8 NGOs for migrants/refugees’ health in 11 countries Eve Derriennic, Consortium coordinator Médecins du Monde - France consortiumco.migrants@medecinsdumonde.net www.medecinsdumonde.org Co-funded by the Health Programme of the European Union and the French Ministry of Foreign Affairs.

OBJECTIVES Specific objective: To support national health authorities in providing adequate and accessible health services to migrants, refugees and asylum seekers arriving and transiting through the Member State, with a specific focus on children, unaccompanied minors and pregnant women in 2016. MdM Greece in Lesvos

First arrival Transit Reception

PARTNERSHIP Beneficiaries Countries of intervention Médecins du Monde France (MdM FR) Coordination Bulgaria Italy France Aerzte der Welt Germany (MdM DE) Germany Médecins du monde Belgique (MdM BE) Croatia Belgium Giatroi tou Kosmou Greece (MdM EL) Greece Médicos del Mundo Spain (MdM ES) Spain Slovene Philanthropy (SP) Slovenia Läkere I Varlden (MdM SE) Sweden Helsesenteret for papirløse migranter (HPM) Norway

METHODS . WP # Title Methods Applicant in Charge 1 General coordination of the project Overall coordination to ensure objectives and actions are implemented as planned + reporting to Chafea & DG SANTE   Including support to implement common data collection across 11 countries and produce a cross-country data report MdM FR 2 (SO1) General health assessments Implementation of mobile surveillance & response health units and general health needs assessments MdM BE 3 (SO2) Reduce cross-border health threats Individual health assessments; referral, mediation and information activities 4 (SO3) Improve local coordination between all actors Dialogue with local stakeholders and local data collection, including production of a data report, awareness/training/information to health professional 5 (SO4) Mutual learning With support of Consortium medical coordinator and information officer MdM EL 6 Financial management Actions undertaken to follow up the budget and the forecast, financial reporting, with support of Consortium coordinator MdM SE .

MAIN RESULTS ACHIEVED Field teams recruited (coordination staff, social workers, cultural mediators, translators, volunteers, etc.) Continuous coordination with local and national authorities Ongoing mobil surveillance to continuously adapt the activities to the changing context 9 mobil units deployed on the field Specific health assessments and data collection developed and implemented for migrants in transit Personal Health Record of IOM being tested (distributed to migrants and used during individual health assessments) Coordination meetings every two weeks between the 8 NGOs

EXPECTED OUTCOMES Geographically changing needs will continuously be assessed and met throughout 2016 Cross-border health threats will be reduced Local coordination between all operational actors will be improved Applicants and their teams’ capacities in responding to urgent migrants’ health needs will be strengthened.   SO 1 – Geographically rapidly changing needs are continuously assessed and met, by implementing flexible and adaptive mechanisms such as mobile surveillance and response health units to identify arrival and transit locations; to assess general health needs and/or emerging needs and eventually respond to urgent health issues. (BG, DE, EL, HR, IT, NO, SE, SI) SO 2 – Cross border health threats are reduced, by providing Individual (mental & physical) health assessments, Referral to adequate and accessible primary healthcare (including vaccination), psychosocial support and prevention, Access to national health systems is supported through social and health mediation activities, Information on national health systems and migrants’ rights to access healthcare is provided to migrants. All countries involved: BE, BG, DE, EL, ES, FR, HR, IT, NO, SE, SI  SO 3 – Local coordination between all operational actors is improved. Experiences and lessons learned are shared and discussed with local and national health authorities and with European policy makers, Health needs and access to health for migrants are monitored and data on core indicators is collected. This information is both used to improve our response and to inform health authorities, SO 4 – Strengthening of applicants teams’ capacities in responding to urgent migrants’ health needs through active European coordination and mutual learning mechanisms.

TOOLS Tools produced: Common questionnaire used for individual health assessment and data collection Kobo version of the questionnaire developped Internal platform Leaflets at field level (information for migrants) Country reports on the first 3 months + Consolidated report Tools planned: Mid-term workshop (training and mutual learning) Consolidated feedback on the PHR External evaluation and beneficiary satisfaction survey

GAPS IDENTIFIED / DIFFICULTIES Changing routes and context MHPSS to migrants / staff / care givers Common data collection Use of the PHR

PARTNERSHIP Beneficiaries Countries of intervention Médecins du Monde France (MdM FR) Coordination Bulgaria Italy France Aerzte der Welt Germany (MdM DE) Germany Médecins du monde Belgique (MdM BE) Croatia Belgium Giatroi tou Kosmou Greece (MdM EL) Greece Médicos del Mundo Spain (MdM ES) Spain Slovene Philanthropy (SP) Slovenia Läkere I Varlden (MdM SE) Sweden Helsesenteret for papirløse migranter (HPM) Norway + Coordination at local and national level: MoH, Ministry of Home affairs, Refugee Agency, local authorities, IOM, UNHCR, other NGOs