1. Migrant Sensitive Health Systems

2. Migrants: Starting Point Sensitivity: looking at the migrant deep into the eyes; safeguarding his/her dignity in the health care encounter and building self-esteem

3. Migrant-Sensitive Health Systems Health systems that consciously and systematically incorporate the needs of migrants into health financing, policy, planning, implementation and evaluation Rationale: – Migrants have specific needs – Migrants have a right to care – Need for health care providers to improve efficiency and efficacy – Utilization benefits public health and other outcomes

4. Understand the needs of migrants at their various locales (origin, transit and destination), including the health needs of migrant returnees and their families. Ensure that migrants have access to health information and services. Ensure participation of migrant communities at all levels: in policy development, implementation, monitoring and evaluation.

5. Migrant-Sensitive Health Systems Migrant-Sensitive Workforce Language services Culturally informed care delivery Culturally competent support staff Availability, accessibility and affordability Enabling for migrants to access

6. HONG KONG 1.Equal Opportunities Commission (EOC) - provides migrant workers with a handbook, Your Guide to Services in Hong Kong, including employment legislation; info on health care system; address/hours of operation of major health institutions, including charges; list of essential medical-related questions) 2. Race Discrimination Ordinance - prohibits discrimination on the basis of race - allows for an interpreter for migrants if needed in the hospital

7. HONG KONG 3. Sex Discrimination Ordinance -prohibits employers from refusing to hire or terminating a woman on the basis of pregnancy (includes migrant domestic workers) 4. Mandatory Health Insurance -HK$100 fee inclusive of check-up, laboratory exams, medicines, etc. for any kind of illness in designated government hospitals 5. No mandatory HIV testing

8. PHILIPPINES Deployment of Filipino Medical Attaches and Social Welfare Officers in selected foreign posts – Countries with high numbers of women migrant workers (7 countries) – Dispense medical advice and information PhilHealth Overseas Workers’ Programme – Offices in Hong Kong, Saudi Arabia, Malaysia, etc. – Premium payment for OFWs is lower than non-OFWs – Standard medical benefits (for Filipino citizens) – Coverage for dependents in the Philippines – Reimbursement for confinement abroad – Special package includes TB, SARS, Avian Flu, Malaria, etc.

9. THAILAND NGO services Hiring trained migrant health assistants Able to provide outreach, translation in hospitals, including VCCT Thailand government Health insurance for registered migrants comparable to Thai nationals Annual health exam for treatment, not for exclusion