Behind Closed Doors Global Seminar on the Human
‘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? v They are human beings, and have a right to health v Migrant-inclusive health systems improves global health outcomes and health security (origin/transit/ destination) v 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
Trafficked Migrant Domestic Workers (IOM Indonesia Recovery Center 2005 -2006) Number of positive Chlamydia test results based on type of exploitation. 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 Migrant. Sensitive 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 STAKEHOLDER S Labor Migration & Development Migration Health Social Welfare Research Donor Community Civil Society Primary Heath Care & Sustainable Development Gov’ts (origin/transit & destination) _____ Regional Government Structures _____ Migrant Workers & Families Rights & Protection Action Pillars Health Services Capacity Research & Buiding Data Sharing Advocacy for Policy Changes Multi-Sector Partnerships Media & Social Determinants of Public 14 Info
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