‘Behind Closed Doors’ Global Seminar on the Human Rights of Migrant Domestic Workers in an Irregular Situation 1 Dr. Maria Nenette Motus International Organization for Migration (IOM) Regional Office for Asia and Pacific, Bangkok A call to action: ensuring equitable access to a continuum of health care and services for migrant domestic workers

2 Migration Mega-trend: 1 in 7 on the move 7 billion Population 1 billion Migrants 247 million International >740 million Internal Urbanization: 50% + Feminization: ca. 50% Irregular : 15-20% 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

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 Destination Pre-departure Return Travel Cross-cutting factors

Domestic Service - a space of vulnerability

Trafficked Migrant Domestic Workers (IOM Indonesia Recovery Center ) 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 )

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 Emergency Evacuations Health Care Assistance Travel Health Assistance Psychosocial Support Return and Reintegration Assistance 15 Sectors of 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 Resolution on Health of Migrants (2010) Operational Framework on Migrants’ Health: Monitoring Migrant Health Partnerships, Networks and Multi country Frameworks Policy and Legal Frameworks Migrant- Sensitive Health Systems

Opportunities for Advocacy Efforts Colombo Process Global Forum on Migration and Development (GFMD)

14 A shared responsibility : to promote equitable access to continuity of health care services Conceptual framework Gov’ts (origin/transit & destination) _____ Regional Government Structures _____ Migrant Workers & Families STAKEHOLDERS Action Pillars Health Services Capacity Buiding Research & Data Sharing Advocacy for Policy Changes Multi-Sector Partnerships Critical Domains Labor Migration & Development Migration Health Civil Society Social Welfare Social Determinants of Health Sustainable Development Goals Rights & Protection Primary Heath Care & Referral Research Donor Community Media & Public Info