‘Behind Closed Doors’Global Seminar on the Human Rights of Migrant Domestic Workers in an Irregular Situation

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Dr. Maria Nenette MotusInternational Organization for Migration (IOM)

Regional Office for Asia and Pacific, Bangkok

A call to action: ensuring equitable access to a continuum of health care and services for migrant domestic workers

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Migration Mega-trend: 1 in 7 on the move

7 billion Population

1 billion Migrants

247 million International

>740 million InternalUrbanization: 50% + Feminization: ca. 50%Irregular : 15-20% 17 – 25 million women in domestic services (83%)

Six Drivers of Migration1. DEMOGRAPHY

2. DEMAND

3. DISTANCE

4. DIGITAL REVOLUTION

5. DISPARITY

6. DISASTERS

Why focus on health of migrant domestic workers?

They are human beings, and have a right to health

Migrant-inclusive health systems

improves global health outcomes and health security

(origin/transit/ destination)

Healthy migrants contribute to positive sustainable development outcomes.

A shared responsibility!

‘Healthy Migrant Effect’ & Spaces of Vulnerability

Destination

Pre-departure

Return

Travel

Cross-cutting factors

Domestic Service - a space of vulnerability

Trafficked Migrant Domestic Workers(IOM Indonesia Recovery Center 2005-2006)

519

68

8

0

10

20

30

40

50

60

70

Jan-Feb 06 Mar-Dec 06

Domestic work

Sex work

Number of positive Chlamydia test results based on type of exploitation.

70.39

7.695.3

4.172.22 1.18

0

10

20

30

40

50

60

70

80

Chlamydia Gonorhea Trichomoniasis Hepatitis B HIV + Hepatitis C

Chlamydia

Gonorhea

Trichomoniasis

Hepatitis B

HIV +

Hepatitis C

Percentage of positive STI results among VOTs assisted in year 2006

Trafficked Migrant Domestic Workers(IOM Indonesia Recovery Center 2005-2006)

Stranded Domestic Workers in Conflict Situations

Libya Crisis

Stranded Domestic Workers in Irregular Situation in Conflict Situations

Syria Crisis Yemen Crisis

IOM Migration Crisis Operational Framework

Emergency Evacuations

Health Care Assistance

Travel Health Assistance

Psychosocial Support

Return and Reintegration Assistance

15 Sectors of Assistance

Challenges in promoting health & well being of migrant domestic workers

National level: health of migrants not often safeguarded:

- Migrants still seen as burden on health system and carriers of disease- ‘Generous’ social rights seen as a potential pull factor- Migrants too often remain invisible, marginalized and excluded

(empowerment?)- Lack of policy coherence, and multi-sectoral collaboration

International level: health of migrants absent in global debates:

- Often absent in global health debates (SDH, NCD, Disease Control programmes, etc.)

- Often absent in debates on migration & development (HLD M&D, GFMD, GMG, Post-2015, etc.)

WHO & IOM Global Consultation on WHA 61.17 Resolution on Health of Migrants (2010)

Operational Framework on Migrants’ Health:

Monitoring Migrant Health

Partnerships, Networks and Multi country Frameworks

Policy and Legal

Frameworks

Migrant-Sensitive

Health Systems

Opportunities for Advocacy Efforts

Colombo Process Global Forum on Migration and Development (GFMD)

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A shared responsibility : to promote equitable access to continuity of health care services Conceptual framework

Gov’ts(origin/transit& destination)

_____Regional

Government Structures

_____Migrant Workers

& Families

STAKEHOLDERS Action Pillars

Health Services Capacity Buiding

Research & Data Sharing

Advocacy for Policy Changes

Multi-Sector Partnerships

Critical Domains

Labor Migration & Development

Migration Health

Civil Society

Social Welfare

Social Determinants of Health

Sustainable Development Goals

Rights & Protection

Primary Heath Care & Referral

Research

Donor Community

Media & Public Info