community members are resources and assets
• Broad range of partners and sources
• Participative, community development approach
• Use of qualitative tools
• Knowledge-sharing (assists service
development/capacity building)
• Long term participation (secures sustainability
and flexibility)
• Process is iterative and non-linear
How to include migrants: focusing
How to include migrants:
information collection
Sources:
• People’s lives (case studies and personal
accounts)
• Written information (research, surveys, grey lit,
websites etc) (see Appendix 5)
• Statistical information (see Appendix 3)
• Building trust and credibility key from outset
• Talking to range of local
groups/organisations/experts (see Appendix 4)
How to include migrants:
information collection
Issues:
• Definitions (eg length of stay)
• Groupings (eg legal status, country of origin)
• Diverse measures (one off or over time)
• Churn (turnover)
• Local data sources that are not part of routine
national systems (see Appendix 4)
• Prioritisation
Including migrants in JSNA:
mapping and interviewing
• Map out the network of people, partnerships
and organisations
• Include major networking methods (eg
newsletter or email lists)
• Interview individuals and/or groups
• Take interpreting/translation issues into
account
• Case studies of organisations and individuals
have impact
Including migrants in JSNA:
storing and disseminating
• Record in a form that future assessors can use and
build on.
• Include dates, participants, content of interviews,
meetings, consultations, questionnaires and visits.
• Inform people of who you are, why, what doing, and
keep them informed.
• Build in active dissemination in appropriate forms.
• Demonstrate impact and change.
Including migrants in JSNA:
building momentum for change
• Conclusions are only as useful as the change
they bring about
• Make conclusions clear, evidence-based and
effective
• Bear in mind that circumstances change
(populations/policy/law)
• JSNA is an iterative process – revision will be
needed
Including migrants in JSNA:
building momentum for change
“The value of co-producing JSNA is that much of
the social capital required to effect change will
be generated during the process.”