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Ministry of Human Resources

Ministry of Human Resources. The National Social Inclusion Strategy and other relevant programmes in Hungary regarding Roma health Together for a Better Health, Sofia, 27-28 September, 2013. Csaba Andor Ministry of Human Resources. Ministry of Human Resources. Contents

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Ministry of Human Resources

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  1. Ministry of Human Resources The National Social Inclusion Strategy and other relevant programmes in Hungary regarding Roma health Together for a Better Health, Sofia, 27-28 September, 2013. Csaba Andor Ministry of Human Resources

  2. Ministry of Human Resources Contents 0. Facts and figures The National Social Inclusion Strategy on health Othernational strategies related to Roma health Improving the health status of the Roma

  3. Ministry of Human Resources • 0. Basic figures • Roma are habitants, not migrants, consisting 3,2/7% (census/estimate) of the population • 70% are unemployed (80% of women!) • 80% living in deep poverty • Almost 30% living in poor segregated settlements, 40% living with 3 generations • Undereducated: high rate of school drop-out, 2/3 finish their schools in secondary vocational education • 2-3x higher fertility rate than other Hungarians • 32,4% are under 15, just 4% above 60 • Life expectancy at birth about 8-10 years shorter

  4. The Roma are overrepresented in the disadvantaged small regions of the country

  5. Ministry of Human Resources • National Social Inclusion Strategy (NSIS) 2011-2020 • Aims to reduce inequalities in Hungarian society and enhance the integration of disadvantaged groups including the Roma. • A strategy focusing on the Roma, but not exclusively for the Roma. European background: • During the Hungarian presidency in 2011 one of the goals was to reinforce the role of EU in Roma inclusionand enhance cooperation • Declaration: the inclusion of the Roma is of common EU interest • EU Framework of Roma strategies (COM(2012) 226): national measures aimed at Roma inclusion have to fit into the national reform programs to contribute to the objectives of the EU2020 Strategy • Steps since 2011: SWD(133), COM(2013) 454, COM(2013) 460 (debated)

  6. Ministry of Human Resources • EU focus areas of the strategy • Education • Employment • Housing • Health • Antidisrimination Hungarian focus The above + • Culture • Public safety

  7. Ministry of Human Resources Target groups Those living in deep poverty Families with children Roma population with special focus on women Problematic areas Low level of labour intensity Territorial inequalities Access to public education Access to healthcare Access to housing Self representation of Roma, consciousness of rights Discrimination against the Roma Methodological difficulties regarding data about the Roma

  8. Ministry of Human Resources Political principles of social inclusion

  9. Ministry of Human Resources Health priorities of NSIS • Health prevention of disadvantaged groups (vaccination, local and individual health programmes) • Reduce the inequalities in access to basic health services especially in disadvantaged micro regions • Early intervention: improved perinatal care, early prevention and early development • Mental hygiene of disadvantaged groups

  10. Ministry of Human Resources 2. Related strategies • 2003: “The Public Health Programme of the Decade of Health” (main goal:increase life expectancy by 3 years within 10 years) • 2005: Decade of Roma Inclusion Strategic Plan (2005-15, mission: to accelerate Roma integrationandreduce inequalities) • 2011: Semmelweis Plan for the Rescue of Healthcare (values: health is a fundamental right, self responsibility, focus on Roma, villagers, poor and people with disabilities, complex actions)

  11. Ministry of Human Resources 3. Improving health status of the Roma • Programme to fill all basic healthcare positions also in the most disadvantaged micro regions (DMR; family doctor and preventive nurse), aim to include Roma cultural mediators enhancing Roma participation in private health development programmes • Programme to establish local Health Development Offices (HDO): targeted at about 2/DMR (under implementation; currently a project, but later included in the health budget) • Programme to enhance mental health

  12. Ministry of Human Resources 3. Improving health status of the Roma • Vaccination programme • The ongoing complex settlement programmes (with housing, education and employment elements) include health development actions as well (HDOs) • Research programmes in the social dimensions of health inequalities resulting in practical suggestions • Main difficulties: to accept health as a horizontal value with decisive social, employment, housing and educational factors besides medical health

  13. Behind the generalized „roma data” and policies and programmes there are unique local communities, different cultures, citizens, e.g. … PEOPLE

  14. Thank you for your attention! Csaba Andor csaba.andor@emmi.gov.hu

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