Transcript IOM

‘Behind Closed Doors’
Global Seminar on the Human Rights of Migrant Domestic Workers
in an Irregular Situation
A call to action:
ensuring equitable access to
a continuum of health care
and services for migrant
domestic workers
Dr. Maria Nenette Motus
International Organization for Migration (IOM)
Regional Office for Asia and Pacific, Bangkok
1
Migration Mega-trend: 1 in 7 on the move
7 billion Population
1 billion Migrants
247 million International
>740 million Internal
Urbanization: 50% +
Irregular : 15-20%
Feminization: ca. 50%
17 – 25 million women in domestic services (83%)
Six Drivers of Migration
1. DEMOGRAPHY
2. DEMAND
3. DISTANCE
4. DIGITAL REVOLUTION
5. DISPARITY
6. DISASTERS
2
Why focus on health of migrant
domestic workers?
 They are human beings, and have a
right to health
 Migrant-inclusive health systems
improves global health outcomes
and health security
(origin/transit/ destination)
 Healthy migrants contribute to
positive sustainable development
outcomes.
A shared responsibility!
‘Healthy Migrant Effect’ &
Spaces of Vulnerability
Pre-departure
Travel
Cross-cutting
factors
Return
Destination
Domestic Service - a space of
vulnerability
0
Trafficked Migrant Domestic Workers
(IOM Indonesia Recovery Center 2005-2006)
Domestic work
Chlamydia
80
Sex work
Gonorhea
Trichomoniasis
70
68
70.39
Hepatitis B
0
HIV +
60
Hepatitis C
0
50
0
40
0
30
0
20
5
19
8
7.69
10
0
5.3
4.17
2.22
1.18
0
0
Jan-Feb 06
Mar-Dec 06
Number of positive Chlamydia test
results based on type of exploitation.
Chlamydia
Gonorhea
Trichomoniasis
Hepatitis B
HIV +
Hepatitis C
Percentage of positive STI results among
VOTs assisted in year 2006
Trafficked Migrant Domestic Workers
(IOM Indonesia Recovery Center 2005-2006)
Stranded Domestic Workers in Conflict
Situations
Libya Crisis
Stranded Domestic Workers in Irregular
Situation in Conflict Situations
Syria Crisis
Yemen Crisis
IOM Migration Crisis Operational Framework
15 Sectors of Assistance
Emergency
Evacuations
Health Care
Assistance
Travel Health
Assistance
Psychosocial
Support
Return and
Reintegration
Assistance
Challenges in promoting health & well
being of migrant domestic workers
National level: health of migrants not often safeguarded:
- Migrants still seen as burden on health system and carriers of disease
- ‘Generous’ social rights seen as a potential pull factor
- Migrants too often remain invisible, marginalized and excluded
(empowerment?)
- Lack of policy coherence, and multi-sectoral collaboration
International level: health of migrants absent in global debates:
-Often absent in global health debates (SDH, NCD, Disease Control
programmes, etc.)
-Often absent in debates on migration & development (HLD M&D,
GFMD, GMG, Post-2015, etc.)
WHO & IOM Global Consultation
on WHA 61.17 Resolution on Health
of Migrants (2010)
Operational Framework on Migrants’ Health:
Monitoring
Migrant
Health
Policy and
Legal
Frameworks
MigrantSensitive
Health
Systems
Partnerships,
Networks and
Multi country
Frameworks
Opportunities for Advocacy Efforts
Colombo Process
Global Forum on Migration
and Development (GFMD)
A shared responsibility : to promote equitable access
to continuity of health care services
Conceptual framework
Critical Domains
Labor Migration &
Development
Migration Health
Social Welfare
Research
Donor Community
Civil Society
Primary Heath
Care & Referral
STAKEHOLDERS
Gov’ts
(origin/transit
& destination)
_____
Regional
Government
Structures
_____
Migrant Workers
& Families
Sustainable
Development Goals
Rights &
Protection
Action Pillars
Health Services
Capacity Buiding
Research & Data
Sharing
Advocacy for
Policy Changes
Multi-Sector
Partnerships
Social Determinants Media &
Public14Info
of Health