This document summarizes a workshop on developing a migrant health toolkit for the East Midlands region of England. The workshop aimed to gather information on migrant health issues from local stakeholders to inform the development of a comprehensive online toolkit. Participants shared what they had learned about the demographics, health needs, and challenges facing different migrant groups in the region. Recommendations included making the continually-updated toolkit accessible to professionals, including resources, research, best practices, and a service directory.
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East mids stakeholder event 30 jun 2010
1. Development of a migrant health toolkit for the East Midlands Stakeholder Workshop, Leicester 30th June 2010
2. 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.
8. What the Project Consisted of Review of academic research Stakeholder engagement - Workshops - In-depth interviews x20 Final report
9. 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
10. 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
11. 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
12. What we learned Asylum Seekers Influences on health - Post-migratory factors - destitution - housing conditions - language - entitlement - stage of legal process
13. What we learned Asylum Seekers Prevalent health issues - Mental Health - post-trauma stress - stage in legal process - destitution & housing conditions
14. What we learned Asylum Seekers Prevalent health issues - Maternal health - rape & sexual violence - FGM - low uptake of breast and cervical screening
15. What we learned Asylum Seekers Prevalent health issues - Communicable diseases - Tuberculosis - HIV - Malaria
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17. What we learned Asylum Seekers Other significant issues - High Mobility - Health registration - Cultural expectations of services - Language - Nutrition
18. 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
19. What we learned Economic Migrants (EU) Prevalent health issues - Vaccine preventable diseases - TB - MMR - Sexual health - Variable STI rates
20. What we learned Economic Migrants (EU) Prevalent health issues - Work-related injury - high employment in “3D” jobs - sensory / musculoskeletal injuries - different perceptions of “risk” - confusion over responsibility
21. What we learned Economic Migrants (EU) Prevalent health issues - Mental Health - discrimination - work-related stress - social isolation
22. What we learned Economic Migrants (EU) Prevalent health issues - Lifestyle factors - many young male - high rates of smoking - heavy drinking - high fat diet
23. What we learned Economic Migrants (EU) Prevalent health issues - Lifestyle factors - many young male - high rates of smoking - heavy drinking - high fat diet
24. What we learned Economic Migrants (Non-EU) Prevalent health issues – South Asian - Diabetes - genetic predisposition - deprived living conditions
25. What we learned Economic Migrants (Non-EU) Prevalent health issues – South Asian - Cardio-vascular disease (CVD) - high rates of smoking - low physical activity rates - Blood diseases - sickle cell anaemia - Thalassaemia
26. What we learned Economic Migrants (Non-EU) Prevalent health issues – South Asian - Mental health - discrimination - deprived living conditions - family / cultural pressures
27. What we learned Economic Migrants (Non-EU) Prevalent health issues – African & East Asian - Mental Health - Communicable diseases - Blood diseases
28. 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
29. What we learned Toolkit development - Drawing together existing and new research - Continually updated - Centrally held and moderated - Best practice sharing - Online
43. Break-out 30 minutes What do you think? Stakeholder Workshop, Leicester 30th June 2010
44. 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
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