1. XIII Regional Conference on Migration “Migration and Human Rights” (Tela, Honduras, May 6-9, 2008) HUMAN RIGHTS OF FEMALE AND YOUNG MIGRANTS, WITH AN EMPHASIS ON THEIR RIGHT TO SEXUAL AND REPRODUCTIVE HEALTH, INCLUDING HIV AND AIDS AND SEXUAL VIOLENCE, IN THE MOST VULNERABLE BORDERS Luis Mora Senior Programme Advise Latin America and the Caribbean Division UNFPAr

2. CONTENTS 1.Context: female migrants’ health and the right to health 2.Regional initiative to promote health care for female and young migrants in the most vulnerable borders. 3.Conclusions

3. CONTEXT Biogenetical, socio-cultural and socio-economic factors affect migrants’ health. Data on female migrants’ sexual heath and maternal health. Access to health care. Use of modern contraceptive methods. Maternal health and pregnancy outcomes. STIs and HIV/AIDS prevalence. Sexual violence prevalence.

4. DATA ON REGIONAL CONTEXT 70% of female migrants are in their reproductive age Higher fertility rates (Costa Rica: 40%). Higher unwanted fertility rates (Colombia, Peru, Costa Rica, Dominican Republic). Less access and use of SRH services (Belize, Nicaragua, Peru, Costa Rica, Dominican Republic). Less information on HIV prevention (Belize, Guatemala, Nicaragua, Dominican Republic). 60-70% of female undocumented migrants have suffered from violence.

5. REGIONAL INITIATIVE (1) UNFPA Regional Programme Action Plan for Latin America and the Caribbean 2008-2011 Population and development. Reproductive health and rights. Gender equality. Cooperation Agreement with AECID (2008) Cooperation Agreement UNFPA/OIM (2008): Attendance at meetings. Exchange of information and documentation. Technical cooperation. Joint actions. Cooperation in advocacy, research, information and data.

6. REGIONAL INITIATIVE (2) Regional initiative for the promotion of the human rights of migrants, particularly the right to SR health, including HIV/AIDS and sexual violence, of female and young migrants. Period of implementation: 2008-2011. Geographic focus: Mexico-Guatemala. Nicaragua-Costa Rica. Dominican Republic-Haiti. Ecuador-Colombia. Bolivia-Argentina.

7. STRATEGIC LINES Situation analysis, strengthening of information systems, and creation of a regional knowledge platform. Review of the existing normative in the area of the right to health of migrants. Evidence-based advocacy and policy dialogue. Strengthening of national capacities. Support to institutional cooperation and coordination. Strengthening of SRH services for female and young migrants.

8. STRATEGIC PARTNERSHIPS At the regional level: Inter-governmental integration mechanisms in the areas of health, migration and gender. Academic institutions and centers. Inter-American human rights system. Civil society networks and organizations. UN interagency collaboration: IOM, ECLAC, ILO, UNHCR At the national level: Ministries of Health, Departments of Migration, Women’s Affairs Institutes, Statistics Institutes. Local authorities in the areas of health and migration. Human rights entities. NGOs. UN Agencies, bilateral and multilateral cooperation.

9. 2008 ACTIVITIES Establishment of regional and national coordination mechanisms. Regional situation analysis. Bi-national situation analysis. Systematization of good practices. Systematization of existing legislation. Creation of a regional knowledge platform. Selected activities for strengthening national capacities.

10. NEXT STEPS Final version of regional proposal. Establishment of regional and national coordination mechanisms. Finalization of annual work plan 2008. Preliminary activities regarding regional and national situation analysis (May-July)