1 1 key values social justice, empowerment, solidarity, activism, independence and balance (e.g. between service delivery and advocacy) NGO created in France in 1981 – currently 15 autonomous associations (Argentina, Belgium, Canada, France, Germany, Greece, Japan, Netherlands, Luxemburg, Portugal, Spain, Sweden, Switzerland, UK, USA) access to healthcare through freely accessible frontline medical services 316 programmes in 78 countries (in 2013) Among these, 170 are domestic programmes in 15 countries Volunteer-centered organization (e.g. over health professionals across domestic programs) Doctors of the World – Médecins du monde Our values and identity
2 2 domestic programs: homeless people, asylum seekers, Roma communities, elderly, destitute EU citizens or nationals and third-country undocumented migrants, drug users, sex workers 20% of our national programs are healthcare centers (with referrals to mainstream healthcare whenever possible) + vast majority of mobile units & outreach harm reduction approach, empowerment of smaller organizations and supporting the creation of self-support groups data collection on the social determinants of health and patients’ state of health as a basis for our advocacy: evidence based… Doctors of the World – Médecins du monde Who we are and what we do
3 3 Urging MS & EU institutions to ensure universal public health systems built on solidarity, equality and equity, open to everyone living in a European member state Focus on children (esp. universal vaccination coverage), ante- and postnatal care, coherent infectious disease policies without exclusion (HIV, hepatitis, TB) – advocacy rooted in field experience (we only speak about what we see; only those with first-hand experience speak) Protection of seriously ill migrants from deportation to countries without effective access to healthcare e.g. regular contacts with DG SANCO, ECDC, FRA or CoE institutions, participation to EP hearings, partnerships with PICUM and EPHA, partnerships with health professionals Doctors of the World – Médecins du monde Common advocacy towards EU institutions
Additional focus points: (psycho)social counselling – Training / education – Health and sexuality education – Peer education – Continuity of care for migrants in detention – Legal & integration assistance for migrants (including interpretation) - Influencing migration policies – Community mental health interventions – Harm reduction – Public health research / social epidemiology
SERVICE DELIVERY
EXPERTS Working with interpreters, mediators, peer workers: MdM DE, Czech Consortium (CZ), BFPA (BG) Volunteers: MdM DE & NL, Menedék (HU) Violence faced by service users: INSERM (FR) Mental healthcare: INSERM (FR), MdM DE & PT, Health centre UDM (NO) HIV/HCV & HBV: INSERM (FR), MdM PT Sexual & reproductive care: BFPA (BG) Pediatric care: MdM DE Harm reduction drug use: MdM FR, DE and CA Harm reduction sex work: MdM FR Funding strategies: MdM DE
EXPERTS – Czech Consortium (CZ) on how to involve service users in a programme
EXPERTS on DATA COLLECTION Testimonies & case studies: C-HM (AT), Czech Consortium (CZ), MRCI (IE) Audiovisual productions: MRCI (IE) Legal analysis: MdM DE, C-HM (AT) Quanti: INSERM (FR) and C-HM (AT), MdM DE, Menedék (HU) Quali: INSERM (FR) and C-HM (AT), Menedék (HU)
EXPERTS on ADVOCACY Working with health professionals: MdM DE & NL Working with academics: INSERM (FR), Czech Consortium (CZ) Action plan & objectives: MdM SE
11 Mutual learning on how to improve service delivery, e.g. group training sessions, 1-to-1 peer review process (2016-’17) + identifying similar partners in other EU countries (at least 5 new every year) (Mutual) learning on empowerment (e.g. workshop with grass-root organization representatives and peer workers) Common data collection (testimonies & case studies / legal analysis / common routine quantitative data collection if possible, short surveys if possible) e.g. 10/2015 Paris workshop on quantitative data collection Common advocacy towards EU institutions (and mutual learning on how to successfully advocate for social change), e.g. common yearly publication, Brussels EP dissemination event (2016), high-level EC event (2017), common outreach towards health professionals and academics The European Network to reduce vulnerabilities in health PROPOSED WORKPLAN