MIGRATION HEALTH DIVISION MIGRATION MANAGEMENT 2012 Annual Review Annual MIGRATION HEALTH
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Established in 1951, the International Organization for Migration (IOM) is the principal intergovernmental organization in the field of migration. IOM is dedicated to promoting humane and oderly migration for the benefit of all. It does so by providing services and advice to governments and migrants. IOM’s mandate is to help ensure the oderly and humane management of migration; to promote international cooperation on migration issues; to aid in the search for pratical solutions to migration problems; and to provide humanitarian assistance to migrants in need, be they refugees, displaced persons or other uprooted people. The IOM Constitution gives explicit recognition of the link between migration and economic, social and cultural development as well as respect for the right of MANAGEMENT MIGRATION freedom of movement of persons. MIGRATION DIVISION HEALTH MIGRATION IOM works in the four broad areas of migration management: migration and development; facilitating migration; regulating migration; and addressing forced migration. Cross-cutting activities include: the promotion of international migration law, policy debate and guidance, MIGRATION HEALTH ANNUAL REVIEW 2012 ANNUAL HEALTH MIGRATION HEALTH protection of migrants’ rights, migration health and the gender dimension of migration. IOM works closely with governmental, intergovernmental and non-governmental partners. 2012 Annual Review International Organization for Migration DEPARTMENT OF MIGRATION MANAGEMENT Migration Health Division 17 Route des Morillons, 1211 Geneva 19, Switzerland Tel: + 41 22 717 91 11 • Fax: + 41 22 798 61 50 E-mail: [email protected] IOM is committed to the principle that humane and oderly migration benefits migrants and society. As an intergovernmental organization, IOM acts with its partners in the international community to: assist in meeting the operational challenges of migration; advance understanding of migration issues; encourage social and economic development through migration; and uphold the human dignity and well-being of migrants. Publisher: BY IOM’S SIDE Thanks to our 2012 major partners International Organization for Migration 17 Route des Morillons FOUNDATIONS • AmeriCares • ANESVAD Foundation • Fondation d’Harcourt • United 1211 Geneva 19 Switzerland States Association for International Migration •GOVERNMENTS • Australia • Canada • Tel.: +41 22 717 91 11 Colombia • Finland • Germany • Italy • Japan • Jordan • Nigeria • Sweden • Switzerland Fax: +41 22 798 61 50 • Thailand • United States of America • INTERGOVERNMENTAL ORGANIZATIONS, E-mail: [email protected] • Asian Development Bank • Central Emergency Response Internet: www.iom.int FUNDS AND OTHER ENTITIES Fund • Common Humanitarian Fund for Sudan • European Commission • Joint United Nations Programme on HIV/AIDS • United Nations Children’s Fund • United Nations Development Programme • Office of the United Nations High Commissioner for Refugees © 2013 International Organization for Migration (IOM) • United Nations Office for Project Services • United Nations Office for the Coordination Chapters Cover pictures: of Humanitarian Affairs • One United Nations Fund • United Nations Trust Fund for Migration Health Division Human Security • University Hospital in Linköping • World Food Programme • World Health Organization •NON-GOVERNMENTAL ORGANIZATIONS • Consorzio Connecting People • Ethno-Medizinisches Zentrum • Family Health International • Global Fund All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or to Fight AIDS, Tuberculosis and Malaria • Population Services International • Save the transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Children • TEBA Development • World Vision Australia 47_13 D E P A R T M E N T O F M I G R A T I O N M A N A G E M E N T Migration Health Division Annual Review 2012 Acknowledgement This report was produced by the Migration Health Division (MHD) of IOM. Thanks to the Publications Team for their editing and layout assistance on this publication, and to the Online Communications and Document Management and Intranet Teams for web dissemination. We acknowledge the support from our governmental and non-governmental donors and other partners, without which the migration health activities highlighted in this Report could not have been implemented. For further information, please contact [email protected] and [email protected]. MHD 2 Migration Management List of tables and figures 3 2012 by the numbers 4 Foreword 6 List of acronyms 8 Part I: Emerging themes in migration and health 10 Mobilizing diaspora health professionals 11 for health systems strengthening A place for the health of migrants 16 in the