Final Joint Conference EQUI-HEALTH & ADAPT projects Lisbon, 11th May 2016 Preliminary report on MIPEX Health strand David Ingleby ADAPT network

members.costadapt.eu /images/8/89/MIPEX.pdf (joined up on one line!)

IMISCOE (EU 6 th Framework Network of Excellence in the domain of International Migration, Integration and Social Cohesion)

State of the Art Report on Migration and Health (2005) Written by the IMISCOE Health Group Title: ’The role of health in integration’ Contained country reports on The Netherlands, Portugal, Switzerland and Greece

Migrants’ healthcare entitlements in “rich” and “poor” EU countries

The IMISCOE/IOM European Survey on Migration and Health Started December 2005 by the IMISCOE Health group in collaboration with the IOM. Set up web sites (wiki’s) to collect data in about 8 countries. Relied on voluntary help, but it soon became obvious that more funding would be needed.

Topics of Topics survey 1. Migrant populations, immigration policies; the social, historical and political context. 2. Migrants’ state of health and its determinants 3. Health system and the entitlement of migrants to health care. 4. Accessibility of health care. 5. Quality of care: matching of service provisions to the needs of migrants. 6. Policy measures to investigate and improve migrant health (care).

DG SANCO project Information network on good practice in health care for migrants and minorities in Europe (MIGHEALTH.NET) Successor to the IMISCOE European Survey. 16 countries: Bulgaria, Czech Republic, Denmark, Germany, Greece, Hungary, Lithuania, Netherlands, Norway, Poland, Portugal, Romania, Sweden, Switzerland, Turkey and the UK Started March 2007, lasted 2 years. Budget: € (59% subsidy from EU)

Council of Europe Committee of Experts on Mobility, Migration and Access to Health Care (SP-MIG) Mandate: July June 2010 Task: to produce draft recommendations

Content of recommendations What it all boils down to: 1.Reduce health risks to which migrants are exposed 2.Ensure access to good quality health services

Contents of CoE recommendation 14 recommendations, explained in 23 guidelines, divided into 6 categories: 1.Improving knowledge about migrants and their situation 2.Migrants’ state of health 3.Entitlement to health service provision 4.Accessibility of the health system 5.Quality of health services 6.General measures to promote change

Next step: incorporation of CoE recomendations in the Migrant Integration Policy Index (MIPEX)

What MIPEX covers Seven policy areas for immigrants to participate in society: In more than 30 countries: EU Member States + Norway, Switzerland, Canada, United States of America, Australia, Japan, and soon New Zealand, Korea, Turkey, Serbia, Croatia, Kazakhstan, Mexico ….. Labour market mobility Family reunion Education Political Participation Long-term residence Access to nationality Anti- discrimination

Four dimensions of the health strand: A.Entitlement to health services B.Removing barriers to access C.Responsive health services D.Measures to achieve change

Relation between MIPEX total score and GDP

Groups studied Regular migrants Asylum seekers Undocumented (irregular) migrants

Concept of policy

Turning qualitative information into quantitative scales

Entitlements to healthcare for different categories of migrants – EU/EFTA countries