Dr Vasil Gajdadziev Chris Petch IOM Kyiv Ukraine Irregular Migrants – Reception and Health Care

The Issues Country State Border Guard Service Ministry of Interior Total by Country Green Border Checkpoints TOTAL6,6275,91915,17812,77917,69522,80439,50041,502 Persons apprehended or stopped for offences against migration legislation

Government of Ukraine – through legislation and lead agency status Government of Ukraine – through legislation and lead agency status Department and Ministries – Action Plan Department and Ministries – Action Plan Donors Donors –EC – New Neighbourhood, TACIS –US – USAID –UK – DFID IOM Strategy IOM Strategy Strategies

IOM Strategy for Capacity Building for Ukraine Migration Management Objective: To assist the Government of Ukraine to substantively strengthen its capacity to better manage and more effectively operate a migration management system in Ukraine with particular emphasis in the early stages on building national capacity to deal with irregular migration. to substantively strengthen its capacity to better manage and more effectively operate a migration management system in Ukraine with particular emphasis in the early stages on building national capacity to deal with irregular migration.

Capacity Building for Migration Management Programme: Ukraine This objective will be achieved through inter- related and integrated projects in the areas of: –Management of Irregular Migrants –International and National Regimes and Legislation –Ensuring sustainable facilities and processes through securing continued GoU support, training of officials and relevant staff and expert international advice

Human Rights Issues Human Rights of Irregular Migrants Human Rights of Irregular Migrants UDHR - Universal Declaration of Human Rights UDHR - Universal Declaration of Human Rights CERD - Convention on the Elimination of All Forms of Discrimination CERD - Convention on the Elimination of All Forms of Discrimination ICESCR - International Covenant on Economic, Social, and Cultural Rights ICESCR - International Covenant on Economic, Social, and Cultural Rights ICCPR - International Covenant on Civil and Political Rights ICCPR - International Covenant on Civil and Political Rights CEDAW - Convention of the Elimination of All Forms of Discrimination Against Women CEDAW - Convention of the Elimination of All Forms of Discrimination Against Women CAT - Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment CAT - Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment International Convention on the Protection of the Rights of All Migrant Workers International Convention on the Protection of the Rights of All Migrant Workers

IOM Programme of Action Procedures Best Practice in Detention ProceduresBest Practice in Detention Procedures Process of transfer to accommodation centres Process of transfer to accommodation centres Access to health care Access to health care Access to legal advice, rights Access to legal advice, rights Access by NGOs Access by NGOs Best Practice in Return ProceduresBest Practice in Return Procedures Best Practices for AVR Best Practices for AVR Truly voluntary process Truly voluntary process Right to Asylum process Right to Asylum process

Legislation Link legislation to International Laws and ConventionsLink legislation to International Laws and Conventions Embed Best Practices into legal and procedural edictsEmbed Best Practices into legal and procedural edicts Link migration legislation to ConstitutionLink migration legislation to Constitution Cascade legislation down to proceduresCascade legislation down to procedures IOM Programme of Action

Current Situation

IOM Programme of Action Migrant Facilities Refurbish establishment for temporary Migrant accommodationRefurbish establishment for temporary Migrant accommodation Ensure appropriate provision of health care (incl. psycho-social),Ensure appropriate provision of health care (incl. psycho-social), Access to rights and legal advice,Access to rights and legal advice, Access to asylum and return processes.Access to asylum and return processes. Access to family contact, interpretersAccess to family contact, interpreters

IOM Programme of Action Migrant Health Care Refurbish and fit health care centresRefurbish and fit health care centres Set up health care system in accommodation centreSet up health care system in accommodation centre Ensure appropriate provision of health careEnsure appropriate provision of health care Train health care staffTrain health care staff

 Every woman, man, youth and child has the human right to the highest attainable standard of physical and mental health, without discrimination of any kind…Article 25 of the Declaration on human rights  Enjoyment of the human right to health is vital to all aspects of a person's life and well-being, and is crucial to the realization of many other fundamental human rights and freedoms specially in vulnerable population groups as refugees, IDPs, irregular migrants, VoT etc Migrants And Health

 High rate of long-term physical and psychological problems, due in large part to their exposure to conflict and oppression.  One in four will have been subject to torture or severe human rights violations, with almost three in four being exposed to traumatic events such as forced dislocation, prolonged political repression, refugee camp experiences and loss of or separation from family members in violent circumstances  Many may have physical and psychological sequelae associated with pre-migration trauma and torture and may need a thorough medical examination Stranded Migrants and Health

Aims to ensure strict implementation of the universal right to quality health care, facilitate healthy living environment and reinforce the capacity of the national health care institutions achieved with joint efforts not only by National Health Care System institutions but with intervention in policies of Public Administration of Ukraine Project Capacity Building of Migrant Health Care: Ukraine

 Development and implementation of the organizational setup of health care system in detention centres (Setup of Health care Delivery System ensuring the quality health care according to international standards, expanding the possibilities for cooperation between the health care system in the centres and civilian health care system etc).  Training of the medical and support staff through allocation of tasks, assessment of needs, development of training curriculums and manuals for work in health provision, education and promotion respecting internationally accepted standards, training courses etc.) Implementation of Goals through..

 Development of the guidelines specific to the culture of the stranded migrants in hygiene and environmental conditions  Development of guidelines adequate to respond on specific psychosocial needs of involved population (impact of past trauma, prior experience of health care, cultural differences and the stresses of resettlement).  Adequate equipment of the health care posts through initial assessments of objective needs, procurement and installment of equipment and training of the health staff to use the installed equipment Implementation of Goals through..

Proposed MAC Sites Site 2 Site 1 Site 2

Proposed MAC Site

Recommended Measures Improve Irregular Migrant Temporary AccommodationImprove Irregular Migrant Temporary Accommodation Build in Best Practices to Migrant Detention Procedures and FacilitiesBuild in Best Practices to Migrant Detention Procedures and Facilities Build on Ukraine Programme to Voluntarily Return MigrantsBuild on Ukraine Programme to Voluntarily Return Migrants Build in Migrant Rights to all aspects of Reception and ReturnBuild in Migrant Rights to all aspects of Reception and Return

Thank You Chris Petch Dr Vasil Gajdadziev IOM Kyiv Questions?