post-2015 development goals? Part II: The migration health division’s 20 highlights of activities, 2012 Migration health assessments 21 and travel health assistance Health promotion and assistance for migrants 35 Migration health assistance 59 for crisis-affected populations Annex 1: IOM Publications, guidelines 75 and tools on migration and health contents Annex 2: Service delivery in numbers, 2012 77 MHD Annual Review 2012 3 List of tables Table 1: Prevalence of infectious TB cases by country, UK Tuberculosis Detection Programme, 2012 Table 2: Top ten disease conditions (ICD-10) among Congolese refugees (n=3,304) screened in Burundi, Kenya, Rwanda and Uganda, 2010-2012 Table 3: IOM health assessments by country of origin, country of destination and migrant category, 2012 Table 4: TB detection among immigrants (rate per 100,000 population), IOM major operations Table 5: TB detection among refugees (rate per 100,000 population), IOM major operations Table 6: DST results among cases (n=548) with Mycobacterium tuberculosis (MTB) growth on culture, IOM, 2012 Table 7a: TB treatment outcomes among immigrants who started TB treatment in 2012 Table 7b: TB treatment outcomes among refugees who started TB treatment in 2012 Table 8: MHD expenditure by donor, 2011−2012 List of figures Figure 1: WHA Resolution on Migrant Health (selected action points) Figure 2: IOM health assessments among immigrants by region of origin, 2008-2012 Figure 3: Immigrants examined by country of destination, 2008−2012 Figure 4a: Distribution of immigrants from Asia and Oceania by sex and age, 2012 Figure 4b: Distribution of immigrants from Africa by sex and age, 2012 Figure 4c: Distribution of immigrants from Europe and the Commonwealth of Independent States by sex and age, 2012 Figure 4d: Distribution of immigrants from the Middle East by sex and age, 2012 Figure 5: IOM health assessments among refugees by region of origin, 2008-2012 Figure 6: Refugees examined by country of destination, 2008−2012 Figure 7a: Distribution of refugees from Asia and Oceania by sex and age, 2012 Figure 7b: Distribution of refugees from Africa by sex and age, 2012 Figure 7c: Distribution of refugees from Europe and the Commonwealth of Independent States by sex and age, 2012 Figure 7d: Distribution of refugees from the Middle East by sex and age, 2012 Figure 8: Main conditions of migrants assisted by IOM medical escorts, 2012 Figure 9: IOM-assisted DNA services (sampling and tests) by country of destination and country of service, 2012 Figure 10: Wasting among refugee children under age five in seven countries, 2012 Figure 11: Stunting among refugee children under age five in seven countries, 2012 Figure 12: MHD expenditure by programmatic area, 2001−2012 Figure 13: MHD expenditure by region and programmatic area, 2009−2012 tables & figures Figure 14: MHD expenditure by funding source, 2009−2012 4 Migration Management 8.6 MIL USD EXPENDITURE IN TOTAL 88.5 MIL USD EXPENDITURE PARTNERS Governments United Nations Non-Governmental Organizations European Commission Universities Private Sector 2012 by the numbers 2012 by MHD Annual Review 2012 5 7.3 MIL USD EXPENDITURE 2.8 9.9 MIL USD MIL USD EXPENDITURE EXPENDITURE 23.6 MIL USD EXPENDITURE 36.3 MIL USD EXPENDITURE MAIN DONORS 157 PROJECTS ACTIVE IN 2012 USA United Nations 26 Migration Health Assessments and Travel Health Assistance Colombia Australia 47 Migration Health Assistance for Crisis-affected Populations Sweden 84 Health Promotion and Assistance for Migrants GFATM 6 Migration Management With this Report I am delighted to present a review of the activities of IOM’s Migration Health Division (MHD) in 2012, recall the salient migration health highlights of 2012 and note key upcoming events in 2013. The year 2012 marked the beginning of the UN-wide process of revising the post-2015 development goals – launched with the report entitled “Realizing the Future We Want for All.” This report proposed an inspiring vision of a people-centered, equitable, inclusive and sustainable development. It flagged the need for change to transform globalization into “a positive force for all the worlds’ people of present and future generations.” In parallel, countries around the world recognized the relevance of migration and human mobility for all three pillars of sustainable development – namely, economic, social and environmental. In spite of these intentions, a lot remains to be done to reflect migration adequately within development frameworks and multisectoral policies at the national and regional levels. Unfortunately, human migration remains a neglected issue on the global health agenda as well. The public perception of migrants and migration remain predominantly negative, not having kept pace with the reality and scale of human mobility.