east mids stakeholder event 30 jun 2010

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Development of a migrant health toolkit

for the East Midlands

Stakeholder Workshop, Leicester30th June 2010


Introduction

• Project Aim

Bring together a comprehensive knowledge bank of the main issues around migrant health in the East Midlands, working with regional service providers to develop a toolkit to inform future service commissioning.


Project Objectives

• Improving understanding of the demography, health needs and impact of migrants across the East Midlands

• Informing commissioning and provision of health services

• Strengthening engagement and links between stakeholders

• Identifying gaps in information, service provision and resources• Develop an agreed approach to future knowledge sharing that is sustainable and responsive to changing populations


Project Overview

• What the project consisted of• Who we spoke to• What we learned• Conclusions• Recommendations


What the Project Consisted of

• Review of academic research• Stakeholder engagement

- Workshops- In-depth interviews x20

• Final report


Who we spoke to

• Professionals across the East Midlands• Representatives from:

- Nottingham City Council - Nottingham Fire & Rescue- Leicester City Council - Health Protection Agency- Northamptonshire County Council - One East Midlands- Boston Borough Council - Refugee Action- NHS Nottingham City - EMAC Derby- NHS Leicester City - BEGIN- NHS Derby City


What we learned

• Asylum Seekers

• Prevalent Countries of Origin

- Middle East: Iraq, Iran, Afghanistan- Africa: Zimbabwe, Eritrea, Somalia, Sudan, DR

Congo- South Asia: Sri Lanka- East Asia: China


What we learned

• Asylum Seekers

• Influences on health

- Individual characteristics- age, gender, ethnicity

- Pre-migratory factors- circumstances of migration- cultural practices- prevalence of infectious diseases


What we learned

• Asylum Seekers

• Influences on health

- Post-migratory factors- destitution- housing conditions- language- entitlement- stage of legal process


What we learned

• Asylum Seekers

• Prevalent health issues

- Mental Health- post-trauma stress- stage in legal process- destitution & housing conditions


What we learned

• Asylum Seekers


- Maternal health- rape & sexual violence- FGM- low uptake of breast and cervical screening


What we learned

• Asylum Seekers


- Communicable diseases- Tuberculosis- HIV- Malaria


What we learned

• Asylum Seekers


- Sexual Health- Rape & sexual violence- FGM- undiagnosed STIs- reluctance to use contraceptives


What we learned

• Asylum Seekers

• Other significant issues

- High Mobility- Health registration

- Cultural expectations of services- Language- Nutrition


What we learned

• Economic Migrants

• Countries of origin

- EU - Eastern Europe A10 (c. 75% Poland)

- Non EU - India & Pakistan the most prevalent- also significant African and East Asian populations


What we learned

• Economic Migrants (EU)


- Vaccine preventable diseases- TB- MMR

- Sexual health- Variable STI rates


What we learned



- Work-related injury- high employment in “3D” jobs- sensory / musculoskeletal injuries- different perceptions of “risk”- confusion over responsibility


What we learned



- Mental Health- discrimination- work-related stress- social isolation


What we learned



- Lifestyle factors- many young male- high rates of smoking- heavy drinking- high fat diet


What we learned

• Economic Migrants (Non-EU)

• Prevalent health issues – South Asian

- Diabetes- genetic predisposition- deprived living conditions


What we learned



- Cardio-vascular disease (CVD)- high rates of smoking- low physical activity rates

- Blood diseases- sickle cell anaemia- Thalassaemia


What we learned



- Mental health- discrimination- deprived living conditions- family / cultural pressures


What we learned


• Prevalent health issues – African & East Asian

- Mental Health- Communicable diseases- Blood diseases


What we learned

• Accessing health services

- language - expectations of service- NRPF- entitlement- third sector

- Key role of Refugee Action and Refugee forum

- tailored & mainstream services


What we learned

• Toolkit development

- Drawing together existing and new research- Continually updated- Centrally held and moderated- Best practice sharing- Online


Conclusions

• Holistic Working Practices• Language Barriers• Cultural expectations• Mental Health • Coordinated Information Resource• Monitoring and research• GP Education


Recommendations

• Target Audience: Professionals (i.e. YOU!)

• Access to toolkit: pre-approval by moderator / System Manager

• Toolkit structure: Resources- Academic research- Best practice case studies- Statistical information- Health needs assessments

Service Directory- Mapped services

Professional forums- Informal knowledge sharing


Break-out 30 minutes

What do you think?

Stakeholder Workshop, Leicester30th June 2010


Introduction

In groups, consider:

• Do our findings reflect your experience?• Do you agree with our recommendations for the

toolkit?• How might the toolkit work for you?• Recommendations for further research


Next steps

• Report published and shared

• Consideration of recommendations

• Development of toolkit:• scoping• developing• testing• updating


Next steps

• Any comments, feed back to:

Kirsty Lowe East Midlands [email protected]

Sarah ShortEast Midlands [email protected]

mailto:[email protected]

mailto:[email protected]


Restrictions do NOT apply

Thank You!

NorthClear View, 3 Abbots QuayMonks Ferry, Wirral CH41 5LH

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South WestSuit 44, 42 Triangle West,Park Street, Bristol BS8 1 ES

t +44(0)7826 515 164f +44(0) 7826 515 164E [email protected]

South East27 Old Gloucester streetLondon, WC1N 3AX

t +44(0)207 419 5690f +44(0) 207 419 5690E [email protected]

east mids stakeholder event 30 jun 2010

Health & Medicine