Presentation on theme: "Mainstreaming migration into development planning: Addressing the needs of vulnerable groups and vulnerable migrants Dr Marcus Day, DSc MBE, Director,"— Presentation transcript:
1 Mainstreaming migration into development planning: Addressing the needs of vulnerable groups and vulnerable migrantsDr Marcus Day, DSc MBE, Director, CDARICaribbean Drug and Alcohol Research Institute
2 Vulnerability is result of complex economic, social and cultural drivers that create an environment of marginality
3 Vulnerable populations the economically disadvantaged,migrants – especially inadequately documented individualsracial and ethnic minorities,children from low-income households,the elderly,the homeless,unemployed youthPWHIV and those with other chronic health conditions, including severe mental illness
4 AlsoOthers, due to legislative prohibitions are also considered vulnerable.Men who have sex with menPeople occupied in the sex work industry,People who use drugs, including young cannabis users
5 Compounding the issueThe vulnerability of these individuals is further compounded when social factors, including poor housing, poverty, and inadequate education are present.
6 Health DomainsThe health domains of vulnerable populations can be divided into 3 categories:physical,psychological,social
7 Physical Domains: high-risk mothers and infants, the chronically ill and disabled,persons living with HIVTB,respiratory diseases,diabetes,Hypertension, heart diseaseMalaria,Hepatitis
8 Psychological domain those with chronic mental conditions schizophrenia,bipolar disorder,major depression,attention-deficit/hyperactivity disorder,history of excessive alcohol use or drug use,those who are suicidal or prone to homelessness from mental illness
9 Social Realm Persons living in abusive families, Those subjected to GBVThe homeless,Immigrants and refugees
10 CompoundingThe needs of these populations are serious with poor health in one domain likely to be compounded by poor health in others. Those with multiple issues also face more significant comorbidities and cumulative risks of their illness than those experiencing a single illness.
11 Multiple EffectMultiple unmet health needs and delayed medical care serve to exacerbate these unmet needs,
12 Needsthe needs of vulnerable populations are likely to be unmet, growing serious, often debilitating or life-threatening, and require extensive and intensive medical and nonmedical services.Current financing and service delivery arrangements are not meeting these needs.
13 Access factorsFactors that contribute to reduced or inhibited access to healthcare:Low income,Criminalised behavioursLess educatedRural locationImmigration status
14 Migrants are prone to harassment, discrimination, exclusion, violence and exploitation, hampering their own human development, that of their families, communities, countries of origin and destination.
15 Public HealthPeople who engage in behaviours or activities that are criminalised, which include irregular immigration status, are less likely to present for care. When their health issue is an infectious disease, this then has a negative effect on the overall public health.
16 ProtectionsThe “STATE” as the enactor of legislation and policies has the power to reduce or increase vulnerability though laws that address the protection of basic human rights.
17 Laws Laws that increase vulnerability : restrict minors from accessing sexual and reproductive health services with out parental consent,“buggery” laws that seek to legislate private adult consensual sexprostitution laws that criminalise a financial transaction between a wiling buyer and a willing seller.Drug prevention programmes that do not include harm reduction programmes for people who use drugs
18 ActionsMeasures to promote and protect the human rights of all populations including vulnerable populations, migrants, migrants in distress; irregular migrants; and the rights of children in the context of migration
19 Such as access to Sexual and Reproductive Health services, protected from gender-based violence, diseases, and other threats to life.Access to essential public services that are not required to report on immigration status of service users